Case study clinical example CBT: First session with a client with symptoms of depression (CBT model)
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- Опубликовано: 22 окт 2014
- Case study example for use in teaching, aiming to demonstrate some of the triggers, thoughts, feelings and responses linked with problematic low mood. This section here represents the first 14 minutes of an initial therapy session, but in order to try and outline the vicious cycle, it moves faster than an average session might. The video features an actor playing the character of Lucy, but the dialogue is not scripted, and as such represents a natural therapeutic exchange. I myself am a qualified Clinical Psychologist, but would definitely not suggest that this is a perfect example of therapy!
This video was produced as a collaboration between the University of Leeds and Leeds Trinity University (Ricardo Barker).
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People need to realize that therapy isn't going in and your therapist telling you that "everything will be alright", then you're gonna be cured after 12 sessions of hearing that. You have to put in work. Heavy emotional work, that is. If you think you are going into a therapist office expecting for THEM to make you all better, you will never get better. A therapist is more like a tour guide of your experiences and they help you to see things in a different way so that YOU can change your way of thinking about whatever you are being impacted by.
Is this a critique of the case study or just peoples beliefs in general? If it's the latter, do you have evidence to support the hypothesis that people are not realizing the importance of their own efforts in CBT-treatment?
Just learned that in treatment. Well said.
Get it straight a counsellor cannot help you at all. They have no medical or clinical training . Their sole purpose is to listen and say nothing. Completely outdated.
I'm curious, how does a counsellor "help" you? Any idea? Do tell!
How will they "help you see things in a different way" by just sitting sympathetically in a corner?
I kept my mouth shut in my very first CBT session 😂. As a stubborn teenager I didn't want to express my feelings in front of a stranger even she's my psychologist. My psychologist became friendly, loving, kind and understandable, So as I was comfortable, I started revealing everything to her in my 3rd session. I just want to say my psychologist thank you for being patient with me and having my back each and every time. She's such a good & truthful friend of mine today.
Jesus Loves you, and He makes all things new.
@Relax music & noise "Elsa" but it is not that simple to change your mind that's the problem here..
friends don't charge money for it, but, we all living in a sick twisted society
how much money did you pay to your psychologist?
@@anonymousgirl5150 you didn't quite understand the scenario
The actor is incredible. Body language and vocal tonality were on point.
she should win an Oscar
I think she is not an actor..
anfiscka - Yah, it isn’t unlikely that she has felt exactly the emotions she describes at some point in her life.
she fooled me lol
Hahahhaha
For those people who are commenting how she's a terrible actor that portays depression wrong doesn't know the fact that most patients are usually nervous in their first session and so they used smiling and laughter as a defense mechanism and to look less vulnerable to someone they are completely meeting for the first time. There are lots of depressed people out there who end up trying to hide their true emotions due to various reasons. The mindset that a person can only be truly depressed if they can't smile anymore is the problem. Not everyone is what they seem, take a look at Robin Williams for example. He looked like such a wonderful and charming man only for us to find out he was struggling with depression for a long time...
I'm depressed and it feels impossible to smile. But at my therapy session recently, I started laughing during uncomfortable moments which made me feel kind of weird... but now it makes sense.
As a person who goes to therapy, I do it through zoom so I'd see myself smiling while I talk. I'd even be smiling while I talk about my trauma lol. I'm glad to know I'm not the only one
Oh my first impression on watching the video was, such a good actor. It seemed to me like she watched several real patient videotapes before acting for this recording.
Im very depressed and normally smile and laugh a lot in my sessions. A smile can be very tricky.
You're absolutely right. I don't know how did people even draw that conclusion. You call that a smile like really!? Girl is simply trying to communicate what she couldn't with any one else. If someone were to see and believe, they can see sadness in her eyes like she'll break down at any moment. I wish people learn to be more empathetic before commenting such unthoughtful things. Thank you for writing this message.
I think this is great representation of a first session. Building rapport, providing validation and actively listening. I know people are so quick to want a solution.. but recovery takes time. Recovery and change happens in the process of therapy, regardless of what modality the therapist is utilizing!
I need u pls u can send me what they talk about cus a hv presentation about it but i can't undersrand the words i need desscution i want write it pls kn u help me pllz
Ashley, Heal yourself. Your breath is directly related to your mind [brain] causing negative thoughts-anxiety-stress. For a relaxed life sit on a chair, back erect, hands on lap with palms upwards, eyes closed, be still and observe your natural incoming--outgoing breath at the entrance of the nostrils for around 10-15 minutes. Be as still as possible. Many thoughts will come which is ok--slowly negative thoughts will reduce and your mind will relax. During your daily activity keep observing your breath consciously. Best part is mood swings also reduce. Do the above meditation daily to feel relaxed. For more relaxation enter the following on google search and listen before sleep repeating the affirmations for 10 minutes in your mind. -“52Hz affirmations for health and healing you tube”. You will get relief quickly. Best wishes. Shyaaam Sir. -Counsellor.
