Tanyia is a 13-year-old African American female who currently resides at Vista Maria after being adjudicated on a Domestic Violence offense and being placed on Level 2 probation. She presents with a multitude of problems that will be the focus of her treatment needs of: verbal and physical aggression, fluctuating moods including irritability and anger, defiance, truancy from school, running away from home, associating with older males, substance use, traumas including physical abuse and rape, other sexual behaviors not appropriate for her age, and limited intellectual functioning. Her relationships within her family are very strained and lack adequate support, excluding her great grandparents. The goals in the therapeutic process are to facilitate …show more content…
With regards to her ADHD diagnosis given by the psychiatrist at Vista Maria, Tanyia’s therapist (my supervisor), as well as myself do not feel that she meets the criteria for this diagnosis and feel that her attention issues are due to intellectual difficulties and learned behaviors of reacting. Under her main diagnosis of Oppositional Defiant Disorder, Tanyia meets the following criteria: A. A pattern of angry/irritable mood, argumentative/defiant behavior lasting at least 6 months with symptoms of often losing her temper, often touchy or easily annoyed, often angry and resentful, often argues with authority figures, and often actively defies or refuses to comply with requests/rules from authority figures, B. The disturbance in behavior is associated with distress in the individual or in her immediate social context (family), and impacts negatively on her social educational, and other important areas of functioning, and C. Her behaviors do not occur exclusively during the course of a psychotic, substance use, depressive, or bipolar disorder, and does not meet the criteria for disruptive mood dysregulation disorder ( ). In treating Tanyia’s diagnosis …show more content…
Beck, MD, provides the understanding of how dysfunctional thinking is common to all psychological disturbances and can influence a person’s mood and behaviors and vice versa ( ). Through CBT, the therapist looks deeper into the client’s thoughts-their beliefs about themselves, the world, and others. When these thoughts are changed to a more positive view, behaviors and feelings often will project a more positive change as well. With adolescents who struggle with Oppositional Defiant Disorder, CBT has been shown to be quite effective in treating this disorder. It is used often times to break the cycle of emotion-thought-behavior. The cycle is explained as a person feeling an emotion which then leads to a particular thought that makes them uncomfortable which then leads to the negative behavior occurring that then creates another negative feeling and the cycle continues. CBT is then used to change this cycle by creating a more realistic thought that the child can then view in terms where they are more under control and can help them to see their fallacies in thinking, which then lead to them being able to behave in a more appropriate way. ( ) Children often do not look or even understand these thoughts or feelings and thus then act impulsively with their behaviors. With Tanyia, CBT has helped her in addressing her feelings of inadequacy and abandonment, which then create the thoughts that she is not loved or that no one
At this time youth is not on any medication. It was reported that Cyanna experience frequent physical and emotional abuse from biological mother towards youth and her siblings. Cyanna also experience frequent transitions during the 18 month period when she was in her mother’s care that resulted in four relocations and schools. Mrs. Hannah reports that Cyanna often present as sad and struggles with managing her anger and appropriately communicating her feelings. Youth express that her anger stems from her relationship with her mother. Cyanna does not speak to biological mother often and she reports that her mother does not understand her which causes conflict in their relationship. Cyanna has a good relationship with her father and stepmother. Mrs. Hannah is supportive of youth and wants her to be more self-confident. At this time Cyanna is open to participating in in-home services. Supportive Therapeutic Services will provide Cyanna with 2 hours of IIC services once a week. IIC services will assist Cyanna with building self-confidence, process past traumatic events, enhance coping skills and communication with her
Cognitive Behavioral Therapy (CBT) is a hands-on form of psychotherapy that is empirically based, which focuses on the interrelationship between emotions, behaviors, and thoughts. Through CBT, patients are able to identify their distorted thinking and modify their beliefs in order to change their behaviors. Once a patient changes their distorted thinking, they are able to think in a more positive and realistic manner. Overall, CBT focuses on consistent problem solving strategies and changing negative thought distortions and negative behavior. There are different types of CBT, which share common elements. Trauma Focused Cognitive Behavioral Therapy is a kind of CBT, which falls under the umbrella of CBT.
Your client Ni Ne medical has change to emergency medical only. Unfortunately, we do not accept emergency medical insurance. Tania, can you contact parent so she can fix this issue with her DPS worker?
Cognitive behavioral therapy acts to help the person understand what was going on when they have these negative thoughts. It helps them to step out of the automatic thoughts and challenge them. CBT would encourage patient to examine real-life experience to see what happens to her, or to others in similar situations. Then, in a more realistic setting, the patient may be able to take the chance to find out what other truly think by revealing
The study revealed 3 sets of conclusions; there were no marked distinctions among the children of the random group at 7 to 9 years of age; the symptom path as a child gave a prediction of the outcome at the 6 and 8 year follow-up; even with the medication and the behavioral therapy the MTA group was at a lower capacity of functioning than the non-MTA sample at 2 years. What the study showed was that the disparity of the effects of treatment at the time of delivery lessened when the treatment was relaxed (Molina et al., 2011). The introductory clinical appearance of ADHD in childhood that included the worst of ADHD symptoms, any conduct problems, the intellect of the child, any social...
