Cognitive Behavioral Therapy: A Case Study

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Cognitive-behavioral therapy (CBT) is based on the interaction of how we think (cognition), feel (emotion) and act (behavioral). Cognitive behavioral therapy is a theory that proposes that thoughts play a role in changing behaviors. CBT says that our thoughts determine our feelings and behavior. Cognitive behavioral theory counselors help clients: to develop positive ways of thinking and behaving to reduce the psychological distress; to differentiate between their own thoughts and reality; to learn the influence that their own thoughts have on their feelings; to recognize, observe and monitor their own thoughts (McLeod, 2008). The scripture shows the same principle in Proverbs 23:7 (NIV) “for as he thinks in his heart, so is he.” In other words, a person is whatever he/she thinks/believes of himself/herself and he/she will behave accordingly to his/hers positive or negative thoughts/believes.
According to Henderson and Thompson (2011), Cognitive-behavioral therapists have three fundamental assumptions: activities impact behavior; cognitive activity can be monitored and changed; and a desired change in behavioral can be accomplished through changing cognitions” (p.
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In Derek’s case, for example, it is clear that his current situation was determined by the way he sees himself. He sees himself as a failure because he believes what others say about him, he does not have lots of friends, and he thinks that his parents do not care for him. Of course that the fact that he is in a residential treatment program and his family has some issues to work on influence Derek’s distorted thoughts about himself. I like the way that the counselor conducted the session making Derek think in an alternative way about one of his distorted thoughts. It helped Derek realize that his assumptions were incorrect (Henderson and Thompson, 2011). Through CBT, Derek could learn the influence that his own thoughts have on his

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