Cognitive Behavioral Therapy issues

Document Type:Thesis

Subject Area:Social Work

Document 1

Also not used to handling different people with different characters, also not used to the pressure of competing for attention that other kids experience when they are many. This might have had an impact on John’s relationship with his family. The absence of parents during John’s early stages of life might have had an impact on John's relationship with wife and daughter. John’s father died when John was eight years, and the mother went to work, and he reunited with her at the age of 25 years which is a very late age for parenting. If John had a father figure in his life, he would have learned a lesson or two on fathering skills. Fulltime presence of John may have an impact on John’s wife change of character and become manipulative and abusive ("How to Get Help for Your Depression After Retirement", 2018).

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His wife was used to John being absent most times and his presence is a new norm and may be very irritating for her and not knowing how to handle this change. Weak social life is also contributing to John’s problems. John does not have a good social relationship with other people. Even though he was respected in his job, John did not build a social relationship with his colleagues since he found it hard to spent time with his colleagues. The relationship between John’s wife and daughter is another problem. John claims that his daughter is always on the mother’s side. John’s daughter is the only daughter and expected so much attention from both parents ("The Hazards of Being an Only Child", 2018).

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This was not the case since John hardly had family time and hence the daughter built a stronger relationship with her mother compared to her father, and that may be the reason behind her being on her mother’s side. John is the only child is used to attention hence may not know how to fight for attention from his daughter. Counseling and advising John alone may have no impact since his family may not know what he is going through hence need for change. Issues to be Anticipated or to be Aware of In this case, resistance is expected. John might be resistant to change his perception of different things may be due to his beliefs. His wife or daughter may not want to be involved in the therapy process since they did not ask for counseling or they may have a perception that this will not have any impact on their relationship or it is not necessary ("Cognitive behavioural therapy (CBT)", 2018).

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Having this in mind, there is need to listen to all parties keenly getting to know their beliefs, their fears, their strengths, and their weaknesses and come up with a proper [plan that will ensure they all benefit from the therapy and by this process can have a long-term impact. After describing and understanding the problem, there is a need for evaluation on how the process should begin. The baseline provides a starting point to the process. In our case, the baseline gives an approach to how John’s case should be handled. Establishment of goals is the next step. Psychotherapy is a process and is expectations of specific changes during and at the end of the process. After advice and counseling, the client implements what he or she is taught and advice given aimed at making a change.

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In John’s case, he will take into account and performs what he is advised to do to change his thoughts. Evaluation of progress is the next stage. After the client implements the plan, there are changes expected which will determine if the process is a success or failure. In cases where is a failure, weaknesses of the plan are found, and adjustments are made. In some cases, a therapist can be an excellent listener and can use different tactics to get information ("Limitations of Counselling", 2018). Some people are very secretive and will only open up on a few issues but keep other issues a total secret. This may be due to beliefs among other factors. Failure to get this crucial information which would have had a significant impact on the therapy process is a great limitation to the success of the process.

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