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Take psychedelic drugs and cure your Deppression.
Jesus loves you all:)
Just had my first therapy session and I might say... this girl is an ACTUAL REPRESENTATION on me when I just had my session a few hours ago.
Wish you luck .i am also having my session and I know how difficult it is to put thoughts across
Keep going folks. Keep going. You might not see the sun yet but it's there and keep working at you. Bless you.
She's asking every question I don't want to answer
i know i found it hard to watch the video and i got nervous for her lol
That is what therapy is about. Exploring yourself. And give answers to questions you have never asked yourself
same, i have my first session next week and i havent talked to anyone ever about my feelings. i dont even know how to begin...
@@sofiekjrgaard666 just relax. there wouldnt exists any therapists if you knew where to begin... dont worry, its the therapists job to lead the whole session :) its gonna be ok. hope you understand what i mean!
@@lex7968 Thank you, its just so hard to speak about how you’re doing if you always keep it to yourself, I hope I will learn to share my problems with others instead of keeping everything to myself :)
I was feeling like I'm hearing myself. Left me crying.
Hi! I’m sorry you were feeling that way. I suffer from depression and anxiety and it’s very isolating. I hope you have found someone to talk to about it. I have you’re feeling better.
me too and I don't know what to do now omg
Same
@@fatima34me Heal yourself. Your breath is directly related to your mind [brain] causing negative thoughts-anxiety-stress. For a relaxed life sit on a chair, back erect, hands on lap with palms upwards, eyes closed, be still and observe your natural incoming--outgoing breath at the entrance of the nostrils for around 10-15 minutes. Be as still as possible. Many thoughts will come which is ok--slowly negative thoughts will reduce and your mind will relax. During your daily activity keep observing your breath consciously. Best part is mood swings also reduce. Do the above meditation daily to feel relaxed. For more relaxation enter the following on google search and listen before sleep repeating the affirmations for 10 minutes in your mind. -“52Hz affirmations for health and healing you tube”. You will get relief quickly. Best wishes. Shyaaam Sir. -Counsellor.
This is almost identical to my first conversation with a psychiatrist. It's tough to listen to.
I have had depression and associated anxiety for 15 years. Ive had a plethora of medications and Ive fought suicide daily. A new shrink weened me off tablets and put me in with a CBT therapist. Ive had 14 sessions and am now winding down in frequency towards finishing. Its not easy but I worked hard and can now say that I think differently and even happy at times after 15 years. Im no longer on medication and incidently my suicidal thoughts disapeared as soon as came off medication. I will always have depression Im sure but now I deal with it and IT doesnt control me. Thank you Liz
+robert hook Thank you for this, I currently am studying to become a psychologist, and I've always felt like medication is only temporary help and can make patients feel worse.
And I've always thought that being able to change the way a person thinks about themselves and the world, although its hard, it would benefit them so much more in the long run.
Things will get better, stay strong and know you ain't alone
What about cutting ur sessions for tow month after reaching almost the end .. how comeback should be like .. should i stsrt from beginning or from the point i stopped
I hope u answer me
Must be nice
As someone going to school to be a therapist, this video was a great representation! It reminds me of all the years I’ve spent in therapy
Thank you for sharing this. I'm a 51 year old man who has been trying to prove himself at work and the harder I try, the less effective I am. I have very similar symptoms, I wanted to mention this because depression, anxiety can affect anyone, male female, young and old. It's very common from what I am learning.
I just want to add that you are not alone and despite the negative feelings and physical experiences, I recognise a lot of these myself.
I hope that you are benefiting from your help.
YOU WOULDN'T BELIVE ME AM THE CLIENT, YET AM IN STUDYING OF THE HELPER.. WORK THAT ONE OUT, HAHA BUT MAYBE PASS TIME, GO TO COLLEGE TAKE COUNSELLING SKILLS ITS HELPING ME SO MUCH...GOOD LUCK SOMETIMES YOU JUST CANT WIN...
THE UNIVERSITY STUDENT CASE STUDY, IN ILLITERATE UPPER CASE AND (EDITED), HAS RECOVERED? EH?
Chris Cain how are feeling and doing now?
How are you, Chris? Hope you're doing ok these days.
Jesus Loves you, don't give up. He makes all things new.
I've been to a few therapists and got a bad taste from the way they had demonized the people in my life and effectively criticized me for my habits and actions. Just watching this video gives me a vicarious sensation of reflection in what similar experiences I've had. Thanks for sharing this! I wish I could've found someone like you when I needed it most.
Thanks for your kind feedback Aaron!
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Wow. Don't have the words. It can be impossible when you're in a hole.
CBT saved my life. After that I became a CBT therapist and CBT wisdom promotor to help as many people as possible.
Jesus Loves you, He makes all things new.
@@aboundinggrace7029 Thank you very much! Jesus is great and I love him.
