People need to realize that therapy isn't going in and your therapist telling you that "everything will be alright", then you're gonna be cured after 12 sessions of hearing that. You have to put in work. Heavy emotional work, that is. If you think you are going into a therapist office expecting for THEM to make you all better, you will never get better. A therapist is more like a tour guide of your experiences and they help you to see things in a different way so that YOU can change your way of thinking about whatever you are being impacted by.
Is this a critique of the case study or just peoples beliefs in general? If it's the latter, do you have evidence to support the hypothesis that people are not realizing the importance of their own efforts in CBT-treatment?
Get it straight a counsellor cannot help you at all. They have no medical or clinical training . Their sole purpose is to listen and say nothing. Completely outdated.
I kept my mouth shut in my very first CBT session 😂. As a stubborn teenager I didn't want to express my feelings in front of a stranger even she's my psychologist. My psychologist became friendly, loving, kind and understandable, So as I was comfortable, I started revealing everything to her in my 3rd session. I just want to say my psychologist thank you for being patient with me and having my back each and every time. She's such a good & truthful friend of mine today.
I think this is great representation of a first session. Building rapport, providing validation and actively listening. I know people are so quick to want a solution.. but recovery takes time. Recovery and change happens in the process of therapy, regardless of what modality the therapist is utilizing!
I need u pls u can send me what they talk about cus a hv presentation about it but i can't undersrand the words i need desscution i want write it pls kn u help me pllz
Ashley, Heal yourself. Your breath is directly related to your mind [brain] causing negative thoughts-anxiety-stress. For a relaxed life sit on a chair, back erect, hands on lap with palms upwards, eyes closed, be still and observe your natural incoming--outgoing breath at the entrance of the nostrils for around 10-15 minutes. Be as still as possible. Many thoughts will come which is ok--slowly negative thoughts will reduce and your mind will relax. During your daily activity keep observing your breath consciously. Best part is mood swings also reduce. Do the above meditation daily to feel relaxed. For more relaxation enter the following on google search and listen before sleep repeating the affirmations for 10 minutes in your mind. -“52Hz affirmations for health and healing you tube”. You will get relief quickly. Best wishes. Shyaaam Sir. -Counsellor.
@@sofiekjrgaard666 just relax. there wouldnt exists any therapists if you knew where to begin... dont worry, its the therapists job to lead the whole session :) its gonna be ok. hope you understand what i mean!
@@lex7968 Thank you, its just so hard to speak about how you’re doing if you always keep it to yourself, I hope I will learn to share my problems with others instead of keeping everything to myself :)
I have had depression and associated anxiety for 15 years. Ive had a plethora of medications and Ive fought suicide daily. A new shrink weened me off tablets and put me in with a CBT therapist. Ive had 14 sessions and am now winding down in frequency towards finishing. Its not easy but I worked hard and can now say that I think differently and even happy at times after 15 years. Im no longer on medication and incidently my suicidal thoughts disapeared as soon as came off medication. I will always have depression Im sure but now I deal with it and IT doesnt control me. Thank you Liz
+robert hook Thank you for this, I currently am studying to become a psychologist, and I've always felt like medication is only temporary help and can make patients feel worse. And I've always thought that being able to change the way a person thinks about themselves and the world, although its hard, it would benefit them so much more in the long run.
What about cutting ur sessions for tow month after reaching almost the end .. how comeback should be like .. should i stsrt from beginning or from the point i stopped
For those people who are commenting how she's a terrible actor that portays depression wrong doesn't know the fact that most patients are usually nervous in their first session and so they used smiling and laughter as a defense mechanism and to look less vulnerable to someone they are completely meeting for the first time. There are lots of depressed people out there who end up trying to hide their true emotions due to various reasons. The mindset that a person can only be truly depressed if they can't smile anymore is the problem. Not everyone is what they seem, take a look at Robin Williams for example. He looked like such a wonderful and charming man only for us to find out he was struggling with depression for a long time...
I'm depressed and it feels impossible to smile. But at my therapy session recently, I started laughing during uncomfortable moments which made me feel kind of weird... but now it makes sense.
As a person who goes to therapy, I do it through zoom so I'd see myself smiling while I talk. I'd even be smiling while I talk about my trauma lol. I'm glad to know I'm not the only one
Oh my first impression on watching the video was, such a good actor. It seemed to me like she watched several real patient videotapes before acting for this recording.
You're absolutely right. I don't know how did people even draw that conclusion. You call that a smile like really!? Girl is simply trying to communicate what she couldn't with any one else. If someone were to see and believe, they can see sadness in her eyes like she'll break down at any moment. I wish people learn to be more empathetic before commenting such unthoughtful things. Thank you for writing this message.
