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.
Based on developing client independence this approach attempts to remove therapists’ interpretation of behaviours associated with psychodynamic therapies (Burnard 2005), thus promoting growth and personal goal development. When used in therapeutic contexts metaphors can be both a powerful and sensitive form of language designed to bring about perceptual and/or behavioural change (Hutchings 1998). However, as a verbal component of the Person-Centred approach metaphors can enhance or inhibit a client’s progress. Through use of these verbal illustrations truths can be explored and understood by clients without the ‘glare’ of realism, removing stigmatisation and allowing clients to become more acute to their own perceptions (Hutchings 1998). It is at this time, where clients feel therapists are non-judgmental, goals and responsibilities are most likely to be instigated (Mallinson et al 1996).
While CBT has many advantages, it alone does not encompass all of the concepts I believe are necessary to tackles a client’s needs. Therefore, I draw upon concepts from various theories to obtain a better idea of what we are working towards. Pulling from Reality therapy, a key concept I utilize is focusing on what the client is doing and how to get them to evaluate whether they’re present actions are working for them. CBT does use some form of this is the sense that one must examine and establish their cognitive misconceptions; however, I prefer to pull from Reality therapy because CBT tends to do so by focusing on the past. I am a firm believer that while the past can shape who you are, it does very little good to remain focused on it.
It focuses on teaching skills to alter dysfunctional thinking and behavior. CBT practitioners believe that the way individuals react to a certain situation, is not due to the situation but more so on how the individual perceives (views) the situation. The therapeutic goal of CBT is to change cognition to produce desired change in affect and behavior. Applying CBT to this case, therapist would conceptualize that Julie's behavior is triggered through her thought process. For example, events do not cause a behavior, but thoughts and beliefs do.
I am a firm believer that while the past can shape who you are, it does little good to remain focused on it. Focusing on overt behavior, precision in specifying the goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes all come from Behavior therapy (Corey, 2013, p. 474). Behavior therapy is highly structured much like that of CBT. By utilizing this aspect of Behavior therapy, I am better able to closely observe where a client is currently and where they are headed. Lastly, I pull from Person-Centered therapy as the final key concept of my counseling approach.
Cognitive-Behavioral Therapy as a Treatment Option Through the usage of Cognitive-Behavioral Therapy techniques, patients are given a greater opportunity to challenge their mental disorder, avoiding many of the harsh effects of medication alone. Cognitive-Behavioral therapy revolves around the cognitive model, which establishes an understanding of how a person's perception of situations and thoughts often time have a direct causation of emotional and behavioral reactions( Beck Institute, Cognitive Model 2016). Essentially, the individual must accept that there is a problem, work to realize its source and develop a way to cope with their feelings in response to the problem that one may face. In a manuscript written by Stefan Hofmann, Anu
This is a prime example of how imposing your own beliefs and values can cause ethical issues. If a counselor finds a client is challenging to work with there are a few different approaches they can take to get more out of the client. One important action a counselor can take is changing how the counselor interacts with the client. A publication on managing resistant clients found if counselors focus on organic interaction with the client and allow all course of actions to take place naturally this establishes a less resistant client and therapy is more effective. There are several laws that protect clients and less, that protect counselors.
Explaining the client’s personality and behavior to the client and prescribing actions that the client should take, are of little last value. Instead, person-centered therapist should establish a relationship that is helpful to enable the client to discover within himself/herself the capacity. Although there are no specific intervention strategies in person-centered therapy, Carl Rogers hypothesized that client’s capacity to grow and self-actualize will be most facilitated and released when the therapist can create a psychological climate characterized by (a) congruence; (b) unconditional positive regards; and (c) empathic understanding. These not only serve as hypotheses, but also desirable goals as well as counseling manners in person-centered therapy. (a) Congruence The very first thing the person-centered therapist has to do is to build a nonthreatening psychological atmosphere conducive to client’s growth and therapeutic change- the therapist is characterized by congruence in the therapeutic relationship.
Wiers & Stacy (2006) add that CT is a process where instead of trying to unlearn maladaptive associations, therapy leads the individual to automatize action plans that lead to alternative behaviors. Understanding the negative consequences of substance use diverts the thinking process to planning positive reactions. The CT process does not just occur in the presence of the therapist, but in the day to day life of the client. Recording automatic thoughts as an example can help lead to unconscious belief systems that could stimulate
Phase one is clarifying their assumptions about the world by examining their morals, values, and beliefs. During phase two clients are encouraged to engage in self-exploration that could lead to new attitudes and values. The final phase focuses on helping the client with the information they have learned about themselves and put them into action (Corey, 2013, p. 158). The existential the client initiates the conversation there is no reason not to explore that path. Behavior therapy is used to treat a wide variety of disorders such as anxiety, depression, post-traumatic stress disorder, substance abuse, and sexual issues and disorders (Corey, 2013, p. 247).