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CBT VS. Existential-Humanistic Therapy
AH is a 39-year-old African American female who lives with her husband and four children. Her children’s ages are 16, 11, 5, and 7 months old. She has been diagnosed with major depressive disorder and Post-traumatic Stress Disorder (PTSD). The client had a two-week-old son that died from Sudden Infant Death Syndrome (SIDS) two years ago. The client’s symptomology includes tearful episodes, anxiety, nightmares, flashbacks, depression, hopelessness, decreased concentration, and poor sleep. The client is taking Cognitive behavioral therapy and as the provider thinking about starting extrinsic -humanistic treatment. Cognitive-behavioral therapy has been proven by research to help clients with PTSD (Center for Substance Abuse Treatment, 2019). This paper will explore the strengths and challenges of CBT and existential-humanistic therapy for a client with PTSD, anxiety, and depression. Cognitive-behavioral therapy is a first-line treatment choice for clients with depression. CBT has a tone of evidence-based practice for treating a wide variety of mental health disorders. Cognitive-behavioral therapy focuses on changing the client’s attitudes and behavior to change behaviors, ultimately, attitudes toward self, and improve emotional reaction. CBT is a broader therapy and offers the client coping skills to deal with life events. Existential-humanistic treatment is a more focused therapy that focuses the clients on self-awareness and individual goal (Center for Substance Abuse Treatment, 2019)s. This type of therapy does not focus on the disease but decreases symptoms by increasing the client’s self-worth. Both therapy options would be great for AH. I would use CBT first to reduce symptoms of depression, anxiety, and nightmares. Existential-humanistic therapy would be offered later to increase the client’s self-worth. As a provider, it is essential to understand when to introduce new treatment. According to Wheeler (2014), the humanistic-existential approach has long served as a foundation for psychiatric nursing, emphasizing self-actualization, facilitative communication, and the therapeutic relationship (Center for Substance Abuse Treatment, 2019). Existential-humanistic therapy can be beneficial when a therapeutic relationship is and the idea that achieving wellness is a process (Center for Substance Abuse Treatment, 2019).
ReferencesCenter for Substance Abuse Treatment. (2019). Brief Interventions and Brief Therapies for Substance Abuse. Rockville (MD): Substance Abuse and Mental Health Services Administration US. Treatment Improvement Protocol (TIP) Series, No. 34. Chapter 6 – Brief Humanistic and Existential Therapies. K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
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Introduction:
In the case of AH, a 39-year-old African American female diagnosed with major depressive disorder and Post-traumatic Stress Disorder (PTSD), the client is currently receiving Cognitive Behavioral Therapy (CBT) and the provider is considering incorporating existential-humanistic therapy as an additional treatment option. This paper will discuss the strengths and challenges of CBT and existential-humanistic therapy for a client with PTSD, anxiety, and depression.
CBT is a well-established first-line treatment choice for depression and has a strong evidence base for treating various mental health disorders. It focuses on changing attitudes and behaviors to ultimately improve emotional reactions and self-perception. CBT provides clients with coping skills to manage life events and improve overall well-being.
Existential-humanistic therapy, on the other hand, is a more focused approach that emphasizes self-awareness and individual goals. It does not directly target the disease but aims to decrease symptoms by enhancing the client’s sense of self-worth. This therapy recognizes the importance of the therapeutic relationship and considers achieving wellness as a process.
For AH, the suggested approach would be to start with CBT to address her symptoms of depression, anxiety, and nightmares. CBT, with its focus on changing attitudes and behaviors, can help her develop effective coping strategies and manage distressing thoughts and emotions. As AH experiences improvement in her symptoms, existential-humanistic therapy can be introduced to further enhance her self-worth and self-awareness.
It is critical for the provider to recognize the appropriate timing for introducing new treatments. The humanistic-existential approach, which emphasizes self-actualization and the therapeutic relationship, has long been recognized in psychiatric nursing. When a therapeutic relationship is established and the client is ready to explore deeper self-reflection, existential-humanistic therapy can be a valuable addition to the treatment plan.
In conclusion, both CBT and existential-humanistic therapy offer potential benefits for AH, considering her diagnosis of major depressive disorder and PTSD. By initially focusing on symptom reduction through CBT and later integrating existential-humanistic therapy to foster self-worth and self-awareness, AH can have a comprehensive treatment approach that addresses both her immediate needs and long-term growth.
References:
1. Center for Substance Abuse Treatment. (2019). Brief Interventions and Brief Therapies for Substance Abuse. Rockville (MD): Substance Abuse and Mental Health Services Administration US. Treatment Improvement Protocol (TIP) Series, No. 34. Chapter 6 – Brief Humanistic and Existential Therapies.
2. Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
