The
cognitive behavioral theory was developed by the psychiatrist Aaron Beck and it
is based on the concept that if the beliefs of individuals do not change, then there
is little opportunity for improvement to their mental health. Beck proposed
that the main aim of therapy is to ensure that there is the promotion of a
scenario where individuals are guided towards changing their behavior in such a
way that allows for their symptoms to change (Beck, 1993).
This is because beliefs are essentially operational units which mean that the
thoughts of individuals as well as their behaviors will have an effect on their
actions. therefore, it is necessary to makes sure that there is the promotion
of a scenario where the major target of therapy are the beliefs that are held
by the patient as well as the promotion of a scenario where they are guided
towards bringing about an improvement of their perception of life in a manner
that prevents them from having negative thoughts. The cognitive behavioral
theory is therefore one that can be used in a diversity of therapeutic circumstances
based on the condition that is affecting the individual at the time. This
therapy, because of the way that it targets the negative aspects of the
thoughts of individuals, is highly effective, especially when it comes to the
way that it is able to effectively treat a diversity of disorders such as
compulsive gambling and uncontrollable anger, which are problems that
significantly affect the lives of individuals in an undesirable manner. Cognitive
behavioral therapy is an extremely beneficial method of ensuring that there is
the effective treatment of psychiatric, psychological and medical disorders
that have become quite common in the modern world.
The Role of the Counselor
The
role of the counselor is extremely pertinent when it comes to the cognitive
behavioral therapy approach. This is because it involves the counselor
essentially undertaking an understanding of the thinking process of the patient
in such a way that provides them with the means of changing their perspective
of the world (Beck, 2011).
The treatment of depression, for example, is a process that requires that the
counselor makes such that he not only understands the core beliefs of the
patient, but also makes sure that the patient is prevented from undertaking any
harmful actions through a change of the core beliefs. In this case, the role of
the counselor is very important in this approach because it is one that guides
the patient through a process involving taking on a positive thinking
perspective as opposed to merely providing them with an avenue to express
themselves. The counselor has to ensure that he takes on the role of a guide in
a manner that allows the patients to express themselves while at the same time
being guided by the counselor involved in the process of enhancing their
self-esteem as well as undertaking actions that have a positive effect on their
thought process. Thus, the counselor is therefore extremely important when it
comes to the process of restructuring the destructive thinking of patients in a
manner that allows them to return to a sense of normalcy. The latter process
shows that the counselor or therapist is an individual that has an extremely
crucial role in the treatment of patients.
The
role of the counselor also involves assisting patients in the process of
setting goals that are realistic. This is a process that requires that that the
counselor provides guidance to the patients concerning how to take
responsibility for their thought as well as actions (Leahy, 2008).
It allows the counselor to ensure that he guides the patient through the
process of changing their thought and perception in order to ensure that there
is a relative change in the behavior as well as emotional responses of the
patient. It is also noteworthy to consider that the counselor is placed in a
position where there is a consideration of the faulty thinking process of the
patient, which he can then point out and address through the development of a
strategy aimed at changing the faulty thinking into more positive thinking. The
counselor is therefore able to proceed towards ensuring the development of an
effective treatment process based on the development of new ideas and methods
that are generated towards helping the patient achieve a more positive outlook
of themselves. Moreover, the patient is guided towards the attainment of an
attitude aimed at promoting the development of new experiences in addition to
having a new perspective concerning their environment. Counselors can also give
their patients home assignments in order to help them improve their perspective
concerning themselves and take on a more productive attitude that allows them
to overcome their condition. In this way, patients end up overcoming faulty
thinking and attaining a better level of emotional wellbeing through the
assistance and guidance of the counselor.
Therapeutic Goals
The
cognitive behavioral therapy has a number of goals which are extremely
important to its success. Among the most important of these is ensuring that
there is the promotion of emotional intelligence and self-awareness when it
comes to the therapist helping their patients make a self-analysis and become
aware of how to distinguish their feelings between the healthy and unhealthy
ones (Sun et al., 2019). Another goal of this form of therapy is to
ensure that patients are helped to understand how distorted thoughts and
perceptions can contribute to the development of feelings that are painful.
