Research completed with Veteran’s illustrates that changing schemas, such as feelings of failure, incompetence and mistrust, to name a few, can be effective in decreasing symptoms of PTSD (Cockram, Drummond, & Lee, 2010, p.5). CBT is useful for addressing multiple issues, including anxiety, panic, depression, substance abuse, and OCD. It can be especially useful in work with adolescents, older children and adults. Cognitive Behavioral therapy has expanded to include work with children and adolescents who have experienced trauma, has been shortened to include Brief Cognitive Behavioral Therapy and can be used in group therapy sessions. Trauma Focused Cognitive Behavioral Therapy (TF-CBT), a “short term, component based intervention” …show more content…
49). Similarly, this approach is useful when working with LGBTQ individuals and other diverse groups, as it is focused on individual’s thoughts and reactions to stressors and is open to modifications. CBT has some shortcomings in regard to cultural competence, as it may be difficult for some to question the values of their cultures. For instance, a female, Asian client may have difficulty questioning her husband’s motives (Corey, 2009, p. 301). Other specific changes can help to tailor the intervention to make it more culturally sensitive. When utilizing this intervention, it is important for the provider to “understand the core values of their culturally diverse clients” and take time to understand these beliefs before encouraging them to question personal and cultural beliefs (Corey, 2009, p. 300). Care would have to be taken to ensure positive rapport prior to encouraging this. Hinton and Jalal (2014), developed a cultural checklist that can be utilized to assess cultural sensitivity of CBT interventions which looks as ideas about language, religious background, demographic variables, and key catastrophic
Anxiety disorders may be assessed using the Screen for Child Anxiety Related Emotional Disorders [SCARED-C] (Birmaher et al., 2003). PTSD may be assessed using a variety of methods such as Structured Clinical Interview [SCI], the Diagnostic Interview Schedule [DIS], and the Clinician Administered PTSD Scale [CAPS] (cited in DeNigris, 2008). PTSD is a debilitating state that can develop from traumatic events (Marsh, 2008) . In a recent study conducted by Madigan and colleagues (2015) they state that Trauma-Focused Cognitive Behavioural Therapy [TF-CBT] is
Cultural competency aids in closing the “disparities gap” in health care. ("OMH," 2012, para. 2) In doing so, health professionals and their clients are better able to discuss concerns without cultural differences getting in the way of effective communication and problem solving. Being respectful of and sensitive to the client’s health beliefs, culture, values, and diverse needs can bring positive outcomes within treatment and patient care. After all, is it not the main job of the health care provider to ensure patient trust? Open forms of communication when dealing with client issues can only be provided if the patient is comfortable with his provider and believes his
When considering the significance and use of Cognitive Behavior Therapy within therapeutic practice (as with any other modality used) it is necessary to consider the impact/context within todays multi-cultural society. Awareness of Multiculturalism provides a fourth dimension to the three traditional helping orientations psychodynamic, existential-humanistic and cognitive. All learning occurs and identities are formed within a persons cultural context. Cultural identity is dynamic and ever changing in todays society. Understanding the cultural and
In order to provide culturally appropriate care, an examination of one's personal views, beliefs, and prejudices must be examined. The first portion of this paper will examine my personal values, beliefs, biases, and prejudices. The remaining paper will analyze the African American culture relating to the Ginger and Davidhizar's Transcultural Assessment Model cited in Hood (2010). This model uses six key cultural elements that include communication, space, social organization, time, environment, and biological variations. This model provides a systematic approach for assessing culturally diverse clients. I will also discuss an aspect of care that I would
The effects of maltreatment in children can last through adolescence and on through adulthood for many. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is a very popular type of therapy that join the caregiver and the child’s sessions. The basic process of this therapy is educate and improve parenting skills, teach relaxation techniques and skills, introduce cognitive coping skills, allow the child to talk about the narrative and make the child feel comfortable about talking about the trauma and allow the child cognitively process the traumatic events, ensure that the child feels safe. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT). For children who suffer post-traumatic stress syndrome, this treatment can require maintenance for up to 2 years after the child has completed treatment (Deblinger, Steer, & Lippmann,
In all psychological and biological assessment, the use of culturally attuned assessments is top priority. “We may define culturally informed psychological assessment as an approach to evaluation that is keenly perceptive of and responsive to issues of acculturation, values, identity, worldview, language, and other culture-related variables as they may impact the evaluation process or the interpretation of resulting data” (Cohen, Swerdlik, & Sturman, 2013). Through this process key individuals contribute to the understanding of the client including family, friends, and coworkers input and information. Through the use of translators and other cultural affiliates clinicians are able to demonstrate a clearer understanding, a culturally applicable assessment, and ensure that the client understands the ins and outs of the assessment process. One important aspect of the implementation of the “one size fits all approach” to culturally attuned treatment and care in our mental health facilities (Cohen, Swerdlik, & Sturman, 2013). Assessment and clinical evaluations should not be a cookie cutter experience. The amount of patients that are
As children go through life, they will come upon stressful situations and experiences. Many children will work through the challenges that life brings, build resilience and move forward, however, some children may experience more extreme traumatic events that can result in life difficulties due to serious trauma symptoms that are much harder to manage. Trauma-Focused-Cognitive Behavioral Therapy is an evidence based treatment model designed to help youth who have experienced a significantly traumatic life event. TF-CBT uses skills and strength based therapy to address symptoms of post-traumatic stress disorder (PTSD), depression and anxiety (Cohen et al, 2006). This research is an examination of trauma focused cognitive behavior therapy as a model of practice including the areas of history and development of the model, its relationship with other models of practice, considerations of appropriate populations, methods and components for treatment, effectiveness of the intervention and relevance for social work practice.
