A 38 years old female with depression and has medical treatment and follows up in hospital. She lived with her nephew and is being a trainee in a shelter workshop. She has good family support, her siblings and nephews could have gathering usually. She was easy to nervous and emotional. She'd cry suddenly through the training, because she thought her background/ history, or something made her feel up sad. She didn't want to let others know her disappointed and reduce her feelings before others. She was low self-esteem and worried about others comments. One of her sister passed away few months before and her other family members didn't allow her to go to the funeral because they concerned her feelings. Although she understand relatives layout but she still experienced unhappy and guilty of the absent of the funeral. In additions, she also absent of her elder brother's and aunt's funerals. Her family members didn't allow her to become listed on. She really believed guilty and noticed that she was inadequate. She would easy to weep because she experienced suppressed her feelings before others.
The Intervention Procedure: Cognitive Behavior Therapy (CBT)
In accordance to the situation of any 38-calendar year old female suffering from depression, the involvement procedure known as the Cognitive Behavior Remedy (CBT) can be use. In essence, it appears that the patient might suffer from anxiety disorder if the treatment CBT was no properly initiated. The symptoms of stress and anxiety disorders are usually split into somatic and mental symptoms. The somatic signals are manifested by excessive physical reactions such as swift heart rate, numbness, muscle pressure and sweating. The emotional signs on the other palm are often symbolized by various negative feelings such as dread, nervousness, agitation and irritability. Generally, people with anxiety disorder usually over-predict the outcomes of certain events. Moreover, the symptoms of this disorder are often misinterpreted by much more serious health problems (Shear, 2003).
Leaving stress and anxiety disorders untreated and depressive disorder can result to other emotional and health issues. Furthermore, as these require the people's life, the affected person usually has trouble handling normal lifestyle. It is also a common response that folks with nervousness disorders to limit themselves to regimens where less or no dangers can be experienced. Opportunities for these individuals become limited as well. It is then necessary that individuals with anxiousness disorders receive the right treatment or therapy in order to triumph over their doubts or hesitations.
For this goal, several therapeutic methods can be use including the CBT. Fundamentally, the cognitive tendencies therapy (CBT) is a restorative approach which involves talks and conferences. In this therapy, the patients will have to discuss and point out their feelings, conducts and thoughts to a mental doctor. The concentration of CBT is to ascertain these emotions and identify how these are impacting the patients, in terms of their activities. This emphasis of the CBT helps it be a problem-solving healing approach. The primary aim of this therapy is to teach individuals how to properly think and react to certain difficult situations. CBT can in fact be used for a number of reasons. Included in these are panic disorders, phobias, despair, eating disorders, schizophrenia and romantic relationship problems (Kassel, 2005).
This psychosocial therapy is based on a non-medication way, which is convinced that maladaptive thinking patterns will be the ones leading to negative thoughts. Maladaptive thinking habits essentially pertain to the action that brings about an individual's unproductiveness; thus, this habit is often used to clarify how stress problems can interfere with the individual's normal lifestyle (Ford-Martin, n. d). Cognitive tendencies therapy (CBT) is a general term used to spell it out the different treatments that incorporate both behavioral and cognitive interventions in controlling internal disorders.
The aim of the behavioral intervention is to lessen the individuals' problematic behavior and emotions through behavioral changes. The cognitive intervention on the other hands also aims to lessen the people dysfunctional behavioral and psychological; however, in cases like this, the process is through the alteration of the individual's thinking pattern. These two approaches were used predicated on the theory behind CBT theory. The theory states that folks who have emotional troubles like nervousness disorders experience problems on these two aspects as maladaptive repercussions of earlier learning. It is then the aim of CBT to lessen the person's unwanted tendencies or distress; this can be done through providing a fresh and much more adaptive learning experience (Brewin, 1996).
CBT originated by two psychologists Albert Ellis and Aaron Beck during the 1960s. The psychologists presumed that disturbed feelings and maladaptive manners are triggered by inappropriate automated thoughts or irrational thinking style. A good example of a distorted point of view is when the person feels inadequate when scolded by an excellent or when he or she does not please a person. A therapist applying CBT will attempt to make the patient realize this distorted view and change it out through cognitive restructuring. Behavioral remedy is also part of the CBT. In cases like this, the therapist tries to train the person to eliminate all undesirable behaviors and replace them with good ones. This approach is not after the identification of why the patients behave using ways; rather, it is more after teaching the influenced individuals how to modify their behaviors (Ford-Martin, n. d).
Basically, CBT is directed at the afflicted patient to be able to identify the sources of the negative behavior as well as show the patient how he or she can cause changes to these manners. From other case observations, patients who undergo CBT frequently have schemas or key beliefs about their do it yourself or their surroundings; these schemas are then your ones that must be identified and improved. This may perhaps be explained further via an actual situation. For example, an individual with panic has this dread about being with people. Thus, to avoid this fear, the individual tries to isolate himself or herself from others.
Upon questioning, the patient will declare that it is best to avoid people than face rejection. Eventually, the therapist will find out that it is the patient's inferiority complex that is attracting her or him from others. The lack of love and idea for oneself is the primary schema of this circumstance; this then would be the target of the CBT. The therapist helps the average person the amount of reality behind this schema and convinces him or her to realize the reality and what's possible.
