A Critical Reflective and Analytical Research Based Written Conceptualisation and Therapeutic Plan for a Common Human Problem in Cognitive Behaviour Psychotherapy Terms.

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A critical reflective and analytical research based written conceptualisation and therapeutic plan for a common human problem in Cognitive Behaviour Psychotherapy terms.

This essay has been particularly difficult for the writer to achieve due to the challenges they face in the transition from a Person Centred Counsellor to a Cognitive Behavioural Therapist in Training. The writer hopes to achieve a comprehensive critical reflection and analytical research based on a common human problem that has been assessed in the clinical setting. The essay includes Padesky five area systems and a disorder specific conceptualisation, including a diagram, which can be found in the appendix. The essay is research based; including information about prevalence, incidence and outcomes using Cognitive Behavioural Therapy. The writer has also included DSM /ICD diagnostic criteria for as evidence of the diagnosis and this is too available in more detail in appendix. To conclude the essay the reader will provide a detailed therapeutic plan for the treatment of the common human problem as assessed. Presentation of the client;

The client in this essay as signed consent forms to be used as a case study for the purpose of the training required for the course. For the purpose of this essay I am going to call this client Cliff. Cliff has been to see his GP as he was struggling with Cliff (2010) “black thoughts” as the client calls them; risk assessment has been completed and can be seen in appendix. Cliff is a 43 year old male, who lives in a shared house with one other male. He is currently unemployed and became unemployed in February 2010. In the past twelve months he has suffered two significant bereavements those being his father and his sister in law and more recently he has spilt from his girlfriend, not his choice and is struggling with this decision. However Cliff is presenting with signs of depression and during the assessment process it became evident that his depressive episode has been current before the bereavement and relationship split. See Appendix A for full case details (page…..). Before beginning with Cliff’s referral it would be appropriate to discuss Cognitive Behaviour Therapy (CBT) and the evidence for the success of treatment outcomes for mental health patients using this therapy. CBT is one of many different types of ‘talking therapies’ it as a collaborative and direct approach to deal with emotional and psychiatric disorders. This means being transparent and open asking direct questions to the client to ascertain the clients’ problems. In contrast to the therapy the therapist as come from being Person Centred School of therapy, CBT is present focused, time bound, highly structured, and goal orientated. Reflecting on does CBT work; there are numerous writers for and against CBT. CBT is constantly evolving by what is called "evidence-based-practice", and this form of psychotherapy is constantly synchronized with the latest recommendations from the research suggesting what works best. NICE (2009) The National Institute for Health and Clinical Excellence states CBT has a solid evidence base for effective treatment for a number of diagnoses, including depression and schizophrenia, which is where the IAPT service evolved from. Husain (2009) published an article stating high-profile clinical psychologist has delivered a hard-hitting criticism of cognitive-behavioural therapy (CBT) claiming it is simplistic and “does not work” Dr Oliver James accused government ministers of being "downright dishonest” when they claimed that new NHS CBT-trained therapists will cure half of 900,00 people of their depression and anxiety. “There is not a single scientific study which supports that claim,” says Dr James. "Being cheap, quick and simplistic, CBT naturally appeals to the government. Yet the fact is, it doesn’t work,” added Dr James. However NICE (2000) guidance is used widely and is respected by the NHS and is designed to promote...
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