Therapy for Lost Love: Cognitive Behavioral Therapy
Cognitive and behavioral therapies are both forms of psychotherapy (a psychological approach to treatment) and are based on scientific principles that help people change the way they think, feel and behave. They are problem-focused and practical. There are 4 elements within CBT: Cognitions (thoughts, reasoning, memory, imagination), Behavior, Emotions (feelings), and Physical Self (sensations), with all of these set within the context of a social and physical environment – CBT cannot ignore any one of these. The theory I am focusing the most on in Cognitive Behavioral therapies is the cognitive aspect of the theory.
Basic Steps in Cognitive Therapy
1.Notice negative emotions
2.Be aware of
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She has issues being intimate in relationships when she wants to be. She also has issues with her relationships in general. She has dated multiple men and none of her relationships have lasted more than a month. She started coming to me to help her with her relationship and intimacy issues that she has. After hearing about what has happened in all of her previous relationships and why she can’t seen to have intimacy even though she wants to, I have decided to treat her with CBT (Cognitive Behavioral Therapy). The reason I am choosing to treat Charlotte with this kind of therapy is because in recent years, there have been recent trends of transdiagnostic approaches to CBT. Problems with intimacy and interpersonal issues are often found is most psychiatric disorders. Most of the targets that get focused on in CBT are primarily intrapersonal, with some directly involved in interpersonal functioning and effective intimacy. Since intimacy is one of her biggest problems and the fact that many of her relationships have ended abruptly because of this, the intimacy issue Charlotte has is what I want to focus mainly on. I would be able to apply the same treatment principles across many mental disorders without tailoring the treatments for specific diagnoses. This is important for me because it makes it easier for me to be able to treat Charlotte without a bunch of trial and error with things …show more content…
Some patients don’t take to psychoanalysis as well as others so it might take a long time to be able to come up with the underlying reason that she is having issues with intimacy in her relationships. I have seen her multiple times over the past couple months and I feel she wouldn’t have been a good fit for the talk therapy. I also chose not to use the Nietzschean therapy because I didn’t feel it was a good fit for the case. I didn’t feel like the patient had issues with her desires involving the relationship. She knew what she wanted, she just couldn’t get herself there. I think that CBT was the strongest and best choice for
Although, it may sound nice and cozy, I would not suggest a humanistic therapist, or a client centered therapist (CCT) because there is no actually change to a behavior, all that is going on is talking. Talking could help her immediate feelings, but will not change how she thinks about situations or herself. CCT also has no research that it helps with disorders. Along with no research, a CCT treats almost all disorders the same, thus providing the same treatment for someone who is depressed and someone who has schizophrenic. This is not an effective way to treat a disorder.
For Anna there are a few points that make the concept of SFBT appropriate for her. Primarily they brief time it takes with SFBT to show successful results. Due to Ana’s limited time that she can spend in treatment SFBT is generally very short term. “SFBT is very appropriate for work with couples, even high conflict couples, as it helps the two individuals to focus on what they want out of their relationship. It can be used
This counselor was able to collect information from Jared's primary care doctor and therapist regarding his disabilities. The information collected from his treating team was used to assist with determining his eligibility for services.
The couple sees the purpose of counseling to be completely different, which can come to clashing heads during session and not create a positive rapport with the counselor. The most useful treatment approach for Steve and Sarah is Behavioral Couple Therapy (BCT) and Integrative Behavioral Couple Therapy (ICBT). BCT focuses on the reciprocation of the couple and compromise of positive behaviors and allows the clients to learn more about problem solving and communication skills with one another.
Cognitive Therapy Approach: Cognitive therapy will explore Matilde's thought patterns and beliefs about herself and her relationships. She may have developed cognitive distortions such as overgeneralization (believing that no one understands her), selective abstraction (focusing only on negative interactions), and magnification (exaggerating the difficulties she faces). These distorted thoughts could reinforce her feelings of isolation and make it difficult for her to seek support or engage with her environment positively. a. Primary Goals of Therapy: Enhance Self-Awareness: Helping Matilde gain insight into her thoughts, feelings, and behaviors, fostering self-understanding and acceptance. Improve Communication:
Diane is a complex case, as she presents multiple clinically diagnosed mental health disorders and is on medication. One of the biggest mistakes that I could make would be to think that I could address every disorder and issue at once; which would be a huge disservice to Diane. Therefore, the primary focus of the sessions will be to address the trauma of the physical, sexual, and spiritual abuse by the hands of several family members and how that impacts her PTSD symptoms. While her other diagnoses and issues that she is having-the SRA symptoms, schizoaffective disorder, learning disabilities and etc.-are important, they are all effects of the abuse she suffered in her childhood. I am going to use cognitive-behavioral therapy (CBT) to address
Cognitive behavior therapy is a relatively young theory in comparison with other theories or approaches available for our use today. Cognitive behavior therapy is thought to be founded by Aaron Beck and Albert Ellis. Both men had made great contributions to the theory and helped make the theory what it is today. We can look back and see that cognitive therapy has historic roots that can be traced back to classical learning of John B. Watson and B. F. Skinner-operant conditioning (Leichsenringme et al., 2006).
