Cognitive Behavioral Therapy, Motivational Interviewing And Pharmacotherapy

Psychologists William Miller, PhD. and Stephen Rollnick, PhD. developed the counseling approach known as Motivational Interviewing (MI). Motivational Interviewing evolved out of experience in the treatment of persons who were problem drinkers, and was first described by Miller in 1983. In 1991 Miller and Rollnick provided these techniques as a method that promotes and engages intrinsic motivation within the client in order to change behavior. MI is a client-centered counseling style that is goal -directed and brings about behavior change by helping clients to explore and resolve ambivalence. Traditional Rogerian client-centered therapy does not guide or direct or focus in the way that MI therapists do to influence individuals to consider making changes, instead of non-directively explore themselves.

Motivational interviewing is a way of conducting and occupy the essential motivation within the client in order to change behavior. It is “an efficient and collaborative style of clinical interaction that can boost the effectiveness of the therapeutic alliance” (Jellinek, Henderson, Dilallo, & Weiss, 2009, p.108). Motivational

The idea of motivational interviewing builds on Rogers' theories about people having freedom of choice and changing through the process of self-actualisation (Davidson, 1994). Miller and Rollnik (1991) describe it as a technique in which the heath practitioner becomes a helper in the change process while expressing acceptance of their client. A central goal of motivational interviewing, says Geldard & Geldard (2012), is to help resolve the ambivalence which prevents clients from realising their personal goals and to facilitate positive change. Motivational interviewing is mostly utilised to counsel those troubled by addiction (not just substance, but also behaviours).

Afterwards, the essential concepts and methods were later particularized by Miller and Stephen Rollnick, Ph.D., in 1991. This involved a more comprehensive description of the clinical procedures of motivational interviewing. Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence (Miller & Rollnick, 1991). Motivational Interviewing is goal directed and more focused when compared with nondirective therapies. The central purpose is to examine and resolve ambivalence, with an intentionally directive therapist to carry out this goal (Miller & Rollnick, 1991).

“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.

Generalized Anxiety Disorder (GAD) is characterized by excessive anxiety and worry that is not limited to one subject, situation or activity (Nevid, Rathus & Greene, 2017). People with GAD are known to worry about many things in their lives; their health, their finances, their well-being and that of their children. It is a worry that can be describe as excess and one that impairs one from functioning (Nevid, Rathus & Greene, 2017).

Generalized anxiety disorder (GAD) is characterized by persistent, excessive, and unrealistic worry about everyday things. People with the disorder often experience exaggerated fear and expect the worst, even when there is no apparent reason for concern. They anticipate disaster and are overly concerned about money, health, family, work, or other issues. This disorder affects 6.8 million adults, or 3.1% of the U.S. population, in any given year (Van der Heiden, 2011). GAD comes on gradually and can endure across the life cycle, though the risk is highest between childhood and middle age. Women are twice as likely to be affected.

The concept of motivational interviewing evolved from experience in the treatment of problem drinkers, and was first described by Miller (1983) in an article published in Behavioral Psychotherapy. These fundamental concepts and approaches were later elaborated by Miller and Rollnick (1991) in a more detailed description of clinical procedures. Motivational interviewing is a semi-directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Compared with non-directive counseling, it 's more focused and goal-directed. Motivational Interviewing is a method that works on facilitating and engaging intrinsic motivation within the client in order to change behavior. The examination and resolution of ambivalence is a central purpose, and the counselor is intentionally directive in pursuing this goal.

Generalized Anxiety Disorder (GAD) is a very common anxiety disorder; symptoms include nervousness, worrying and tension. The anxiety is not linked to one thing and patients can be overwhelmed by a general feeling of dread. A patient with GAD will worry about the same things as any unaffected person, for example, their health, personal relationships or work. What sets them apart is that the degree of worry or tension is higher than normal levels. The worrying can be both persistent and debilitating. Symptoms are moderate but long lasting persisting for longer than one month. Possible treatment methods for GAD include Cognitive Behavioural Therapy, Psychopharmacological Therapy, and Acceptance Based Behaviour Therapy. It will be argued that CBT is overall a better treatment for GAD and has been found to be effective and tolerable in the treatment of GAD.

About three percent of men and women in the U.S. suffer from Generalized anxiety disorder (APAA). It is one of the most common forms of anxiety and seems to be the most left untreated because people don’t know that it can be treated (McGradles). GAD, although it affects many, is a disorder that can be detrimental to the quality of life of an individual. With the regard to the quality of life, the level of severity that a person experiences is a great factor in determining more information. The accumulated information is a defining feature in figuring the dissimilarity of the normal fight or flight response and the diagnoses of GAD. The disorder itself is that of excessive worry (AnxietyBC) about everyday

Cognitive Behavioral Therapy (CBT) is ubiquitous and a proven approach to treatment for a host of diverse psychological difficulties (Wedding & Corsini, 2014). There are copious of acceptable created experiments that show to be highly useful in treating anxiety disorders through GAD Generalized Anxiety Disorder approach (Fawn & Spiegler, 2008). The purpose of this assignment is to expound on the client’s demography and demonstrating concern. The first procedure in this assignment will consist of the required informed consent and the client background information. Thus, a succinct discretion of the theoretical framework of CBT will describe the theoretic framework of CBT therapy expended in this assignment (Wedding & Corsini, 2014; Fawn & Spiegler, 2008). The next steps will adherent on how information regarding the clients past and present is problematic amalgamated to form an evaluation and to construct the client’s treatment. In the midst of assessment or the evaluation process and schema is implemented to create the sessions, examination, and provide feedback throughout each session.

The main feature of (GAD) is characterized by “excessive anxiety and worry (apprehensive expectation) about a number of events or activities” (American Psychiatric Association, 2013). Individuals, who are diagnosed with GAD, often have worrisome thoughts that are hard to control which inhibits them from concentrating on everyday tasks. To distinguish GAD from nonpathological anxiety, it is important to keep in mind several features. The worries associated with GAD are excessive and problematic for psychical functioning, more pervasive, pronounced and distressing, and are accompanied by physical symptoms (e.g., restlessness) (American Psychiatric Association, 2013). It is important to note that symptoms of GAD can be misunderstood for different reasons. Risk and prognostic factors can be temperamental, environmental, and genetic and physiological, additionally, cultural factors in the expression of GAD also need to be considered. Given the information above about GAD, it can be concluded that it is important to have treatment for such disorder in order to help individuals have

Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.

As I continue to grow as a beginning therapist, I have learned about the numerous medications that clients will be prescribed and used in conjunction with psychotherapy. Benzodiazepines are a commonly used drug for anxiety and panic disorders. With an interest in its common use, I think it is important to know the history and the benefit it may play for clients that will use them. In addition, I also think it is important that the negative aspects and results from studies on the drugs be reviewed prior to administering them to our clients. To further grow as a therapist, I plan to gain the most information I can on the benefits of this drug for my clients. In this paper I will explore the benefits of Benzodiazepines, results from various studies,

Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the