Cognitive therapy an interview with a depressed and suicidal patientAaron T. Beck<\/p>\n
Perhaps the most critical challenge to the adequacy of cognitive therapy is its efficacy in dealing with the acutely suicidal patient. In such cases the therapist often has to shift gears and assume a very active role in attempting to penetrate the barrier of hopeless-ness and resignation. Since intervention may be decisive in saving the patient\u2019s life, the therapist has to attempt to accomplish a number of immediate goals either concurrently or in rapid sequence: es tab lish a working relationship with the patient, assess the sever-ity of the depression and suicidal wish, obtain an overview of the patient\u2019s life situation, pinpoint the patient\u2019s \u201creasons\u201d for wanting to commit suicide, determine the patient\u2019s capacity for self-objectivity, and ferret out some entry point for step ping into the pa-tient\u2019s phenomenological world to introduce elements of reality.Such a venture, as illustrated in the following interview, is taxing and demands all the qualities of a \u201cgood therapist\u201d\u2014genuine warmth, acceptance, and empathetic understanding\u2014as well as the application of the appropriate strategies drawn from the system of cognitive therapy.The patient was a 40-year-old clinical psychologist who had recently been left by her boyfriend. She had a history of intermittent depressions since the age of 12 years, and had received many courses of psychotherapy, antidepressant drugs, electroconvul-sive therapy, and hospitalizations. The patient had been seen by the author five times over a period of 7 or 8 months. At the time of this interview, it was obvious that she was depressed and, as indicated by her previous episodes, probably suicidal.In the first part of the interview, the main thrust was to ask appropriate questions in order to make a clinical assessment and also to try to elucidate the major psychological problems. The therapist, first of all, had to make an assessment as to how depressed and how suicidal the patient was. He also had to assess her expectations regarding be-ing helped by the interview (T-1; T-8) in order to determine how much leverage he had. During this period of time, in order to keep the dialogue going, he also had to repeat the patient\u2019s statements.It was apparent from the emergence of suicidal wishes that this was the salient clini-cal problem and that her hopelessness (T-7) would be the most appropriate point for intervention.Several points could be made regarding the first part of the interview. The therapist accepted the seriousness of the patient\u2019s desire to die but treated it as a topic (sample nursing essay examples by the best nursing assignment writing service) for further examination, a problem to be discussed. \u201cWe can discuss the advantages and disadvan-tages\u201d (T-11). She responded to this statement with some amusement (a favorable sign). The therapist also tried to test the patient\u2019s ability to look at herself and her problems Cognitive therapy6 an interview with a depressed and suicidal patientAaron T. BeckExcerpt from Aaron T. Beck et al., Cognitive Therapy of Depression (pp. 225\u2013243). Published in 1979 by Guilford Publications, Inc. Reprinted by permission of the publisher.<\/p>\n
—
\nAn Interview with a Depressed and Suicidal Patient
\nAfter studying Module 4, review and discuss the Case Studies in Psychotherapy Workbook – An interview with a depressed and suicidal patient.<\/p>\n
In your own words, summarize the case in your video:
\nWhat was the case about
\nWho did it involve
\nWhat happened in the case
\nWhat caused the distres
\nCreate a work doucment that demonstrates you instructing the patient regarding the automatic thought recor Downloaded utomatic thought record\/A Star is Born Download A Star is Borndurin
\nAn Interview with a Depressed and Suicidal Patient
\nAUTOMATIC THOUGHT RECORD
\nWhen you notice your mood getting worse, ask yourself, \u201cWhat\u2019s going through my mind right now?\u201d As soon as possible, fill in the table below.
\nDate,
\nTime Situation Automatic Thoughts (ATs) Emotion\/s Adaptive Response Outcome
\n\u2022 What led to the unpleasant
\nemotion?
\n\u2022 What distressing physical
\nsensations did you have?
\n\u2022 What thought\/s or image\/s went
\nthrough your mind?
\n\u2022 How much did you believe the
\nthought at the time (0-100%)?
\n\u2022 What emotion\/s did
\nyou feel at the time?
\n\u2022 How intense was the
\nemotion (0-100%)?
\n\u2022 Which thinking styles did you
\nengage in?
\n\u2022 Use questions below to respond
\nto the automatic thoughts\/s.
\n\u2022 How much do you believe each
\nresponse (0-100%)?
\n\u2022 How much do you
\nnow believe your
\nATs (0-100%)?
\n\u2022 What emotion\/s do
\nyou now feel? At
\nwhat intensity?
\nQuestions to compose an Adaptive Response: (1) What is the evidence that the automatic thought is true? Not true? (2) Is there an alternative
\nexplanation? (3) What\u2019s the worst that could happen? What\u2019s the best that could happen? What\u2019s the most realistic outcome? (4) If a friend were in
\nthis situation and had this thought, what would I tell him\/her?
\n—>
\nThe case is about a 40-year-old clinical psychologist who had recently been left by her boyfriend. She had a history of intermittent depressions since the age of 12 years, and had received many courses of psychotherapy, antidepressant drugs, electroconvulsive therapy, and hospitalizations. The patient had been seen by the therapist five times over a period of 7 or 8 months. At the time of this interview, it was obvious that she was depressed and, as indicated by her previous episodes, probably suicidal.
\nDuring the interview, the therapist’s main goal was to establish a working relationship with the patient, assess the severity of the depression and suicidal wish, obtain an overview of the patient’s life situation, pinpoint the patient’s “reasons” for wanting to commit suicide, determine the patient’s capacity for self-objectivity, and ferret out some entry point for stepping into the patient’s phenomenological world to introduce elements of reality. The therapist used cognitive therapy strategies and techniques to help the patient understand and manage her thoughts and feelings.
\nThe main cause of the patient’s distress was her recent break-up with her boyfriend and the feelings of hopelessness and helplessness that it had triggered. The therapist instructed the patient to use an automatic thought record to identify and challenge negative thoughts, and provided guidance on how to use the record to monitor her mood and emotional state. The patient was also encouraged to practice adaptive responses and to focus on positive outcomes.<\/p>\n","protected":false},"excerpt":{"rendered":"
Cognitive therapy an interview with a depressed and suicidal patientAaron T. Beck Perhaps the most critical challenge to the adequacy of cognitive therapy is its\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10099,10681,7636,615,10892,10680,10891],"tags":[10553,10616,10254,10896,10897,10247,10295,10898,10893,10894,10895,10899,10551],"class_list":["post-127415","post","type-post","status-publish","format-standard","hentry","category-buy-essay","category-cheap-dissertation-help-online","category-cheap-essay-writer-usa","category-homework-help-writing-service-usa","category-page-paper","category-university-dissertation-writing-service","category-write-my-assignment-ireland","tag-1-assignment-help-online-service-for-students-in-the-usa","tag-australian-best-tutors","tag-can-someone-write-my-assignment-for-me","tag-case-study-in-nursing-writing-a-nursing-case-study-essay","tag-free-nursing-case-studies","tag-help-me-write-my-dissertation","tag-homework-for-you","tag-nursing-case-study-assignment-examples","tag-nursing-case-study-examples","tag-nursing-case-study-presentation-example","tag-nursing-case-study-questions-and-answers","tag-student-nurse-case-study-assignments","tag-write-my-assignment-help-for-college-students"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/127415","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=127415"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/127415\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=127415"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=127415"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=127415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}