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Cognitive Restructuring in CBT

Apr 10, 2024
So for example one of my patients came and said Doctor I'm so depressed I think I want to kill myself and I told him why and he said I'm a total failure and I said how are you a total failure and he said , well, a failure is a husband, as a father, as a business person, as a housewife, as a home helper, etc., so on that level I could have simply talked about a feeling of helplessness and failure, but I wanted to achieve it . more information, so instead of addressing the helplessness that seems to be pervasive there or the sense of failure or the sense of frustration, I began to take each of these components in order keeping in mind that the overall meaning of what he said had to be see with failure right, it's pretty clear that his belief I'm a failure just took over and was now manifesting in every aspect of his life, so I asked him well, first of all you said your failure as a husband, then What happened recently that you gave him what did you think he says well my wife went to work today she didn't say goodbye and I said well then what does that mean to you and she says he says well it means he doesn't love me I said why do you She says that because she always says goodbye, but now she must be mad and she doesn't love me and somehow I don't know what, but there's something in me that turns her off, uh, so I said yes, then I moved on, so I said.
cognitive restructuring in cbt
Now, what makes you think you're a failure as a parent? And he says, "Well, all the kids were fighting this morning." They said CU. I just looked at the budget report and we are going into debt for the next 3 months and I finally said what's up with your failure as a housewife? And he said, well, the roof is collapsing. the house, so here we could have dealt with the common denominator, the meaning is that he is a failure and each of these things, and we could have talked about the failure, but then I divided it into each compartment and this is what we would have done as a psychoanalyst psychoanalyst we would have looked for unconscious meaning or we could look for conscious meaning, but we divided this into different parts, so I asked him what about his wife running away.
cognitive restructuring in cbt

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I said, do you remember anything about what happened before she ran away? He left and said well, she was in a hurry at breakfast and I said, do you remember any conversation you had? and he said well, I guess she told me she had a very important meeting coming up and I said, oh, and what else did she say he did. and she said oh he said he was late for the meeting and I said oh well is it possible that the reason he ran off without saying goodbye was because he was in a hurry and he said you know that makes sense so I asked him ?
cognitive restructuring in cbt
Him, what's with your teenagers fighting all the time? And he said: Yes, it's terrible. I can't seem to control them. And I said, Well, what about the other kids in the neighborhood? They are all very quiet and get along well. Yeah, you know, I guess teenagers fight and then I asked him what's up with the business, and he says, well, you know we're going to have a deficit next year or next semester and I said, but I know you're in business. of clothes. I understand that you go through cycles and you go through the cycle where you make more money than you spend and then you go through another cycle where you spend more money, make the dresses and then make up for it next quarter when you start selling the J.
cognitive restructuring in cbt
He said yes. I guess you're right. So I said, what's wrong with the roof that's sinking? and he says well, the roof was leaking and I said yes. and he says well he's collapsing so I said well what do people do when their roof leaks? and he says well, I don't know, I said well, what did you do in the past when you had problems with the roof, he said oh, I called the roofer so I said well, isn't that a job for the roofer and he said yes, maybe you are right?

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