The Principles of Recovery and Values in CBT A Case Example with Aaron T. Beck, MD. – excellent article about CBT

Full article here by Dr Beck @ https://beckinstitute.org/the-principles-of-recovery-and-values-in-cbt/?utm_source=newsletter&utm_medium=email&utm_content=READ%20MORE&utm_campaign=11.8%20Principles%20of%20Recovery

Summary – without claim to the copyright of the work by the Beck Institute – shared in the spirit of effective psychological practice

  • client in visibly upset
  • Dr Beck conducts a mood check
  • Dr Beck reframes the client’s experience/therapy towards times the client felt good
  • Dr. Beck reinforces the positive feelings, praising her, and asking whether this showed she was able to do difficult tasks.
  • As the session progresses, Mary moves into an adaptive mode of functioning, with clear thinking and communication.

When Dr. Beck conversationally inquires, “What would be good about having a job?” she lists income, a better house and education for her son.  He helps her realize that other good aspects would be a feeling of success and greater confidence. Dr. Beck summarizes her experience in common parlance: “I think you’ve lost your confidence,” a beautiful, humanistic description of her difficulties, which gives her hope that she can improve her life.

  • the therapist shows empathy and concern
  • the therapist and client brainstorm ways to build confidence/esteem
  • Dr. Beck asks, “Can we make this our destination?” This demonstrates to her that he has hope and wants to be a partner in her recovery. It also normalizes Mary’s experiences, and indicates that these aspirations will require some time and effort.
  • Dr. Beck asks Mary to expand on her aspirations and guides her in creating visual images of herself and her son in a new house and at her son’s graduation from college. It is apparent that these images are boosting her sense of hope.

Mary expresses a wish: “If only someone would believe in me.” Dr. Beck points out: “It’s important to believe in yourself.” Mary found this inspiring and she liked the idea that she would play a role in her own destiny. Mary and Dr. Beck agree on focusing on the future and improving her confidence (for example, by recording her daily successes, no matter how small).

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s