In general how does it help for any situation someone is in
This exactly hit every nail on the head for me. The tiredness, the anger and frustration, the deep sadness but unsure exactly why it's felt at such a strong level. Right down to the isolation and avoidance which is one of the most overwhelming forces encountered but which just helps feed the depression...also having high expectations of oneself, feelings of being unworthy and irrelevant...an imposter of sorts in any sort of social situation...the actress did a brill job though and thank you for showing this.
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The issue I have with this type of counselling is *that voice* the psychologist puts on. That overly-emotive almost whisper. I’d rather she just spoke normally - the parts where she did I felt were more effective.
And all the repetition of what the client was saying. “Okay, (sigh), so it sounds like...”
What you need in that kind of situation is just a real conversation, with the feeling that the person you’re talking to is genuinely interested in you, wants to hear your thoughts and problems, and wants to try to help.
Surely it’s better to tell the client you’ll be taking a few notes when the appointment is made, not during the session? Once the psychologist had told her that, you could see the client watching her write. Part of the skill set of a good therapist is to do such things subtly, and to focus on the actual conversation.
Just my opinion of course
SAME EXACTLY it seems so fake.... this is why I'd never see a therapist because it seems so fake nice
@@sofiastar2933 But I don't think ALL are same
I agree with you. A lot of people want and need genuine interactions.. Personally, I think the goal of this is to try and get the client to adapt to and accept a world that is business-oriented, impersonal and 'corporate'. Ultimately so they fit in and function at their job. I find it quite disgusting.
@@sofiastar2933 Promise I don’t do this in my sessions lol all therapists are so different!
This is exactly the kind of support my psychologist has provided me with for the past 6 months. I feel like my sessions are just an explanation of what I'm feeling, then her paraphrasing it again. Never get any where unfortunately. I am a final year psychology student and I personally think this approach reveals the insecurity and slight naiveness of the psychologist.
Asiya, I think CBT can be a fairly superficial experience for some. I would suggest seeing a psychodynaically orientated therapist if you feel this approach is too concrete or 'naive'.
Exactly like Tim said. I've started jungian therapy and the insights I get from it are very deep and thought-provoking; nothing like the painfully obvious stuff a CBT therapist tells you that you already know anyway.
Hey! This is just my experience and I do not mean to invalidate your experiences at all. I've been seeing my therapist since I was 13 and I'm 19 now. I'm a psychology student too so back in high school I asked her once if she uses CBT. She said the approach she uses is more eclectic but she's primarily trained in CBT. At various points therapy has been frustrating for me. However, now that I think I'm a little more mature and slightly more in touch with my feelings, I realise that she has really helped me understand myself better. She doesn't just paraphrase stuff back to me, in fact she hardly ever does that. Only when she wants to make sure she's understanding what I'm saying. Mostly she asks me questions so that I can feel and think through my feelings with her and not shut them down the second it gets overwhelming. Right now my depression is more severe so she mostly just focuses on trying to get me to function better in terms of eating more, maintaining personal hygiene etc. I'm also on medication and I've finally realised therapy can't fix the clinical aspect of my illness, it can only help me manage them. I highly recommend going to a psychiatrist as well, preferably someone who is in touch with and can work with your therapist. And, from what it sounds like, if your therapist is actually just paraphrasing, saying obvious things like "that's an irrational belief" or "your relationship with x is unhealthy", I hope you've been able to switch therapists since you posted this comment
I recommend finding a therapist who uses Schema therapy. It uses CBT but goes much further into understanding maladaptive behaviors (coping responses) by examining the unmet emotional needs during childhood.
You're a final year psychology student? But you literally know what she's doing
I had a session with a psychologist last year which was pretty much the same as this one, with me telling her my thoughts and her rephrasing them and asking questions that I myself have pondered hundreds of times. found it very unhelpful, guess cbt isn’t for me. it feels like I just get my own thoughts thrown back at me without any constructive dialogue.
edit: just remembered that her summing my thoughts up felt somehow detached, like she could be talking about anyone. you’re sitting there, baring your soul, and she’s throwing names of emotions you’re experiencing without attaching them to you and your personal circumstances.
Jesus Loves you, He makes all things new.
don't spread religious lies.christisnity is false and the result of lies and brainwashing.
Did you continue your sessions?
i dont know you but by your comment I suppose that you just went to the first session and you didn't continue it, because if you had continued you would understand why the psychologist acted that way and how cbt really helps, it takes more than 1 session to see the results, i think you could give it a try again
i know what you mean. i feel the same. i think there are different approaches that different therapists use. i think in the first session she is just trying to get to know the client and form a rapport. the real CBT work prob starts after that. this technique of restating or rephrasing what the client says is the humanistic/person-centric approach... not CBT. correct me if i am wrong anyone
This session feels like a soft interrogation, a total interview about your inner person. I tremble watching this.
therapy :)
That’s what my first therapy session was like, basically the therapist just wants to know about you and your feelings to see what they can do in future sessions. Feels kind of like interrogation lol.
wow didn't even know she was an actress till i read the description, great acting!
