David Braud

Counseling Tape Review #1

Give a brief overview of the The sessions are with a middle-aged woman (Mary) who struggles
tape you chose, include who with social anxiety. She is “feeling stupid” and out of place in various
social se ngs. The presen ng problem is that her husband Bob has
the therapist was and the
various social events that they must a end and they both feel that
client(s) concerns/reason for now is the me to gure out why her anxiety is present. The
treatment? therapist is Stuart Rose. As well as understanding the “why” behind
the anxiety he wants to help her nd ways to “manage” it.
What Modality was Cogni ve-Behavioral Therapy (CBT)
displayed? 1. Use empirical evidence and assessment data to produce a
problem list and ini al case formula on (GAD 7) (PHQ9)
2. Prepare Client to work with CBT framework
3. Explored Emo ons, Physiology, Behaviors and Thoughts rela ve to
situa ons where anxiety is present.
4. Thought Record Sheet was u lized for a self-report (homework
task/home-prac ce).
5. Explored various unhelpful thinking styles and iden ed one
(Catastrophizing) that t a speci c situa on.
6. The use of imagery (mental “video” of a vaca on spot in Spain) as
a tool to reimagine the situa on and bring more posi ve feelings
(mental and physical) to the situa on.

What are the Basic tenants 4 parts of the model - explore each one in order
of this model? What does Emo on (Anxiety) - understand HOW we know when we are
experiencing a certain emo on -
this model believe about
Physiological Aspects - feeling it in the body
change? Behavior/Habits - Explore behaviors at a certain event/situa on
were anxiety is present (escape, avoid con ict, blend into
background, hide)
Cogni ve/Thinking- Explore the thoughts going through clients head
during the event/situa on
—————
CBT is a type of talk therapy that connects our thinking (cogni on)
with how we feel and act. O en our thoughts determine our feelings
and behavior so forming new ways of thinking is an important part
of this model.
—————
CHANGE: Helping the client develop alterna ve ways of thinking
related to certain situa ons where they usually have one pa ern or
habit of thinking (usually related to an unhelpful thinking style)
- Rela onship building seems an important aspect to this approach.
Lots of good listening with minimal “talking” but using prompts to
get client to keep exploring.
- Socializa on to the model - clarity and transparency from client is
important.
- Use of this model seeks to “untangle” emo ons and make sense of
the 4 aspects above.
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 Why did you chose this I’ve heard people talk about CBT and it seems to be one of the more
video? Was there something popular modali es but I did not know anything about it. I also
interact with a lot of people that have anxiety (my wife and
about this model/topic that
daughter) so it was helpful to see how Stuart Rose walked through
a racted you? If so what this session with Mary.
was it?
Do you think this model Yes - based on this session. I resonated with the prac oners
‘ ts’ you? demeanor, his rela vely simple approach of talking through a
situa on with client and helping her to explore the emo ons,
physical feelings, behaviors and thoughts that were present as she
remembered a situa on. He did a good job calming the client. I like
the simplicity of this model as it was presented.
What life experiences The communica on style that has developed in my marriage over 28
contribute to your like/ years feels similar to this modality. Going deeper than the content or
speci cs of a situa on to explore the thoughts underneath the
dislike of this model? For
feelings, emo ons, and behavior.
example, you’re FOO,
personality, other I also perceive similari es between CBT and my experiences as a
meaningful life experiences client in IFS therapy. I recently described various situa ons from
posi ve or nega ve, your childhood (and current situa ons) to my therapist who was able to
own therapy experiences. help me see that there was a consistent thought pa ern that existed
alongside these di erent situa ons. Addi onally, in this session
there was iden ed a “mind-bully” that was speaking unhelpful
things - this was a “part” of Mary and this analysis is similar to
iden fying “parts” in IFS therapy.
What do you think about He came across as very gentle and compassionate. He normalized
the stance of the therapies Mary’s behavior - this is one thing I want to always strive for - to
help clients feel like the reasons for feeling the way they do, or
in the room (or way of being
behaving the way they do, are completely understandable. The care
with the client)? Anything he exhibited for his client caused be to become a bit emo onal
you hope to replicate OR which is one of my biggest worries as I move into this profession. I
things you will not do as a have a very di cult me not being emo onal (tears) when I nd
therapist? something moving or compassionate. Not sure how I’ll learn to
manage this. I did no ce on a couple occasions that he nished a
sentence for Mary which is something I’d like to avoid as a therapist.
How did prac oner u lize Therapist’s posture was open, upright but relaxed, facing client at
microskills we are discussing slight angle. He made fairly constant eye contact and kept a posi ve
and relaxed facial expression. He gave space for client to think
in class, what skills did you
without over-talking or lling silence.
no ce?
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 Did you no ce any skills that In a ques on-like form, the therapist restated certain phrases or
seem to be present that we language of the client to improve clarity and understanding. I think
this is important because without speaking for the client, the
haven’t discussed? Did they
therapist can give clarifying language to the situa on but always
feel helpful or would you con ngent on the client’s a rma on of the restatement. I’d like to
like to emulate these skills? try and make sure that I do this when necessary. This could also help
the client to know that the therapist is listening well and is there to
help bring understanding.
In what ways did you see The prac oner had a very empathe c approach to the client and
the prac oner nurture or seemed to make Mary feel like he was with her in the struggles. He
men oned “feeling” what she was feeling and that he could imagine
develop the therapeu c
the things she was describing. Even when she was using imagery to
rela onship? reorient her thinking to a more posi ve outlook, he was right there
with her in her descrip on and emo onal connec on to the
vaca on spot. He also made it very clear that the rela onship was
100% for Mary and that he did not have expecta ons but that she
was to only do the things that she felt comfortable doing.
LINK to video: h ps://fod-infobase-com.trevecca.idm.oclc.org/p_ViewVideo.aspx?
x d=202962&tScript=0
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