Cbt Case Studies

Cognitive-Behavioral therapy (CBT) is an empirically supported treatment for a variety of disorder diagnoses. Although pharmacological treatments are the most widely used method of treatment in anxiety disorders in America, research has found that even though patients respond sufficiently to medication treatment initially some are unable

Anxiety happens to everyone, at some point in time. In fact, a little anxiety can actually be good for you. It can help you respond appropriately to danger, and it can motivate you to excel at work and home. (www.mayoclinic.com) However, when anxiety becomes so strong that it affects your daily

“Anxiety is the signal of danger which mobilizes the human organism’s resources at all levels of functioning in the interests of conservation, defense, and self- preservation.” (Anxiety 1) If a person suffers from anxiety there is a major loss of control and then an attempt to regain that control because of a fear that they have. Anxiety disorders are one of the most frequently occurring mental disorders in the United States. However, anxiety disorders are not only found in the United States. They are found throughout the world. They just happen to be most predominating in the United States. In this paper, I will be discussing the generalized anxiety disorder and how if effects society today.

Additionally, each participant is required to go three and six months without the therapeutic condition—or any other psychotherapy. This is required to allow enough time to pass so that each participant has the opportunity to return to their symptom baseline—in the case that the condition did not have lasting effects. With forty-five total participants, each condition will have fifteen participants randomly assigned to each, which will allow the study to have sufficient power at an alpha level of .05. Each participant is then to be assessed by an interview with the psychologist and, again, the GAD-7 to determine the presence of lasting effects of each therapeutic condition. The three conditions are to be (1) a cognitive behavioral intervention, (2) a psychodynamic intervention, and (3) an intervention that uses common factors. Through implementing these three conditions with a ABA research design, this study will be able to effectively test the hypothesis that cognitive behavioral interventions are more effective in treating GAD than psychodynamic interventions, while psychodynamic interventions are more effective in treating GAD

Anxiety disorders are the most common psychiatric disorder in the United States. Between 15 - 19% of the population suffers from this disorder, which impairs the quality of life and functioning (Stuart 218). What is anxiety? Abnormal Psychology describes anxiety as “an adaptive emotion that helps us plan and prepare for a possible theat.” The text book further states, “worrying about many different aspects of life becomes chronic, excessive, and unreasonable.” This is also known as generalized anxiety disorder or GAD (Butcher 201). DSM IV-TR specifies that GAD is a worry that occurs more days then not for at least 6 months, and that it must be experienced as difficult to control (Butcher 201). 25% of those that suffer from this

Anxiety disorders characterize as a highly predominant discussion of all psychosomatic disorders and are certainly interfere with quality of life (Barrera & Norton, 2009). Many studies have suggested the effectiveness of cognitive behavioral therapies CBT for anxiety disorders. In particular, evidence supports group design GCBT for anxiety disorders can enhance treatment due to feedbacks from similar population clients. Notably, mental health experts claim that the similar effect sizes

Generalized anxiety disorders, rarely need pharmacological intervention, unless the symptoms a client are severe. The severity of symptoms often has, reoccurring imaginary thoughts and trigger the limbic system. Clients and or patients usually suffer insomnia, daytime agitation, restlessness, and impaired concentration (Preston, O’Neal, & Talaga, 2017). Conversely, Mary denies any of these symptoms. Moreover, due to the feeling of chronic nervousness medication would not be excluded in her treatment plan in addition to

“Generalized anxiety disorder (GAD) is characterized by pervasive worry that is difficult to control and leads to exhausting hypervigilance, multiple somatic symptoms, and impaired social and occupational functioning.” – Resource 7. Resource 4 states that people with GAD have linked GAD to a large amount of their emotions and feel as if their tendence to worry is dangerous and sometimes out of control. This continus on to to effect a big portion of the individuals life. It can affect how they negatively perceive their emotions, thoughts and physiological sensations. Individuals with GAD can feel a strong lack of compassion in regards to their experiences and self processing. This essay will be discussing three different kinds of treatment

