Client-Based Therapy Versus Rebt

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Case Study: Anthony Anthony is a 40 year old senior executive in a large company, a position he has only recently taken up. He was referred to counselling by his general practitioner to explore his mood swings. He has been married for nearly 5 years to a ‘warm and wonderful person’. There were no children yet, and the couple was wondering about the right time for having children. This has been an area of disagreement between Anthony and his wife and has led to a number of heated arguments between the two of them. Anthony described himself as fairly conservative and not a risk taker, and said that sometimes he couldn’t believe he had accepted a job in such a large company. On questioning, Anthony said that he sometimes felt OK and reasonably good about himself, but that these good feelings frequently gave way to incredible doubts and feelings of hopelessness, that he often felt ‘not good enough’ and ‘not worthy’. He had experienced these feelings before, but he felt they were more intense and more frequent since moving to his current position. He commented, “I’m not the person I thought I would turn out to be” and “I’m disappointed in myself”. He reports being able to "keep it together" at work and that his work in not suffering at this stage. He has become more restless and irritable with people, especially in social situations which he describes as excruciating and pointless. Introduction While there are a large number of psychotherapy approaches that could be effective in treating Anthony and his symptoms, the two therapies I have selected to compare and apply to Anthony's case are Rational Emotive Behavior Therapy (REBT) and Client-Centered Therapy (CCT). I will first provide a brief overview of each approach, then conduct a comparison of both. Finally, I will discuss, and justify, my choice of therapeutic method for Anthony. CCT falls under the

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