The Integration Of Cognitive Behavioural And Narrative Therapy

1. Compare and contrast how two different models of counselling would understand and approach treating Jim.

Why is externalising a central technique in narrative therapy today, and what are the limitations and successes of this technique?

The client met with his counselor on 05/06/2017 for his one on one session to discuss his treatment plan goals. the client has been on track with his goals and is working on his second step. the client discuss one of the things that his currently working on and that is acceptance. the client explained that he is having a hard time acceptance certain situations and things that happen in his life, and most of the time it result in him resulting to using drugs. the client as well talked about being disappointed in himself for relapsing after two years of being sober. the client reported that he didn't use the tools that were given to him from his last his was in the program, getting a sponsor and learning coping skills. the client reported that

There are various types of interventions utilized by narrative therapist. The intervention used will depend on the therapist and the client. The following are just a few of the interventions that are at a narrative therapist disposal.

Considering the secrecy surrounding OCD symptoms, it is important for family members to pay attention to early signs of ritualistic behaviors becoming troublesome. When OCD is suspected, a comprehensive clinical evaluation – including detailed interviews with parents and, if possible teachers – is required in order to check the obsessions, sensory phenomenon and compulsions in the case. In younger children, OCD features might appear subtly during play activities or drawing. It is vital to differentiate between obsessive compulsive symptoms and normal childhood behavior, such as the normal practice or actions during playtime, food time or bedtime. In this context, the information about degree of distress, impairment and time consumed performing rituals should provide enough data to decide whether or not treatment is warranted. Moreover, it is also important to assess insight and the family’s perception of the symptoms, as well as how family members deal with the patient.

My client is a 27-year-old biracial mother to two girls. I've been working with a client for almost 6 months doing Parent child psychotherapy therapy with her two-year-old daughter. During one of our regular sessions client shared with me she walked into a room and noticed her 7 years old daughter and seven-year-old niece were engage in what appeared to be a sexual play. Client continued to share how uncomfortable she felt and stated she had no idea how to handle the situation. She had conflicting thoughts because she knew her daughter had no idea what was happening but realize that her niece has been sexually molested in the past and might've been acting out what she learned.

Obsessive Compulsive Disorder (OCD) is an anxiety disorder that is the fourth most common mental illness in the U.S. (8). OCD affects five million Americans, or one in five people (3). This is a serious mental disorder that causes people to think and act certain things repetitively in order to calm the anxiety produced by a certain fear. Unlike compulsive drinking or gambling, OCD compulsions do not give the person pleasure; rather, the rituals are performed to obtain relief from the discomfort caused by obsessions (2). OCD is more common than schizophrenia, bipolar disorder, or panic disorder, according to the National Institute of Mental Health (6). This disorder can be therapeutically treated, but not cured.

Underestimated, unnoticed, and sometimes ignored, obsessive-compulsive disorder (OCD) lurks in the shadows of other illnesses. OCD is a mental condition that has severe to minor effects, but help is always available through Exposure with Response Prevention Therapy and medication. OCD obliterates the ability to think and live freely, leaving its victim trapped in a world of repetition.

Narrative therapy was developed by Michael White and Davis Epston in during the 1980 's. Narrative therapy is described as a “ collaboration and non-pathologizing approach to counseling and community work which centres people as the experts on their own lives” (Narrative Therapy Centre, 2014). The basis of this theory is to separate the person from the problem so they rely on their own skill sets to eliminate their problems. Narrative therapy allows people to transform their personal experiences into stories and discover their life 's purpose (GoodTherapy.org, 2015).

Obsessive compulsive disorder (OCD) is a debilitating neuropsychiatric disorder with a lifetime prevalence of 2 to 3 percent and is estimated to be the 10th leading cause of disability in the world. Patients with OCD experience recurrent, intrusive thoughts (obsessions) and/or repetitive, stereotyped behaviors (compulsions) that last for at least one hour per day and significantly interfere with the individual 's normal level of functioning. The intrusive obsessional thoughts

It was gone- my arm. Torn right off where the humorous met the clavicle. Behind their constant looks of pity and commiseration, I could tell the doctors were disgusted. And despite my protests, Kevin was arrested upon my cousins urging.

Obsessive-compulsive disorder, also known as just simply OCD, affects from 1% to more than 5% of the total population. This paper gives an overview of current diagnosis criteria, statistical data, causes of the disorder as well as current treatment options. While in the past, most clinicians use drug therapy to treat OCD patients, today treatment options are focusing on a combination of psychological therapy combined with drug therapy in an effort to address underlying problems causing the manifestation of OCD while still treating the symptoms of the disorder.

This article highlights the experience of a 46 year old woman with obsessive compulsive disorder, and how adding cognitive behavioral therapy to her treatment benefits her. Obsessive compulsive disorder is a disorder which affects approximately 2 to 3 percent of the population (Salkovskis, 2007) (Taylor & Reeder, 2015). Cognitive behavioral therapy is a method of treatment recommended by the National Institute for Health and Clinical Excellence, with the results proving to be effective ( Abramowitz, Foa, & Franklin, 2003; Anderson & Rees, 2007; Department of Health, 2001; NICE, 2006; Storch et al., 2008) (Taylor & Reeder, 2015). Likewise, group cognitive behavioral therapy is a proven effective treatment for OCD, with similar results shown from individual cognitive behavioral therapy (Hougaard, 2009) (Anderson & Rees, 2007) (Taylor & Reeder, 2015).

Obsessive compulsion disorder (OCD) is an anxiety disorder described by irrational thoughts and fears (obsessions) that lead you to do repetitive tasks (compulsions) (Obsessive Compulsion Disorder, 2013). When a person has obsessive-compulsive disorder, they may realize that their obsessions aren't accurate, and they may try to overlook them but that only increases their suffering and worry. Eventually, you feel driven to perform compulsive acts to ease your stressful feelings. Obsessive-compulsive disorder is often driven by a reason, cause, or fear for example, a fear of germs. To calm the feeling of this fear, a person may compulsively wash their hands until they're sore and chapped. Despite their efforts, thoughts of obsessive-compulsive behavior keep coming back. This leads to more ritualistic behavior and a brutal cycle of obsessive-compulsive disorder. OCD is the fourth most common mental disorder, and is diagnosed nearly as often as asthma and diabetes (Who We Are, 2012). In the United States, one in 50 adults suffers from OCD. Obsessive compulsive disorder affects children, adolescents, and adults. About one third to one half of adults with OCD report a childhood onset of the disorder, they felt these anxieties but were not diagnosed or felt no need to be diagnosed until the compulsions over whelmed them (Who We Are, 2012). The phrase obsessive compulsive has been used to describe excessively meticulous, perfectionistic, absorbed, or otherwise fixated person. While

This paper is going to look into two models of intervention that Ben and I think might help him cope with things going on in his every day life. The two that we have chosen are Cognitive-behavioral therapy and Narrative therapy. We will look into both of these and also as we do that we will find out what the role of the social worker is in both cases.