I didn't realize that this girl was acting! This is one of the few counseling videos that I've watched where the client was believable. That had a huge impact on what I was able to learn from this video. Thank you!
That’s what my first therapy session was like, basically the therapist just wants to know about you and your feelings to see what they can do in future sessions. Feels kind of like interrogation lol.
This is exactly the kind of support my psychologist has provided me with for the past 6 months. I feel like my sessions are just an explanation of what I'm feeling, then her paraphrasing it again. Never get any where unfortunately. I am a final year psychology student and I personally think this approach reveals the insecurity and slight naiveness of the psychologist.
Asiya, I think CBT can be a fairly superficial experience for some. I would suggest seeing a psychodynaically orientated therapist if you feel this approach is too concrete or 'naive'.
Exactly like Tim said. I've started jungian therapy and the insights I get from it are very deep and thought-provoking; nothing like the painfully obvious stuff a CBT therapist tells you that you already know anyway.
Hey! This is just my experience and I do not mean to invalidate your experiences at all. I've been seeing my therapist since I was 13 and I'm 19 now. I'm a psychology student too so back in high school I asked her once if she uses CBT. She said the approach she uses is more eclectic but she's primarily trained in CBT. At various points therapy has been frustrating for me. However, now that I think I'm a little more mature and slightly more in touch with my feelings, I realise that she has really helped me understand myself better. She doesn't just paraphrase stuff back to me, in fact she hardly ever does that. Only when she wants to make sure she's understanding what I'm saying. Mostly she asks me questions so that I can feel and think through my feelings with her and not shut them down the second it gets overwhelming. Right now my depression is more severe so she mostly just focuses on trying to get me to function better in terms of eating more, maintaining personal hygiene etc. I'm also on medication and I've finally realised therapy can't fix the clinical aspect of my illness, it can only help me manage them. I highly recommend going to a psychiatrist as well, preferably someone who is in touch with and can work with your therapist. And, from what it sounds like, if your therapist is actually just paraphrasing, saying obvious things like "that's an irrational belief" or "your relationship with x is unhealthy", I hope you've been able to switch therapists since you posted this comment
I recommend finding a therapist who uses Schema therapy. It uses CBT but goes much further into understanding maladaptive behaviors (coping responses) by examining the unmet emotional needs during childhood.
I've been to a few therapists and got a bad taste from the way they had demonized the people in my life and effectively criticized me for my habits and actions. Just watching this video gives me a vicarious sensation of reflection in what similar experiences I've had. Thanks for sharing this! I wish I could've found someone like you when I needed it most.
Treatment of Depression & Anxiety...... just listen 7 times and see the instant results.... It's spirituality....... ua-cam.com/video/xQP1-YdE2ow/v-deo.html
This exactly hit every nail on the head for me. The tiredness, the anger and frustration, the deep sadness but unsure exactly why it's felt at such a strong level. Right down to the isolation and avoidance which is one of the most overwhelming forces encountered but which just helps feed the depression...also having high expectations of oneself, feelings of being unworthy and irrelevant...an imposter of sorts in any sort of social situation...the actress did a brill job though and thank you for showing this.
I've been prescribed this for my first year of Post Grad in Educational & Developmental Psychology. The actress absolutely NAILED this role. Judith is a lovely therapist with a great presence; I'd love to learn from her one day. Thanks for producing such an awesome resource!
I had a session with a psychologist last year which was pretty much the same as this one, with me telling her my thoughts and her rephrasing them and asking questions that I myself have pondered hundreds of times. found it very unhelpful, guess cbt isn’t for me. it feels like I just get my own thoughts thrown back at me without any constructive dialogue. edit: just remembered that her summing my thoughts up felt somehow detached, like she could be talking about anyone. you’re sitting there, baring your soul, and she’s throwing names of emotions you’re experiencing without attaching them to you and your personal circumstances.
