TASK 9
Cognitive Behavioural Therapy and Stress Management.
Georgina is a ‘stress head’. Her mother was one, her grandmother was one and to cope with the over concern about so many issues the men in her family have become passive. The women tend to label them ‘useless’.
You have taken a thorough history for Georgina but have decided that rather than her issue being ‘useless men in the workplace stressing me out’ as she has presented…that she needs ways to manage her own stress rather than changing all of the men.
You decide that Cognitive Behavioural Therapy….changing the way she thinks to change her feelings and then her behaviour is probably the best way to go.
Identify typical thoughts that Georgina probably has.
Men are stupid and useless ….. I have to do everything; they don’t like me; I don’t like them …I am not likeable
I’m stupid
It’s useless, that is the way they are, I can’t change them.
Men stress me out, I’m a failure
Outline how you would convince her that the key to her stress is her own thinking. (you will have to be very convincing….she won’t move too easily!)
The value of the therapy is to have her change her thinking
Need to validate her stress and her stress level. We know that a lot of her thoughts are not entirely true.
I’m here to listen and understand and move you past this
When was the first time you felt like this? What was happening then?
Tell me about times when you have been powerful, when you have been successful, likeable
May have had a perfectionist grandmother, mother
She could have had a very critical mother
Little praise or reinforcement
All men are ….
Abused
May have been in boarding school
Tell me about being a failure Georgina?
Is it realistic to say that your whole life is a failure…help to reframe
Suggest new thoughts that she may use.
Use the miracle question or timeline to work out her
Reframe