Components of CBT are thoughts, emotions, behaviors and biology. CBT helps patients understand the thoughts and feelings that influence their behaviors so they may make better, and more productive decisions regarding their lives. Cognitive Behavioral Therapy (CBT) can be effective in the treatment of individuals with mental illnesses and disorders. It is a common type of mental health counseling where a cognitive behavioral therapist (psychotherapist or therapist) work together with the client for a limited number of sessions to help the patient become aware of negative or inaccurate thinking in order to respond better to challenging situations (Test and Procedures: Cognitive Behavioral Therapy, 2014). According to the National Alliance on Mental Illness, “Cognitive behavioral therapy is a form of treatment that focuses on examining the relationships between thoughts, feeling, and behaviors” (Duckworth, M.D.
The approach uses the concept of traditional CBT, has a strong psych educational element and consist of twelve two hours sessions over 8 weeks. Whitfield observed advantages and disadvantages in delivering CBT in group format. The advantages associated with CBT groups; group can treat more people at a time, Groups can be less stigmatising, there is opportunity to learn from experiences and homework tasks of the other group member, CBT groups incorporate a ready audience which can be utilized for exposure and behavioural experiments, the view of other group members often carry more weight or are viewed as more neutral then the views of the therapist, some people feel uncomfortable with one to one professional relationship in therapy and so may prefer group, and can be useful for people who struggle with a one on one professional relationship (Whitfield,
Before committing to doing the Ma in CBT I had completed behavioural change skills training specifically designed for dietitians by Dympna Pearson one of the leading figures in the UK for behaviour change. The course is based on the principles of motivational interviewing which is guided by four principles, resist the “righting” reflex where practitioners try to fix their clients, to understand and explore the client’s own motivations, to listen with empathy, and to empower the client, encouraging hope and optimism. (Rollnick, Mason & Butler, 2008). The course introduced me to skills all aimed at building the therapeutic relationship with my client. I tend to open my consultations by inviting my clients to describe what led them to making the appointment.
The patient has respect for the clinician 's experience and the clinician has respect for the patient 's wishes, needs, concerns and builds on past experience to meet immediate needs. (Paget, 2011). The second method of communication is Harmonized goals. This is when the patient and nurse both agree to a plan of care for the patient. This includes aspects such as the patient knowing the risks, benefits, and implications of procedures.
They are viewed as both a form of resilience and strength, but also as a means by which a client can be connected to a social network outside of the therapy room. In many instances, clients are actively trying to deal with their issues before they come to counselling and this is often ignored or overlooked by the therapist. Clients may try many forms of alternative therapies or access cultural resources which they are already familiar with. The positive impact on wellbeing and mental health using alternative therapies such as spirituality, mindfulness, exercise, diet, yoga, walking, music, etc. are all well documented.
For instance, Baucom et al. (1998) and Chambless & Hollon (1998) suggested that TBCT is considered as the best treatment type in terms of efficacy and specificity. As TBCT focuses of “behavioural exchange”, couples make effort in making changes in a positive way and use positive reinforcement . In TBCT, therapists strive for the weaknesses and strengths of the couples, goals (issues the couple would like to focus on) and length and organisation of the treatment as gathering these information are essential during intake assessments . In a study conducted by Jacobson et al.
Attwood (2015) stated that CBT has direct applicability to those who have ‘delayed Theory of Mind (David Premack and Guy Woodruff, 1978) abilities and difficultly understanding, expressing and managing emotions.’ (Attwood, 2015). After medication, Mental Health Ireland (2018) cites CBT as ‘the most effective treatment for reducing the symptoms of almost all mental health problems, especially anxiety and depression’ leading to an improvement in the individuals ‘overall quality of life.’ (Mental Health Ireland, 2018). This can prove significant as studies show ‘depression appears to occur with greater frequency among people with ASD than in the general population.’ (Tara Chandrasekhar,
Healthcare providers should always remind themselves that their patient’s and family member’s point of view is more important than their own (Burns, Bradley, & Weiner, 2011, p. 171). A healthcare provider’s communication decisions could have a positive or negative affect on their credibility and that should not be taken
Successful behaviour change is the product of varying factors, such as perceived health and illness, or effective health communication from the professional side (Ong, Visser, Lammes & de Haes, 1999). This can be divided into two parts: to extract and discuss patient beliefs and to facilitate the patient to take control (Michie, Miles & Weinmann, 2003). According to Ong, and colleagues (1999) between oncologists and cancer patients, the most significant factor which could predict the patient`s quality of life and satisfaction were linked to the consultation quality. An interesting finding of this study is that patient-centeredness was adversely perceived result over the period of 3
The cognitive techniques used in REBT manage the self-statements the client has, develop problem solving skills and educate the client to also teach others, the emotive techniques used are imagery, in other words using role play to combat the anxieties, anger or other emotions the client has (Wilde, 2008). The behavioural technique used in REBT is homework which is done outside the therapy session because the client has to interact with the world to over-come the irrational beliefs (Corey, 2014). I think REBT is a great therapy because it has no strict conventions and the client is responsible for their own