In their established introduction to contemporary CBT theory and practice, Diana Sanders and Frank Wills show how therapeutic change takes place across a network of cognitive, emotional and behavioral functioning. They explain the central concepts of CBT and illustrate - with numerous case examples - how these can effectively be put into practice at each stage of the therapeutic process. The revised book now includes: • Recent developments in CBT, i.e., new settings and applications including guided self-help, computerized CBT, IAPT & stepped care • Two brand new chapters on mindfulness and increasing access to CBT • Extra case studies, chapter previews, exercises and further reading, plus an appendix of further resources • Coverage of a wider range of client issues This continues to be the ideal companion for those working - or training to work - in the psychological therapies and mental health.
Chapter 3: Assessing and Formulating Clients for CBT
Assessing and Formulating Clients for CBT
Mutual appraisal is a natural part of much human interaction. When therapists first meet clients, they seek to appraise the nature and extent of the problems clients bring (to assess); to understand the mechanisms that drive the problems (to formulate) before seeking to ameliorate those problems (to treat). Clients naturally also appraise therapists, and this can be formalised using rating forms such as those of Burns and Auerbach (1996). Assessing and formulating clients may be regarded as the ‘pre-treatment phase’ (Persons, 2008), though therapy can begin at any time: for example, a good initial telephone call may set up a therapeutic bond and lead to symptom relief as the client is ‘re-moralised’ (Howard ...