Laura86 wrote:Hi Messymind,
I haven't worked with this before, and as Eponymous85 stated your supervisor would be first port of call. I am really interested in this though, and I've worked a lot with anxiety problems which I think it may be related to? If it was me, I'd probably integrate CBT and Narrative ideas - CBT for some of the practical techniques such as experiental work, and Narrative to trace the history of the problem, when it first entered the person's life, how the problem effects them and those around them and the consequences of this, and how the person affects the problem and times when the problem hasn't been around or they've overcome it and what was different then etc. It may also be worthwhile considering Mindfulness-based CBT, or some systemic work with their support network? Let us know how you get on!
This isn't meant to come across as critical - but being a CP is all about being able to make sense of problems using psychological theory and to use this understanding to inform suitable interventions. It is really important to be coherent about how you do this, especially imho with more complex cases where it is so easy to become muddled.
Having a formulation and treatment plan based on one sound theoretical model is very steadying for the therapist, the client and also anyone else involved (e.g. client's family, other MDT members etc).
I actually find it more steadying to integrate theroies as I don't feel as constricted (as long as this is backed up by the evidence-base of course and makes sense in terms of theroy-practice links) - but this may come from having two supervisors with different ways of working (one of which often combines CBT and Narrative).
Laura86 wrote:Hi Cone,
In brief, we co-constructed a shared formulation as outlined above – the rest of our work has also included some CBT such as thought record sheets, SMART goal setting, relapse prevention planning etc; and also narrative, for example, I wrote a narrative letter to the client after every session, and arranged a meeting after significant goals were achieved for the witnessing aspect, involving key member of the MDT and family members where appropriate, in order to thicken the preferred story for the client and to support the witnesses to see the client on a new light and keep the new narrative growing.
Laura86 wrote:Ooh this book looks right up my street! I've requested for my first placement to be with children & young people, I'm thinking this might come in handy - have you read it? Wondering if it's worth buying or not?
jane doe wrote:However, I wouldn't come up with a CBT-informed formulation and then use narrative/SFBT interventions - that *would* be how to fail a case report.
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