Key Simmeth Counseling Group Analysis

I learned two significant things about group counseling in this course. The first thing that I learned is the importance of setting up a treatment plan. The intention is to follow the client from their entrance into the program until the client is discharged. In this process the clients’ problems are identified through various assessments and as each problem is addressed, it is checked off of the list. Once all of the problems are checked off of the list, the client is considered as having completed the plan. This plan is especially important because it evokes thoughtful conversation between the client and the counselor and is the best method to gain information from the client regarding the help they want to receive. The second most significant thing that I learned about group counseling is how to design a group from start to finish. From pre group design, planning the goals of the group and determining the members to setting up the environment and structuring the sessions, each step adds its own important components to designing group counseling.

He discusses the effectiveness of this method and even that it has been proven to completely cure PTSD in some patients, mainly veterans which are my target patient of discussion. This article is credible because it was written by a good psychologist and was published in a credible medical journal.

William Harrar went into private practice in 1991 and continues to maintain a private practice. He provides professional consultations to other therapists and consults at local psychiatric units as well. He also provides psychotherapy to individuals, couples, and families. Dr. Harrar’s emphasis is brief treatments, especially treatments utilizing EMDR. His expertise in EMDR has afforded him as an approved consultant and certified therapist with the Eye Movement Desensitization and Reprocessing International Association (EMDRIA). Dr. Harrar also facilitates at national EMDR Institute trainings.

This paper will examine, compare and contrast Eye Movement Desensitization Reprocessing (EMDR) and Cognitive Processing Therapy (CPT) in the case of Joe, a fictional client with post-traumatic stress disorder from two tours of combat duty as a Marine Corps sniper in the Middle East, without the use of psychotropic medications. EMDR uses side-to-side eye movements in a one-on-one session with a clinician while the client focuses on a distressing memory until he or she reports reduced symptomology or no psychological distress; the clinician then has the client think of positive thoughts while continuing the exercises. EMDR has been the target of debate over its effectiveness, with some scholars suggesting that it is the “rewiring” of the brain that is most beneficial. CPT is often used when other processes of recovery fail. Therapy, administered individually or in a group, initially focuses on misconstrued beliefs of denial and self-blame for the traumatic incident and then addresses beliefs the client has about himself and the world in general. CPT uses talk therapy and worksheets with the goal of the client learning to make sense of what happened and fit it in with the beliefs about themselves and others. Findings suggest that each therapy has its advantages and which is best depends on how responsive the client is to each mode and the therapeutic alliance between the client and therapist.

Observations are completed by senior therapists of the new therapists or therapists who are beginning a new type of intervention after recent certification. This would include a certification for Eye Movement Desensitization and Reprocessing (EMDR). The intervention is used in trauma. After the therapist completes the required training they will need to receive case supervision by a credentialed EMDR therapist as well as group supervision to discuss the cases. There

Treatment of posttraumatic stress disorder is possible. The current treatment of PTSD encompasses several types of psychotherapy combined with a medication regimen. Cognitive therapy is one type of therapy used to combat PTSD. The goal of cognitive therapy is to allow the patient to slowly experience feelings, thoughts, and events associated with the trauma in a controlled setting. This allows the PTSD sufferer, to categorize the traumatic feelings associated with the event and assign a more positive meaning to them. Thus providing a coping mechanism. Another school of thought places the therapeutic focus on gradually exposing the PTSD sufferer to elements of the trauma. The goal is to desensitize the patient to the traumatic event. This allows the patient to resume a normal life. One other form of therapy used in treatment of PTSD is EMDR. EMDR or Eye Movement Desensitization and Reprocessing is a form of exposure therapy that places the emphasis on guided eye movements. The theory is that the movements help retrain how the brain reacts to memories of the traumatic event. Success has

Despite, all this benefit of using CPT in trauma treatments there are also limitation when using this method for a counsellor/therapist should be aware of. Notwithstanding, the impact CPT has in reducing erroneous thought with PTSD (Sobel, et al., 2009), still recommended for the need more in-depth further studies in understanding the cognitive process in recovery from PTSD. More so, research has to be done or studies that have proven to be successful in using this treatment should be replicated to determine the effectiveness of CPT with different population (Resick et al., 2002). CPT believes that homework and other written work is very vital with this treatment approach, and this could pose as a challenge for clients who might have difficulty

