Assessment and Counseling of a Hypothetical Client with Eating Disorder using Cognitive Behavioral Therapy

This essay describes the assessment and counseling of a hypothetical client suffering from an eating disorder using cognitive behavioral therapy. It discusses the core principles and limitations of cognitive behavioral therapy and its application to the client case. The essay also highlights the role of the therapist and the client in the therapeutic process.

An essay describing
the assessment and
counselling of a
hypothetical client
from the perspective
of one core counselling
approach
Contents
1

INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
CONCLUSION................................................................................................................................6
REFRENCES...................................................................................................................................7
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INTRODUCTION
Psychotherapy which is also referred to as counseling is defined as a form of
psychological treatment which aims to treat psychological emotional or behavioral disorders
(Bryan, and Rudd, 2018). This involves trained individuals establishing relationship with their
patients in order to eliminate or change existing symptoms of psychological disorders so that
personal growth can be improved. Psychotherapy or counseling is common method for treating
psychological illnesses such as eating disorder. This essay provides a description of assessment
and counseling of a hypothetical client with the perspective of application of a cover
psychotherapy counseling approach. The hypothetical client in this case suffers with eating
disorder.
MAIN BODY
6. Outline of core counselling approach
The core counseling approach which will be utilized in the hypothetical client case study
of eating disorder includes the usage of cognitive behavioral therapy. Behavioral therapy
focuses on bringing structural changes while cognitive therapy addresses irrational and
manipulative thoughts (Etzelmueller and et. al., 2020). Cognitive behavioral therapy is a
revolutionary new technique in psycho therapeutics and counseling because it provides a broader
approach to dealing with psychological issues of the client. The concept of cognitive be will
therapy emerged in the 90s which moved to behaviorist alternative and holistic techniques
including acceptance and commitment mindfulness based therapy and dialectical behavioral
therapy.
The main principles of cognitive behavioral therapy are cognition influences behavioral
cognition can be monitored and ordered an alteration in cognition may affect desired behavioral
alteration (Hayes and Hofmann, 2018). The therapy tickle principles of cognitive behavioral
therapy include collaboration between client and therapist problem focused approach with
structured and linear to deal with clients problems. In addition to this that he repeated principle
followed in cognitive behavioral therapy includes time limited briefing and sessions along with
evidence based treatment of the patient.
Cognitive behavioral therapy is primarily focused on identification an modification of
inaccurate or disordered thinking patterns emotional responses and behaviors so that patients can
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return to normalcy in terms of mental and psychological state. The assumptions of cognitive
behavioral therapy is that client share the same worldview scientific objectivity an understand
world in a similar way is the main assumption of the therapy which is inaccurate as different
individuals can have different worldviews. Other assumptions included in the cognitive we will
therapy is that clients can access articulate cognition’s an emotions and have psychological
flexibility and confirm therapeutic collaborations in a brief time (Kingdon and Turkington,
2022).
Limitation of the cognitive behavior therapy is that it neglects therapeutic relationship
and only focuses on linear structure for offering counseling with no accommodation of more
chaotic processes in healing. This makes the cognitive behavioral therapy more inflexible while
dealing with client view years and changes in their psychological symptoms. In addition to this
cognitive behavioral therapy focuses on logical understanding of thoughts and emotions and
actions without understanding the feelings associated with different thoughts emotions and
actions which limits in applicability in various cases of psychological diseases and trauma.
Finally the cognitive behavioral therapy is limited in adopting rationality for treating
patients with psychological illnesses and trauma. This is limitation because cognitive behavioral
therapy does not account for irrational thoughts previous and emotions which may be induced in
the patient because of experience or confirmation of their fears by psychological testing (Magill
and et. al., 2019).
7. Application to client case:
The client is a single 20 year old female experiencing psychological issues with weight
off 72 pounds approximately 60 pounds underweight. The main problems faced by their client
are insomnia and negative perception about their body image along with here turning and low
blood pressure. The client regularly indulges in activities such as exercising four to five hours
daily skipping dinner or breakfast and limiting food consumption according to their calorie
intake. In addition to this the client is also experiencing inability to enjoy participating in social
activities and anxiety around meeting people or any kind of social interaction. The client is also
feeling depressed from several past days with inability to focus on specific tasks and over-
analyzing others perception about their body. The client experiences fear and panic when going
out in social situations or thinking of socializing with others including rapid heart rate sweating
and fear of loss of control.
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It can be understood from initial assessment and discussion let the present issues of the
client include anorexia nervosa along with minor panic attack caused by fear of social
interactions and negative body image. The client is also facing variety of physiological health
issues because of restricted food intake and fear of gaining weight. This includes problems such
as turning up here and low blood pressure which can increase further if the main causes of
