Overcoming Depression: A Cognitive Therapy Approach by Mark Gilson, Arthur Freeman

By Mark Gilson, Arthur Freeman

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Additional info for Overcoming Depression: A Cognitive Therapy Approach Therapist Guide 2nd Edition (Treatments That Work)

Example text

I agree to work with my therapist to the best of my ability and immediately discuss openly any issues that interfere with the treatment. ) 5. I understand that in situations of eminent risk of harm to myself or others, my therapist may elect to divulge information without my specific consent, only to whom and to the extent that it is deemed necessary for immediate safety. 6. I understand that only in the event of an emergency involving my therapist, during the course of treatment or after it has concluded, that his or her clinical designee may need to manage my clinical records according to sound clinical practice and ethical guidelines.

At this time you can discuss the necessity for the inclusion of relapse prevention phase prior to termination. It is common for patients to ask directly how long the therapy will take. However, it is your ethical responsibility to initiate a discussion of the conditions of treatment, what your 34 patient can expect from you, and what you expect from the patient with respect to the collaborative “work” of psychotherapy. These parameters are referred to as the “therapeutic contract” and provide the structure necessary to effective psychotherapy.

Thoughts Thought is another term for cognitive experience. How we feel is often related to how we interpret our situation, self, and the future (the 30 cognitive triad). Explain to the patient that it does not matter which comes first, the feeling or the thought. If you change one component of the BEAST, you can potentially change the system of experience. Eventually, you will introduce thought recording as a way for the patient to distance himself from his feelings and thoughts. This will potentially give the patient the degree of objectivity he needs to restructure his thinking and test to see if what he did helps improve mood.

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