The Depressed Client and Cbt

The relationship between therapist and client is collaborative and caring. Goals are set by the client with the help of the therapist. The therapy is very goal-orientated and specific. They then work together to assess and then change faulty beliefs that interfere with accomplishing these set goals. The basic goal is to remove biases or distortions that hinder the client from functioning effectively. Changing cognitive schemas can be done in three different ways; reinterpretation, modification, and restructuring.

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.

Upon establishing a therapeutic alliance and building rapport, Adam was insightful in identifying treatment goals for therapy. Stressing the recovery model, Adam and I, were determine to set reachable goals that were attainable during short-term therapy consisting of 12, one hour, weekly sessions.

Therapist plans to meet with individual on Friday, March 11, 2016 between 9-11 AM to work on focusing and attentive skills using therapeutic worksheets

I first attended a one on one meeting Wendy had to get a feel for the material she uses for her therapy sessions. In both her private sessions and in the group setting Wendy utilizes a workbook by Michael Cofield, PhD, ABPP which has been adapted for TERROS, our organization. It is called The Road Map to Peace of Mind. I sat in on her one on one on March 31st, she went over the workbook and its purpose before the client came in. She uses the workbook with him to process his behaviors

Cognitive Behavioral Therapy (CBT) is a collaborative practice model in which the practitioner and the patient focus on improving mental health by addressing the patient’s feelings, thoughts, and behaviors (T. Eick, J. Matuszak, & A. Stacey, personal communication, November 19th, 2015). This model is beneficial as it addresses challenging behavior by looking into the thoughts and feelings behind the behavior, instead of only trying to change the outward appearance. In the first sessions of this therapy, the client is told what CBT is, the client describes what they believe are the problems that need to be addressed, and goals are set to solve these problems (T. Eick, J. Matuszak, & A. Stacey, personal communication, November 19th, 2015). This is helpful because if the client has a say in setting their own goals they are more motivated to follow through with them. During the intervention sessions of this model the worker discusses dysfunctional thoughts with the client and how these appear in different situations. Goals are also reassessed in a collaborative approach to determine if they are working and are appropriate. When treatment is coming to an end, it is collaboratively discussed if the client and those important to them believe they are ready to end treatment. It is important that there is a summary of what skills the client has learned and for relapse prevention, identify possible future triggers and how the client will address these. This model is very

Inviting clients to continue utilizing behavior/responses patterns that are working allows the client to see for themselves that they have the capabilities to elicit the change they are seeking without out the therapist invoking any suggestions. When the therapist is able to confirm with the client what they are at present doing well, and recognizes how challenging their problems are encourages the client to continue changing sends the message that the therapist has been paying attention, comprehend, and actually cares. This method for changing helps clients amplify exceptions to their problems, bringing forth effective solutions that are already in their repertoire (Nichols, 2013, p. 248). The credence that change can transpire quickly,

Facilitating this collaborative process involves the therapist acting as an educator and active participant in therapy. The concept of the therapist as an active participant means that the therapist is there, not just to observe or interpret, but also to engage, lead and teach. The cognitive-behavioral therapist acts as a guide to their patients; they guide their patients toward goal completion. Through creating, assigning and following-up on real-world applications of behavior changing techniques, the therapist assumes the role of an educator in the patient-practitioner dyad.

Some techniques that are central to this orientation are, having very clearly defined action plan. This will help with the direction of the therapy, which the client has agreed on and helped to establish. I also believe that inventories are very helpful, because they can help to identify any problems that the client has not raised. They are also useful for helping to determine what type of goals should be pursued, or if there’s a more immediate problem, which the client has not, mentioned, or is not aware of. Inventories also provide a good base, and can provide useful information about the client, as well as help to assess the client’s mood. The inventories should not only

The core principle of Cognitive Behavioural Therapy (CBT) will be applied to a patient/client with depression in this essay. The outline will follow a chronological order of ABC analysis case formulation describing the client/patient’s main problems. A CBT Interventional therapeutic approaches that may be adopted encompasses; Behavioural (BA) activation, Individual CBT and Inter-personal Therapy (IPT) originated or devised from the cognitive behavioural formulation of this patient. Also a description and /or diagrammatical representation of the Beck et al (1979) depression Inventory BDI-ll instrument or tools (device) that may be used to measure

Solution-focused brief therapy (SFBT) radically transforms the therapeutic process and relationship. As the name suggests, solution-focused brief therapy is about "being brief and focusing on solutions, rather than on problems," ("About Solution-Focused Brief Therapy," n.d.). Instead of drawn-out and costly sessions with therapists, the client receives highly focused therapeutic intervals that do not delve into the past other than what is absolutely necessary. Only three to five sessions are generally warranted for solution-focused brief therapy (Iveson, 2002). The underlying principle of being solution-focused is that therapy should be proactive. The Solution-Focused Brief Therapy Association (n.d.) claims, "so much time and energy, as well as many resources, are spent on talking about problems, rather than thinking about what might help us to get to solutions that would bring on realistic, reasonable relief as quickly as possible." In fact, during the intake interview, the client might not even be asked about what the "problem" is, in order to keep the therapy focused exclusively on the "solution" or what is envisioned as positive outcomes (Iveson, 2002, p. 149). The purpose is to get the client to think immediately and critically about goals and how to achieve them. "All that clients need is to want something different even if at the starting point they do not think that something different is possible," (Iveson, 2002, p. 149).

In their last session (session twelve) the patient rewrites their impact statement and compares it with the copy they wrote at the beginning of therapy. Doing this allows the patient to recognize the changes in their thoughts, feelings, and behaviors. The clinician and the patient identify any areas that may be problematic in the future and discuss ways the patient may manage issues using Cognitive Processing Therapy principles (Chard et al.

Cognitive Therapy (CT) or Cognitive Behavior Therapy (CBT) was pioneered by Dr. Aaron T. Beck in the 1960s, while he was a psychiatrist and professor at the University of Pennsylvania. Before being hired for this job he had practiced psychoanalysis elsewhere and became interested in advancing the field.

The Solution-Focused Therapy Model allows the clients to focus on building solutions to their problems. In the termination phase of this model, a group member suggested that we would review the client’s goals and discuss the progress that has been

Furthermore, therapists schedule their meetings with patients for an average of 12-16 sessions, where each session lasts for 50 minutes. During each session, patients are taught new skills to increase daily functioning and counter negativistic thinking. There are four important stages in CBT intervention: Assessment, Cognitive, Behaviour and Learning. Firstly, assessment stage includes skill-building sessions on behavioural activation to increase patient engagement. Patients are asked about their understanding of what is causing depression, whether any daily activities have been discontinued and why they were discontinued. Then, therapists advise patients about balancing their lives with necessary daily activities and help form a treatment