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During the last track, we discussed how to use problem orientation to let clients know that having a rational, realistic, and positive attitude towards problems was both healthy and normal. In this track we will discuss the next step in the problem-solving process with depressed clients.
5 CBT Components of Problem Solving (Continued)
Component #4 - Problem
Definition and Formulation Tasks
Providing this information enables my dysthymic child or adult to objectively view the various contexts and viewpoints in the situation they are defining as a problem. More importantly, Problem Definition and Formulation Tasks help my client to understand what has actually happened. As you know, conclusions that are based only on partial information may be extremely misleading to the client.
To assist Wendy in this process of problem definition and formulation to tasks,
I suggested, "Take the role of an extremely ethical reporter who gathers
all the facts and uses only the most reliable sources. Additionally, particularly
where personal evaluations and interpersonal relationships are concerned, a reporter
nearly always seeks validation among sources of information."
As Elsa stated, "But when I saw you write down aging, I didn't even want to think about it - yet I do think about it all the time. I guess I really believe that even with the antidepressant medication, I still think about things very negatively."
On a side note regarding Elsa and Wendy concerning medication, as you know according to the Journal of the American Medical Association, antidepressants often work as well as placebos. Also as you are aware, according to the National Institute of Health, antidepressants do not work for a large percentage of the depressed population.
Take a second to reflect on your experience with your Elsa and your Wendy regarding antidepressants. What has been you experience? Do you feel antidepressants work well for most of you clients? What do you define as an antidepressant working or not working? Under what circumstances do you suggested the use of antidepressants to a client?
you recall Elsa, age 67, initially she had not yet begun to admit to herself her
aging was a problem for her. Although she later admitted she had a problem with
aging, Elsa was not initially ready to be self-honest enough to share her feelings
and thoughts in a treatment session. As you saw, Elsa's problem with aging carried
itself to other parts of her life. This problem-definition step helped both Elsa
and Wendy realize that they needed to face the problem and set goals to solve
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