Case conceptualizations are a very important factor for up and coming counselors. They allow us to work through finding a theory that will possibly be used throughout a career. Working through each part of a case conceptualization helps ups when we get to practicum and beyond. Here I take a look at a client from the mental health counseling case study and use cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) to help the client.
II. Client Overview
The client is a 28-year-old, married Filipino female; presenting with depressive and anxiety symptoms. She is a second-year medical resident in a large hospital, a stressful and demanding job. The client is a high achiever, who graduated with top honors in college
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A is an activating event which is the client not doing as well as she usually does in her residency program. B is a belief; the clients’ belief is she must be the best or else she has failed. C is an emotional or behavioral consequence; the clients’ consequence is both emotional and behavioral, she is experiencing emotional distress, as well as changes in her behaviors; such as her irritability and lack of libido. The client would benefit from cognitive restructuring where she would be taught how to improve herself by replacing irrational beliefs with rational ones. It would help her gain skills in observing her self-talk, recognizing maladaptive self-talk and supplement good self-talk for the maladaptive type. Cognitive restructuring teaches the client how to make herself better by substituting her irrational beliefs with rational ones (Corey, …show more content…
The goal of CBT is to get clients to reflect on their personal problems and attain at their own inferences. The counselors’ goal with this client is for her to understand where her thoughts of perfectionism are dysfunctional and be able to alter them into positive healthy emotions and behaviors. As the client is more able to accept herself she will be more likely to unconditionally accept others and possibly accept help in life from other such as her husband. Another goal for this client is that she be able to understand her where her personal problems stem from and are able to accurately reflect and come to their own personal conclusions of how they can help themselves (Corey,