COUN 5239 - Discussion

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COUN 5239

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Psychology

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Dec 6, 2023

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In this week’s discussion, I will apply Cognitive Behavioral Therapy (CBT) in Susan’s case to assist with her concerns and needs. The four key concepts I utilized for CBT are identifying negative thought patterns, communication/problem-solving, challenging/reframing negative thoughts, and goal setting. Identifying negative thought patterns is identified with the counselor encouraging the client to voice her negative thoughts about herself and her life, such as talking about what has been contributing to her amplified feelings of no motivation and little interest. Communication/problem solving is encouraged to talk more often with mom and to spend more time with mother to have some of the weight of these burdens off her shoulders. Challenging/reframing negative thoughts is utilized with the counselor to encourage the client to think more positively; negative comments towards oneself can discourage and maintain negative feelings. Lastly, goal setting is prompted in order for the client to see some progress in her son’s behaviors and feel as though she is not doing well in her motherly duties. Counselor: Hi Susan, how have you been feeling? Client: Hi, I haven’t been feeling too well. I have been feeling down and have no motivation and little interest. Counselor: Oh, I’m sorry to hear that. Can you tell me what’s been going on that has caused these feelings to amplify. Identifying Negative Thought Patterns Client: I’ve been thinking a lot about my childhood, about my parents’ divorce and my mother’s drinking and dad always being gone. Counselor: How is your relationship with your parents now? Client: I’ve pretty cut off ties with my dad since I learned he was never faithful to my mother and, my relationship with my mother is better than before, but she’s always working, so I don’t want to bother her much. Counselor: It sounds like you value the little relationship you do have with your mother. Maybe you can find some days out of Communication/Problem- Solving

your busy weeks to have lunch or dinner with one another. I think talking with her will help a lot with these burdens you have been feeling. Client: Yeah, that’s true. I think that would help a lot with my motivation and lack of interest in activities. Counselor: I think that would be helpful. I know you also previously mentioned some issues with your current relationship. Can you tell me a little bit about how that is going? Client: He was recently laid off and he’s not been helpful to my feelings of sadness and low motivation. I also feel that he contributes more to it because he puts me and my feelings last and like I can’t trust him and that he's only using me because he has nothing else going for him. I feel like a failure at being a girlfriend and a mother. Counselor: It sounds like this is something you struggle a lot with. I do want you to practice changing your wording from “I feel like a failure” to “I am trying my hardest and that is enough”. Challenging/Reframing Negative Thoughts Client: I am trying my hardest, thank you. I do need to practice in telling myself that I can’t do it all. Counselor: You mentioned earlier about feeling like a failure at being a mother. What did you mean by that?

Client: My son has been getting into a lot of physical and verbal fights at school, and some have resulted in him being sent home from school. I can’t have this also added to my plate when I don’t even know how to help myself. It’s too much at once. I feel like we haven’t connected much with each other, and I can’t help but think that could be a contributing factor. Counselor: It sounds like he could be trying to gain your attention, however in a negative factor. What do you think you all could do to help your relationship and help his behaviors? Goal Setting Client: I guess I can spend more time with him, maybe give him a mental health day out of the month where he and I spend the day together. He’s been wanting to play in little league, so I can look into some of the community teams and tryouts. Counselor: I think that would be excellent. It would be a great way to burn off some extra energy he may have. Client: Yes, I think it would help. Counselor: It is essential to remember that you are only human and that we are allowed to make mistakes and feel sad sometimes, what’s most important is how we perceive ourselves. Always remember, it is only a bad day, not a bad life.

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Client: Thank you so much, I feel a little bit more organized and feel like I’ve gained back a little control back with everything going on. Corey, G. (2023). Theory and Practice of Counseling and Psychotherapy (11th ed.). Cengage Learning US. https://capella.vitalsource.com/books/9780357764473

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