...The essay aims to critically review Cognitive Behavioural Therapy (CBT) as a chosen intervention for clients suffering from dual diagnosis. A definition will be offered and a rationale given for choosing the intervention. This will be followed by a critique on the available evidence base for using the intervention with those with dual diagnosis. Essay will critically appraise the pros and cons of the chosen treatment interventions including its benefits in meeting the needs of the identified client group. This essay will then explore the efficacy of CBT for this client group. A conclusion will be given to establish whether the chosen interventions appropriately meet the needs of the chosen client group. Diagnostic and Statistical Manual (DSM-V),...
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...Compare and contrast person centered and cognitive behavioural approaches understanding and making use of the counseling relationship Introduction This assignment is an attempt to discuss two different types of therapy, cognitive behavioural therapy and person centered therapy and highlight some important similarities and differences between them. Cognitive behavioural therapy John Watson (1957) believed psychology should be concerned with the observable, as behaviour could be measured and influenced (McLeod, 2008). Skinner, (1953) cited in McLeod (2008), believed a person has a repitior of possible responses to a stimuli and they exhibits the response that is reinforces or rewarded (operant conditioning). The central theme of Cognitive-behavioural therapy (CBT) is that thoughts connect (mediate) an event (stimuli) with an emotion. In other words it’s not the stimuli itself that elicits an emotional response but the interpretation (belief) of the stimuli. Ellis’s (1962) ABC model can be used to monitor reactions to an event. (McLeod 2008), A = activating event (actual event, attitude or action of an individual), B = beliefs about the event, C = the emotion or behavioral consequences; Ellis suggests, that C is determined by B. i.e. one person not being successful at an interview may think the competition must have been strong, another may think they don’t deserve a good job, they are stupid etc (McLeod 2008). CBT suggests that distress is caused...
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...Cognitive behavioural treatment (CBT) has been reported as being the most effective method in reducing or managing the symptoms of anxiety (Barrett, Dadds & Rapee, 1996). Cognitive Behaviour Therapy (CBT) is the most commonly used evidence-based psychological Intervention for treating depressive symptoms (Tovote, Schroevers, Snippe, Emmelkamp, Links, Sanderman & Fleer, 2017). Cognitive behavioural therapy has numerous techniques that can be used on patients. One of which is Mindfulness based cognitive therapy...
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...Can a humanistic model of counselling be integrated with a cognitive one? In this essay I am going to compare the Person-Centred Therapy founded by Carl Rogers and the Cognitive Therapy Model of Aaron Becks. I shall compare the two approaches, outlining the theory to explain their similarities as well as their differences. I shall compare the two approaches to show whether a humanistic and cognitive approach can be integrated successfully into a therapy session. In order to compare the two approaches it is necessary to summarise the main features of the two. Cognitive Therapy in brief can be described as: 1. Formulating a plan for treatment. 2. Focussing on the current, presenting problems as defined by the client. 3. Goal setting. 4. Time-limited. 5. Agreement to set and complete homework. 6. Connecting the way a client thinks about situations and how they feel and behave in order to change these thoughts. 7. Assisting the client in identifying and using coping skills for self-help in the future. Cognitive Therapy (CT) is organised around a formulation devised by Becks in 1976 to assist patients who were suffering from depression. The aim of CT is to understand the person's environment, values, beliefs and the way the person assesses events in their life. The CT model evaluates how people believe that a situation affects their feelings, behaviour and their view of 'self' and 'others'. A CT Therapist believes these views will be distorted...
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...In this essay I will analyse in reference to the case study, how psychological theory informs our understanding of mental health disorders. I have chosen the following two theories to analyse, Psychodynamic and Cognitive. I will also evaluate how certain therapies such as Cognitive Behavioural Therapy (CBT) and Psychotherapy may help or change a depressed person’s behaviour. Depression is a potentially disabling illness that affects many, but is understood by few. Suffers often do not recognise the nature of this terrible illness until they are so devastated that they can no longer help themselves. (Ainsworth 2000). According to Houpt 2010, Jamie is clearly showing signs of depression. Jamie is exhausted and his schoolwork is falling behind. He has fallen asleep in class and states that he feels depressed and anxious. He also feels a great sense of loss and his eating behaviour has changed drastically. Houpt states that depression reduces, depresses and slows a person’s functional level. It slows mental and bodily activities. Therefore a slowed mind is unable to process and respond to all incoming data. Adolescent depression is a mental and emotional disorder affecting adolescents and teens. More commonly referred to as teenage depression, adolescent depression is not medically different from adult depression and can affect a teen’s personal, school, work, social and family life therefore leading to social isolation. Empfield and Bakalar, 2013). A psychodynamic...
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...In the aforementioned theories there are distinct similarities as to how Agoraphobia is caused, several theories believe that it is caused by a traumatic life event or situation that has caused distress to the Agoraphobic, for example abuse, a car accident or loss or death of a loved one and this appears to be the main reason that people develop the anxiety that causes Agoraphobia. The behavioural theory fear conditioning also discusses learning this behaviour by reinforcement by people close to the sufferer. Though all the theories believe that the phobia is caused in much the same way it is important to understand that the Genetics paradigm talks about the predisposition of Agoraphobia being hereditary and that it can be linked to a fault...
