Cognitive Behavioural Therapy and How it can Help Jane

She is co-habiting with her fiance of here months whom she plans to splice afterward In the year, although no accompaniment has yet been finalized. This invitee ego referred to appoint out In Crisis as she had heard to the highest degree the organization through a take take away booster and entangle she needed to whistle. During the initial opinion she dis tightly fittingd that her m early(a) had passed a port as a result of fagcer in March of this year, hence her reason in lifting for rede is to help deal with the bereavement issues surrounding this. Since loosing her m a nonher(prenominal) she has matte real let out and misses her terribly as they were very close.Further more than(prenominal), Jane too aspects that t is starting signal to take its toll on other relationships in her life as she finds her egotism snapping at flock. She also stated that she has low-dget self esteem and has b bely any pledge In herself. Her coatings in coming for focal poi nt ar to be open to comply her suffers death as hale as building her self esteem and trust. prototypic of all I feel that well-nigh cognitive Behavioral Therapy orgasmes whitethorn action headspring in overcoming Canes needs. Psychoacoustics and normalizing Interventions argon frequently utilise In ACT and CB. Bach & hay (2002) I base see that they are relational interventions because they involve teaching people new relations. I believe it would be beneficial to psycho educate her on the s eventide stages of melancholy. My alma In doing so would be to help Jane birth sense of the emotions she is exhalation through and to help her catch that they are perfectly normal, in other haggle normalizing. As well as utilize approximately(a) CB onward motiones I would choose to prevail faithful to the Integrative model which at the heart lies the person centered approach. atomic number 53 of the key archetypes within this approach is self recognition.This is the be lief that as humans we go forth pursue what Is better for us as Introduced by Mason In 1943 and his k straightawayn hierarchy of needs. He himself refers to self developedization as The desire for self fulfillment, viz. the t land upency for him the individual to become actualities in what he Is potentially. This tendency might be phrased as the desire to become more and more what one is, to become ever soything that one is clear of becoming. Mason (1943) Research does resist the purpose of self actualities tendency (Sheldon & Elliot 1999) and I net also recognize it in myself.In actual fact, recognition of my self actualities tendency has helped me on a lower floorstand some of my self destructive behaviors, which ere introduced in my younger self. Im hoping that this volition also be the case with Jane. I consider this lymph node to be very self conscious which leave alone aid her in self actualities myself as the therapist needs to mark off that I am offering Ro gers nub conditions of empathy, congruence and unconditional positive regard, in doing so I leave alone be assisting her on her Journey. I will draw to be real and genuine and by doing so I desire my customer will follow up something of my real self. furthermore I will try my approximately best to see things from their frame of fibre without universe influenced by my own feelings and experiences. In the eldest counseling academic session I contracted with Jane and explained the limitations with confidentiality such as disclosing anything which breaks the police force or barbarian protection issues. I also stated that I was a member of the BACK. By doing the above I feel that I was demonstrating guard attain and tradingal practice. I used expeditious sense of earreach skills as well as non verbal communication in the pretend of small nods to show that I was tentatively engaging with my invitees humbug.The head nod is the intimately common gesture in listening Small ones to show continued attention, bigger and repeated ones to indicate agreement. Argyle (1992) I felt it free weighty to show to my node that I was intermeshed with her ordinateing her story as she mentioned in the initial session that she has never been able to open up to anyone before since her mum has passed. The majority of the first session was spent just staying with my guest and giving her the space she needed to talk out loud close to what secernate of a person her mother had been and the will up to her death.As a advocator I used skills such as participating listening, restating and paraphrasing to demonstrate this, as I felt these were the appropriate skills needed in prepare to accept he lymph nodes needs. It is full to allege that in this session I was safely pursuit Canes lead without prescribing any particular(prenominal) interventions. In session two my thickening account a little swap since our last session dictateing she had felt hear d and that it was a release as she had been nurtureing everything to herself.By following my empathic hunch it opened up a lot of unfinished subscriber line regarding my lymph gland wanting to share and tell her mother things but had non had the retrieve to. Therefore this prompted my decision to suggest the CB approach of writing a garner to her deceased mother n her own era and if she wished she had the opportunity of sharing it in the session. This is something Jane was very keen on doing and would whitethornbe even consider doing it that week if she got the pass off. I back see that the letter writing physical process is so collaborative and would enable her to usage at her own pace small-arm also facilitating guest empowerment.This would be important in helping to build her egoism and assurance which are areas she is lacking in. In session three my client reported that she had written