Cognitive Behavioural Therapy for Anxiety: A Case Study
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Added on  2023/06/03
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This report discusses the case scenario of Sarah, who has recently suffered a breakup and is experiencing symptoms of anxiety. The report would first discuss the key presentation facts of the case study and would then proceed with the effective implementation of cognitive behavioural therapy so as to promote complete recovery.
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Running head: NURSING ASSIGNMENT NURSING ASSIGNMENT Name of the Student: Name of the University: Author Note:
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1NURSING ASSIGNMENT Introduction: Anxiety can be defined as a disturbed state of mind predominated by negative feelings. Statistical ratio on an average reveals that 18% of women suffer from anxiety globally compared to the total of 11% men (Bystritsky et al.,2014). Anxiety has further been reported to be more prevalent in women who have experienced separation or divorce. Moreover, research studies predict that 28% of the global population has faced some form of depression in their entire life time (Bystritsky et al., 2014). Anxiety can be differentiated into fourkindsofdisorderswhichinclude,GeneralizedAnxietyDisorder,SocialAnxiety Disorder or Phobia, Panic Disorder and Post-Traumatic Stress Disorder (Aldao et al., 2014). Anxietycanaffectpeopleatanyageandhasbeenreportedtobetriggeredbyan environmental episode. It should be taken seriously because the symptoms are not manifested physically and intricate emphasis must be laid on the psychological symptoms. Immediate professional help must be sought in case of the manifestation of serious symptoms. This report intends to discuss the case scenario of Sarah, who has recently suffered a breakup and is experiencing symptoms of anxiety. The report would first discuss the key presentation facts of the case study and would then proceed with the effective implementation of cognitive behavioural therapy so as to promote complete recovery. Case Presentation: The key facts as mentioned in the case study can be presented as under: oThe client mentioned in the case study, Sarah had a recent breakup oHer friend invited her to a party to get over the breakup phase oShe meets Tom at the party and likes his company. They exchange numbers to keep in touch. The client consumes a lot of alcohol at the party.
2NURSING ASSIGNMENT oThe following day, she receives no message from Tom and feels rejected and anxious. oShe reports ‘being sick’ at work and cuts off social communication and consumes alcohol to keep herself distracted. Risk Areas Identified: oThe high risk areas identified from the case study includes, feelings of nervousness and anxiety oAlso, substance-abuse and addiction can be identified as a high risk area that could lead to major mental health concerns. Assessment Criteria: oThorough screening oComprehensive Assessment oFormal Diagnosis Cognitive Behavioural Therapy: oCognitive behavioural therapy or CBT, is referred to as a psychosocial therapeutic intervention that significantly improves mental health issues. oCBT aims to develop a positive perspective towards life on the basis of positive thoughts, coping tactics and emotional stability (Gallagher et al., 2013)
3NURSING ASSIGNMENT oIt helps in channelizing the negative thoughts into positive ideas and well- being Rationale of administering CBT: oCognitive behavioural therapy can segregated into two segments, cognition and behaviour oSarah is affected by her breakup and is reported to harbour negative feelings which increases on being ignored by Tom oShe is into substance abuse and prefers to remain socially secluded oAdministration of CBT has been reported to facilitate correction of distorted thoughts and maladaptive social behaviour oCBT has been reported to yield positive results in treating PTSD, anxiety, personality disorder and depression Evidence Based Strategies: oCBT is assisted to patients after the mental state evaluation oCBT makes use of mindfulness-based therapies and primarily focuses on the thought content and emotions of the client to assist recovery (Memoria et al., 2013) Assessment Tools: oA number of assessment tools can be used to evaluate the mental health status of the client
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4NURSING ASSIGNMENT oIn order to access Sarah, the Montreal Cognitive Assessment tool could be used to evaluate her cognitive ability oThe test evaluates the client on the basis of multiple cognitive domains that include, language, attention, memory, visuo-spatial, executive function and abstract thinking oThe score range is from 0-30 with <26 suggesting impaired mental health Julayanont et al., 2017) oThe screening test is highly reliable, accurate and convenient to use Models for CBT: oThe ABC model has been found to be effective in administering CBT (Jun & Park,2013) oThemodelessentiallycoversthreeimportantaspectsthatincorporate activation of an event, negative feelings associated with the event and the outcome as a result of the feelings oThe ABC model evaluates the feelings on the basis of which negative feelings might have developed in an individual oThe model further states that the negative feeling does not develop on account of the activating event but is caused due to the irrational beliefs that lead to the consequence Suggested Intervention: oSuggested interventions would comprise of the following: oEnsuring a safe environment
5NURSING ASSIGNMENT oRegulating the stress-causing events oImparting self-management skills to effectively deal with anxiety oAdministration of anti-abuse medication oAdministration of CBT to cope with stress and ensure a positive environment Preliminary Care: oThe preliminary care would comprise of reinforcing a safe environment so as to regulate the dearth of feelings related to anxiety in the client oThe psychotherapist must actively stabilise the thought content of the client through one to one counselling oAdministration of anti-alcohol drug such as disulfiram in mild doses to control addiction (Bystritsky et al., 2013) Recovery support plan: The recovery support plan would widely comprise of five important elements such as (Aldao et al.,2014), oPhysical self-care oLife-style modification oMental/ Emotional self-care oPeer support oSpiritual self-care
6NURSING ASSIGNMENT Long-term treatment care: Long term treatment care would include imparting education about self-management strategies so as to avoid stress causing elements Involvement in creative activities such as gardening or crafting can help in focusing on the positive aspects of life and boost up her confidence level (Julayanont et al., 2017) Expected Duration of Recovery: It can be expected that at the end of 24 weeks, the client could start feeling much energised and better Conclusion: Hence, to conclude it can be said that administration of effective cognitive therapy depends on a number of factors such as effective screening of the condition on the basis of cognitive risk assessment tool. Further, after the proper assessment of the score evaluation, intervention strategies must be planned so as to promote the recovery process. The recovery process must not essentially focus just on the symptoms but should rather focus on the complete recovery so as to support the client in developing a positive perspective towards life and recover from the symptoms of stress and anxiety.
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7NURSING ASSIGNMENT References: Aldao, A., Jazaieri, H., Goldin, P. R., & Gross, J. J. (2014). Adaptive and maladaptive emotion regulation strategies: Interactive effects during CBT for social anxiety disorder.Journal of Anxiety Disorders,28(4), 382-389. Bystritsky, A., Khalsa, S. S., Cameron, M. E., & Schiffman, J. (2013). Current diagnosis and treatment of anxiety disorders.Pharmacy and Therapeutics,38(1), 30. Gallagher, M. W., Payne, L. A., White, K. S., Shear, K. M., Woods, S. W., Gorman, J. M., & Barlow, D. H. (2013). Mechanisms of change in cognitive behavioral therapy for panic disorder: the unique effects of self-efficacy and anxiety sensitivity.Behaviour research and therapy,51(11), 767-777. Julayanont, P., & Nasreddine, Z. S. (2017). Montreal Cognitive Assessment (MoCA): conceptandclinicalreview.InCognitivescreeninginstruments(pp.139-195). Springer, Cham. Jun, H.J. and Park, M.K., 2013. Cognitive behavioral therapy for tinnitus: evidence and efficacy.Korean journal of audiology,17(3), p.101. Memória, C. M., Yassuda, M. S., Nakano, E. Y., & Forlenza, O. V. (2013). Brief screening for mild cognitive impairment: validation of the Brazilian version of the Montreal cognitive assessment.International Journal of Geriatric Psychiatry,28(1), 34-40.