Formulations in CBT Introduction This essay discusses what we understand by case conceptualization which is also called case formulation ( this paper refers to it in that term) in Cognitive Behavioral Therapy (CBT), and reminds us of some historical background and conceptual underpinnings of CBT case formulation. It then discusses why it’s important, as well as how we use it, in CBT approach. Further the paper draws some differences with Psychiatric Diagnosis. The essay includes some critics from different disciplines and what they say about CBT formulation. It discusses its strengths and weaknesses, and how we work with these. It offers an opinion when and how a case formulation is helpful. Following that, the essay points to …show more content…
Persons (1989) suggested that a case formulation may explain how current problems are being precipitated and how they actually make sense in the light of the hypothesised underlying beliefs and current triggers. These also may suggest origins of the underlying beliefs in the client’s early life. Judith Beck (1995), Melanie Fennell (1989) and others have expanded this view of the cognitive formulation to include Core Beliefs and Assumptions which are linked to the Automatic Thoughts specific to a given situation. In clinical setting, the case formulation guides a therapist how to structure the sessions and by prioritising the client’s core problems, give rise to a plan and choice of intervention. Case formulation is an element of an empirical hypothesis testing approach to clinical work and has three main elements which are assessment, formulation and intervention. The process of case formulation starts with an unstructured ‘problem list’ (Persons, 1989), then proceeds to look for common themes which could suggest underlying beliefs, schemas and early life experiences. This supports CBT in standing up against criticisms made by psychodynamic theorists which states that CBT deals only with symptom reduction, having no underlying rationale (Persons et al., 1996). Therefore rational for the use of case formulation is that it improves practice by linking theory, research and
The purpose of this paper is analysing the contributing treatment approaches that resulted in the emergence of the Behavioural Cognitive Behavioural Therapy (CBT). The paper presents and analyses the contributions that previous psychological treatment methods made in culminating the CBT. To this end, the paper presents the main treatment methods that are assumed to be most important and analyse their main arguments in
At the beginning of the semester, the framework for professional clinical counseling was presented during the class session. The objective was to study what the world calls “counseling” and how it is designed to provide the correct treatment to these people. The professional clinical model calls for a trained professional to handle the catharsis of the client in a controlled environment on the basis of a fiduciary relationship. Deliberate and guided questions are asked from the therapist to encourage catharsis. Once the professional compiles sufficient evidence via resources and intuitivism, a treatment plan would be prescribed. The client has a choice of accepting the treatment or
They both have a “positive view of human nature and view the individual as not necessarily being a product of their past experiences, but acknowledge that they are able to determine their own futures” (Holder, 2013). They both attempt to improve their client’s wellbeing by implementing a two-way therapeutic relationship where both client and therapist collaborate to enable the clients coping mechanisms (Holder, 2013). CBT and PCT both instil the three core conditions of empathy, unconditional positive regard and congruence but in CBT it is used mainly in the establishing of the working alliance (Holder, 2013). In both methods, the relationship between client and therapist is congruent and they both use the skills of reflection, paraphrasing and
The dynamics of the client-therapist relationship in cognitive therapy is a collaborative effort. Cognitive therapists elicit patient’s goals at the beginning of treatment. They explain their treatment plan and interventions to help patients understand how they will be able to reach their goals and feel better. At every session, they elicit and help patients solve problems that are of greatest distress. They do so through a structure that seeks to maximize efficiency, learning, and therapeutic change (Robert & Watkins, 2009). Important parts of each session include checking the client’s mood, a connection between sessions, setting an agenda, discussing specific problems and teaching skills in the context of solving these problems, setting of self-help assignments, summary, and feedback (Robert & Watkins, 2009). The status that CBT has with insurers and funding agencies is a result of concrete and measurable goals, goal-focused processes and clear outcomes-based evaluations/results. Therapy is typically conducted in an outpatient setting by trained therapist in cognitive behavioral techniques. Treatment is relatively short in comparison to some other forms of psychotherapy, usually lasting no longer than 16 weeks.
CBT has no set definition but can be viewed as a scientific approach towards the understanding and improvement of human condition. Due to the advancement in the understanding of CBT, many different types of models have come into place (Rakovshik & McManus, 2010; Shafran et al, 2009) . As evidence based practice, it has become very popular and is at a rise due to its ability for causality in elicits situations and experiences. Despite some great success, not only dealing with addiction but has also proven effectiveness with psychoanalytic approach, it still holds some defects. In this paper, CBT approaches will further be analyzed and tested upon its effectiveness and how they have been criticized for further improvements.