anorexia nervosa are not treated.
Anorexia nervosa is a type of eating disorder in which individuals worry about gaining
weight which becomes obsessive and changes a person’s behaviors will to be preoccupied with
calorie intake and changes in weight (Stawarz and et. al., 2018). The patient continuously
monitors their weight gain so that which changes can be minimized and are able to achieve
perfect body by controlling their weight gain. The hypothetical client is a female and young
which justifies the case of anorexia nervosa as many young people experience anorexia nervosa
because of societal pressures and the focus off young demographic around achieving a perfect
image because of social media trends and peer pressure. it is important to treat anorexia nervosa
through psychological therapy because it can lead to large number of physiological illnesses as
well as depression if the patient is not able to control their body weight according to their ideal
weight. this includes skin issues Constipation fatigue and irregular periods cycles in patients.
The therapeutic plan for the client will be created by discussing main body image issues
with the client so that they are comfortable in developing a plan to work on their body image
issues and start treatment of anorexia nervosa. This involves introducing the client to cognitive
behavior approach and technique so that they are able to understand the influence of these
approaches on their daily lives and the ways in which this therapeutic approach can help the
client (Thomas and Eddy, 2018). This is a suitable way of building therapeutic plan because it
will help the client understand the importance of cognitive behavioral therapy while also
accepting the treatment so that it can provide better results.
Cognitive behavioral therapy will be utilized for treating eating disorder of the female
client. The strategies which will be utilized to treat eating disorder include addressing the weight
gain fear of the client in using role play to prepare for potential problematic interactions with
others so that the fear faced in socializing can be eliminated. In addition to this discussion will
become connected on helping the client except their body image issues and understand the
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impact of their negative behaviors associated with controlling their weight so that they are able
to accept their body end work under current issues.
The strategy of recording journaling and recording thoughts will be used to monitor
progress of the client in accepting their body image issues and also helping the client identify
their negative reviews so that they can continuously work on improving their self-image and
regarding triggers which lead to their nervosa anorexia. In addition to this the client will be asked
to prepare a list about their negative thoughts so that these thoughts can be replaced with positive
thoughts about their body image. The client will be asked to read the list as often as possible so
that they are able to notice their negative behaviors and actively work on them to change and
improve their state of anorexic thinking.
8. Role of the therapist and client:
The role of therapist in assisting cognitive behavior therapy of the client includes
identifying specific distortions and biases in thinking of the client so that they are able to address
these biases by working on their anorexic thinking (Walle and et. al., 2020). This will be
conducted by guiding the client in using cognitive assessment so that specific areas which
promote their anorexic do you wear can be determined an address to cognitive visual therapy.
The rule of the therapist will be to act as a guide to the client who is there able to understand
their behavioral issues and work on them my using psychological theories and psychotherapy.
In addition to this the therapist will also provide guidance to the client in identifying their
thoughts and behaviors regarding to their body image. This will be conducted in a comfortable
environment so that the client is able to address their own self-image issues in a free manner and
are able to take action for personal growth. In person identification of issues will enable the
client to reflect on their behavioral issues and they will gain the motivation to change their habits
in order to overcome anorexia.
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.CONCLUSION
From that motherboard is determined that psychotherapy and counseling plays an important role
in helping individuals overcome their Behavioral psychological issues so that they are able to
make personal growth. There are different cognitive behavioral therapy strategies which can be
used to treat patients facing psychological behavioral issues, such as eating disorders or nervosa
anorexia.
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REFRENCES
Books and Journals
Bryan, C. J. and Rudd, M. D., 2018. Brief cognitive-behavioral therapy for suicide prevention.
Guilford Publications.
Etzelmueller and et. al., 2020. Effects of internet-based cognitive behavioral therapy in routine
care for adults in treatment for depression and anxiety: systematic review and meta-
analysis. Journal of medical Internet research, 22(8). p.e18100.
Hayes, S. C. and Hofmann, S. G. eds., 2018. Process-based CBT: The science and core clinical
competencies of cognitive behavioral therapy. New Harbinger Publications.
Kingdon, D. G. and Turkington, D., 2022. Cognitive-behavioral therapy of schizophrenia.
Psychology Press.
Magill and et. al., 2019. A meta-analysis of cognitive-behavioral therapy for alcohol or other
drug use disorders: Treatment efficacy by contrast condition. Journal of consulting and
clinical psychology, 87(12). p.1093.
Stawarz and et. al., 2018. User experience of cognitive behavioral therapy apps for depression: an
analysis of app functionality and user reviews. Journal of medical Internet
research, 20(6). p.e10120.
Thomas, J. J. and Eddy, K. T., 2018. Cognitive-behavioral therapy for avoidant/restrictive food
intake disorder: children, adolescents, and adults. Cambridge University Press.
Walle and et. al., 2020. Cognitive‐behavioral therapy in the time of coronavirus: Clinician tips
for working with eating disorders via telehealth when face‐to‐face meetings are not
possible. International Journal of Eating Disorders, 53(7). pp.1132-1141.
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