Solution-Focused and Cognitive Behavioral Family Therapy Essay

Posted: December 16th, 2022

Solution-Focused and Cognitive Behavioral Family Therapy Essay

Week 5: Solution-Focused and Cognitive Behavioral Family Therapy When solution-focused and cognitive behavioral family therapy proved effective with individuals, therapists began applying these approaches to families. However, it quickly became evident that the translation of these approaches from individuals to families was more difficult than expected. Consider how you can successfully apply these therapies to your client families. Is one approach more effective than the other? What are the challenges of using these therapeutic approaches with families? This week, as you continue exploring therapeutic approaches and their appropriateness for client families, you examine solution-focused and cognitive behavioral therapy. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients. Assignment 1: Practicum – Week 5 Journal Entry Learning Objectives Students will: Solution-Focused and Cognitive Behavioral Family Therapy Essay.  • Develop effective documentation skills for family therapy sessions * • Develop diagnoses for clients receiving family psychotherapy * • Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families * • Analyze legal and ethical implications of counseling clients with psychiatric disorders * * The Assignment related to this Learning Objective is introduced this week and submitted in Week 7. Select a client you observed or counseled this week during a family therapy Then, address in your Practicum Journal the following: • Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session. • Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications. • Using the DSM-5, explain and justify your diagnosis for each client. • Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches. • Explain any legal and/or ethical implications related to counseling each client. • Support your approach with evidence-based literature. • Include introduction and conclusion. Solution-Focused and Cognitive Behavioral Family Therapy Essay


A lot of evidence exists on the effectiveness of solution-focused and CBT for anxiety disorders. Instead of attacking issues, this therapy approach seeks possible solutions to produce positive results by maximizing on aspirations and desires to promote achievements and de-emphasizes in the past. As pioneered by Ellis and Beck, CBT upholds that, maladaptive behaviors are major contributors to emotional distress and behavioral issues. Maladaptive behaviors are such as schemas and general world beliefs that result in certain situational automated thoughts. Therapeutic strategies in the CBT model aim at changing maladaptive thoughts and behaviors resulting in significant changes in emotions, behavior and psychological distress. This paper describes the application of solution-focused and cognitive behavioral therapy for patients with general anxiety disorder in family settings. A discussion of the legal and ethical implications related to counseling these clients will also be provided.  Solution-Focused and Cognitive Behavioral Family Therapy Essay

Client Description, Pertinent History, Medical Information, and Prescribed Medications

            For this assignment, the patient was a 20-year-old white American male and was attending CBT therapy day 4-session four for General anxiety disorder.  Recently, this patient had been seen in the ED for difficulty in breathing, chest tightness and sense of imminent doom. He still lives with his mother who is divorced and a younger brother who is 15 years old. Recently, the patient was fired from his full-time job. He used to work as a surgical technician in a medical hospital before being fired for anger outbursts to his coworkers. The client actively participated in the entire therapy session and reported feelings of imminent doom, nervousness and a blah mood. His mental status was normal, reported no suicidal ideations but had improved coping abilities and less severe symptoms. Currently, the patient was planning to return to college to pursue a nursing degree but finds it difficult to concentrate due to the underlying anxiety disorder. He takes Zoloft 50mg daily. Solution-Focused and Cognitive Behavioral Family Therapy Essay

Diagnosis Justification for the Client

            Based on the DSM-V criteria for diagnosing mental health disorders, a diagnosis of general anxiety disorder is made when a client presents with complaints of excessive worry and anxiety which is very difficult to control. This worry should be accompanied with either three of cognitive or physical symptoms of restlessness, easy fatigue, impaired concentration, sleep disturbance, and irritability. The anxiety/worry and associated symptoms also make it difficult to execute activities of daily life at work or in relationships (Sachdev, et al., 2015). Similarly, the client, in this case, presented with complaints of difficulty concentrating, excessive anxiety and worry, feelings of imminent doom and a blah mood. The frequent anger outbursts negatively impacted his relationship with colleagues at the workplace and resulted in termination from work. This presentation meets this criterion, hence the diagnosis of general anxiety disorder.


Whether Solution-Focused or Cognitive Behavioral Therapy Would Be More Effective With This Family and Expected Outcomes. Solution-Focused and Cognitive Behavioral Family Therapy Essay

            With this family, both solution-focused and cognitive behavioral therapy would be more effective. Solution-focused therapy is a collaborative and goal-oriented approach that is done by directly observing the responses of clients through a series of questions that have been accurately been constructed. It lays emphasis on finding present solutions and explores an individual’s hope for the future (Lutz, 2017).  In this case, it would best be applied to solve existing family dysfunctions and how best to relate with people. The expected outcome of using solution-focused therapy for this family is an improvement in the quality of life, family and social relations.

As supported by Kaczkurkin & Foa (2015), CBT would be used to empower the client with different ways of behaving, thinking and reacting to situations which reduce worry and anxiety. These maladaptive behaviors are major contributors to the client’s frequent anger outbursts, difficulty concentrating, a blah mood and feelings of imminent doom. By examining unhelpful thought and behavioral patterns, it is expected that the client will develop more effective ways of thinking about situations that are challenging and be able to continue his education by pursuing a nursing degree. Solution-Focused and Cognitive Behavioral Family Therapy Essay

Legal/Ethical Implications Related To Counseling Each Client

For most clients suffering from general anxiety disorder and need proactive care, it is likely that they might be coerced into medications and therapy that they do not want which is a violation of the ethical principle of autonomy (Fried, et al., 2017). It is also possible that a client might decline treatment which causes more harm than good and conflicts the ethical principle of non-maleficence on the part of a mental nurse practitioner.


Patients with general anxiety disorders present with a wide range of needs starting with psychological, emotional and physical needs. These needs can be well addressed using cognitive behavioral therapy and solution focused therapy. Major ethical issues in dealing with clients with general anxiety disorders are those of autonomy and non-maleficence. Mental health practitioners ought to strike a balance in respecting a patient’s decision regarding treatment and ensuring that no harm is done to the patient. Solution-Focused and Cognitive Behavioral Family Therapy Essay


Fried, E. I., van Borkulo, C. D., Cramer, A. O., Boschloo, L., Schoevers, R. A., & Borsboom, D. (2017). Mental disorders as networks of problems: a review of recent insights. Social Psychiatry and Psychiatric Epidemiology52(1), 1-10.

Kaczkurkin, A. N., & Foa, E. B. (2015). Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues in clinical neuroscience17(3), 337.

Lutz, A. B. (2017). 16.3 Solution-Focused Therapy. Journal of the American Academy of Child & Adolescent Psychiatry56(10), S24.

Sachdev, P. S., Mohan, A., Taylor, L., & Jeste, D. V. (2015). DSM-5 and mental disorders in older individuals: an overview. Harvard review of psychiatry23(5), 320. Solution-Focused and Cognitive Behavioral Family Therapy Essay

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