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...Disorder Specific Cognitive Behaviour Therapy Interventions – WHM-M-030 Introduction The purpose of the paper is to discuss the current theory and empirical literature for using a transdiagnostic approach in cognitive behaviour therapy and it’s relevance in current practice. I will discuss the theory and evidence for using a transdiagnostic approach and highlight the main processes. A discussion on the strengths and limitations of the approach will conclude the first part of the paper. The second part will be a review of personal clinical work discussing the transdiagnostic process and its hypothesised effectiveness. To conclude the author will provide a personal reflection. There has been a long widely accepted claim for the effectiveness of CBT with prolific amount of evidence for it’s effectiveness for Depression, Anxiety and Mood disorders (Roth & Fongy, 1995) Models such as cognitive therapy for depression (Beck, Rush, Shaw, & Emery, 1979), panic disorder (Clark, 1986,), posttraumatic stress disorder (Clark & Ehlers, 2004); and obsessive-compulsive disorder (Salkovskis, 1989) have led to disorder-specific interventions for treating common mental health problems. The benefits of devising a model on specific disorders is the high degree of research and comparable data involved; from that the therapist will be highly trained in the use of the model to deliver the approach for each disorder (Salkovskis 2002). Disorder specific models are seen to be easily delivered...
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...Introduction Helping others is one of the most important aspects in life today. There are many different ways, and different forms of helping people. Helping others could make another person feel better either inside, or about them self. ‘Helping’ is one of those taken for granted words. It is a familiar part of our vocabulary. Traditionally, for example, social workers, youth workers and support workers, guidance counsellors and psychologist have been talked about as members of the helping professions. The question, do you need some help? Should be part of our daily business as informal and formal educators and guidance counsellors. Yet what we mean by ‘helping’ is not that obvious and the qualities we look for in ‘helping relationships’ need some thinking about. Here we try to clear away some of the confusion. What do we mean by helping? For many people within the social professions, such as social work, counsellors, community workers and psychologist. The notion of helping is tied up with counselling and guidance. Many students such as myself major in psychology and or guidance and counselling because I am fascinated by people. I want to learn more about why people behave as they do and are motivated to help people improve their lives. However, there are key ingredients of a helping relationship in helping anyone includes acceptance, this is the act of relating to another person without judging him or her. Respect which is also an attitude of giving dignity to each individual...
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...related psychosis. Over the past 10 years there's been a growing movement towards diverse treatments for schizophrenia other than the acknowledged role of medication as a treatment modality (Birchwood and Tarrier 1993). Developments in psychological theory have led to a number of innovative psychological treatments drawn from human experimental psychology such as behavioural and social psychology and cognitive science. Therapies based on cognitive behavioural theory have been rapidly developing, initially for the so called ‘neurotic disorders’ but in recent years evidence has accumulated to suggest that these cognitive behavioural approaches can be effective for those people suffering from psychosis ( Williams 1995). The aim of this assignment is to explore the basis of Cognitive Behavioural Therapy and review its’ therapeutic application to schizophrenia. Cognitive Behaviour Therapy (CBT) is an evolutionary paradigm that came about a from the merging of the established paradigm of behavioural therapy and contemporary cognitive therapy (Clarke and Fairburn 1997). Behavioural therapy historically focused on anxiety, phobic and obsessional disorders. Treatments were aligned to the learning theories of Pavlov and Skinner, anxieties and phobias were conceptualise to be conditioned fear responses, passively acquired and elicited by conditioned stimulii (Clarke and Fairburn 1997). A variety of techniques were employed to enable the client to ‘unlearn’...
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...Cognitive behavioural therapy (CBT) can be described as a goal-oriented psychotherapy treatment that typically takes a practical approach to problem-solving. Its short term nature and overarching goal is to adjust patterns of thinking or behaviour that may be contributing to an individual’s worries, and so change the way they feel. CBT is one of the major orientations of psychotherapy (Roth & Fonagy, 2005) and represents a unique category of psychological intervention because it derives from cognitive and behavioural psychological models of human behaviour. Just as some knowledge of a client’s background can be helpful in understanding their current state, an appreciation of how CBT developed can help us to understand its modern form. Cognitive Behaviour Therapy has its modern origins in the mid 1950’s with the work of Albert Ellis, a clinical psychologist who...
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...Helping University of Phoenix BSHS/ 312 Models of Effective Helping Personal Model of Helping All theories have different views on ways of helping and different goals to imply. By using the person-centered approach ones view of human nature comes from one’s helping style. One would require a style that would make the client believe he or she is safe and understood. By the client knowing his or her therapist or counselor does understand him or her then he or she will believe he or she is safe and accept the help offer by the therapist or counselor. One could possibly set his or her on goals for change or except those of the therapist or counselor. “Person-centered therapy holds an optimistic view of human personality and focuses on present rather than past experience. Focusing on the inner experience of persons rather than on observable behavior, it holds that behavioral change evolves from within the person rather than through the manipulation of the environment” (Parrott III, 2003). View on Helping Developing a personal theory for the way one would want to understand human nature and provide him or her with the help he or she needs takes careful consideration. From what I have learned from this model of effective helping course is that the human service profession is a complex and overwhelming process, and one has to understand the methods one uses. My view on professional help is that,...