The therapist can focus on the dysfunctional cognitions, can encourage her to reexamine and correct cognitions about her relationships. So, her emotional distress can be modified. ACT criticizes CBT about changing the cognitions, but a maladaptive cognition cannot be accepted. A client with major depressive disorder who does not keep in touch the real life or does not go out the bed cannot be accepted.
Once she had told me her background about her anxiety when in front of others, censoring herself in the press, and her desire for a relationship, we agreed that: 1) We will work to see how external societal factors have contributed to the issues Evelyn is experiencing. 2) We will work to create a trusting and helpful counselor-client relationship that will consist of thoughts from both Evelyn and myself. 3) We will dive into the causes of Evelyn’s anxiety and problems with relationships and their grounding in society’s expectations that are influencing Evelyn. 4) We will work to find solutions that will help Evelyn lessen her anxiety and become more comfortable with herself, regardless of societal norms. Once we agreed that these would be our goals throughout our time together, we decided that we would aim for 15 sessions, however that was subject to change based on Evelyn’s
The conflicts in Iraq and Afghanistan have lead to an increased number of veterans who have experienced a brain injury (TBI). The Department of Defense and the Defense and Veteran’s Brain Injury Center estimate that twenty-two percent of all combat casualties are brain injuries compared to twelve percent in Vietnam. Sixty to eighty percent of soldiers who have blast injuries may also have traumatic brain injuries (Summerall, 2014). Many veterans have multiple medical problems such as the comorbidity of posttraumatic stress disorder (PTSD) and traumatic brain injury.
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and
First off, what is borderline personality disorder? Borderline personality disorder is a serious mental disorder marked by a pattern of ongoing instability in moods, behavior, self-image and functioning (Borderline Personality Disorder, 2016). I wanted to know what symptoms of BPD are and Patient A stated, “symptoms of BPD are impulsive actions or behaviors, really unhealthy relationships, it’s all or nothing, there can be no in the middle with relationships, feeling alone or isolated, feeling empty, always being afraid of being abandoned, and mood swings,” (A, 2016). When researching symptoms of BPD, a lot of what Patient A said came up. I wanted to know more about being afraid of abandonment and having unhealthy relationships so I did a little digging. Patient A described her relationships as being ‘all or nothing.’ When I asked her to explain, she said that all of her relationships were very close and personal relationships. She does not want or even know how to have a relationship with someone that is more of an acquaintance relationship. She feels like those types of relationships are superficial
Depression can affect many areas of a young person’s life developmentally whether its academics, cognitive, social, or family functioning. Cognitive behavioral therapy has been used as an effective form of treatment for depression in adolescents. Cognitive behavioral therapy is an evidenced based approach used to treat a variety of mental health disorders in younger people such as anxiety, ODD, ADHD, and a range of other negative behaviors. According to Radke, Sakow, and Zack (2012), CBT is directive, structured, time-limited, problem-focused and goal-oriented. CBT works on a lot of collaboration with the client during weekly sessions that can total up to twenty sessions, but could be more given the severity of the symptoms the client is experiencing. CBT interventions used usually include psychoeducation which is educating the client and families about their diagnosis as well as helping them understand the connection between their thoughts, feelings and behaviors. To me I think this is the foundation of CBT, and I think Scarlet and her family could certainly benefit from psychoeducation as the first step toward restoring social functioning. Mood monitoring is also another intervention used during CBT. For example giving Scarlet a checklist to rate her mood on a scale of 1 to 10 before and after a session could be a good intervention. Even giving her a journal to link her mood and her thoughts in order to track what might
In exploring with Candice, when settled into her new apartment, she left behind her primary social group, friends. She does not know anyone at her new residence and feels lonely. As she has become more isolated, she has started to have diminished interest in activities she once enjoyed, and does not have a positive support group, these are all contributing factors to her depressed state. She has negative automatic thoughts, which in return give rise to assumptions such as “I do not fit in here and no one will like me,” referring to her new community she resides at. Her assumptions could in turn arise out of her core belief such as “They will leave me and not like me,” rooted her past relationship experiences. She felt disliked by her mother and did not fit in with her siblings, was as they were accepted by her mother and she was not. We, Candice and I, together will need to figure out what her own specific ruminations and self-talk in these areas are. I would expect themes such as “No one will like me,” or “I am afraid to engage in a relationship.” I will need to spend some time with Candice trying to tease out, the vicious cycles between her thoughts, behaviors and emotions, trying to make them clearer and more visible. Candice would benefit from CBT techniques, such as working with her to join a social support group, this would allow her to develop confidants she can trust and talk to. In addition, she will need become aware of