Within CBT/REBT, the processes occurring within a client's mind are considered most important to locating the source of the problem(s). These two approaches differ in the way thought processes are conceptualized, however, with REBT focusing on irrational

After reading the case scenario, you will have to hypothesize what may be going on in the client’s mind. Remember that in CBT, experiences are active processes that lead to automatic thoughts that are linked to schemas.

Part 1

Identify what you believe to be the client’s primary presenting problems. How were they developed? How are they maintained?

Are there secondary concerns?

Part 2 (Think about the cognitive triad.)

Feeling

Event

Thinking Doing

Beck’s Cognitive Triad of Depression

MY FUTURE

Nothing will get better

MY EXPERIENCES

My life is terrible

SELF

I am a terrible person

· Hypothesize about the possible automatic thoughts.

· What are the feelings/reactions/emotions?

· Are there cognitive errors? (arbitrary reference, selective abstraction, overgeneralization, magnification/minimization, personalization)

· Hypothesize about the possible schema.

Part 3 Multicultural Considerations

Using the Addressing Model, what are some multicultural issues in this case?

Part 4 Treatment Planning/Interventions (these are only ideas)

· Could you use reframing?

· Could you systematically assess alternatives?

· What kind of self-talk could you suggest?

· Any possibility for role playing?

· Automatic thought record?

· Others?