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the previous track, I discussed having your dysthymic client create a list of
possible solution alternatives, to help them evaluate these alternatives. For
Wendy, if you recall, the solutions regarding her weight and appearance concerns
that appeared to be the best for her were ones with more positive than negative
expectations. For her, these became the ones to implement. This helped Wendy to
make a decision as to how to solve the problem at hand. If you recall some possible
solutions Wendy created were to:
5 CBT Components of Problem Solving (Continued)
Component #5 - Solution Implementation and Verification
Wendy ended up deciding to join Weight Watchers rather than go on a fast.
dysthymic client I treated, Carol, age 30, gave the following brief description
of her childhood:
...I really had no consistent model as a child. I don't know what the image of a good mother is supposed to be. Perhaps, that is why I am having problems with my own children." Carol's children were ages 6 and 10. Carol stated, "They never seem to mind me. My husband lays down the law in our house."
After sitting down and thinking about her childhood in detail, Carol realized that the things that her mother went through effected how she would be with her own family.
Carol also told me that she and her siblings had two sets of feelings growing up: happy and sad. But these feelings would not actually fit with what was going on at that time. This could be due to the fact that her mother often changed her moods at any point. According to the National Institute of Health Publication, depression not only causes suffering for those that are depressed, but also causes difficulty for the family and friends that may not know how to help.
Carol's mother may have been suffering from depression, and, as you are aware, only about two-third's of those that are depressed actually receive treatment. The low number receiving treatment may be caused by a number of different reasons. I feel the main reason a potential client may not receive treatment is because he or she simply does not recognize the signs or symptoms that something is wrong.
Carol's 6-Step CBT Decision Making Process:
into her answers that she gave to these alternatives, Carol realized that seeing
a therapist was not a bad solution. Evaluating her alternatives helped Carol to
push through or past her inaction. She felt evaluating alternatives helped her
get to the best solution to her problem.
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