Oh ok cheers. Where I went it was all CBT. we did have a guy who was also at the addiction place though (I think), so he mighta done something different while there. but a our unit it was CBT. have u ever worked with anxiety disorders?
Lots of the people I work with have anxiety disorders, but there are pretty much no pure cases (i.e. where that is their "only" problem or even their primary one).
Were you seeing a therapist weekly, or were you at more of a day treatment program/group-based thing? I can't imagine doing individual therapy "just" CBT, but groups often seem to.
hey has anyone ever told you some heinous crime they have committed and if so are you sworn to secrecy or at liberty to inform the police?
1. Of course people have disclosed crimes.
2. I am neither at liberity nor permitted to tell the police of past crimes, unless they warrant a 51-A being filed (which would mean recent and/or ongoing of abuse of a child or an elder). I am neither at liberty nor permitted to NOT act in some fashion or other to try and prevent my clients from harming themselves or others, so if they disclose plans for future crimes such as assault or murder, I have to act, just as I do if they say they're planning suicide (and seem, through what they say/don't say/various factors, likely to actually act on it). Though, if they have a specific target for harming someone else, the police may need to be involved (called a Tarasoff), where as if they're simply suicidal and/or homiciald to the point of danger to self or others, it's an issue of having them evaluated for hospitalization. Lot of gray area, but them's the generalities.
The interesting part is "how do I document this" when I DON'T have to break confidentiality but do have to accurately document the session. Records can be supoena'ed. I've stopped folks before and reminded them of this before they could disclose something potentially damaging, so they could make an informed decision about what to say. We have forms people fill out saying they know the limits of confidentiality but nobody ever bloody reads them.
Oh ok cheers. Where I went it was all CBT. we did have a guy who was also at the addiction place though (I think), so he mighta done something different while there. but a our unit it was CBT. have u ever worked with anxiety disorders?
Lots of the people I work with have anxiety disorders, but there are pretty much no pure cases (i.e. where that is their "only" problem or even their primary one).
Were you seeing a therapist weekly, or were you at more of a day treatment program/group-based thing? I can't imagine doing individual therapy "just" CBT, but groups often seem to.
I was in a residential unit for 12 weeks, so I was living with other people with mostly OCD and BDD, but there were a couple others like PTSD too. we had groups but the therapy was all individual.
/wonders what "pure" CBT individual therapy would actually end up looking like
I would guess there mjust be other clinical skills integrated or it would never work. CBT in and of itself is all technique-focused. Like... well, like calling toppings without ice cream a sundae, I guess is the best similie I can come up with.
