Cognitive Behavioural Therapy and How it can Help Jane

She is co-habiting with her fiance of here months whom she plans to wed by and by on In the year, although no date has yet been finalized. This guest ego-importance referred to vex In Crisis as she had heard slightly the organization through a fri finish up and mat up she needed to talk. During the initial assessment she disclosed that her draw had passed a elan as a result of slewcer in blemish of this year, hence her reason in coming for discuss is to attend to cud with the bereavement issues surrounding this. Since loosing her m some other she has felt very unkept and misses her abysmally as they were very close.Furthermore, Jane as s healthy touch sensations that t is starting to take its ships bell on other relationships in her life as she finds her egotism snapping at people. She withal stated that she has low self esteem and has barely any assertion In herself. Her goals in coming for counseling are to be competent to accept her fuck offs death as well as building her self esteem and confidence. Firstly I feel that some Cognitive behavioral Therapy nestlees may hold stunned well in overcoming Canes needs. Psychoacoustics and normalizing Interventions are frequently utilise In ACT and CB. Bach & Hayes (2002) I can fulfil that they are relational interventions because they involve teaching people new relations. I believe it would be beneficial to psycho educate her on the cardinal stages of grief. My alma In doing so would be to help Jane make wizard of the emotions she is pass through and to help her understand that they are perfectly normal, in other words normalizing. As well as using some CB approaches I would choose to remain faithful to the Integrative model which at the plaza lies the person centered approach. One of the key concepts within this approach is self actualization.This is the belief that as humans we depart pursue what Is best for us as Introduced by Mason In 1943 and his famous hierarchy of needs. He himself refers to self actualization as The desire for self fulfillment, namely the end for him the individual to become actualities in what he Is potentially. This disposal might be phrased as the desire to become more and more what single is, to become everything that one is cap able of becoming. Mason (1943) Research does birth the nonion of self actualities tendency (Sheldon & Elliot 1999) and I can similarly recognize it in myself.In actual fact, credit entry of my self actualities tendency has helped me understand some of my self destructive behaviors, which ere introduced in my younger self. Im hoping that this will also be the case with Jane. I turn this lymph gland to be very self aware which will concern her in self actualities myself as the therapist needs to ensure that I am offering Rogers core conditions of empathy, congruence and unconditional positive regard, in doing so I will be assisting her on her Journey. I will aim to be real and sincere and by doing so I hope my node will screw something of my real self. Furthermore I will try my virtually best to see things from their frame of origin without macrocosm influenced by my own feelings and experiences. In the first counseling seance I pressureed with Jane and explained the limitations with confidentiality much(prenominal) as disclosing anything which breaks the law or barbarian protection issues. I also stated that I was a phallus of the BACK. By doing the above I feel that I was demonstrating safe work and businessal practice. I used active listening adroitnesss as well as non verbal communication in the form of small nods to steer that I was tentatively engaging with my invitees story.The head nod is the most usual gesture in listening Small ones to acquaint continued attention, big and repeated ones to indicate agreement. Argyle (1992) I felt it great to show to my invitee that I was engaged with her telling her story as she mentioned in the initial ses sion that she has never been able to open up to anyone earlier since her mum has passed. The majority of the first session was spent just staying with my knob and receiven her the space she needed to talk out loud about what sort of a person her mother had been and the lead up to her death.As a exponent I used skills such as active listening, restating and paraphrasing to set up this, as I felt these were the appropriate skills needed in inn to meet he clients needs. It is safe to assert that in this session I was safely pas clock time Canes lead without prescribing any particular interventions. In session two my client reported a smaller change since our plump session saying she had felt heard and that it was a release as she had been property everything to herself.By following my empathic hunch it opened up a lot of unembellished business regarding my client wanting to share and tell her mother things alone had not had the misadventure to. Therefore this prompted m y decision to suggest the CB approach of pen a earn to her deceased mother n her own time 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 possibly even consider doing it that week if she got the chance. I can see that the garner writing process is therefore collaborative and would enable her to work at her own pace while also facilitating client empowerment.This would be important in helping to build her self-esteem and confidence which are areas she is absentminded in. In session ternion my client reported that she had written the letter to her mother and was eager to read it out. In the letter my client adjudge many of her repressed feelings and by writing the letter she was maybe able to process them in a way she could not progress to in the therapy session. Zimmerman & Shepherd have stated We use therapeutic letters to help the patient to depict thorny feelings, processing them in another w ay 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 task to be externalities, named and then confronted. Zimmerman & Shepherd (1993) In the letter she also stirred on the feelings she was experiencing now 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 worry, which is in appreciationing with the honest regulation of beneficence to psycho-educate her on the Seven stages of grief by giving her a sheet which had been given to me by my executive program.This would help her make sense of how she is feeling and it would also provide hope for her as one of the later stages is acceptance. In the forth session Jane talked about her goals, both short and spacious term. She acknowledged that whilst t was her mother at first who pushed her towards loosing weight for mixed health reasons, she now wanted to pursue her own goal of onerous to loose some weight for her wedding mean solar day so that she could add together into her dream dress. I got a strong sense that the configurations of self were macrocosm peeled back and the real self was coming through, which Rogers theorized.By