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Cognitive Behavioral Therapy (CBT) is a therapeutic intervention that challenges irrational and destructive cognitive distortions. The idea is that by identifying, challenging, and restating irrational thoughts into rational ones, the individual will be able to do so quickly on his or her own. He or she would be able to modify thoughts, which directly would modify the emotions and behaviors associated with such thoughts (Epstein and Baucom, 2002). According to Hawley et al. 2017, positive change in one’s attitude, thoughts, and emotions results in an improvement in one’s behavior and intimately, improvement in depressive symptoms.

Since CBT is a short-term psychotherapy, it is usually expected to show positive outcomes in six to twenty sessions. Often Interpersonal Psychotherapy is used with Cognitive Behavioral Therapy for optimal results in symptom severity and frequency of depression (Keisler, 1996). The existential-humanistic approach to psychotherapy reflects a dynamic middle ground between circumspection and optimism, struggle and possibility, and realism and capacity for change (Schneider, 2016). The humanistic-existential approach to psychotherapy emphasizes holism, self-actualization, facilitative communication, and the therapeutic relationship, all of which can benefit patients in addiction recovery. It views human nature as fundamentally good, with the potential to maintain healthy, meaningful relationships and make choices that serve oneself and others.

This approach focuses on personal responsibility and individual freedom. The humanistic-existential theory reveals that humans are complex beings with unique experiences, thoughts, and behaviors that all deserve respect. When this element is present, relationships can be built, providing a foundation for change. K.C. is a 22-year-old female with a two-year history of depression and has been on antidepressants throughout. She was laid off due to COVID-19, lost her insurance, and was unable to afford her medication. Her PHQ-9 score increased from 9 to 12 over six weeks, with slight weight gain. She remains positive about recovery and has been supported by her caseworker to obtain insurance and counseling services. CBT is recognized as effective for depression, PTSD, and anxiety and can be delivered in various formats, including group settings, self-help books, and computer programs. It provides practical skills that can be used daily. Challenges include the need for commitment, potential unsuitability for complex mental health needs, and limitations in addressing underlying systemic or familial issues.

For the case of Esi, a young woman with no prior mental health diagnosis but who fell into depression after a breakup during the pandemic, humanistic-existential therapy could be particularly beneficial. Esi feels worthless due to her partner's rejection based on her weight gain, leading to low self-esteem. A person-centered, optimistic approach that emphasizes her potential and inherent worth can foster self-acceptance and resilience. Humanistic-existential therapy focuses on individual behavior, respect for personal experiences, and fostering hope, which can help Esi rebuild her self-esteem. However, it has limitations, such as difficulty in confronting inner fears in clients who are afraid of facing their inner selves. This therapy's emphasis on potential and positive regard aligns with Esi’s needs to see her worth and to develop self-compassion.

The choice of psychotherapy methods should consider the client’s unique circumstances and needs. While CBT offers structured, skills-based strategies to manage depressive symptoms efficiently, humanistic-existential therapy provides a space for exploring personal meaning and fostering self-understanding. Combining approaches might be optimal—for instance, using CBT for symptom management while leveraging humanistic principles to build self-esteem and personal growth. The therapist’s role includes assessing client readiness, motivation, and psychological resilience to select the most effective therapeutic approach. Ethical considerations, including respecting client autonomy and maintaining confidentiality, are essential in any therapeutic process (American Psychological Association, 2017).

Sample Paper For Above instruction

Introduction

Psychotherapy encompasses a broad spectrum of treatment paradigms designed to address various mental health issues. Among these, Cognitive Behavioral Therapy (CBT) and humanistic-existential therapy are two prominent approaches, each with distinct theoretical foundations and practical applications. This paper explores the efficacy and appropriateness of these therapies in treating depression and related psychological issues, highlighting their key features, strengths, limitations, and suitability for different client profiles.

Cognitive Behavioral Therapy (CBT)

CBT is a structured, evidence-based psychotherapeutic approach that targets irrational and maladaptive thoughts contributing to emotional distress and behavioral problems. Its core principle is that cognition influences emotion and behavior; thus, by modifying distorted thoughts, individuals can experience improvements in mood and functioning (Epstein & Baucom, 2002). CBT is typically short-term, often comprising 6 to 20 sessions, making it accessible and cost-effective (Hawley et al., 2017). It emphasizes skill acquisition, such as cognitive restructuring, behavioral activation, and problem-solving, which clients can apply independently beyond therapy sessions. The structured nature allows for diverse delivery formats—individual, group, online, or self-help—enhancing accessibility (Wheeler, 2014).

Empirical research consistently demonstrates the efficacy of CBT in treating depression, anxiety disorders, PTSD, and other conditions (Hofmann et al., 2012). Its emphasis on practical skills enables clients to manage symptoms proactively and develop resilience. For example, a client with depression learns to challenge negative automatic thoughts and gradually engages in pleasurable activities, leading to mood improvement. Nonetheless, CBT has limitations; it requires client motivation and commitment, and its structured format may not suit individuals with complex mental health issues who need exploration of underlying causes (Beutler et al., 2011). Additionally, CBT might not sufficiently address systemic or familial factors that influence mental health (Fairburn & Harrison, 2003).

Humanistic-Existential Therapy

In contrast, humanistic-existential therapy emphasizes personal growth, self-awareness, and the inherent potential for change. Rooted in the humanistic tradition, it views humans as fundamentally good and capable of self-actualization when provided with a supportive therapeutic environment (Schneider, 2016). This approach encourages clients to explore their authentic selves, develop meaning, and take responsibility for their choices. It is client-centered, emphasizing empathy, unconditional positive regard, and genuineness, often making therapy a collaborative and empowering process.

Humanistic-existential therapy is particularly suited for clients facing identity issues, existential crises, or low self-esteem, such as Esi in the presented case. Esi’s feelings of worthlessness and low self-esteem following rejection can be addressed by fostering self-compassion, hope, and resilience. The therapy’s optimistic stance and focus on potential align with Esi’s needs to rebuild her self-confidence. However, limitations include that clients with profound fears or those unwilling to confront their inner selves may find it difficult to engage fully (Kirk et al., 2014). Its less directive nature might also mean slower progress in alleviating specific symptoms compared to CBT.

Integrating Approaches for Optimal Outcomes

Both therapies offer valuable tools; combining them can provide a comprehensive treatment plan. For depression, CBT’s structure can help clients develop coping skills rapidly, while humanistic-existential therapy can support emotional resilience and meaning-making. For instance, a therapist might utilize cognitive restructuring alongside exploring clients’ values and personal strengths, fostering a holistic path to recovery (Yalom & Leszcz, 2020). Ethical practice mandates respecting client preferences, cultural background, and readiness, integrating approaches that best serve individual needs (American Psychological Association, 2017).

Conclusion

In summary, CBT and humanistic-existential therapy are complementary modalities with distinct strengths and limitations. CBT’s evidence-based, skills-driven framework excels in symptom reduction, while humanistic-existential therapy’s emphasis on personal growth offers a profound pathway for self-discovery and resilience. Tailoring therapy to the client’s personality, circumstances, and goals ensures the best outcomes. An understanding of these therapies allows clinicians to select and integrate approaches effectively, ultimately enhancing mental health treatment efficacy and client well-being.

References

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