The goal of CBT is then to help make the patient feel important and treasured. This is done by requesting the patient to mention his / her family members, family and good friends. The purpose of this process is to make the patient recognize that there are people who appreciate his or her for who they're. Therefore will make the individual realize the irrationality of his / her distorted schema. As CBT is applied, the individual will begin to think that they're a fascinating person and fun to be with. By instructing the patient to be more appreciative of himself or herself, the maladaptive behavior and thinking structure is substituted with a far more positive schema.
There have been lots of empirical aids that confirm the efficacy of CBT in minimizing both brief and permanent nervousness disorders (Chambless et al. , 1996). A lot like how CBT is put on other internal conditions, CBT is directed at patients with panic disorders in order to make the patients alert to the resources of their panic. The remedy is also after the learning of the several skills that will assist the patients restructure their cognitive and behavioral aspects. This can help the patients to reduce the level of their anxiety or dread.
The remedy approach for patients with depression usually take about ten to fifteen specific or group sessions, utilizing different activities such as CBT, relationship training, systematic exposure to causes of stress and anxiety, cognitive restructuring and self-monitoring. The length of time of the procedure however, is dependent significantly on the severe nature of the patient's condition. In addition, the results and length of the procedure period is based on how the individual can get good at the ideas of the CBT methodology as well as his or her willingness to progress. The skill of medical professional is also an important determinant of the procedure end result (Demertzis & Craske, 2005).
Objective of the Approach
In the truth of 38-season old girl with depression, there are a number of specific strategies about how CBT can be administered. With regrds to the, It is suggested to use the psychoeducation way of CBT. As the name indicates, this approach aspires to educate this 38-12 months old feminine about different sense related to depression as well as various behavioral symptoms. This modality also objects to relay the explanation of your skin therapy plan to the individual and explain how the process will be able to address his / her psychological condition. Based on the patient suffering from unhappiness, psychoeduation is a good CBT approach that helps patients to comprehend physical sensations with the several possible resources of harm. Quite simply, this approach is effective in teaching the afflicted individuals the right feeling or feelings as the problem requires it.
Another CBT technique used for controlling internal disorders is through the self-monitoring strategy. In this case, the goal is to pinpoint the exact cause of panic or fear in the individual and identify how the person reacts to this stimulus. This strategy isn't only ideal for patients in recognizing their fears, but it addittionally serves as a useful gauge for folks to identify their psychological improvement. Though this CBT tool may at first show the level of distress the patient happens to be in, it is a very helpful strategy in motivating the patient to focus on their disorder particularly if restorative success is gradually becoming visible.
In other instances, revealing the individuals to their sources of stress repetitively can also help in cognitive and behavioral changes. This is also known as exposure therapy, wherein the resulting effect of this approach is the significant mental reaction to a certain stimulus. One more specific strategy with this type of strategy is called the imagery publicity. In this case, the patients are encouraged to increase their tolerance over an imagined situation.
The deliberate initiation of the physical experience that patient fear is also found in reducing heightened negative reactions to a particular situation. Types of these deliberate physical feelings are worry, nausea and increased heartrate. Patients for example will be spun around to initiate a sense of stress or hyperventilation; the patient will then be taught how to handle these feelings. Redundant exposure can help afflicted individuals to become accustomed to these used to be overly negative sensations. Eventually, they'll be able to handle different stress factors by responding to them properly.
CBT Usefulness and Limitations
The studies and clinical studies cited in this discourse emphasize that CBT can also provide as an effective treatment approach not only for regarding a 38-yr old female experiencing depression however in other psychiatric problems as well. Among the main factors that produce CBT helpful for both mindset and mental health is its capacity to lessen psychiatric symptoms among afflicted individuals.
It was brought up that depressions have a tendency to affect the quality of the individuals life. Through CBT, patients are able to realize the root base of their unhappiness, fear or panic. The therapists on the other hands, are able to develop suited treatment plans that will help patient behave and think more appropriately. This potential of CBT helps psychologists and mental medical researchers in obtaining their goal of dealing with influenced individuals and giving them better quality lives.
Among patients, the utilization of CBT is also useful not only in minimizing the symptoms of their psychological disorders but also in assisting them take it easy more. Because they are gradually treated by CBT, they could access higher opportunities, perform more activities and produce better work productivity. In addition, this treatment approach is useful on their behalf in working with people and in other real life situations. Overall, the administration of the treatment approach is useful for patients, especially in providing them with the chance to experience and revel in things that life provides.
Patients tend to have different responses to treatment approaches. Although CBT may be considered a proven strategy for despair problems and other similar disorders, some patients are hesitant to take medications. The conformity of patients to treatments is also difficult to ensure; for some, this intervention can also be costly that CBT. Hence, another usefulness of CBT to mental health and mindset is the provision of treatment plans based on the patients' specific cases. Therapists are also given more treatment alternatives with respect to the needs of the patients. Quite simply, the addition of psychotherapy increases flexibility in handling various mental health concerns.
Actually, managing depression problems and other psychiatric disorders is essential as this allows patients to get a life with better quality. Dealing with these disorders will also help them in accomplishing various activities. This then led to the introduction of varied treatment approaches like CBT. CBT have been established as effective by lots of writers. Therapists and mental health professionals should then consider the distinctive top features of these treatment techniques and apply them based on the preferences and needs of specific patients.
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