Individual Psychotherapy Introduction Types of Therapy Wohlberg 1967

Individual Psychotherapy Introduction

Types of Therapy Wohlberg (1967) 1. Supportive. 2. Reeducative. 3. Reconstructive.

Mistakes Therapists Make Too much of one thing. Setting the client up for failure. Trying to solve the problem before you understand the problem. Not finding out how the client has tried to solve the problem. Discussing a problem only once.

Mistakes Therapists Make (Cont…) Not tolerating silence. Not going to deeper levels. Moralizing or passing judgment on the client. Holding back too much from the client.

Mistakes Therapists Make (Cont…) Social behaviors inappropriate to the role. Trying to be a friend. Focusing on someone other than the client. Allowing too limited time for termination. Not setting limits.

Common Tasks Of Psychotherapy (Meichenbam’s Constructivist Cognitive-Behavioral Approach) Develop a therapeutic alliance and help clients tell their stories. Educate clients about the clinical problem. Didactic vs. Socratic approach. Help clients their problems in a more hopeful fashion. Ensure that client’s have coping skills.

Common Tasks Of Psychotherapy (Cont…) Encourage clients to perform “personal experiments. ” Ensure that clients take credit for change they have brought about. Conduct relapse prevention.

Differences Between A Constructivist Cognitive -Behavioral Approach & Standard CBT Places a greater emphasis on the developmental history. Targets deeper core beliefs and processes. Explores the impact, emotional toll, and personal price of holding “root metaphors” Engages the patient in a discovery-oriented process.

Socratic Questioning = A pedagogical technique in which a teacher does not give information directly but instead asks a series of questions, with the result that the student comes either to the desired knowledge by answering the questions or to a deeper awareness of the limits of knowledge.

Common Coping Skills Developed in CBT Self-monitoring. Relaxation and breathing retraining. Self-instructional training. Imaginal rehearsal. Cognitive restructuring. Assertiveness training. Relapse prevention skills.