CBT is a commonly used, evidence-based treatment for GAD. Linden et al. (2005) conducted a controlled clinical trial to examine the efficacy of CBT for GAD. Their study included 72 outpatients with the sole diagnosis of GAD. 36 participants were randomly assigned to twenty-five sessions of CBT and the remaining 36 were assigned to a control group, receiving the CBT treatment protocol 14.5 weeks after the start of the trial. Comparison between treatment and control groups and between treatment groups were performed on multiple measures of clinician and self- rated anxiety scales. Statistically significant reductions in anxiety were found between treatment and control conditions and improvement remained stable 8 months post-treatment. However, 33.4% of participants in the first treatment group and 15.7% of participants in the second treatment group remained “moderately ill” at the end of treatment (Linden et al., 2005). Although Linden et al. (2005) suggest that their findings supports CBT as an effective treatment for GAD due to the 65.6% of control group participants that were “moderately ill” after the wait period, it seems a sizeable proportion of participants remained symptomatic post-treatment.

Today, health care systems continue to face challenges when it comes to implementing mental health services, that can properly treat mental illnesses such as generalized anxiety disorder (GAD). The structure of these systems that fail to integrate or prepare clinicians to work with both mental health cases, and basic health concerns impede with the potential of giving quality services overall. There is an immense need to incorporate an improved system that would better serve this client population. It is fundamental to introduce behavioral health reform within these health care systems that can pinpoint barriers that essentially create gaps in treatment for GAD. Recognizing these discrepancies can serve to explore alternative outlets that promote the necessary changes needed to ensure the availability of adequate help for their mental health condition.

Results from this randomized clinical trial of CBT and MM for GAD, CBT demonstrate that subjects in the study experienced a significant decrease in anxiety, worry, and further depressive symptoms, compared to the MM group. Subjects may have felt more motivated to carry-on and practice the skills learned from CBT treatment group in order to decrease negative symptoms of GAD. CBT as an acute intervention for adult anxiety disorders (Hofmann & Smits, 2008).

My research question stemmed from my experience with Generalised Anxiety Disorder and my curiosity about how large a role Cognitive Behaviour Therapy played in my ever-improving mental health. Through my research I found that CBT employs the use of many different strategies, some derived from other types of treatment, and that the most promise is shown in its treatment of anxiety disorders. From this I created a set list of aspects which are used in treating GAD and analysed each individually.

This 25 minute interview was based on a case study that I used to show my knowledge around the Problem Solving Process (PSP). The case study involved a 25 year old female who has been bitten by a dog and was now experiencing fear of leaving her home, the setting was community Occupational therapy (OT). After identifying the clients strengths and concerns I was able to develop OT problems and goals for the client. The majority of this interview focused on my application of the intervention. For this particular case I utilised aspects of Cognitive Behavioural Therapy(CBT) such as socialization, graded exposure and homework which included mindfulness.

The purpose of this study was to assess the feasibility and preliminary effects of a theory driven CBSB intervention for adolescents (Melnyk, 2009). Group formats of cognitive behavioral therapy have shown promising results. The method presented by CBT is much more effective than presenting CBT individually in that it incorporates similarities seen in the classroom setting which adolescents are familiar and comfortable with (Whissman, 2008). Results from a meta-analysis conducted by Huey and Polo (2008) found that within evidence-based treatments, CBT showed more success for ethnic minority group children.

Anxiety has become the most common word uttered in modern medical studies today. What was once an unknown phrase, has evolved into a versatile word used for describing abnormal behavior throughout a multitude of scenarios. A phrase that encompasses some of the most common and “popular” medical disorders in modern society, including but not limited to, social anxiety disorders, panic attacks, generalized anxiety disorder, and a number of phobias. According the Anxiety And Depression Association of America’s official website, “An estimated 40 million American adults suffer from anxiety disorder”. In addition to this, anxiety affects people of all