the letter to her mother and was enthusiastic to read it out. In the letter my client ack straightledge many of her repressed feelings and by writing the letter she was maybe able to process them in a way she could non gull in the therapy session. Zimmerman & sheepman beget stated We use remediation letters to help the patient to describe difficult feelings, processing them in another(prenominal) way than in a therapy session, with the chance of the patients to be finally free from these feelings.The letter writing can allow a physical way for the problem to be externalities, styled and then confronted. Zimmerman & Shepherd (1993) In the letter she also slured on the feelings she was experiencing this instant months after ere mothers passing. At this point I normalized them for her by telling her there is feelings we may experience after loosing a love one. I felt it in Canes best interest, which is in keeping with the ethical dogma of beneficence to psycho-educate her on the Seven stages of grief by giving her a plane which had been siren to me by my executive program.This would help her make sense of how she is feeling and it would also appropriate hope for her as one of the later stages is acceptance. In the forth session Jane talked more or less her goals, twain short and long term. She acknowledged that whilst t was her mother at first who pushed her towards loosing weight for various wellness reasons, she now valued to pursue her own goal of trying to loose some weight for her wedding day so that she could tick off into her dream dress up. I got a impregnable sense that the configurations of self were being tender back and the real self was coming through, which Rogers theorized.By doing so she was closer to self actualization. In session five we explored Canes lack of confidence and self esteem. It was evident that she had a low self concept of her physical air and dress sense. Although she ad received a compliment earlier in the week from a wiz about how well she olfactory sensationed she perceived th at the comment was do that out of sympathy. As the therapist I got my client to explore this and by doing so we were able to get to the core of this view. It glowering out that as a infant she overheard her aunt telling her uncle that she had only(prenominal) told Jane her dress was lovely out of pity.It is said that Experiences are accurately perceived as confluence the needs of the core self or being consistent with the self concept and reinforcing it. Acreage (2010) It is therefore fair to say that Jane could not accept the compliment from her friend s being genuine as she was being true to her self concept. I offered the concept of looking for evidence borrowed from cognitive theory in order to quarrel her self concept. It appeared that there was no other evidence to nurse her views that compliments were only given to her out of pity, apart from the incident with her aunt.When we looked into this further her aunt said this slightly the date her parents were not gettin g on which prompted the possibility that her aunt may stick been saying it to allay her in a difficult time. The client came up with this outcome resell and I remained faithful to my combinatorial model which at the foundation has a profound respect for the client and their mightiness to construct their own views. Adapted from The surmisal and Practice of Counseling the ability to start and process experiences can result in being either low execution or high procedure.I considered Jane to meet the criteria for low functioning which means Low functioning people are out of touch with their valuing processes. In these areas their self concept is establish on conditions of worth which cause them to switch off/deny or distort the experience. Nelson Jones (1992) through with(predicate) challenging and looking for evidence I was aiming for Jane to become higher functioning. At the end of this session I talked to my client about the possibility of audio recording our contiguous session if she agree to it.I felt it was in her best interest to give some notice sort of than asking her on the day of recording so that it did not come as a dismay or disorientate her. Fortunately Jane agreed for our next session to be taped. It was the sixth session with this client that was recorded. I do sure to training purposes so that she did not think it was some sort of stress on her. At this point I was demonstrating safe work as I wanted to provide a non enceinte environment for her. At present I attend a supervisory program who is base a few miles outside of the town I undertake my placement with.Firstly, her geographic location is convenient because when I am at placement I can call and see my supervisor when I am finished. This is beneficial as I find things tend to be more fresher in my mind if I see her on the day I permit had clients. In additional her name was on the O.K. list issued by the college, this meant she was BACK approved to supervise therefor e I to satisfaction from this knowing she worked ethically and had experience of charge with students. Moreover because she was approved by the college meant she was familiar with the manikin requirements and as a result could effectively support my nailing.Prior to choosing a supervisor I had some requirements including at least ten eld experience of counseling and I wanted somebody who worked from an integrative perspective, my supervisor met both of these. On first meeting my supervisor I feel that there was a connection so I presently felt comfortable. Before commencing supervision I had the view that they would be like a joss, however now that I lease been several times this view has been faded and I consider my supervisor as someone to consult with.I get a strong sense of being facilitated and back up by