There are three core goals leading a counselor to become culturally competent, which include awareness of personal biases, understanding and acknowledging the worldviews of individuals from all cultures, and developing appropriate techniques and interventions by using specific skills and strategies. Becoming aware of ones own biases is essential for changing ones perspective. Being aware of Ones of biases allows the individual to rewire their thinking patterns and unattached previous assumptions. A cultural competent counselor will actively understand the worldviews of all individuals from different cultures. Research is a key fundamental when educating ones self about culture. A culturally competent counselor will accept clients for who they are and perceive them without judgment. Cultural competent counselors will create innovative techniques and interventions depending upon the client’s culture. Counselors must function with clients as a team to optimize growth and development of the client. Together, the counselor and the client can find new strategies and interventions that work effectively. Becoming culturally competent is an important goal for counselors and throughout the profession counselors will strive to achieve
Once my client is stabilized from the initial concerns of severe depression and suicide attempts, TF-CBT could be introduced. Trauma-Focused Cognitive Behavioral Therapy for Children Affected by Sexual Abuse or Trauma. (2012) suggests that the following areas be covered psychoeducation and parenting skills, relaxation techniques, affective expressions and regulation, cognitive coping and processing, trauma narrative and processing, in vivo exposure, conjoint parent/child sessions and enhancing personal safety and future
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a conjoint child and parent psychotherapy approach for children and adolescents who are experiencing significant emotional and behavioral difficulties related to traumatic life events. This online TF-CBT course shows step by step instruction in ten modules for each component of therapy. According to the introduction on the Trauma-Focused Cognitive Behavioral Therapy website it states that, “There is strong scientific evidence that TF-CBT helps children, adolescents, and their parents overcome many of the difficulties associated with abuse and trauma.” This is a very detailed online course that gives live video examples on how each process is done.
The National Child Traumatic Stress Network (NCTSN) was stablished by Congress in 2000 and brings a comprehensive focus to childhood trauma. This network raises the average standard of care and improves access to services for traumatized children, their families and communities throughout the United States. The NCTSN defines trauma‑focused cognitive behavioral therapy (TF‑CBT) as an evidence‑based treatment approach that is shown to help children, adolescents, and their caregivers overcome trauma‑related difficulties. It is designed to reduce negative emotional and behavioral responses following a traumatic event. The treatment addresses distorted beliefs related to the abuse and provides a supportive environment so the individual can talk about their traumatic experience. TF‑CBT also helps parents cope with their own emotional issues and develop skills to support their children.
The emergence of research dedicated to TF-CBT and its focus removes a significant amount of ambiguity from the prescription of treatment. Due to the overwhelming positive response in research, clinicians now can confidently recommend TF-CBT and prevent further suffering within patients. Also, completing additional research in this area could lead to even more efficient and helpful methods of treatment. For young people who experienced trauma, this interactive treatment method can bring about progressive changes in their behavior and their thoughts, which can help to eradicate PTSD over the course of treatment as well as the time that follows it.
While gender and ethnicity may be the more apparent cultural features other things are important also, which include sexual orientation, spiritual or religious practices, political aspects, and general philosophy of life are all cultural elements that need to be incorporated into interventions and treatment options” (Cummins et al., 2012, p.237). In addition, it is important for the social worker to have cultural knowledge because it is necessary for selecting the appropriate intervention and treatment methods for that client. Furthermore, the appropriate multidimensional assessment provides the social worker with the internal culture of the client such as cognitive abilities or limitations, emotional health, and emotional responses and
In a multicultural counseling perspective there are four key approaches when counseling individuals, (a) multicultural awareness of culturally learned assumptions about self and others leading to accurate assessments of clients, (b) multicultural knowledge of information, (c) multicultural skills and interventions, that are appropriate treating clients, and (d) individuals are from a variety of backgrounds, demographic status, and affiliation of cultures. The three-stage approach, will direct the counselor towards levels of multicultural competence in therapy by providing a successful outcome in the recovery process. When conducting a psychotherapy session with a client the counselor should be able to demonstrate skills, when exploring the client’s cultural background. Counselors should also be able to focus on the essential skills and pattern behaviors, when identifying cultural differences. Counseling a minority from a different culture counselors’ must be able to identify their own personal behaviors. These behaviors are crucial when counseling these individuals. First, a counselor must be able to sense the clients’ viewpoint or issue in some way. Secondly, a counselor should be specific when asking a question rather than being unclear and confusing.