Applying Cognitive-Behavioral Therapy (CBT) with Sarah from "Burnt Pages"

After watching the documentary, Burnt Pages, and reviewing the power points on Behavioral, CBT and Systemic Approaches, please choose an individual from the video and discuss how you would apply one of the approaches/techniques with him/her in counseling.
https://www.youtube.com/watch?v=xEjvol4k5OQ
https://www.youtube.com/watch?v=xaHms5z-yuM
https://www.youtube.com/watch?v=gZ7ELF8mE3Q

Applying Cognitive-Behavioral Therapy (CBT) with Sarah from "Burnt Pages" In the documentary "Burnt Pages," Sarah's story stood out to me as someone who could greatly benefit from the application of Cognitive-Behavioral Therapy (CBT). Sarah, a survivor of domestic abuse, struggles with low self-esteem, anxiety, and feelings of worthlessness. CBT would be an appropriate approach to help her challenge and modify her negative thoughts and behaviors, ultimately improving her mental well-being and empowering her to regain control of her life. Understanding CBT CBT is a therapeutic approach that focuses on the connection between thoughts, feelings, and behaviors. It operates under the assumption that our thoughts influence our emotions and actions. By identifying and challenging irrational or negative thoughts, individuals can develop healthier cognitive patterns and, consequently, experience improved emotional well-being. Applying CBT with Sarah In counseling sessions with Sarah, a CBT therapist would start by establishing a warm and trusting therapeutic relationship. This safe space would allow Sarah to openly share her experiences, emotions, and thought processes related to her past trauma. The therapist would actively listen and empathize with Sarah's struggles while maintaining an objective perspective. The therapist would then assist Sarah in identifying her negative thought patterns and cognitive distortions that contribute to her low self-esteem and anxiety. For example, Sarah may have developed beliefs such as "I'm worthless" or "I'm to blame for the abuse." These thoughts likely contribute to her feelings of hopelessness and fear. Once these negative thoughts are identified, the therapist would guide Sarah in challenging their validity. They would explore evidence that supports or contradicts these thoughts, helping Sarah recognize that her negative beliefs are not entirely accurate or helpful. The therapist might ask questions like "What evidence do you have that supports the belief that you're worthless?" and "What evidence contradicts this belief?" Through this process, Sarah would begin to develop alternative, more positive and realistic thoughts that counteract her negative self-perception. For instance, she might start recognizing her strengths, acknowledging her resilience in surviving the abuse, and reframing the blame onto the abuser instead of herself. In addition to working on cognitive restructuring, the therapist would also help Sarah develop coping strategies to manage her anxiety and build self-esteem. This may involve teaching relaxation techniques, stress management skills, and assertiveness training. These tools would empower Sarah to respond to triggering situations in healthier ways and increase her sense of self-worth. Throughout the therapy process, the therapist would encourage Sarah to engage in behavioral experiments or homework assignments that provide opportunities to apply the new cognitive strategies in real-life situations. For example, Sarah could practice asserting her boundaries or challenging negative thoughts by keeping a thought journal. Conclusion Cognitive-Behavioral Therapy (CBT) is a highly effective approach for individuals like Sarah who have experienced trauma and struggle with negative thought patterns. By challenging and modifying these thoughts through cognitive restructuring and implementing behavioral strategies, CBT empowers individuals to rebuild their self-esteem and regain control over their lives. With the guidance of a skilled CBT therapist, Sarah would have the opportunity to address her negative beliefs, develop healthier thought patterns, and acquire coping skills that promote resilience and emotional well-being. Through this process, she would be better equipped to overcome the effects of domestic abuse and move towards a more fulfilling and empowered life.  

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