The practice that assist a therapist in determining a client diagnosis and the proper treatment plan that would resolve the issue surrounding the clinet’s diagnosis is Case Conceptualization and Treatment Planning. The clinet’s treatment plan must be appropriate and relational and this will alow any type of medication and adaptions to be adjusted if needed so that modifications and adaptations can be adjusted as needed (Altman, Briggs, Frankel, Gensler, and Pantone, 2002). The ultimate goal of case conceptualization and treatment planning is to discover complete findings in relation to the client. One approach is Existential Therapy. The human
The main goal of CBT is to help individuals and families cope with their problems by changing their maladaptive thinking and behavior patterns and improve their moods (Blackburn et al, 1981). Intervention is driven by working hypotheses (formulations) developed jointly by patient, his/her family and therapist from the assessment information. Change is brought about by a variety of possible interventions, including the practice of new behaviors, analysis of faulty thinking patterns, and learning more adaptive and rational self-talk skills. (Hawton, Salkovskis, Kirk, and Clark, 1989).
Individuals in CBT learn to recognize and correct perplexing behaviors by applying a variety of altered abilities that can be utilized to discontinue drug abuse and to discourse a variety of other difficulties that often take place in conjunction to the drug abuse (Martin, 2013). There is a prominence on recognizing and adjusting illogical thoughts, handling negative mood and superseding after a lapse to avert a full-scale relapse (Becks, 2011). All methods of CBT are grounded on the notion that beliefs predominantly distress our emotions and actions (Becks, 2011). CBT emphases on reconnoitering relationships amongst an individual 's judgments, emotional state and behaviors and altering and adjusting the way the client deals with his thoughts (Becks, 2011). CBT therapists may embolden clients to test the destructive philosophies and expectations they have about themselves and their domain (Martin, 2013).
Case conceptualizations are critical tools that help therapists put a client’s problems and deficits into perspective. These documents serve as a resource to understand how current and past events contribute to a client’s problems and how to achieve the most effective treatment. In this conceptualization, I will be describing and interpreting Sharon’s problems to better understand her. After analysis, I will consider the best course of treatment for Sharon, and how she can get back to a healthy, happy lifestyle.
“The goal of CBT is to teach clients how to separate the evaluation of their behaviour from the evaluation of themselves and how to accept themselves in spite of imperfections” (Corey, 2009, p. 279). In CBT the clients are expected to change their current behaviour (normally full of automatic thoughts) to a more rational way of thinking. The clinician will challenge the client’s behaviour in order for the client to understand his or her behaviour and get alternatives to change his/her behaviour. When using CBT, the client’s behaviour changes when they are aware of the abnormal behaviour. This approach allows the client to focus on improving his/her wellbeing. This enhances the client’s awareness of an existing issue and that changes are necessary. The client will develop new coping skills to deal with the situation and develop a new way of thinking from negative (automatic thoughts) to positive (more realistic thoughts). Initially the client may not recognise that a problem exists, but through this process will get
I am submitting a paper on counsellors’ belief systems that may have an impact on the therapeutic process. This paper discusses my perspective of two case studies with different scenarios and is via my reflection of the cases. The aim and goal will be to learn to write as the third person and gain insight. The method I will discuss will be from placing me in the shoes of the counsellors’, and walking in their shoes.
Introduction For counselors, case conceptualization is how we understand the nature of clients’ concerns, the ways in which the problems have developed, and the types of counseling interventions, theories, and techniques that might be helpful to solve these problems. A good case conceptualization should effectively link a client’s presenting problem to a treatment plan as well as provide the basis for tailoring treatment to client need and expectations” (Sperry, 2005). Problem Immediately, Jill’s age is a factor.
It is important when working with clients that consideration is given to the methods and approaches used with regards to specific client’s needs and personality as well as consideration regarding presenting issues. Here a case study of Jane is used to argue /evaluate and assess how both a psychodynamic counselor and cognitive behavioral therapist (CBT) would view the case study of Jane from their perspectives. Consideration will be given from both a psychodynamic approach and CBT approach of how a therapist might work with Jane. The main similarities and differences of both the psychodynamic and CBT approaches will be analyzed. This will lead into an evaluation of which is the most appropriate approach in working with Jane by
A case method is a documented study of a situation that transpires in real life or it can be about a fictional situation, which is used as teaching or learning tool in business schools and firms. These studies allow students evaluate cases and provide their own interpretations on potential solutions for the provided business scenario. Furthermore, the case method can also be described as something that gives you a detailed explanation of a company, industry, person, or project over a given period of time. Within the explanation, information about the company’s objectives, strategies, challenges, results, recommendations and more can be found. This also poses as a great way to promote interaction between students and
Case Notes Case notes are to help me remember the important details, important aspects of what occurred in the session, and how it’s adding to the treatment plan (Laureate Education, 2012). Case notes are important because they are written for benefit of the client. When counseling a client, there is a lot to remember and case notes can help us to recall the important facts. This paper will provide a sample case note, discuss the theory used in the session, identify the counseling goals and demonstrate counseling skills. The paper will then evaluate this experience and incorporate thoughts about the process.