A Conceptualization and Treatment Plan
Rational emotive behavior therapy, REBT, was developed by Albert Ellis and holds the central belief that the events in our lives do not cause our disturbances but that they are instead caused by our view of the events (Murdock, 2009). Murdock (2009) states that “people are seen as responsible for their behavior” (p. 279) but, because they are constantly changing and processing, their value or worth is not measured by their behavior. According to REBT, healthy individuals function with rational beliefs (Murdock, 2009). Sarah’s needs can best be met through the use of REBT as the therapist incorporates the interventions of role-playing and disputing, stop and monitor, and recognizing and changing irrational thought patterns, while striving for the goal of eliminating irrational thinking, dysfunctional emotions, and behaviors and teaching Sarah the philosophy of REBT. REBT will allow Sarah to overcome and replace her irrational beliefs and in turn experience healthy consequences and emotions.
Sarah James, a 26-year-old Caucasian female, is seeking counsel in response to the unveiling of a family secret. Upon learning of the existence of an older brother and the, in her mind, poorly handled events surrounding the secret, Sarah is questioning her relationships and views of her family members. Sarah is unsure of what to do with the information she has been presented and is reevaluating her childhood, which she once thought had been near perfect. She is feeling confused, frustrated, angry, and isolated and these feelings and emotions have brought her to seek counsel over the situation.
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Lega, L.I., & Ellis, A. (2001). Rational emotional behavior therapy (REBT) in the new millennium: A cross cultural approach. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 19 (4). 201-222.
Minor, J. (2007). Some reasons why I use REBT in my private practice and personal life. Et Cetera, 64 (4), 320-323.
Murdock, N.L. (2009). Theories of counseling and psychotherapy: A case approach (2nd ed.). Upper Saddle River, NJ: Merrill-Pearson.
Ziegler, D.J. (2000). Basic assumptions concerning human nature underlying rational emotive behavior therapy (REBT) personality theory. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 18 (2), 67-85.
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