Evaluate the strategy of Cognitive Behavioural Therapy

In this essay I'll discuss the Cognitive Behavioural Remedy, i quickly will critically measure the approach, with strengths and restrictions, give a good example of an event that, I tried to utilize this approach, give the reasons where situations I'd use it. And finally what I got learned from this research and exactly how it impacted me for future practice.

Cognitive Behavioural Therapy, have root base in behaviourism, as well as Cognitive therapy. In our days and nights many cognitive behavioural therapist follow the key points from both these schools. In the origins of 1970s, Professor Aaron T. Beck developed a theory of despair, which promotes the value of peoples frustrated design of thinking. Becks work has altered the type of psychotherapy, not merely for depression, but for a variety of emotional problems such as, phobias, anxiety, depression, anger, erotic and romantic relationships problems, drugs and alcohol abuse, obsessive compulsive disorder, I just mention those hateful pounds. For a successful treatment is necessary that the individual interact with therapist, and it is willing to change, is vital that patient is able to recognise his unusual thinking or behaviour. CBT is a brief -term remedy normally between 10 to 15 consultations and lasts for an hour. By using the therapist the patient will handle these excessive thinking or behavior, by learning another type of range of ways to beat them.

Abnormal behaviour is caused by maladaptive thoughts that a person can internalise in its self, this maladaptive behaviour does not allow the patient to truly have a normal life. As above referenced CBT is mixed with cognitive and behavioural therapy

They are blended because how exactly we behave often reflects how we think about certain things or situations. The emphasis on cognitive or behavioural aspects of therapy may differ, depending on condition being cared for. For example, there may be often more emphasis on behavioural remedy when treating an eating disorder because repetitive actions are a main problem. Alternatively, the emphasis may be more on cognitive therapy when treating melancholy. In this kind of therapy the patient have to talk about his feelings, the way they see the world, and also other people. Both main techniques of CBT in a treatment is to the patient discuss with, the therapist about his information for and against negative values, the next one the therapist will ask to the patient for him to check his beliefs, and change the way that he reacts to them and see what goes on. The therapist helps the patient to comprehend his real thought and patterns. In particular, to identify any harmful, unhelpful, and bogus ideas or thoughts which he might have, that creates his medical condition, or makes it worse. Desire to is then to change his means of pondering to avoid these ideas. Also, to help his thought patterns to be more genuine and helpful.

The treatment with the patient is situated in conversing, both therapist and patient will continue to work together to identify and understand the reason why, for the individual abnormal behavior, or thought. CBT will not rely on days gone by, but in today's here and now, therapist and patient can look at patient problem in several perspective more healthy and positive. The therapist will establish goals and tasks. Strategies that are monitored and assessed, in-between the periods. With the techniques and the home work that the therapist had planned for him, in a situation of abnormal behavior, or thought the patient, will recognise what trigged the situation, and how he have to respond to defeat that situation. It is important that the patient recognise what trigged the situation, and devote practice the techniques arranged by the therapist that will assist him to change that. This remedy will make the individual more aware. The individual is also asked to keep up a diary to jot down the way he thinks, feels and behaves in daily situations, thoughts, automatic thoughts, logical response and results is also another helpful technique. It'll be then easier to break the maladaptive design.

However as any approach in the individual behaviour it has strengths, and constraints. CBT is not well suited for everyone, only helps certain conditions, it had been shown great results in treating stress and anxiety and major depression Eysenck, P. 286, 1997 "but is especially effective with anxiety attacks.

Rachman (1993, p. 279), "As far as anxiety disorders are concerned, the greatest theoretical and medical improvement has been made in applying cognitive-behaviour remedy (CBT) to the. . . treatment of panicky. " People who take medications are a larger risk to relapse, when they stop taking them, I acknowledge because they didn't figure out how to identify what sets off their maladaptive behavior, and didn't task them in trying new behaviours, it is like they are frozen by the medications, and when they stop taking them, they defrost and everything will start again. CBT is claimed to take care of schizophrenia that is clearly a very serious disorder, and this is incredibly difficult to take care of, and medicines are necessary for the patient, in my thoughts and opinions this disorder cannot be treated by CBT. In other part CBT is extremely structured and does not focus in the past, but in "here" and "now".

However studies possessed shown that patients after 2 years of remedy has done, do better than those using other type of treatments, however every specific is unique, two patients with same disorder may have different results because the amount of the expansion of the disorder may differ.

CBT will not take in profile hereditary factors, also does not take in concern social factors like his communal role, life experiences that can produce mental disorders. Another aspect is that is not clear if the irregular thoughts can be the cause of the disorder. Secondly is unfair at fault the patient because of their mental disorder, because it could be other people the responsible a good example is the truth of bullying is not the victim fault. Also the individual must be inclined to change; he might find boring the research, and the diary sheet. Also disrespects the patient intelligence by making the therapist, alternatively that the individual unconscious wisdom, the source of clear brains about the condition. Also the therapist encouragement to tackle this abnormal behavior is vital social skills like comfort, acceptance and empathy will make the CBT more successful. Overall this process is positive but is effectiveness depends in factors, such, kind of disorder, willing to change by the patient, support of the therapist, dedication to do the homework, and attend the consultations.

If in my own practice I'm dealing with a service consumer that have problems in low self-confidence, problems in romantic relationship, I would utilize this approach to placed goals for an individual confront his worries, in other situations like eating disorders, despair, panic attacks, the help of a qualified therapist is essential, because he'll know better than me how the customer is progressing, his evaluation will more exact, because I don't hold a qualification or a masters for the reason that area.

I have a couple of friends, who had marital problems such as verbal mistreatment towards each other, both of them asked to talk with each other, accusing each other for the failure of the relationship. I spoke with both of them together, and asked about their negatives attitudes, and asked them why they couldn't do things in another way, that wouldn't harm the partner. However they were both resilient to improve, and say that their errors, in this example I thought they needed the assistance of a specialist, I didn't experienced the skills and techniques a therapist would have, and perhaps because I got a friend, they may had felt unpleasant talking with me, in cases like this the commitment of the couple to recognise their abnormal behaviour was crucial, to try advertisement change them, my friend was stressed, troubled and depressed as a result of marital problems, and she was pregnant at that time. I advice her to reserve an appointment with her GP expose the situation, and try counselling and because she was pregnant, this would have an impact on the unborn child.

I now recognize that in practice, I can approach a service problem with different ideas, that will help me to decode and determine the user situation in a constructively point of view, if a I simply rely in one approach, I'll miss other main problems, in the event above there is other theories that may explain certain behaviours and behaviour. Coulshed (1991. p. 8) " Theoryless practice will not exist ; we cannot avoid looking for explanations to guide our activities, whilst research shows that those businesses which profess not use theory give you a non problem dealing with wooly and directionless service".

CBT and sociable work. both have desire to to empower an individual to control his life, in my own view using situations, I would use this procedure of course that, I want more training and skills to work effectively. Having researched this process I found that in certain situations with users we may use techniques and skills from different solutions, and analyse the service consumer situation with different strategies. I assume that provides a deeper insight into the service user diagnosis of needs and resources to help him to be in control of his life again.

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