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).