CNL-500 Cognitve Case Study
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Jan 9, 2024
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Cognitive Behavioral Therapy Application
College of Humanities and Social Sciences, Grand Canyon University
CNL-500: Theories and Models of Counseling
August 11, 2021
Cognitive Behavioral Therapy Application
Cognitive behavioral therapy is a popular term that is used to reference several
counseling techniques such as cognitive therapy, rational emotive behavior therapy, and coping
skills techniques (Murdock, 2017). Due to its profound success, cognitive behavioral therapy
remains enormously popular in the counseling profession (Murdock, 2017). Since multiple
techniques fall under the CBT umbrella, this treatment would be the most successful in treating
Ana, the case study client. Ana is a 24-year-old female, who has recently lost her job, and is
raising an 8-month-old child on her own, due to her husband being away on active military duty.
For Ana’s treatment to be successful, she will need to remain autonomous throughout the process
and be willing to help identify any emotions that drive negative thoughts or behavior. Ana’s
counseling goals and intervention strategies will be discussed and analyzed, along with her social
and cultural needs, treatment process, and decision making.
Counseling Goals and Intervention Strategies
Cognitive behavioral therapy focuses on alleviating the mental distress inflicted on
patients by identifying and changing faulty information processing into more adaptive behaviors
(Murdock, 2017). In doing this, counselors push their clients to become their own counselors and
are even encouraged to conduct their own “self-therapy” sessions (Murdock, 2017). To obtain the
best results for their clients, there are two central techniques that CBT therapists must use:
collaboration and Socratic dialogue (
Kazantzis et al., 2021). These techniques are used to invite a
balance of dialogue between therapists and clients by giving clients the opportunity to input their
thoughts on their treatment and teaches them to accept feedback from their counselor (Kazantzis,
et al., 2021). While some CBT therapists highlight the importance of collaboration and socratici
dialogue, others express the importance of mindful practices such as meditation and yoga to
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reduce stress and compliment the cognitive behavior therapy process (Rapgay et al., 2011). The
implementation of CBT and mindfulness strategies has been proven to be more effective at
reducing and regulating uncontrollable worrying and anxious patterns. (Rapgay et al., 2011).
This type of treatment would greatly benefit Ana as it would give her coping techniques that she
can use at any time to treat her anxiety and strengthen her emotional.
Process of Treatment
Cognitive behavioral therapy is intended to be a short-term, goal-oriented treatment, that
is intended to push client’s to ultimately become their own counselor (Murdock, 2017).
Cognitive behavioral therapy consists of three general stages: establishing a client-counselor
relationship, goal setting, and socialization (Murdock, 2017). However, before any of these
stages can occur, Ana’s counselor must go over her patient rights with an informed consent
session. According to the American Counseling Association’s Code of Ethics (2014), informed
consent must be given to inform a patient of his rights to help avoid potential malpractice suits.
Once informed consent is given, Ana’s counselor can begin building rapport with her by
immediately working to get to know her and figure out what her counseling goals are (Murdock,
2017). Once her goals are established, Ana’s counselor can assist her by teaching her about the
cognitive model so that she may begin to use it in her daily life to help with her socialization
skills (Murdock, 2017). Ana’s counselor will achieve this by giving her homework, which will
assist her with identifying negative thoughts that affect her socialization skills. At their next
session, Ana will report her homework findings to her counselor, and the two of them will
discuss key findings (Murdock, 2017). This process will continue until Ana’s counselor feels
confident enough in her ability to guide herself through anxiety or depression-driven episodes,
allowing her to terminate therapy (Murdock, 2017).
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