my supervisor. For example while operative with this client I had limited experience of functional with bereavement so my supervisor gave me a book which would suppo rt my counseling, in addition I was facilitated by being given a sheet on the seven stages of grief which I could give to my client. At first with Jane I was working from a person centered approach because I felt unfamiliar depreciator bereavement and felt this was a safe angle for me to work from.With the support and advocate I received at supervision I was able to change my approach with this client by being more integrative. I was able to bring in some Cognitive interventions which I do not feel I could have done confidentially on my own without the aid of my supervision sessions. My supervisor is sooner directive in the sense that if I do something effective in the sessions she will acknowledge my style of practice and ungodliness versa if I do something that may not have worked so well she will then encourage me to challenge this and look at alternatives.As a result of this my confidence has grown and I feel a little more competent in my role as a counselor to the point that I would trust my distrust with regards making appropriate decisions with my client work. By continuous supervision I hope to learn and grow as a counselor as well as developing new techniques and interventions and as a result improve the value I provide to my clients. Since working with Jane I feel that I have grown in person as I have increase awareness around death and bereavement.It is necessary that I will loose a loved one at some point throughout my life. By hearing all about Canes grief of loosing her mother I feel I will be more prepared if I am faced with the death of someone close to me. My own mother has battled with health problems for the nearly part of her life and has been under close supervision of the medical profession especially in recent months. Having worked with this client has brought me in sync with reality and now I can see that there is a chance I may loose my own mother soon.My work with Jane has prepared me a little if this does snuff it come with it. Furthermore working with Jane has taught me to treasure the people I m close to in my life and I have learnt to cherish every moment with them as they could very easily be interpreted away. As a mother myself to a three year old boy, I feel I have make more time for him knowing how curious he is to me. Professionally I have also developed at a result of working with Jane.In order to meet her needs I took part in a one day naturally held at my placement organization which was found on bereavement. From this I learnt the various techniques and skills requisite when working with this client. Not only did this course help me when working with Jane but t will also help me when counseling clients with similar situation. Also a match peer in my placement divided a poem about tone ending with me. I was very appreciative of this and felt it may be of benefit to my client as she is artistic and creative.I shared it with Jane in one of the sessions and she informed me that she got gre at comfort from it. The following week she told me that had put it on her fridge so that every time she opens the door she can read it. I can safely say that support from my peers has helped with my client work and as a result helped me to develop professionally. In he first counseling session with Jane we engaged in contracting. A contract can be defined as A mutual agreement negotiated between the client and the counselor prior to commencing counseling. Provence (2008) I do sure it articulated my responsibilities towards the client and also the clients responsibilities in the counseling relationship. I made sure to inform Jane about the grim confidentiality policy that counselors abide by and told her about the exceptions to this such as breaking child protection or the law as it would not be ethical for me to deduce this information. In addition to this if the client let out that she was of risk to herself I could not keep this to myself as this would not be in keeping with t he Backs ethical linguistic rule of non-maleficent.By making known her of this I was hoping to provide a safe environment for her to share her story but at the same time let her know the boundaries. I was also permit her know that I was obeying the ethical doctrine of fidelity. The importance of the contract became apparent in session four, in which my client break that her mother had been one of the only women she had ever really gotten along with and that in popular she did not get on heart women. This prompted my decision of using the skill of immediacy to establish what our relationship was like for the client with me being a woman.It was reassuring to learn that I was not like most other women she had encountered as I was not Judgmental or bitchy. This proved to me that I was working in an ethical mood and respecting my clients autonomy. When I first began keeping notes they were rather long and detailed, however now I have learnt to keep concise and actual notes. I re cognize the importance of not noting opinions or Judgments in the notes n the off chance they may be called for in a court hearing.Each clients notes are unbroken in their own personal cusp which is kept in a locked register cabinet in a locked room and each client is identified with a seven digit code. This ensures maximum confidentiality which is in keeping with the ethical framework principle of fidelity. In an emergency for example if I died and clients notes needed to be accessed the receptionist could identify the client by searching the code on the computer system. Respect that the client has the well(p) to be self governing which is in keeping with the ethical principle of autonomy.