Case Study Essay - Critical Analysis of Cbt and Psychodynamic Appoaches

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It is important when working with clients that consideration is given to the methods and approaches used with regards to specific client’s needs and personality as well as consideration regarding presenting issues. Here a case study of Jane is used to argue /evaluate and assess how both a psychodynamic counselor and cognitive behavioral therapist (CBT) would view the case study of Jane from their perspectives. Consideration will be given from both a psychodynamic approach and CBT approach of how a therapist might work with Jane. The main similarities and differences of both the psychodynamic and CBT approaches will be analyzed. This will lead into an evaluation of which is the most appropriate approach in working with Jane by …show more content…
REBT – is a systemic directive approach stressing rational thought, emotions and actions based on the foundation that life’s problems are caused by the way we see/perceive things, not the things themselves (Corey, 2005). According to the REBT approach, Jane’s Agoraphobia and depression is marked by an unrelenting and irrational fear of the situation that present no realistic danger, and this interferes with Jane’s everyday behavior and this is attributed to her irrational thoughts and misperceptions about her life events (Weiten et al., 2009). An REBT counsellor believes that Jane has the ability to change her perceptions through accurate examinations of her belief system, provided she commits to change as it is the client’s responsibility to recognise and change self-defeating maladaptive thoughts and patterns of behavior (Weiten et al., 2009). Goal setting here is critical. Once behaviors have been identified and clarified the therapist might assist Jane in learning new behaviors in which to replace previous behaviors. From a cognitive perspective automatic thoughts need to be identified along with her core schemas (Weiten et al., 2009). In order to monitor progress Jane would need to keep a record. For example: listing frequency and intensity of behaviors and automatic thoughts, as well as before, during and after. To increase the