According to Beck, it’s suggested that dealing in line of concept an individual will react to his or her thoughts and feelings considerably whether then their external stimuli. In addition, Beck explains (CBT) known as cognitive behavioral therapy, helps clients reconsider the realism of their psychological, distressful thoughts, altering distortional reasoning, and the examination of schemata (1979).  The text will aid in proving clarity of Codrina therapy plan; Taking a closer look at Codrina’s behavioral problem, it’s clear that it stems from her having isolation during comes her upbringing.

       Codrina was raised in a Russian orphanage until the age of sixteen. In addition she had to deal with the effects of being abandoned by her parents at an early age.  Codrina also finds it hard to trust due to abusive relationships and infidelity in her marriage. This would be understandable of why she finds it difficult to trust others. Knowing the past history of Codrina, the main goal of the cognitive behavioral therapy, is to aid Codrina in identifying her trust issues she has and to find a way to help her trust again. It’s all about helping her face the issues head on and work through it. Codrina false perceptions lead to her negative thinking.

     Intellectual twists are essentially ways that our psyche persuades us regarding something that isn’t generally valid. These wrong contemplations are generally used to strengthen negative intuition or feelings — revealing to ourselves things that sound normal and precise, however truly just serve to keep us feeling terrible about ourselves. For example, a man may let themselves know, “I generally come up short when I attempt to explore new territory; I thusly come up short at all that I attempt.” This is a case of “dark or white” (or energized) considering. The individual is just observing things in absolutes — that on the off chance that they fizzle at a certain something, they should flop at all things.



In the event that they included, “I should be a total washout and disappointment” to their reasoning, that would likewise be a case of overgeneralization — taking a disappointment at one particular errand and summing it up their exceptionally self and personality. Subjective twists are at the center of what numerous intellectual behavioral and different sorts of specialists help out a man figure out how to change in psychotherapy. By figuring out how to accurately distinguish this sort of “stinkin’ thinkin’,” a man can then answer the negative recalling, and disprove it. By invalidating the negative thoroughly considering and over once more, it will gradually reduce additional time and be naturally supplanted by more objective, adjusted considering. 

     So After understanding this, my goals would not be to show her that she is wrong for her outlooks and actions, but to help her work through her emotional stage with a new way of thinking. Cognitive therapy has been implemented over the years to defuse these negative thoughts that Codrina possess. Therapy will help challenge these thoughts which could help Codrina with her issues whether it’s depression, anxiety, lack of trust, and fear.  All these areas play a major role in Codrina’s case. Another point that should be considered is that CT is extremely important when it comes to aiding individuals who suffer from anger management problems. 



    In addition, it is also known to help with insomnia so that Codrina can have better sleep and not worry of the troubles she has faced over the years. If this is done properly, Codrina will have better sessions in therapy; knowing that Codrina has issues with abuse and anxiety, it could cause issues with her sleeping and concentrating. I would also like to focus on helping Codrina with her abandonment issues. I would like for Codrina to have a better thought process when it comes to her parents leaving her at such an early age. For example, allowing her to view that maybe her parents could not afford to take care of her at that time. Therefore the option that was best was to make sure that she had the best life possible.

      My goals may be different than Codrina’s goals when in therapy because, Codrina shows a lack of interest and may reject my assistance in her treatment. In this case, it could be extremely difficult to have Codrina open up to me about her issues for her treatment plan. Codrina trust issues will not allow her to be vulnerable to share her deepest concerns and receive the care that she deserves. She could very well have a hard time feeling that just as her parents once did, that I may abandon her and therefore she will be alone. Considering of what Codrina has mentioned I find that she has been through many environmental stressors that are possibly responsible for her behavioral issues.



     In this case, my treatment must involve some environmental stressors that may have caused her issues as a child. Knowing all of this, when it comes to her treatment, I have to have unconditional empathy, a safe environment, and patience showing that I can be someone she can trust and depend on for support. I would have to understand my boundaries and give her time to speak out when she is ready. Another factor that should be taken into consideration is that, the cognitive distortion that Codrina could be suffering is filter. This could be from Codrina taking the negative details of her past and magnifying them while filtering out the positive aspects. For example, for years Codrina was in abusive relationships, she was in an orphanage until the age of sixteen, and abandon by her parents in her early years. These experiences could cause Codrina to have black and white thinking. Much will have to be done, but in her own time to change this type of logic.

      Before moving forward, I would like to add that my argument of Codrina having a distorted view of reality may be new for her. In this case, I would want Codrina to be more expressive about her childhood experiences whether good or bad. I also will be willing to hear what Codrina would be expecting of me resting my therapy sources as the divorces.



When it comes to two cognitive distortions that Codrina could be experiencing one would be Schizophrenia. From research, this illness is described as “a chronic and severe mental disorder that affects how a person thinks, feels, and behaves. People with schizophrenia may seem like they have lost touch with reality this illness can be very disabling” (nimh.nih.gov, 2017). Some of these symptoms that are seen in Codrina would be social withdrawal, loss of motivation, lack of hygiene and lack of judgment. I would like to also address that Codrina was also subject to factors that cause schizophrenia. This would be social isolation and the lack of parental care. After knowing this, I would have to say that schizophrenia may be the case for Codrina.

      I would like to focus next on assisting Codrina to overcome depression. Constant thoughts that Codrina has that are negative will cause depression. These are thoughts that are automatic that usually happen without conscious effort.  For example, Codrina states that she does not trust other individuals. This logic could be because of mistrust in her abusive relationships. In addition, this is the reason she doubts the love of her husband. With Cognitive therapy my goal is to help Codrina rid of these automatic negative thoughts, and prepare the way for her to begin to live trusting others again. In time, Codrina will be capable to discover and correct the deep held false beliefs that contribute to her depression.



As a therapist, I would implement several great techniques to n treat these conditions of Codrina. One technique would be validity testing, I find that having Codrina to defend her logic on abandonment and trust issues she has.  If Codrina is not able to support these beliefs with evidence supporting it, then it displays faultiness in her logic. Another great technique would be cognitive rehearsal; when implementing this technique, I would allow Codrina to express her views on her parents abandoning her; in addition I will work with her by practicing how to effectively cope with this issue. The rehearsal behavior will ultimately help Codrina again if faced with this similar issue. 

     Finally, I would implement guided discovery; when implementing this technique I will ask Codrina a series of questions, to guide her toward her cognitive distortions. Once she is clear on this distortion, it will be much easier for Codrina to face and solve her issue. Knowing that cognitive therapy is implemented in many illnesses and sometimes implemented along with medication and other intervention, It can be difficult to measure its success; For the case of Codrina the outcome would be reduce lapsed in depression and schizophrenia. Cognitive therapy is all about changing Codrina’s thoughts and other underlying behaviors apart from relieving her symptoms that cause distress. Therefore, if these changes are observed,  it will indicate that treatment is indeed working for the client.


References

(n.d.). Retrieved February 06, 2017, from https://www.nimh.nih.gov/health/topics/schizophrenia/index.shtml

Beck, J. S. (1979). Cognitive therapy. John Wiley & Sons, Inc..

Seligman, L. (2006). Theories of counseling and psychotherapy: systems, strategies, and skills (Second Ed.). Alexandria, VA: Pearson Prentice Hall.