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Applying Cognitive-Behavioral Therapy to Address Psychological Challenges

 

Assume you were counseling people with the following presenting problems.
James
My fear is that I am empty and vacant inside. I’ve never really had to look at myself before now, but since my husband left me, I am lost. I feel deserted, abandoned, isolated, and fear that I cannot make it alone. I depended on him to give me a sense of worth, and now that he’s gone, I just feel a void.
Susan
So rarely do I feel calm. I feel anxious basically from the time I wake up to the time I go to bed. I’m able to work and handle all of my family responsibilities, but the anxiety always seems to be there, like an unwanted visitor. What can I do to get some relief?
Michael
When I hear about all of the terrible things that are happening in the world (mass shootings and hate crimes, terrorism, poverty, and homelessness), I get so sad. I’ve started sleeping more and doing fewer things with my friends. I’m afraid they are going to stop inviting me to things because I’ve canceled so often lately.
Read each of the three scenarios and then address the following questions for each person from a Cognitive-Behavioral perspective in a 500-700 word essay.
• What cognitive and/or behavioral issues are involved?
• What would be your counseling goals (i.e., change the cognitive schema, improve behavior, etc. ) for each of these persons?
• What two specific CBT techniques could you use (Give examples)? (For example, Socratic dialog, behavioral activation, psychoeducation, etc.)

 

Sample Answer

 

Essay: Applying Cognitive-Behavioral Therapy to Address Psychological Challenges

In the realm of counseling, Cognitive-Behavioral Therapy (CBT) has emerged as a widely used and effective approach in helping individuals overcome various psychological challenges. By examining three different scenarios involving James, Susan, and Michael, we can delve into the cognitive and behavioral issues at play, establish counseling goals, and explore specific CBT techniques that could be applied to address their concerns.

James’ Case: Dealing with Feelings of Emptiness and Abandonment

James expresses deep-seated feelings of emptiness and abandonment following the departure of his husband. The cognitive issues involved in his case revolve around his self-worth being tied to his spouse, leading to a sense of loss and emptiness upon their departure. Behaviorally, James exhibits signs of isolation and fear of being unable to cope alone.

Counseling Goals: The primary goal for James would be to change his cognitive schema regarding self-worth and independence. By shifting his focus towards building self-esteem and resilience, he can learn to derive value from within rather than relying solely on external sources for validation.

CBT Techniques: One effective technique for James could be cognitive restructuring, where he challenges and reframes his negative thoughts about being empty or worthless without his husband. Through identifying and replacing these maladaptive beliefs with more realistic and positive ones, James can gradually shift his mindset towards self-empowerment. Additionally, behavioral activation could be utilized to encourage James to engage in activities that bring him joy and a sense of accomplishment, helping him rebuild a fulfilling life independent of his partner.

Susan’s Case: Battling Persistent Anxiety

Susan describes experiencing persistent anxiety throughout her daily routine, impacting her ability to find moments of calm. The cognitive issue at hand involves heightened worry and rumination, leading to a continuous state of anxiousness. Behaviorally, Susan manages her responsibilities but struggles to find relief from the unwelcome presence of anxiety.

Counseling Goals: For Susan, the aim would be to help her challenge and reframe her anxious thoughts while developing effective coping mechanisms to manage her anxiety. By improving her ability to regulate emotions and cultivate relaxation skills, Susan can work towards reducing the intensity and frequency of her anxiety symptoms.

CBT Techniques: One beneficial technique for Susan could be mindfulness meditation, which focuses on present-moment awareness and acceptance of thoughts and feelings without judgment. Through practicing mindfulness, Susan can learn to observe her anxious thoughts without becoming overwhelmed by them, promoting a sense of inner peace and reducing overall anxiety levels. Additionally, systematic desensitization could be implemented to help Susan gradually confront and overcome situations that trigger her anxiety, fostering a sense of control and mastery over her fears.

Michael’s Case: Coping with Overwhelming Sadness and Social Withdrawal

Michael expresses profound sadness in response to the distressing events occurring in the world, leading to increased social withdrawal and isolation. Cognitively, Michael struggles with feelings of helplessness and despair triggered by external events. Behaviorally, he retreats from social interactions and experiences a loss of interest in previously enjoyed activities.

Counseling Goals: The primary objective for Michael would involve reframing his cognitive distortions related to global events and building resilience to effectively cope with distressing emotions. By enhancing his emotional regulation skills and fostering social connections, Michael can work towards reducing his sadness and re-engaging in meaningful activities.

CBT Techniques: Cognitive restructuring could be beneficial for Michael by helping him challenge catastrophic thinking patterns related to world events. By examining evidence and considering alternative perspectives, Michael can develop a more balanced outlook that mitigates feelings of hopelessness. Additionally, behavioral activation could be utilized to encourage Michael to gradually reintegrate social activities into his routine, thereby increasing positive reinforcement and reducing social withdrawal.

In conclusion, Cognitive-Behavioral Therapy offers a structured and goal-oriented approach to addressing a wide range of psychological challenges by targeting cognitive distortions and maladaptive behaviors. By identifying the cognitive and behavioral issues at play, establishing counseling goals tailored to each individual’s needs, and implementing specific CBT techniques, counselors can empower clients like James, Susan, and Michael to navigate their difficulties effectively and cultivate positive change in their lives.

 

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