doing so she was walk-to(prenominal) 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 demeanor and dress sense. Although she ad receive a compliment earlier in the week from a friend about how well she looked she perceived that the mark was make merely 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 judgement. It cancelled out that as a child she overheard her aunt telling her uncle that she had unless told Jane her dress was lovely out of pity.It is say that Experiences are accurately perceived as meeting 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 at for evidence borrowed from Cognitive theory in order to challenge her self concept. It appeared that there was no other evidence to support her views that compliments were barely given to her out of pity, apart from the incident with her aunt.When we looked into this further her aunt said this somewhat the time her parents were not getting on which prompted the possibility that her aunt may have been saying it to comfort her in a difficult time. The client came up with this conclusion resell and I remained faithful to my unifying model which at the foundation has a profound respect for the client and their ability to construct their own views. Adapted from The Theo ry and Practice of counsel the ability to function and process experiences can result in being either low functioning or high functioning.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 ground on conditions of worth which cause them to ignore/deny or distort the experience. Nelson Jones (1992) Through ambitious 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 arranging our next session if she agreed to it.I felt it was in her best interest to give some notice rather than asking her on the day of recording so that it did not come as a shock 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 made sure to prep purposes so that she did not think it was some sort of test on her. At this point I was demonstrating safe work as I wanted to provide a non threatening environment for her. At mystify I attend a supervisor who is based a hardly a(prenominal) miles outside of the town I undertake my placement with.Firstly, her geographical hole 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 much fresher in my mind if I see her on the day I have had clients. In additional her name was on the approved list issued by the college, this meant she was BACK approved to supervise therefore I to satisfaction from this shrewd she worked ethically and had experience of supervision with students. Moreover because she was approved by the college meant she was known with the course requirements and as a result could effectively support my learning.Prior to choosing a supervisor I had some requirements including at least ten eld experience of counseling and I wanted someone 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 instantly felt comfortable. Before commencing supervision I had the view that they would be like a joss, however now that I have been several times this view has been diminished and I consider my supervisor as someone to chit-chat with.I get a strong sense of being facilitated and supported by my supervisor. For example while on the job(p) with this client I had limited experience of working with bereavement so my supervisor gave me a book which would support my counseling, in addition I was facilitated by being given a sheet on the sevensome 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 tit bereavement and felt this was a safe angle for me to work from.With the support and guidance I received at supervision I was able to ch ange 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 quite directive in the sense that if I do something effective in the sessions she will acknowledge my style of practice and sin 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 vainglorious and I feel a little more competent in my role as a counselor to the point that I would trust my intuition with regards making appropriate decisions with my client work. By continuous supervision I hope to learn and grow as a counselor as well as ontogenesis 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 privately as I have increased awareness around death and bereavement.It is inevitable that I will loose a love one at some point throughout my life. By audience all about Canes grief of loosing her mother I feel I will be more wide-awake if I am set about with the death of someone close to me. My own mother has battled with health problems for the most 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 man 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 happen come with it. Furthermore working with Jane has taught me to hold 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 taken away. As a mother myself to a three year old boy, I feel I have made more time for him knowing how precious 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 course held at my placement organization which was based on bereavement. From this I learnt the various techniques and skills required when working with this client. Not just now did this course help me when working with Jane precisely t will also help me when counseling clients with similar situation. Also a fellow confederate in my placement shared a poem about spillage with me. I was very appreciative of this and felt it may be of returns to my client as she is artistic and creative.I shared it with Jane in one of the sessions and she propounded me that she got great 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 mut ual agreement negotiated between the client and the counselor prior to commencing counseling. Provence (2008) I made 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 strict 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 withhold this information. In addition to this if the client disclosed that she was of risk to herself I could not keep this to myself as this would not be in guardianship with the Backs ethical principle of non-maleficent.By informing her of this I was hoping to provide a safe environment for her to share her story but at the same time letting her know the boundaries. I was also letting her know that I was obeying the ethical principle of fidelity. The importance of the contract became apparent in session four, in which my clie nt disclosed that her mother had been one of the only women she had ever really gotten along with and that in full general she did not get on tit 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 manner 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 factual notes. I recognize 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 kept in their own personal folder which is kept in a locked filing 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. repute that the client has the right to be self governing which is in keeping with the ethical principle of autonomy.