This form of therapy was specifically designed for the treatment of BPD individuals, especially those with self-harm, self-injury or suicidal behaviors. DBT focuses on teaching the child or adolescent “mindfulness,” the ability to be aware of the moment in which they exist and attentive to the current situation and moods which run through them and those that surround
An assessment of Tiyana’s current social, emotional, personality and behavioral functioning was conducted using rating scales (BASC-3, BRIEF-A, and PAI-2), clinical history, and DSM-5 diagnostic interview data.
As defined by Ministry of Health (2001), “Symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) in childhood are persistent overactivity, impulsiveness and inattention, although not all may be present” (p. v). Children may appear as though they are unfocussed, defiant, excessive risk takers or have difficulty performing simple tasks in comparison with their peers. In addition to a diagnosis of ADHD, children may also present with comorbidities such as learning deficits, mood disorders and antisocial characteristics (Ministry of Health, 2001).
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 Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
Cognitive behavioral therapy (CBT) is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors (NAMI, 2012). It is designed to modify the individual’s normative dysfunctional thoughts. The basic cognitive technique consists of delineating the individual's specific misconceptions, distortions, and maladaptive assumptions, and of testing their validity and reasonableness (Beck, 1970). By exploring thought patterns that lead to maladaptive behaviors and actions and the beliefs that direct these thoughts, people with mental illness can alter their thought process to improve coping. CBT is different from oth...
These types encompass Cognitive Therapy, Rational Emotive Behavior Therapy (REBT), and Multimodal Therapy. For instance, an individual anguish from a quiet confidence that activates negative thoughts about his or her capacity or display. As a result of these patterns of negative thinking, the person might start averting social issues or passing up opportunities for advancement (Wedding & Corsini, 2014). Cognitive behavior therapy frequently adapted for clients who are comfortable with contemplation. For CBT to be efficient, the Client must be eager to evaluate his or her logic and feelings. Such rumination may be difficult, but it is an excellent way to acquire how internal states impact outward behavior. Cognitive behavior therapy is also appropriate for people looking for an interim alternative treatment that does not inevitably contain pharmacological medication. One of the assets of CBT that aid clients was developing coping strategies that may be beneficial both now and in the
The cognitive processes that serve as the focus of treatment in CBT include perceptions, self-statements, attributions, expectations, beliefs, and images (Kazdin, 1994). Most cognitive-behavioral based techniques are applied in the context of psychotherapy sessions in which the clients are seen individually, or in a group, by professional therapists. Intervention programs are designed to help clients become aware of their maladaptive cognitive processes and teach them how to notice, catch, monitor, and interrupt the cognitive-affective-behavioral chains to produce more adaptive coping responses (Mah...
Cognitive Behavioral Therapy provides a collaborative relationship between the client and the therapist with the ultimate goal of identifying irrational beliefs and disputing those beliefs in an effort to change or adapt behavior (Corey, 2013). The developers of Cognitive Behavioral Therapy saw humans as capable of both rational and irrational thoughts and able to change the processes that contribute to irrational thinking (Corey, 2013). CBT is a more direct approach than some other therapy theories practiced today in that it challenges the client to identify aspects about their self through cognitions. This therapy, as discussed in Corey (2013) also provides an educational component such that therapist teach clients tools to effectively change the way they think to a healthier way. There are a multitude of techniques associated with CBT such as shame attacking exercises, changing ones language...
Cognitive behavioral therapy commonly known as CBT is a systematic process by which we learn to change our negative thoughts into more positive ones. CBT is a combination of two types of therapy, Cognitive Therapy and Behavioral Therapy. Cognition is our thoughts, so cognitive behavioral therapy combines working with our thought process and changing our behavior at the same time. Cognitive behavioral therapists believe that our behavior and our feelings are influenced by the way we think; also our mood is affected by our behavior and thought process. So CBT tries to tackle our thoughts, feelings and behavior. Scientific research has shown that cognitive behavioral therapy is affective for a wide range of mental health problems. The purpose is to bring positive change by alleviating emotional distress such as depression. CBT starts by breaking down your problems into smaller components, often trying to identify particular problematic thoughts or behavior. Once these problems are broken down it is then suggested a straightforward plan in which the patient and therapist can intervene to promote recovery.
After discovering my 6 year old daughter was diagnose with ADHD I decided to educate myself with everything that is to know about ADHD. Being a parent doesn’t come with a manual so I know that if I can better myself for my child well-being I will. The first thing I did was talk to a psychiatrist who specialize in children with ADHD. Ms. Robertson ask me if my daughter Diana has shown these symptoms such as being inattention, impulsivity and over activity over the past 6 months. She made me realize how well I didn’t pay attention or just did not want to face the fact something was wrong with my child. Ms. Robertson assured me that there is nothing wrong with my child. ADHD is a common disorder in child between the ages of 4-7 years older. Ms. Robertson ask me do me and Diana father argue in front of Diana. Come to think about we sometimes do. Ms.