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...| Personal Theory of Counseling:Applying Cognitive Therapy to the Case of Donetta | | | Background The theory of cognitive therapy resonates with me because of my personal belief in the power of the mind. It is my opinion that without the process of changing mindset, behaviors will not change. The mind has control over every single action and tells your entire being how to respond in every single situation. As stated in the Corey (2009) text, I believe that people with emotional difficulties often times tend to “commit characteristic logical errors that tilt objective reality in the direction of self-deprecation” (p. 288). Through my own therapy experience I came to understand the connection between my thinking, my feelings and my actions. I learned to identify distorted thinking, engage in realistic thinking, and to employ problem-solving and coping skills. This method helped me through my own difficult times and therefore I know it works and would like to help others through its use. View of Human Nature People possess faulty beliefs and maladaptive information processing (automatic thoughts) which can lead to cognitive distortions and depression (Chadwick, 1994). In cognitive therapy clients learn to identify these distorted cognitions through evaluation. Corey states (2009) that once clients gain insight into how these unrealistically negative thoughts affect them, their feelings, and behaviors; they can begin to “use their automatic thoughts to...
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...Ruminative thinking has been found to be one of the most common symptoms in patients suffering from unipolar depression due to their tendency to reflect upon themselves negatively. In this essay, the manner in which this thinking pattern has been found to worsen patients’ depressed condition is further investigated. Subsequently, a large part of it will explore research on two forms of treatment that have been tested for its work with depressive rumination, specifically, metacognitive therapy, which seeks to removing patients’ Cognitive Attentional Syndrome and alter their metacognitive beliefs, and rumination-focused cognitive behaviour therapy, that aims to help reduce maladaptive ruminative styles and helping patients adopt a more concrete, process-driven and specific style of thinking instead. Finally, a potential avenue for treating depressed patients’ ruminative thinking patterns, imagery is investigated further. Key words: rumination, unipolar depression, metacognitive therapy, cognitive behaviour therapy, imagery restructuring, treatment. Depression is a highly common illness, with the World Health Organization (WHO) estimating that, as of 2012, 350 million people are afflicted by it worldwide (World Health Organization, 2012). There are many different subtypes of this illness, one of which is unipolar depression. Also known as major depressive disorder, unipolar depression is one of the more easily recognised mood disorders where, for most cases, individuals suffer a recurrence...
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...1. Introduction This paper provides a brief overview of evidence based psychological treatments for anxiety disorders. It addresses the following questions: • How common are anxiety disorders? • What psychological treatments have empirical support? • What recovery rates can be achieved with these treatments? • How enduring are their effects? • Is there value in combining psychological treatments with medication? Psychological treatments can be delivered in a variety of formats. This paper restricts itself to the traditional, and most extensively researched, format of face-to-face contact with a fully qualified therapist. For most anxiety disorders the therapy sessions are once weekly for 60-90 minutes spread over a period of 8-20 weeks, with homework assignments in between. However, in specific phobias, the strongest outcomes have been obtained with a single, long (3-5 hour) session with a therapist, followed by a briefer follow-up session a week or so later. 2. How common are anxiety disorders? The most recent British Psychiatric Morbidity Survey1 estimates that 16.4% of the population have a diagnosable anxiety and/or depressive disorder. The diagnostic system that was used in the survey (ICD-10) is different from the diagnostic system (DSM-IV) that has been used in most trials of psychological treatments. For this reason, it is difficult to be precise about the number of individuals in the UK who have anxiety disorders for which there...
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...This is the case with self-defeating behaviours where the pattern of behaviour is one that is preventing them from reaching their potential or sense of well-being. A therapist trying to help someone deal with this type of behaviour would be able to explain how it is also learned and through therapy try and investigate where set behaviour stemmed, its causes, and ways of dealing with recurrence as some way to gaining understanding and closure for the client. Cognitive Behaviour Therapy or CBT is one approach to the treatment of self-defeating where a regressive or limiting pattern of behaviour is identified and change of that pattern or cycle is sought through therapy by changing the person’s thinking, which in turn changes actions, and ultimately the regressive or self-defeating patterns of behaviour. For a CBT practitioner or behaviourist the problem is in the behaviour and not in the person arguing that the reinforcing and conditioning effects of a person’s environment hugely influence their behaviour. Behaviour being linked to thoughts means that all behaviour is learned right through an individual’s life and is their learned responses to their environment. Cognitive-behavioural therapy will aid the individual to learn and apply new techniques in life – focusing on how learned behaviour could be the main obstacle in overcoming problems and thus challenging set patterns of behaviour where necessary. Two examples of self-defeating patterns...
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