There is also a process through which patients are provided with the means of
dealing with their symptoms in a rapid way in such a way that promotes an
emphasis on the current situation that they are enduring and the solution of
these problems. Also, there is the goal of developing self-control among
patients through teaching them specific techniques that not only identify but
also challenge distorted thinking. In this way, there is the prevention of
future episodes of emotional distress and instead, cognitive behavioral therapy
makes it possible for the patients to attain personal growth through provision
of means through which change to core beliefs that tend to be at the source of
their suffering. Therefore, cognitive behavioral theory is pertinent because it
ensures that there is the promotion of the welfare of patients through a focus
on the source of the problem while at the same time ensuring that there is
personal development through the enhancement of their self-esteem and an
improvement in their outlook of the world. Thus, the role of the therapist is
quite significant in this type of therapy since they act as a guide to the
patient to alleviate their psychological problem.
There
is a focus on the negative attitudes that the client might have and the
therapist has the responsibility of pointing them out to the patients and
making them realize that they are actually the cause of the psychological
problem prevalent in their lives. This is an important factor in the
therapist-patient relationship because it allows the therapist with an
opportunity to provide the patient with the means of changing their attitudes
and taking a more positive outlook to life (Alvares et al., 2014). Moreover, as mentioned
above, it allows the patients to recognize that their negative attitudes are
counterproductive and that these attitudes play a significant role in bringing
about a scenario where they are forced to have a pessimistic view of life that
actually causes such problems as depression (Karwoski et al., 2006). Therefore, in order to make
sure that there is the advancement of better patient mental health, the
therapist has to guide them towards making sure that they achieve a balance in
their lives that prevents them from having a pessimistic attitude. Cognitive
behavioral therapy also considers that in most cases, patients will prefer to
talk about their problems, and because of this, there is the need for the
therapist to ensure that he makes himself available and trustworthy enough to
such an extent that the patients can share their darkest fears. The sharing
process is important because it allows the patient to confidentially begin the
change process since they share their problems with the therapist and come to
terms with them. It is also necessary to consider the example of a patient
suffering from depression can be helped through this form of therapy because it
allows them to have a discussion with the therapist as a means of sharing their
problem; enabling them to overcome it.
Techniques and Methods
Cognitive
therapy is one that seeks to ensure that there is the improvement of the lives
of patients through ensuring that there is a change in perspective. It is
different from traditional therapy in a diversity of ways because it is not
only active and directive, but it is also focused on the present time (Leichsenring et al., 2006). Moreover, the process is one
that is aimed at being short-term, meaning that the goals of the therapy have
to be attained within a short time. It becomes pertinent to make sure that
there is the promotion of improvement among patients through a proactive
approach aimed at helping them discover the root cause of their psychological
problem and enabling them to not only come to terms with, but also overcome
them. Therefore, in order to cognitive therapy to be a success, it becomes
essential for them to place emphasis on a number of issues. The first of these
is the identification of goals and problems that can be shared by the therapist
and patient. This ensures that there is the effective setting of targets for
the treatment process, which allows for the establishment of the basis for the
relationship between the therapist and his patient. Another consideration is
the establishment of a clear-cut agenda for each session, which allows the therapist
to guide the patient towards making sure that there is the consideration of the
aims and objective of the sessions that will be conducted. During this process,
it becomes necessary to create a timeline for the attainment of goals during
each sitting. It is also essential for the therapist to ensure that their
patient receives some practice in changing their perspective through the
provision of self-help activities that they can undertake following the therapy
sessions. This is significant because it allows the patients to put into
practice what they have learned and attempt to improve their perspective of
life in a manner that they develop a more positive outlook. The final method is
based on the process of taking objective measures of outcomes in a bid to
determine its success. The role of the therapist in this case is to ensure that
the patient is provided with strategies including behavioral, cognitive, and
experiential to alleviate their suffering.
Reactions
This
counseling approach is one that is most effective especially when one considers
the way that it can help patients overcome a diversity of psychological
problems, including depression. Cognitive therapy is also effective because it
helps in the reduction of symptoms of anxiety and depression almost as
effectively as medication, which in the end allows for a lowering of potential
relapses. It is noteworthy that this approach is necessary in making sure that
there is the promotion of a personalized approach where the therapist helps in
guiding the patient towards overcoming their negative perceptions and towards
the attainment of positive change. Therefore, the cognitive behavioral therapy
is critical in the treatment of different psychological problems because of the
considerable role played by the therapist in the process, while at the same
time ensuring that the interests of the patient remain the main objective.
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