I found this to be very helpful. For the commenter who said the therapist was wrong in restating how the client felt needs to be understanding that some people may not be able to vocalize how they feel. Also, the therapist reworded her sentences as not to state the client verbatim. This is done so that the therapist better understands what the client is supposed to say and gives the client the comfort knowing the person listening to her acknowledges her thoughts. Secondly, giving her advice from personal experience may not always be the best route as what works for you may not work for everyone else. Instead, the therapist stated things like, "sounds like you've placed a lot of pressure on yourself" and "seems like you place high standards for yourself without exceptions." This gives clients an outside perspective. Not saying we should never share anything about ourselves, but as professionals, we need to put the client above even our own opinions and thoughts. Overall, great video =)
Christine D Many thanks for watching and for your thoughtful feedback! Definitely there is always going to be variation in how much a therapist shares about themselves with their clients - and different things work for different therapists and different clients! As you suggest - above all we need to put the client first =)
I've been prescribed this for my first year of Post Grad in Educational & Developmental Psychology. The actress absolutely NAILED this role. Judith is a lovely therapist with a great presence; I'd love to learn from her one day. Thanks for producing such an awesome resource!
Thanks so much Tom! That is so encouraging to hear.
@@JudithJohnsonphd Thank you ma'am for for all you do!
Please I need serious mental attention, I need help
Deep thanks to both of these women to share their conversion, it was enormously helpful.
codent Glad it has been helpful!
I didn't realize that this girl was acting! This is one of the few counseling videos that I've watched where the client was believable. That had a huge impact on what I was able to learn from this video. Thank you!
I also thought this was a real session.
First saw this 4 years ago and I recognise so much here... I have actually discovered how powerful mindfullness can be and I am coming out of all the negativity I was in. It’s so sad seeing people like this young lady seeing so much negative experiences in her life. But what I have found is that negativity has been my downfall and when you are in negativity it’s comforting to stay there and it has robbed me of so much... but the thing that made the difference for me was discovering that I didn’t need to try ... it’s not a case of ‘oh just think positive’ that’s the trouble why positivity gets a bad press...
gosh I would so want to people like this dear young lady I want to share how I have learnt ...
This poor girl is clearly crying inside despite her laughs... she so needs to feel love and self love too ... oh my heart goes out to her x
I am an addict inpatient at the moment in a recovery center. This CBT stuff really works if you really are honest with yourself and are willing to face some hard truths.
Thank you for this video. The symptoms of depression and the way "Lucy" displayed them, verbal and non-verbal, rang true. I really enjoyed the dialogue and the establishment of rapport/trust. Thank you so much, Judith! Look forward to seeing more from you.
When she Said “sorry” for being emotional, perhaps the therapist could have Said something like : you don’t need to feel sorry for being emotional, it’s ok” so she dosen’t start hiding her feelings. Thanks 🙏🏾
Very good point i agree
Its important to stay active and get close to nature!! nature has all the healing powers!! I wish everyone a happy and active life 😍
Exactly. Thank you.
I would like to slightly oppose here. I guess in some instances you could say that, but it would be more interesting if the therapist would explore the fact the client is sorry for her feelings. The client feels sorry for being emotional - she needs to find out for herself whether this is a good thing for her or not. I would find saying 'it's ok' rather patronizing, for example. People out there say things will be ok, friends and family etc. all the time. The fact that the client actually went to the therapist speaks for itself. Hope that makes sense
Good point!
this was so incredibly real. i felt like i was looking in a mirror at my first therapy appt.
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Audri - You may want to read the description... "The video features an actor playing the character of Lucy, but the dialogue is not scripted, and as such represents a natural therapeutic exchange".
These are actors that are simply displaying a proper CBT interview. It's great for Counseling students such as myself to learn from!
Thank you Galloway Slot Hits for your feedback, much appreciated! And yes - Audri Gharakhanian - as Galloway Slot Hits suggests the character of "Lucy" is played by an actor. This is certainly not a perfect example of therapy and, as you suggest, there is always room for improvement! I continue to work to try an improve my technique and approach as a Clinical Psychologist.
In what possible way is it "theraputic"?
I hope to work with kids her age in a few years. Adolescence and young adulthood is often a turbulent time, and I went through some hard times in college, so I would love to work in a university. This video is a wonderful example of an intake interview. Thank you!
poor girl. she smiles while talking about all these things that trouble her. that just shows how accustomed she is to masking her pain.
I’m due for my first CBT session next week. This video was supper helpful before I experience my first session.
Thankyou for sharing.
Depression is a serious mental health issue that needs to be spoken more of. Especially in these times and this video really shows how people need to seek help.
Conversation is a key word in the field of psychology. Anxiety, depression, sense of loneliness, suicidal
thoughts are common among those, who are left alone or being affected by killing incidents. A
conversation can help to overcome these negative feelings. So the importance of an empathetic
approach can not be ignored.
