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D240 TMA-02 compare and contrast cbt and mindfulness in understanding and working with fear and sadness

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Introduction

´╗┐PI: xxxxx D240 Counselling: Exploring fear and sadness. TMA02 Total word count: 2000 words. Total pages: 12 PI number: xxxxxx Name: xxxxxxxx Depression and anxiety, being the largest single cause of disability in our society are serious and the most common debilitating mental illnesses associated with significant human and economic costs (Mind, 2009). NICE guidelines states people diagnosed with these conditions should be offered evidence based therapies as an effective treatment (DH, 2011) and has approved Cognitive-behavioural therapy (CBT) and mindfulness to be available in the NHS (NHS, 2011). CBT considers thought, emotion, and behaviour to be interrelated seeking to help clients monitor their cognition and actions so as to help improve their emotional health and life satisfaction (APA, 2011). While mindfulness is intentionally being present in this moment in a non-judgemental way helping us break free from a downward spiral of negative thought and action enabling us to make positive choices while neutralizing fear and sadness (MHF,2012). The purpose of this assignment is to describe various components of CBT and mindfulness, compare and contrast them in understanding and working with fear and sadness, their limitations and advantages and explain the reasons for my inclinations towards CBT before conclusion. CBT is a goal-orientated, practical and structured therapy creating a collaborative and therapeutic rapport between client and therapist through ?shared understanding? in identifying common safety seeking behavioural patterns in response to the misinterpreted situations associated with fear and sadness; and changing the way of thinking(cognitive) ...read more.

Middle

Both the therapies are short-term and cost-effective; while CBT is the most researched of all mind?body interventions, mindfulness-based activities are also receiving increasing interest and study for its usefulness in physical as well as mental conditions (Brown and Ryan, 2003). In CBT and mindfulness, therapeutic alliance is established between client and therapist; aiming to develop personal practical skills for the individual to attribute improvement in their problems through home works and activities (BABCP, 2012). Although, online and self-help approaches are widely used to practice both the therapies. Both therapies focus on the present moment rather than past; however CBT requires client?s brief history to assess its impact on client?s perceptions and behaviour (Salkovskis, 2010, chapter 7, p. 156). But considering more to the present moment, both therapies can be criticized as failure to identify the underlying causes of the mental conditions which might have had great impact like childhood traumas and in encouraging clients to change their thoughts and behaviour, family and social issues may be overlooked (NHS,2010). CBT has been proven to work as well as antidepressants for many forms of depression and even slightly better than antidepressants in helping anxiety (RCPsych, 2012). Alternatively, mindfulness embraces anxiety and depression under common Buddhist concept of sufferings (Barker, 2010, Chapter 8, p.173) which could arguably attach a religious logo. Nonetheless, neurobiological and neuropsychological studies indicate that mindfulness interventions are associated with significant improved level of changes in brain function in attention, memory, and executive functions as well as reduced emotional reactivity and imbalance (Chiesa, 2012). ...read more.

Conclusion

16. Mental Health Foundation (2012) Mindfulness, Retrieved from http://www.mentalhealth.org.uk/help-information/mental-health-a-z/M/mindfulness/ (accessed 1st July, 2012). 17. MIND (2009) For Better Mental Health, Mind Conferences 2009, Retrieved from http://www.mind.org.uk/conferences/mind_conferences_2009_presentations (accessed 28th June, 2012). 18. MIND (2012) For Better Mental Health, Making sense of cognitive behaviour therapy, Retrieved from http://www.mind.org.uk/help/medical_and_alternative_care/making_sense_of_cognitive_behaviour_therapy (accessed 11th July, 2012). 19. Nanda, J. (Speaker) (2010) Excerpt 12: Mindfulness [Audio CD 2, D240], Milton Keynes: The Open University. 20. National Health Service (2010) Cognitive behavioural therapy- Considerations, Retrieved from http://www.nhs.uk/Conditions/Cognitive-behavioural-therapy/Pages/Advantages.aspx (accessed 7th July, 2012). 21. National Health Service (2011) Counselling - Talking therapies, Retrieved from http://www.nhs.uk/Conditions/Counselling/Pages/Talking-therapies.aspx (accessed 29th June, 2012). 22. National Health Service (2012) IAPT programme 2012, Relieving distress, transforming lives, Retrieved from http://www.iapt.nhs.uk/ (accessed 28th June, 2012). 23. Oxford Medical Centre (2012) Mindfulness and Depression, Retrieved from http://oxfordmindfulness.org/about-mindfulness/mindfulness-and-depression/ (accessed 30th June, 2012). 24. Pössel, P. (2011) Eberhard-Karls-University, Can Beck’s Theory of Depression and the Response Style Theory be Integrated? Open University library, Retrieved from http://ehis.ebscohost.com.libezproxy.open.ac.uk/eds/pdfviewer/pdfviewer?vid=2&hid=6&sid=a93bdb0b-cf57-471d-9c3c-9e99126427d2%40sessionmgr4 (accessed 30th June, 2012). 25. Salkovskis, M., P. (2010) Cognitive-behavioural therapy, In Barker, M., Vossler, A. and Langdridge, D. (Eds.), Understanding counselling and psychotherapy, Milton Keynes: The Open University. 26. Strong, P. (2011) Psychology today, Panic Attacks: The Mindfulness Therapy Approach to Anxiety, Retrieved from http://www.psychologytoday.com/blog/the-mindfulness approach/201103/panic-attacks-the-mindfulness-therapy-approach-anxiety (accessed 28th June, 2012). 27. The Royal College of Psychiatrists (2012) Cognitive Behavioural Therapy, Retrieved from http://www.rcpsych.ac.uk/mentalhealthinformation/therapies/cognitivebehaviouraltherapy.aspx (accessed 1st July, 2012). SELF REFLECTION: This assignment has helped me to learn important aspects of CBT and mindfulness, helping me to develop skills to deal with my own fear and sadness issues. Though, finding facts to compare and contrasting both therapies and squeezing too much information in a set format was a challenge I faced. ...read more.

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