This method is useful in trauma cases, which result to depression, anger and anxiety. It includes strategies and methods used to help individuals deal with past traumatic events in order to minimize anger and depression. Making an individual remember their past traumatic events enables them deal with their fears (Rizvi, Vogt, & Resick, 2009). The treatment period is dependent on the needs of a client and the healing progress. Edna. B. Foa is the scholar who developed the therapy program she based her study on the treatment of anxiety. Practitioners all over the United States have practiced her strategy on treating trauma caused due to rape, child abuse, motor

According to Sharf, (2008) the eye movement desensitization and reprocessing (EMDR) was designed to treat posttraumatic stress disorder. EMDR requires that the clients visualize an upsetting memory and accompanying physical sensations. The clients repeat negative self-statements that they associate with the scene. The procedure is repeated again and again until the client’s anxiety is reduced. EMDR focuses on desensitizing strong emotional reasons in clients and help them to reframe their belief systems to accommodate new emotional states (Sharf, 2008).

In cognitive behavior therapy there are three main goals a therapist tries to achieve, “ relieve the symptoms and help clients resolve the problem, then help clients develop strategies that can be used to cope with future problems, finally help clients change the way they think from irrational, self-defeating thoughts to more rational, self-helping, positive thoughts” (Ciccarelli, White 2015). When interviewing friends the first step was to find out what their most impacting problems were. Then they talked about ways they could help relax themselves when or if the situation every happened again. Finally they came up with ways they could look at their problems in a more positive way. After the interviews

[When applying this type of therapy to treating a client with post traumatic stress disorder, EMDR is a reasonable choice because… ]

EMDR has weaknesses and debated for being controversial due to it being difficult to support the signature aspect of the therapy, namely alternating eye movements as actually necessary to the treatment (McLay et al., 2016, p. 702). Eye movements and cognitive reprocessing which are deemed by EMDR as essential failed to make a unique contribution to the outcome of therapy (Rubin, 2002, p. 14). According to the Prochaska & Norcross, “The eye movements are only one form of bilateral stimulation and may not be required for the therapeutic effect” (2014, p. 211). Hand taps and repetition of auditory cues are other alternate stimuli which can be used instead of eye movements. Early claims were made about EMDR having almost magical results that only one session of EMDR could provide treatment for clients (McLay et al., 2016, p. 702; Prochaska & Norcross, 2014, p. 210). Furthermore, EMDR could be viewed as a simple variant of exposure therapy with a gimmick in marketing the therapy as something new (Rubin, 2002, p. 12). According to Perkins & Rouanzoin (2002), “EMDR is best explained by learning processes that subsume exposure and cognitive-behavioral treatments” (p. 80). EMDR has not been proven effective outside of PSTD.

In this paper the therapies related to Cognitive Behavioural Therapy (CBT) will be studied in order to determine the applicability thereof for the treatment (and prevention) of Post Traumatic Stress Disorder (PTSD). PTSD will be summarised as described in the Diagnostic and Statistical Manual of mental disorders edition 4 with revisions (DSM-IV-TR). The therapy models, their theory and techniques will be discussed. The therapies this paper has in scope are, CBT, Exposure therapy and it’s different related techniques, Stress Inoculation Training (SIT), and Eye Movement Desensitisation

Emotion-Focused Therapy was developed in the early 1980s by Sue Johnson and Leslie Greenberg to provide a clear framework for working with emotion in couple therapy. (Karris & Caldwell, 2015, p. 346). In working with distressed couples, Greenberg and Johnson noted that those people were overwhelmed by intense emotions that keep them fixed into malicious pattern of interactions (as cited in Karris & Caldwell, 2015, p. 347). The priority of EFT was to identify the negative interactional cycle early in treatment and, then, access “on each partner’s unexpressed underlying emotions” (Johnson and Greenberg, 1988, p. 29) that are hidden from the self and the

Initial stage of a group talks about the early phases of the counseling group and leads the facilitator through the necessary steps and characteristics.