According to my views, Listening plays a vital role in a conversation. Before that , asking with all the
compassions can win the trust of the person who lacks from the mental balance. Then only supporting
can become a healing touch to the concerned person and the process can make a difference.
Currently studying how much of an impact empathetic listening can have when working with a client. As a social work major, this video was extremely insightful on how listening and clarifying with a client can be an asset in the field. Great work, thank you!
Mufasa Mufasa Mufasa Thank you for your feedback, I appreciate it =)
Wish I had had a daughter like her ...She REALLY brings out my maternal instincts !
Judith, I LOVE watching you....I learn so much.....espec how to show empathy to ones who are suffering...Love the dark hair on you, by the way....Very warm
Hi Evy, thank you for watching and for your kind feedback!
I can feel her.I cried in my 1st session.😢
This was a great counselling session and very true to life. I've had these types of thoughts before with depression and it was interesting to see someone else in a session and understand it from the counsellors perspective and see the different types of thought and the cycle that keeps people stuck in depression.
I’ve never had such trauma... You would never expect that having rabbits die would affect you as much as it does. It actually affected me more then when my cat died. Rabbits are like the delicate more adorable versions of dogs and cats. They are very much blessings and a gift to the world when you get them. My first rabbit I had for 7 years, and it was only the very last years of her life we really started bonding a ton, as I had matured a bit more and learned to understand rabbits so much. She definitely helped me throughout her entire life. I realized o had trichotillomania disorder in grade three and she was the only thing that made me stop my impulses from stress. Whenever I felt down she was there. Waking up to her dead body on the ground with fur all over hit me hard. I couldn’t eat, my disorder came back with tremendous force, depression pulled me down. I didn’t think anything could get worse. When my hockey team got me a second rabbit, I felt as soon as we met that i was going to love her. Immediately she felt like a stranger to me, but it did not take long at all for her to win me over! She was so precious, everything about her. Soon my issues started getting better. I was so paranoid that every day I would check for signs, make sure she was ok, wash my hands before entering, all that stuff. When she died it was a blur of all the emotions rushing back. I still remember running up to her and crating her delicate body one last time hoping for a miracle but I expected the worse and it was true. She was gone. I am very introverted so my real best friends in which I can connect with the most are animals. It was really me losing a best friend more then a pet. I lost one of the only things that made me happy. Now all I can think is more bad will happen. I am constantly crying every time I think about it. Sometimes I’ll start telling myself awful things like something worse will happen. I went on a gorgeous cruise and I couldn’t even be thankful for that. I just wanted to be back home because I was in constant fear that something bad would happen. I wanted to be home the entire week. I kept thinking about everything and the memories made me break down. Before my plane ride back home from my trip I had two panic attacks. My mom couldn’t leave the room. I am going to see a therapist because I think adding anxiety and paranoia to my list of problems is enough to make me do bad things to myself. I feel so lost. I don’t know what to do or why or how just two bunnies lead me down this confusing and traumatic path of all bad things. It makes it even harder because I feel like nobody will understand a girl who is this affected my pets. They will think I’m over reacting or want attention. It’s like there is nobody and nothing left to do. My mom has offered that in a year I can choose between cat dog or bunny and I would always choose bunny but at the same time it’s the last thing I would want. It’s just so confusing to me. I’m so tired of all this
Hi love! How are you doing now? Did you decide on getting another bunny?
This is a totally immersive experience vis-a-vis what it is like to come clean about depression. In the patient’s voice there is all the uncertainty of the disease. There are also allusions made to all the classic depression symptoms. Apathy, a lack of motivation, self-criticism, things spinning out of control, social withdrawal, etc., etc., been there and done that, and lots more.
I had my first therapy session today,; this is exactly how I behaved in front of the therapist.
This video is great and it even made me feel better just by watching it. I'm currently dealing with some heavy sadness and I actually called to set up an appointment with a counselor just today. This video gave me an idea of what to expect on my first visit.
-Thank you
Hi JM S, thanks for your comment, I'm so glad you found it useful.
This brought me back more strongly than I expected to my 20s when I was in this position. I think she’s acting this very well
The therapist didn’t let her cry, but still she’s way better than all the therapists that I’ve visited and I lost all the faith in therapy.. all they do is made things much worse and I’m trying to help myself now.. that’s hard
Hope you’re doing well now💓
I really loved watching this video! There's a lot in here! Even if it's an "acted" exchange, it resonated a lot with my experience with depression and also my (best) experience of therapy, i.e. with the therapist who I think helped me the most.
One thing I noticed about this video right from the start, which resonated with my own experience, is how the person in this video seems to look "normal", i.e she's smiling and her body language looks pretty happy from the outside. When I was at my lowest points, I'd often be like this too, at least some of the time, when I was around people. People don't always show depression in stereotypical ways.
