Ethical Dilemmas In Cognitive Behavioral Therapy

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Preparing early for termination will allow Linda to share her feelings with me in a productive and healthy manner. It will allow us to have a “good” goodbye. Linda does not have many supports outside of therapy and I know that she relies on our times together to work through her week. It will be important for Linda and I to talk about the work that we have done together and for me to recognize how far she has come and all of the positive changes she has made. Facilitating the transfer to another therapist will also be important for success (Knox et al., 2011). Introducing Linda to the new therapist, walking her to the therapist’s office and sharing my confidence in the new therapist with Linda will be important. I want her to know that she is not being abandoned and that I am actively taking part in the process.
One ethical dilemma did arise and it was handled through supervision. Linda and I share something in common which is a huge part
…show more content…
From DBT, we have focused on mindfulness to bring Linda to the present. Linda spends a great deal of time ruminating about the past and worrying about the future. I have given Linda homework to keep a gratitude journal where she writes three to five things she is grateful for each day. She has found success in this activity by recognizing the little things in life that she does have such as a hot shower rather than focusing on all of the things she wishes she did have.
An important goal for Linda is to have a better relationship with her brother who has guardianship of her children. Many of their discussions end in an argument with Linda upset. We have utilized interpersonal effectiveness skills and role playing prior to Linda contacting her brother. Since working on these skills, Linda has reported having a few conversations with her brother, which have not resulted in yelling at each

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