Reference no: EM133317080

Case Study: For each of the following clients, identify whether or not cognitive behavioural therapy would be an appropriate counselling approach for the client. Justify your response. Hint: consider the benefits and limitations of using the cognitive behavioural approach to address each client's needs/issues/goals.

Question a) Phillip is a 69-year-old man who has recently retired from being a school principal. Phillip was quite proud of his career and work ethic and is finding the transition to retirement to be quite tough. He is feeling lost with nothing to do, nowhere to go every day. He says that he knows he should be enjoying his retirement but that he does not know how. Do you think cognitive behavioural therapy would be appropriate for Phillip? Why or why not?

Question b) Hannah is a 32-year-old woman who has severe cognitive impairment and has difficulty with verbal reasoning and expression. She currently lives in a group home and her carers have expressed concerns that she seems to be a bit depressed lately. Do you think cognitive behavioural therapy is appropriate for Hannah? Why or why not?

Question c) Tom is a 41-year-old man who is anxious about the thought of presenting to large groups of people. As part of his new job he will be required to give motivational speeches to groups of colleagues and he is anxious about his ability to do . Tom is great at talking to people in a one-on-one context but often has trouble formulating sentences and stumbles over his words when he talks in front of large groups. He is nervous about people judging him and his statements Do you think cognitive behavioural therapy is appropriate for Tom? Why or why not?

Imagine that you are a cognitive behavioural therapist working with a new client, 22-year-old Ross. Ross has come to counselling at the urging of his mother who is concerned that Ross has no friends and never engages in social activities. Ross is currently completing a degree via distance education but does not work and, when he is not studying, he spends most of his time playing video games. Ross begins the session by telling you that he knows that he is "a loser" and that's why he doesn't go out and try and make friends. He says that while he would like to make friends, he knows that he has nothing interesting to say and that people will find him boring, so he just keeps to himself.

Question a) Consider what you have learned about cognitive behavioural therapy .What benefits do you think cognitive behavioural therapy will have for Ross?

Question b) Ross is quite soft spoken and doesn't make much eye contact. You observe that he appears to be quite hesitant to talk about himself and you suspect that he might have self-esteem issues. Briefly outline how you could integrate person-centred techniques while working with Ross and the benefits that this would this have for the therapeutic relationship.

Question c) Imagine that Ross tells you that he gets anxious whenever he goes to talk to someone socially, so he just avoids social interactions entirely. You explore this with Ross and ask him to think about the last time he talked to someone in a social context and what thoughts went through his mind. He tells you that he was anxious and thought that he was bound to say something dumb or boring and make the other person want to stop talking to him. You believe that this would be a good time to explain the model underpinning CBT. In the space below, write what you would say to Ross to help him understand the interactions between his thoughts, feelings, and behaviours.

Question d) Explain how you would use cognitive restructuring with Ross.

Question e) Briefly outline a behavioural experiment that you would propose for Ross

Question f) How would you go about monitoring the effectiveness of the behavioural experiment?