I also think this video does a great job of illustrating the irrationality of people's thought processes in depression. For example when she starts talking about her parents fighting, she seems to express a belief that if she does better in school, things will get better between her parents. So in doing so she makes herself "responsible" for her parents' situation. And because of this belief, when her parents get worse, she starts to feel worse about herself. And it's interesting that she is using the words "should" and "deserve". And then she starts expressing a sort of perfectionist belief. This stuff resonates with me a lot.
Like...when I was depressed I'd use a lot of "should" statements, and I also had some irrational beliefs about cause-and-effect, like "If only I did better at this one thing in my life, this other thing would work out better."
And then the thing about how the therapist asks her to describe how she feels, and she responds by saying something that the therapist says she would describe as thoughts, not feelings. I went through this exact same process! I think the distinction between feelings and thoughts, is a critical one. For me learning to distinguish these things kind of laid the groundwork for me to become more aware of my thought processes and then examine and restructure them in a more truthful and empowering way.
Even if this is not a true therapy session, it felt pretty authentic to watch, and I think it illustrates a lot of things that really go on.
Thanks so much for this kind feedback Alex.
Treatment of Depression & Anxiety...... just listen 7 times and see the instant results.... It's spirituality.......
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I could feel the sadness in her eyes.
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She is an actress because in the description it says that it “represents” and initial session. For those wondering
A good counseling process. Good communication from both Therapist and Client.
I remember my visiting to psychiatrists for the first time, before entering his room I was laughing with my friend, was commenting on India vs England cricket match but when I entered in his room my emotions were completely changed..With smile I started telling my problem and did not even know, when I started crying & how that happen but it was relaxing...After 7 months of continuous depression I was relaxed at that day..
Wow! Awesome 👍
As someone who doesn't fully understand depression but is keen to learn more about it, I found the video to be very informative. Will be looking out for more on this subject. Thanks for posting.
+Paul Lilly Thanks Paul =) We're filming some more on Friday - and will hopefully be posting these up after Christmas if not before!
Thanks, Jude, and keep up the great work! 👍😀
This must be a valid session with a model albeit actress giving her own experiences. She is volunteering herself to the session but it is genuine.
I see a clear representation of the elements to Beck´s theory of depression which we have learned about in AS psychology. A negative view on the self - "I feel unworthy" and "I should have done better" Negative view on the world - "There is no one to reach out to, my friends would´t understand" And negative view of the future - "There is no point in going to the lectures"... So these things would suggest that Lucy is suffering with depression. Thanks for the video.
I completely understand the nervous laughter, such a good actress and a well done session ❤️
i've never related to anything as much as this video. i relate to everything that this girl is saying so much. this video really made me realize that i NEED to go get help.
You're exactly right. I was an addict for 18 years and now have 2 years sobriety. I'm a student to become an alcohol/drug counselor. The client's have to want to change and do the work or it will never work. Thanks for sharing...
Thanks for sharing this. I have started to be trained for CBT. It is a learning path for me.
Oh man, it's so hard for me to watch this but I've gone through so many of these problems as well so I get it.
Thumbs up for actresses.. You've my respect.
the young girl seems to take the world on her shoulders trying to be the perfect girl she feels her parents think she could be , trying to be polite and hiding the anger she really feels ..we all have to built a foundation for our self ..self love self respect without the expectations of those around us ...I went to therapy for so long and it helped me have the role models parent figures I never had in a positive way but at the end of the day it comes back to us and going deep within alongside all the things we have learned from others we met along the way .
From a student perspective, I found the speaker issue to be rooted it moving from childhood into adulthood and still attached to homebound values... (please correct me if you disagree) also, at one point the Listener refers to them writing notes, seemingly to which the speaker responds by biting her lip, listener then continues to reflect meaning followed immediately by a question re 'more effort than worth'. the responds using words relating to feeling 'very unworthy' (would that be an element of transference?) I wonder whether speaker refers to the listener ...
would it be considered normal in CBT to not use silence?
and is most reflection (in first session) followed up by question/ clarifying?
this looks exactly like what i learnt from my counseling course in terms of how to build report, listening actively, asking open ended questions etc.
So relatable! There's so much that people with depression go through and that too within themselves that others will never be able to comprehend. I just noticed lately that I always use past tension for my depression as if to show people that I've gotten better even on days when it's worst than ever.
Unfortunately, there's so much taboo tagged on it and also, people including whom we are very intimately involved just don't understand. I remember my Ex, would actually fight with me about why I keep saying she isn't getting the state of my mind. Everything seems impossible, everything seems unreachable and everything seems numb and painless in front of the pain that dwells within.
+Saad nazim Thanks for watching the video and for your response Saad. It's true that mental health problems are still poorly understand and this can lead to stigma and taboo. But I think things are definitely getting better, too =)
+Judith Johnson the part of the world I live in its less to do with taboo and more to do with people nonchalant attitude towards it courtesy lack of knowledge.
do you by any chance do any Skype sessions for people?
