In order to evaluate whether modern behavioural therapies can help a client accept the uncertainty of their future, I am going to look in detail at two Modern Behavioural therapies, REBT – Rational Emotive Behavioural Therapy and CBT – Cognitive Behaviour Therapy to ascertain their use in therapy with a client.
Cognitive Behavioural Therapy (CBT) is a talking therapy it is a way of talking about, how you think about yourself, the world and other people and how what you do affects your thoughts and feelings. CBT can help you to change how you think ('Cognitive') and what you do ('Behaviour'). These changes can help you to feel better. Unlike some of the other talking treatments, it focuses on the 'here and now' problems and difficulties. Instead of focusing on the causes of your distress or symptoms in the past, it looks for ways to improve your state of mind now. CBT has been shown to help with many different types of problems. These include: anxiety, depression, panic, phobias (including agoraphobia and social phobia), stress, bulimia, obsessive compulsive disorder, post-traumatic stress disorder, bipolar disorder and psychosis. CBT may also help if you have difficulties with anger, a low opinion of yourself or physical health problems, like pain or fatigue.
CBT can help you to make sense of overwhelming problems by breaking them down into smaller parts. This makes it easier to see how they are connected and how they affect you. By breaking them down into Thoughts, Emotions, Physical Feelings and Actions can help a person think about a problem and how they feel physically and emotionally as one of these parts can affect the others. There are also helpful and unhelpful ways of reacting to most situations, depending on how you think about it. The way you think can be helpful - or unhelpful.
For example, a client has had a bad day, feels fed up, and so goes out shopping. As they walk down the road, someone they know walks by and, apparently, ignore them. The clients unhelpful thoughts begin to think they have been ignored and the person doesn’t like them, their unhelpful feelings feel low sad and rejected, their unhelpful physical state is feeling sick, stomach cramps, low energy, the clients unhelpful action is to go home and avoid them. However with the help of CBT the client can be assisted to have helpful thoughts for example the person looks a bit wrapped up in themselves, I wonder if there's something wrong? Their helpful emotional state in feelings of concerned for the other person. Their helpful physical state is feeling comfortable, and the client helpful action would be to get in touch to make sure they're OK. So basically how you think about things and how your thought process works has an impact on how you feel and not only at that time but throughout your life. If you go home feeling depressed, you'll probably brood on what has happened and feel worse. If you get in touch with the other person, there's a good chance you'll feel better about yourself. If you avoid the other person, you won't be able to correct any misunderstandings about what they think of you - and you will probably feel worse. This 'vicious circle' can make you feel worse. It can even create new situations that make you feel worse. You can start to believe quite unrealistic (and unpleasant) things about yourself. This happens because, when we are distressed, we are more likely to jump to conclusions and to interpret things in extreme and unhelpful ways.
CBT can help you to break this vicious circle of altered thinking, feelings and behaviour. When you see the parts of the sequence clearly, you can change them - and so change the way you feel. CBT aims to get you to a point where you can 'do it yourself', and work out your own ways of tackling these problems. With the therapist, you break each problem down into its separate parts,...