Essay Example on I will be analyzing a hypothetical case of an individual Suffering








I will be analyzing a hypothetical case of an individual suffering from an anxiety disorder using the Cognitive behavioral therapy CBT I will start by introducing the client Craig define what interventions I would use and clarify how to build a therapeutic relationship with Craig I will also evaluate CBT as well as present any therapeutic sensitivity in view of what might go wrong Furthermore I will outline ethical problems in the appliance of theory to practice I will also include critical contrast made between CBT and other approaches I will then finish with a conclusion Craig wants to seek CBT as he finds it difficult to keep a job due to his anxiety as responsibility escalates his stress and predictable failure in work leading to a loss of the job see appendix a for full description Craig found a new part time job and isn t currently on any medication Craig has difficulty talking about his anxiety and feel stuck He socializes on Internet sites Craig fears he will be exposed as incompetent He sees himself as weak has the belief that he is not as smart as others and is afraid that if he loses this job he won t get another Craig feels anxious when he meets new people He has spoken about a recent incident in which he felt anxious when meeting his new colleagues see appendix B for vicious cycle one

Craig also finds it problematic when he is criticized see appendix C for vicious cycle 2 Craig is suffering from social anxiety disorder SAD also referred to as social phobia SAD is categorized by a substantial amount of fear in social situations This fear causes the individual high level of stress worry and leading to a reduction in capability of functioning in social activities Hofmann Otto 2018 The CBT intervention I would apply to Craig is Acceptance and commitment therapy ACT as Craig has described to be feeling stuck therefore he has tried to get rid of his anxiety and it is still there therefore rather than trying to get rid of Craig s negative thought ACT will help Craig accept his undesirable and negative thoughts and commit to live a meaningful life Ciarrochi Bailey 2008 ACT is a third wave CBT intervention that aims to teach the client skills to cope with thoughts and feelings that are negative Hayes Strosahl 2004 The goal of ACT is to help the clients live a significant life while tolerating the expected distress that comes with it through six core processes Contact with the present acceptance cognitive diffusion self as context values committed action Hofmann Reinecke 2010 Therefore ACT will aid Craig by teaching him skills to live life to the fullest whilst tolerating the negative energy and pain that comes with it thus helping him tolerating negative thoughts that occur to him while in social situations and continue to have a good work related experience in which he completes his tasks without the fear of failure Hayes Strosahl 2004

The therapeutic relationship between the client and the therapist in CBT has been argued to be an important function in facilitating positive results in therapy and aids therapeutic change Easterbrook Meehanb 2017 As ACT understands the therapeutic relationship as performing an important part in the capability of clients to be tolerant of their problems Gilbert Leahy 2007 To build an effective therapeutic relationship with Craig I will follow the BACP ethical principles such as being a trustworthy therapist to Craig BACP BACP Ethical framework Ethics 2017 Honoring the trust Craig has placed in me overtime I will strengthen the therapeutic relationship making it easier for therapeutic change to occur in Craig Easterbrook Meehanb 2017 In addition to that to create an effective therapeutic relationship I will be bringing in my technical and psychological skills to the relationship by applying the components of ACT not only to the clients but to myself For instance by applying the therapeutic method to myself 

I will not be presenting myself as fake or manipulative to the client Gilbert Leahy 2007 This will then create a relationship by showing Craig that I am a competent therapist who he can learn from thus encouraging him into engaging in the therapy leading to a positive change Ciarrochi Bailey 2008 One thing of importance in CBT principles is the structure of the intervention Beck 1995 The counsellor must take into account what needs to be accomplished at the beginning middle and the end of therapy Wills Sanders 2013 At the beginning of therapy the therapist and client get acquainted with each other and the therapist must aim to educate the Craig about the CBT intervention and what the therapy aims to do including the emphasis on the use of continuous feedback this is known as psychoeducation Milne Reiser 2017 As well as assessing Craig s current anxiety level to determine how much work needs to be done This also helps Craig receive the best care suited for him as the therapy can be tailored to his needs Gilbert Leahy 2007 this is known as the assessment process During this the therapist must also create a formulation with the client to determine the level of intensity of his anxiety Wills Sanders 2013 refer to appendix D for formulation template for anxiety In the middle of the therapy the client must be reviewed as well as during other sessions Since Craig has 8 sessions Craig should be reviewed during the third and fifth session during this review Craig s level of anxiety should be assessed to determine whether the CBT intervention is working for Craig also seeking feedback from the client to determine if they are engaging in the therapy Milne Reiser 2017 as well as setting homework tasks for them to complete outside of the therapy sessions Wills Sanders 2013 so that Craig can apply the interventions learnt to real life situations

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