Cognitive Behavioral Therapy: A Case Study

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Evidence based CBT ( Cognitive Behavioral therapy) Has three phases of treatment. The Initial phase, the working phase, and the Closing phase of treatment. In the initial phase the therapist works on building the working counseling relationship with the client. This creates a nurturing and accepting environment for the client with benevolent demands for change. In the working phase, the therapist monitors the quality of the working alliance and use validation to acknowledge difficulties the client might have with the relationship. The goal is to teach the client to regulate emotions to reduce labile affect and impulsive behavior. Along with increasing interpersoanl effectiveness in personal and work relationships. And finally to increase distress …show more content…
Wholeness is a dialectic worldview is systemic, consistently seeking to understand all parts as segments of a larger more complex whole. Understanding a person wthihin their broader social context. The principle of polarity refers to the systemic notion that all systems is comprised of opposite tensions. Once these tnesions are resolved, a new level of polarities emerge. Essentially that dysfunction is a function. And Continues change: The tension of dialectic polarities within a system results in a never-ending process of change that is described as thesis-antithesis-synthesis. The tension between each set of opposites is resolved by shifting to a higher-order perspective that is able to synthesize the prior two opposites through a process of synthesis that is experienced as change. One of the most basic assumptions of the DBT approach is that clients seek change and yet do not want to let go of the old way of doing things. DBT counselors support clients through this natural dialectic by supporting self-preservation and self-transformation simultaneously. DBT has three stages: Reduce crisis behaviors and increase coping skills, Reduce Trauma-Related symptoms, and Increase life-enriching behaviors. In stage 1 the goal is to reduce suicidal and self harm, reduce behaviors that disrupt the counseling process, reduce behaviors that significantly interfere with quality of life, and increase behavior coping skills. In Stage 2 the goal is to reduce trauma-related symptoms. In stage 3 the goal is to increase self-respect and self-validation as well as increase action toward achieving personal life

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