Cognitive Behavioural therapy is a based on the fundamental idea that emotions are experienced as a result of our interpretation and appraisals of events (Dryden 2004). Case studies are a method of inquiry used in theory development, education as well as client evaluation. Case studies in CBT therapy help document the therapeutic process for both the client and therapist, as well measures, tests interventions, and evaluates practice for the therapist, and for the client in terms of measuring success or not (McLeod 2010). This essay will describe what comprises a comprehensive CBT case study and concludes by evaluating their use in therapy.
Referral in CBT can come from the individual themselves, GP’s, social services, probation/prison service or another therapist and may include information of diagnosis or medication. Referral can also be used to help prepare for the assessment interview. If the client needs to be persuaded to start CBT, it’s most likely an indication that it is not for them at this time (Sanders and Wills 2005).
Simmons and Griffiths (2009) suggest looking for a number of pointers during a general assessment to see if referral for a CBT assessment might be relevant, these include accessibility of automatic thoughts; awareness and differentiation of emotions; the client’s ability to make use of therapy and the clients’ ability to remain focused on the problem in hand, although this may be something that the client has to work towards.
Barriers to therapy can be if someone is ‘floridly psychotic’, if someone is in a current manic phase, or if clients are cognitively impaired, this may make therapy more difficult but not impossible. An effective therapist-client relationship is important for treatment, with good evidence relating to quality of relationship and therapeutic outcome (Westbrook et al 2011).
According to Westbrook et al
References: Beck, J S. (1995) Cognitive Therapy: Basics and Beyond, London: The Guilford Press. Dryden, W. (2004) Counselling Individuals: The Rational Emotive Approach, London: Taylor Francis Grant, A, Townsend, M, Mill, J and Cockx, A McLeod, J. (2010) Case Study Research in Counselling and Psychotherapy, London: Sage Publications Neenan, M and Dryden, W Sanders, D. J. and Wills, F. (2005) Cognitive Therapy - An Introduction, London: Sage Publications Simmons, J Westbrook, D, Kennerley, H. and Kirk J. (2011) An Introduction to Cognitive Behaviour Therapy: Skills and Applications, (2nd ed.) London: Sage Publications Wilson, R