Cognitive Therapy Over Time
In Cognitive Therapy Over Time, Dr. Keith S. Dobson shows how this empirically validated approach works in practice over the course of six sessions. Cognitive therapy is a popularly taught and practiced manualized treatment useful with a wide variety of client issues and disorders. In this approach, the therapist develops a strong relationship with the client and within that context uses a number of methods to teach the client how to attend to thoughts and evaluate them consistently.
The ultimate goal of this aspect of the approach is to enable the client to assess the usefulness and realism of their thinking, and therefore learn to avoid types of thinking that lead to personal distress or disorder. During therapy, the therapist develops a case formulation based on cognitive models of various disorders, but that also incorporates the individual personality of the client. The case formulation helps the therapist choose the interventions that will be used throughout the therapy and provides a consistent framework for the eclectic mix of techniques often required to help a client.
In the sessions on this DVD, Dobson works with a woman in her late 30s who presented with a number of health and anxiety-related concerns and whose primary concern, related to her panic attacks, became the focus of therapy. Dobson first assesses the nature of the panic disorder, as well as her anxiety in general, and then works with the client to reduce the frequency of panic attacks.
The primary interventions demonstrated include in-session panic induction, between-session homework, and cognitive restructuring. In addition, the therapist assesses the client's history to obtain a more complete set of information on which to base a case conceptualization.