Application of Cognitive Behavior Therapy and Choice/Reality Therapy to Olivia’s Case Study

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Consider the two theories you studied this week (Cognitive Behavior Therapy and Choice/Reality Therapy) and apply them to the Case Study: Olivia listed under the Discussion Resource below. Then answer the following questions in your Discussion Thread. Please organize your post with subheadings, to show where you answered which question. a minimum of the 3 required course textbooks for scholarly citations.

1. What are the goals with this client when applying a Cognitive Behavior Therapy approach? What are the goals when applying an Choice/Reality Therapy approach?

2. What would be the role of the counselor and the role of the client from the Cognitive Behavior Therapy perspective? What about an Choice/Reality Therapy perspective?

3. What interventions/techniques/procedures might be helpful for this client from a Cognitive Behavior Therapy approach? What about from an Choice/Reality Therapy approach?

4. How would you integrate a biblical perspective with this client when applying a Cognitive Behavior Therapy approach? What about with the Choice/Reality Therapy approach? How are these theories compatible (or incompatible) with a biblical worldview when applied to this client?

5. If you had to choose between the two theories, which one would fit better the needs of this client? Which one are you more comfortable with? Explain briefly.

Guidelines for Your Discussion Post

1. Format & Structure

  • Use subheadings for clarity, aligning them with the questions (e.g., CBT Goals, RT Goals, Counselor and Client Roles, etc.).

  • Write in paragraph form (not bullet points).

  • Length: about 500–700 words (enough to fully answer but still concise).

  • Use APA 7th edition formatting for in-text citations and references.


2. Content Breakdown

1. Goals for Olivia

  • CBT Goals: Identify and challenge negative thought patterns; replace with healthier cognitions; develop coping skills for emotions/behaviors.

  • RT Goals: Empower Olivia to take responsibility; focus on her current choices; guide her toward fulfilling basic needs (love, belonging, power, fun, freedom).


2. Counselor and Client Roles

  • CBT:

    • Counselor: Acts as a coach/educator; uses structured sessions; assigns homework.

    • Client: Active participant, practices skills, monitors thoughts/behaviors.

  • RT:

    • Counselor: Nonjudgmental guide; focuses on client’s present choices; helps client evaluate whether behaviors meet needs.

    • Client: Takes responsibility for choices; explores new ways to meet needs effectively.


3. Interventions/Techniques

  • CBT Techniques: Cognitive restructuring, thought records, behavioral activation, relaxation strategies, problem-solving skills.

  • RT Techniques: WDEP system (Wants, Doing, Evaluation, Planning), self-evaluation questions (“Is this behavior helping you?”), planning and commitment to new behaviors.


4. Biblical Integration

  • CBT with Faith: Emphasize renewal of the mind (Romans 12:2), aligning thoughts with biblical truth, addressing negative self-talk through God’s promises.

  • RT with Faith: Stress personal responsibility and free will (Galatians 6:5), while also highlighting God’s guidance in making wise choices.

  • Compatibility: Both theories can align with Christian values (renewed thinking + accountability), though RT may need careful integration to ensure God—not just self—remains central to change.


5. Preferred Theory

  • Discuss which model fits Olivia best:

    • CBT: Good if Olivia struggles with distorted thinking or depression.

    • RT: Good if Olivia struggles with responsibility, making choices, or relationships.

  • Share your personal preference and why (comfort with structure vs. relational empowerment).


3. Sources & Citations

You need a minimum of 3 required course textbooks (plus the Bible for integration if needed). Examples (adapt based on your actual course materials):

  • Corey, G. (2021). Theory and practice of counseling and psychotherapy.

  • Gladding, S. T. (2018). Counseling: A comprehensive profession.

  • Tan, S. Y. (2011). Counseling and psychotherapy: A Christian perspective.


4. Checklist Before Submitting

✅ Organized with clear subheadings
✅ Each question answered thoroughly
✅ At least 3 scholarly course textbook citations
✅ Proper APA formatting (in-text + references)
✅ Word count ~500–700
✅ Proofread for grammar/spelling

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