Hi Saad, I'm sorry to hear you're struggling with these difficult experiences. I'm afraid I don't do any private therapy work at the moment (I work at Leeds University and for the NHS), but I hope you can find a therapist locally.
+Judith Johnson I certainly hope you do so in the near future. well, I've had therapy sessions actually I've had quite a roller coaster life thus far, having lost parents at a very young age and having no siblings I pretty much had to manage myself and it wasn't until late at age 25 I realised my depression and how it's inflicting me.
+Judith Johnson while I watched this video I felt each and every word she spoke was mine that's how much I related.
Thank you for the video! I feel like this is my calling
thank you Judith for your videos. I'm currently doing my masters in Cognitive Behaviour therapy and find these videos really helpful. I wish you could make some more videos! thanks again!
Sharnelle
+Hephzibah Lopez Thanks for the positive feedback Sharnelle! I should have some more videos up in the next 1-2 weeks.
People are people. Some people smile when they are nervous, look around a lot…people with depression don’t always show it physically.
That was 14 minutes of paraphrasing the client's problems. Where is the CBT?
Ikr, that's how my session went. Like im wasting money for nthg. No new/useful insight.
Absolutely! Complete waste of time!
UnfrozenLeaf
Yeah, where’s the Cock and Ball Torture at?
It's an initial appointment. The therapist is getting a picture of what is going on for the client.
UnfrozenLeaf yeah, I need my testicle cuff
She seems very happy to be in an environment where she can be comfortable with an expert, and understood.
I just discovered your channel, Judith. I really love your approach and watching your videos. I'm going to do my masters in Psychology this year, thank you for all your videos, it's really helpful and interesting to watch.
Did you complete your course and if so what was your experience like? Im an a level psych student and would love to hear your thoughts on the subject.
Hi , we are watching this video as a university project and I am just wondering if you had any frameworks in mind when making this video? (Biomedical, recovery or social)?
Her laughing is just a coping mechanism to hide her true emotions and that’s totally normal for someone to react like that in situations like this
The therapist is creating the narrative for her, asking too many questions, the client should always have tremendous space for her to talk. A therapy session must be at least 70% the client talking. She can only give short response if shes asked question after question. Everything she says doesn't need to be repeated as a therapy technique, she also need a real person to listen to her empathically and intuitively. Otherwise it feels a bit like talking with an AI. Let her go deeper and deeper with her own thoughts, never ever to be interrupted. The therapist does an amazing job at validating her feelings
Deciding to go to a therapist is a big step forward. Smiling is just the outer cloak we are wearing but underneath it's a whirlwind. People should realise how and what kind of thoughts we process continuously when alone.
This video was amazing the girl is amazing one of the hardest things to do is speak forward about your depression i feel like she is more lost than anything though. i feel like she accepts her low mood cos its just easier that way as a lot of people do including my self its hard to find the motivation for a end goal, i want to be a Doctor though i want to help people just like this girl, i want to help the world. we can all achieve our dreams and none of us are truly alone. speak out about depression and how you feel but mainly look with in your self to see why you feel like that if you struggle go see a Doctor
CBT talk therapy does help clear things in the minds of people with depression. What I'm not so sure about is if a person still has to live in the toxic environment that triggered the depression ... how can this technique help them to cope ?? Please respond and throw some light on this for us. Thanks !!
Thanks for the video Judith...currently undertaking my level 4 counselling. This has been a great help to see what appears to be a mix of person centred and CBT?
This is the first video of yours I watched. I watched it because I have felt depressed for a long time, I hope I can gain the courage to tell my mom soon. I decided to watch this video also because I wanted to see what a session of therapy would be like.
I feel safer now, knowing that I'm not the only one. Also that if the questions are always like this I can answer them with out feeling invaded.
Great video. I’m going to school for psychology with a concentration in addiction and child and adolescents. I want to help addicts and their family members who don’t have health insurance. Hope to be where you are soon.
I found this really helpful for my counseling class but I wish I understood the stages between the session
This Video felt so natural and apt.
wow, I am so impressed about her acting!she should became a famous actress
i really want to start therapy sessions but i legit will be speechless. I just couldn’t imagine the fact that i’m venting out the problems no one knows i’ve had and my social anxiety just worsen it like 10x. I’m not good with communications either and if someone ask me about my problem i don’t even know where to start, i can’t focus on one problem and i’ll get lost and sat there nervously or maybe have an anxiety attack. I don’t know what to do, i can’t talk to anyone in my family because they’re all still from stone age and thought that teenagers don’t have the reasons to have mental illnesses. I don’t have friends either.
Is there anyway possible that I can get to see the 2nd session?
They are a horrible therapist though. She's just repeating what she's saying. She askes "are you ok" and the girl suppressed the crying. Therapy takes emotion work yourself, the therapist is there to help you guide and see a new light and way of thinking and you have to apply it.
