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Counseling: A Cognitive Behavioral Perspective

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Client: (speaks slowly , seems to be sad and depressed) I am so fouled up right now. The first term went well, and I passed all my courses. But this term, I am really having trouble with chemistry. It is hard to get around the lab in my wheelchair, and I still don't have a textbook yet. ( An angry spark appears in her eyes, and she clenches her fist). By the time I got to the bookstore, they were all gone. It takes a long time to get to the that class because the elevator is on the wrong side of the building for me. (looks down on the floor). Almost as bad, my car broke down, and I missed two days of school because I couldn't get there. ( The sad look returns to her eyes.) In high school. I had lots of friends, but somehow I just don't fit in here. It seems that I just sit and study. Some days it just doesn't seem worth the effort.

There are obviously several directions in which the interview could go. You cannot talk about everything at once. Can you list those several directions here. To which one(s) would you selectively attend ? What are your thoughts? Thank you.

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Solution Preview

Cognitive therapy focuses on negative thinking and distorted perception that can lead to problems. Several problems are presented in this case. For instance, the client is presented with symptoms such as: (a) depression, (b) frustration related to physical difficulties, (c) stress over barriers associated with those difficulties, and (d) feelings of loneliness and isolation. The interviewer will not be able to address all of the client's problems in one session. However, the first step would be to assess what is causing the problem. In my opinion, a major concern would be the client's depression. Depression is often linked to several problems that a client encounters, which can lead to depression, or exacerbate existing depression. Thus, in this case, the interviewer should attend to issues ...

Solution Summary

This solution examines a case study from the perspective of Cognitive Bevaviorl Therapy. Intervention strategies are discussed to challenge negative thinking that could ultimately lead to depression.

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Alexis and Chris have been married for 3 years and initiated counseling to address lack of sexual intimacy in the relationship. Chris and Alexis report that, in the beginning of their relationship, they had an active sex life, having intercourse at least five times a week. However, for the last 3 months "things have changed." Chris and Alexis state that they have not been sexually intimate for 2 months and that they would like to increase frequency.

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- Describe the role of the counselor from this perspective.

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