Individual Psychotherapy

1
Individual Psychotherapy

• Introduction

2
Types of TherapyWohlberg (1967)

• Supportive.
• Reeducative.
• Reconstructive.

3
Mistakes Therapists Make

• Too much of one thing.
• Setting the client up for failure.
• Trying to solve the problem before you understand
  the problem.
• Not finding out how the client has tried to solve
  the problem.
• Discussing a problem only once.

4
Mistakes Therapists Make (Cont)

• Not tolerating silence.
• Not going to deeper levels.
• Moralizing or passing judgment on the client.
• Holding back too much from the client.

5
Mistakes Therapists Make (Cont)

• Social behaviors inappropriate to the role.
• Trying to be a friend.
• Focusing on someone other than the client.
• Allowing too limited time for termination.
• Not setting limits.

6
Common Tasks Of Psychotherapy(Meichenbams
Constructivist Cognitive-Behavioral Approach)

• Develop a therapeutic alliance and help clients
  tell their stories.
• Educate clients about the clinical problem.
• Didactic vs. Socratic approach.
• Help clients their problems in a more hopeful
  fashion.
• Ensure that clients have coping skills.

7
Common Tasks Of Psychotherapy (Cont)

• Encourage clients to perform personal
  experiments.
• Ensure that clients take credit for change they
  have brought about.
• Conduct relapse prevention.

8
Differences Between A Constructivist
Cognitive-Behavioral Approach Standard CBT

• Places a greater emphasis on the developmental
  history.
• Targets deeper core beliefs and processes.
• Explores the impact, emotional toll, and personal
  price of holding root metaphors
• Engages the patient in a discovery-oriented
  process.
• ?

9
Socratic Questioning

• A pedagogical technique in which a teacher
  does not give information directly but instead
  asks a series of questions, with the result that
  the student comes either to the desired knowledge
  by answering the questions or to a deeper
  awareness of the limits of knowledge.
• ?

10
Common Coping Skills Developed in CBT

• Self-monitoring.
• Relaxation and breathing retraining.
• Self-instructional training.
• Imaginal rehearsal.
• Cognitive restructuring.
• Assertiveness training.
• Relapse prevention skills.
• ?