I love listening to these for some reason
Seeing Lucy is like seeing myself if I am talking to a Therapist which I never did. I feel so unmotivated right now and I feel like I'm a disappointment to family and teachers. And I'm now having a breakdown because just now my family said that "You're now 14, you gottta at least read a book" I'm having an exam next week and I feel so unmotivated and I'm so stress out and I'm crying uncontrollably.
C: "Hi my name is lucy"... T: " so I understood that you said your name is Lucy?" C: "I am sad" T; " I hear you say you are a sad. is this correct?" I hate when therapists repeat every statement you make. I sounds like a call center employee
a bunch of people in the comments, who have no clue what therapy means. This session was good. The therapist is repeating to help her client to connect to her emotions, because, what most people dont know, is that depression also occurs disconnecting from self and gives a distorted view on life. Also, repeating is validating and making the client to hear what she says from other voices, so she would have a better view on her cognitions.
To me it's just repeating.
I agree. for some smart people or who have the psychological insight they would get angry and a much more unhealthy patient like a BPD might even say "If I wanted a parrot I would have bought one' Often BPD clients are very smart and perceptive and sometimes psychologically minded.
This is actually a technique used in therapy called reflection. It allows the client to really understand the words that they are saying and form another thought from that.
It's self-affirming to hear that the therapist is actually listening and understanding. Also. If you said something and then when the therapist says it back you realise that's not entirely true it gives you the opportunity to speak further on the matter instead of the session bulldozing right through with little regard to how you're actually doing. That's what the goal is. To actually listen and show you're listening. Therapy is not just about talking but allowing the service user to think, confirm, accept and verbalize that that's how thing are going. Makes things more real and helps with the healing process.
This is a great representation of counselling. She could almost be me!
is there any complete sessions playlist of this (CBT) therapy -complete case study?
Very nice video, gives me an interesting peek inside what kind of work therapists do and what therapy is like
She’s me - my female mirror
Therapy gives you a different angle to help understand what you don’t. You have to have all the tools to repair the emotional issues and without the therapist and the skill set and training , you will never have the tools you need. Period. Period. And period.
Is it appropriate to stop her from crying, and ask "are you okay?"
Mental health counseling grad student here - from what I’ve gathered in my internship experience, I think a better way to ask this is to ask, “What’s on your mind right now?” Or “I noticed you started to tear up when I said (so and so), what feelings did that bring up for you?” There are better ways to ask I’m sure but I think just asking “Are you okay” is close-ended and could prevent the client from elaborating :)
@@internallyscreaming90 I agree. I also think it's appropriate to allow the client the space to cry or however they express emotion in silence before asking a question
No its not appropriate. It's better if you just wait and just sit there quietly, it feels better. I had a therapist who kept asking if I was okay, I never went back to her.
this might have been a break in character, worried that the actor was emotionally distressed
Rather than asking if she was okay, you may instead appreciate her effort for seeing u as the therapist and make her feel supportive and positive and make her feel comfortable. In this video the therapist is paraphrasing for a long time.
In this modern world with life so fast, we barely get time to speak and to be heard till we develop mind full of negative thoughts which is worsed by family issues / bullying / Breakups and financial crises, all these things need a listener before it gets into any psycotic disorders.
Psychologists play a vital role not just making early intervention but also making critical analysis but also strategizing the everything to help the person get out as soon possible..
Undoubtedly most people cant feel power of session until they get through same breakup or else.
Wonderful, I look forward to it!!
"The video features an actor playing the character of Lucy, *but the dialogue is not scripted, and as such represents a natural therapeutic exchange* "
Excellent video! Very natural flow of conversation, solid trust being established. I could relate to the many symptons of depression when i was back in high school! There was a time where you asked "Are you OK?" Would you think of changing that? To me the visitor was held back from some raw emotional release. I feel it would be even better if she stopped the coping smiles and just let her true emotions be shown. what are your thoughts?
Yeah Im borderline and those coping smiles are a last line of defense, good point.
A➡️C therapy
1. Identify activating events
2. Jump the behaviour part
3. Consequences- reframe them by conducting experiments to check if they are right or wrong
Very helpful. I was hoping to see how the session would be concluded and how the 'moving on' part would be addressed, yknow?
Wow, I thought she was a real person. Like I could relate to this, great acting.
Is she actually acting?? Or is it a real session??
The therapist seems to be using techniques of supporting, probing/questioning, summarizing, and empathizing. I'm currently taking a group facilitating class, so I'm testing to see if I can spot different techniques used by a facilitator; in this case, the therapist.
Identifying thought and behavioural patterns too.
It's difficult to judge a media performance by 2 minutes into it. However ECT is the equivalent of a sledgehammer blow into the brain depending on the level of seizure. Social acceptance is the technique employed to legitimise the procedure.
This video covers the 5 area model, aka the hot cross bun formulation, just with situation taken into consideration too. Just for anyone who's looking for any examples of it being used.