According to the World Health Organization, mental and behavioral health disorders are a global public health concern that affects more than 70 million people at one point in life. This estimate contributes to approximately 10% of the global disease burden and is expected to increase by the year 2030 (David et al., 2018). In the United States, behavioral and mental disorders affect close to 50 million adults. However, despite the high prevalence, highly recognized therapies are effectively being used to alleviate this problem resulting to improved health outcomes. The best examples of therapies being used are: cognitive behavioral therapy and rational emotive behavioral therapy Assignment 1: CBT Versus REBT Essay.
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Cognitive behavioral therapy is a treatment approach used to manage people with different mental and behavioral health problems based on thoughts, behavior, and emotions. In comparison, rational emotive behavioral therapy emphasizes on rational thinking for the development of healthy expressions and emotional behavior. This paper discusses the similarities and differences between the two behavioral therapies and how the differences might impact my clinical practice as a mental health counselor. To add on, I will discuss the version of cognitive behavioral therapy I would use with clients with supporting reasons Assignment 1: CBT Versus REBT Essay.
Cognitive behavioral therapy and rational emotive behavioral therapy use theories which are founded from the ABC model. Therefore, the two therapies have similar beliefs in terms of development and maintenance of psychopathology (Brown & Gaudiano, 2013). To add on, the practical applications of both CBT and REBT are the same more so in terms of organization and interrelations of beliefs which may either be labeled as irrational or dysfunctional. The last similarity is that the major notions of CBT and REBT uphold that human behavior and emotions are highly dependent on individual beliefs, ideas, thinking and attitude and not by the sole occurrence of events. Therefore, for behavioral and emotional change to occur, one has to change his/her thinking.
A major difference between CBT and REBT is that REBT addresses the irrational thoughts and philosophical basis of emotional disturbance based on a client’s personality, which results to solutions that involve unconditional self-acceptance. On the contrary, CBT addresses irrational thoughts based on a client’s disorder through reinforcement of positive qualities which leaves many pitfalls in case of a client’s poor performance (David, Lynn & Ellis, 2010). CBT insists on psychoeducation as an early vital component of treatment while REBT is highly reliant on psychoeducation in the entire period of treatment.
With regards to the therapeutic relationships, CBT emphasizes on having a high-quality therapeutic relationship for good treatment outcomes whereas REBT does not recognize the necessity of a therapeutic relationship. In terms of reasoning, CBT utilizes inductive reasoning by laying emphasis on inferential thinking. In contrast, REBT maximizes on deductive thoughts with a focus on evaluative reasoning (Sapp, 2014). Generally, these differences would help to gauge the best case practice scenarios that one therapy may be well suited to adequately address a client’s needs as in comparison to another for a mental health counselor.
The Version of Cognitive Behavioral Therapy I Might Use With Clients
The version of Cognitive Behavioral Therapy that I might use with clients is Dialectical Behavioral therapy. This form is highly reliable in being able to identify the triggers which result to negative tendencies and thoughts such as self-harm, suicidal thoughts and drug abuse (Craske & American Psychological Association, 2017). It also provides a mental health counselor with a framework for identifying the irrational and dysfunctional behavior in a client and the tools that can effectively be used to counteract it Assignment 1: CBT Versus REBT Essay.
From this discussion on the similarities and differences between REBT and CBT, it is rather evident that the latter is more advantageous as compared to the former. A perfect example is in the management of self-esteem, the establishment of a therapeutic relationship and thinking style. With this knowledge, mental health counselors are able to apply the most effective therapies depending on a client’s needs.
Brown, L., & Gaudiano, B. (2013). Investigating the similarities and differences between practitioners of second-and third-wave cognitive-behavioral therapies. Behaviour Modification.
Craske, M. G., & American Psychological Association,. (2017). Cognitive-behavioral therapy.
David, D., Cotet, C., Matu, S., Mogoase, C., & Stefan, S. (2018). 50 years of rational‐emotive and cognitive‐behavioral therapy: A systematic review and meta‐analysis. Journal of Clinical Psychology, 74(3), 304–318.
David D., Szentagotai A., Lupu V., & Cosman D. (2013). Rational emotive behavior therapy, cognitive therapy, and medication in the treatment of major depressive disorder: a randomized clinical trial, posttreatment outcomes, and six‐month follow‐up. Journal of Clinical Psychology, 64(6), 728–746.
David, D., Lynn, S. J., & Ellis, A. (2010). Rational and irrational beliefs: Research, theory, and clinical practice. New York: Oxford University Press.
Sapp, M. (2014). Cognitive-behavioral theories of counseling: Traditional and nontraditional approaches. Springfield, Ill: C.C. Thomas Assignment 1: CBT Versus REBT Essay .
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