i dont know you but by your comment I suppose that you just went to the first session and you didn't continue it, because if you had continued you would understand why the psychologist acted that way and how cbt really helps, it takes more than 1 session to see the results, i think you could give it a try again
i know what you mean. i feel the same. i think there are different approaches that different therapists use. i think in the first session she is just trying to get to know the client and form a rapport. the real CBT work prob starts after that. this technique of restating or rephrasing what the client says is the humanistic/person-centric approach... not CBT. correct me if i am wrong anyone
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When she Said “sorry” for being emotional, perhaps the therapist could have Said something like : you don’t need to feel sorry for being emotional, it’s ok” so she dosen’t start hiding her feelings. Thanks 🙏🏾
I would like to slightly oppose here. I guess in some instances you could say that, but it would be more interesting if the therapist would explore the fact the client is sorry for her feelings. The client feels sorry for being emotional - she needs to find out for herself whether this is a good thing for her or not. I would find saying 'it's ok' rather patronizing, for example. People out there say things will be ok, friends and family etc. all the time. The fact that the client actually went to the therapist speaks for itself. Hope that makes sense
The issue I have with this type of counselling is *that voice* the psychologist puts on. That overly-emotive almost whisper. I’d rather she just spoke normally - the parts where she did I felt were more effective. And all the repetition of what the client was saying. “Okay, (sigh), so it sounds like...” What you need in that kind of situation is just a real conversation, with the feeling that the person you’re talking to is genuinely interested in you, wants to hear your thoughts and problems, and wants to try to help. Surely it’s better to tell the client you’ll be taking a few notes when the appointment is made, not during the session? Once the psychologist had told her that, you could see the client watching her write. Part of the skill set of a good therapist is to do such things subtly, and to focus on the actual conversation. Just my opinion of course
I agree with you. A lot of people want and need genuine interactions.. Personally, I think the goal of this is to try and get the client to adapt to and accept a world that is business-oriented, impersonal and 'corporate'. Ultimately so they fit in and function at their job. I find it quite disgusting.
I know these comments are old, but I'll just add a few comments myself: -the repetition and conclusions is a way to get the client to hear her own thoughts and improve her awareness of feelings/thoughts -the notes are to make sure she herself remembers things like specific thoughts and events instead of repeatedly asking the same questions -the "fake emotional" voice serves multiple functions, that are preferred over "talking normally". You talk normally to people every day. In therapy you need to be met by someone you can tell have a different focus to get out of everyday patterns like returning a 'how are you' with false 'I'm fine'. Here the intention is to emotionally meet you. I don't think this is the best example, but being met with empathy and openness is key. -the therapist isn't fake. That isn't the point or intention. The therapist is keeping herself open and curious to the emotional state of the other person, actively putting herself in the clients shoes. - you can absolutely explain your preferences if it puts you off, and not every psychologist is like this. Don't let it scare you
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Depression is a serious mental health issue that needs to be spoken more of. Especially in these times and this video really shows how people need to seek help.
Wish I had had a daughter like her ...She REALLY brings out my maternal instincts ! Judith, I LOVE watching you....I learn so much.....espec how to show empathy to ones who are suffering...Love the dark hair on you, by the way....Very warm
Currently studying how much of an impact empathetic listening can have when working with a client. As a social work major, this video was extremely insightful on how listening and clarifying with a client can be an asset in the field. Great work, thank you!
The therapist didn’t let her cry, but still she’s way better than all the therapists that I’ve visited and I lost all the faith in therapy.. all they do is made things much worse and I’m trying to help myself now.. that’s hard
First saw this 4 years ago and I recognise so much here... I have actually discovered how powerful mindfullness can be and I am coming out of all the negativity I was in. It’s so sad seeing people like this young lady seeing so much negative experiences in her life. But what I have found is that negativity has been my downfall and when you are in negativity it’s comforting to stay there and it has robbed me of so much... but the thing that made the difference for me was discovering that I didn’t need to try ... it’s not a case of ‘oh just think positive’ that’s the trouble why positivity gets a bad press... gosh I would so want to people like this dear young lady I want to share how I have learnt ... This poor girl is clearly crying inside despite her laughs... she so needs to feel love and self love too ... oh my heart goes out to her x
I remember my visiting to psychiatrists for the first time, before entering his room I was laughing with my friend, was commenting on India vs England cricket match but when I entered in his room my emotions were completely changed..With smile I started telling my problem and did not even know, when I started crying & how that happen but it was relaxing...After 7 months of continuous depression I was relaxed at that day..
This video is great and it even made me feel better just by watching it. I'm currently dealing with some heavy sadness and I actually called to set up an appointment with a counselor just today. This video gave me an idea of what to expect on my first visit. -Thank you
the young girl seems to take the world on her shoulders trying to be the perfect girl she feels her parents think she could be , trying to be polite and hiding the anger she really feels ..we all have to built a foundation for our self ..self love self respect without the expectations of those around us ...I went to therapy for so long and it helped me have the role models parent figures I never had in a positive way but at the end of the day it comes back to us and going deep within alongside all the things we have learned from others we met along the way .
This was a great counselling session and very true to life. I've had these types of thoughts before with depression and it was interesting to see someone else in a session and understand it from the counsellors perspective and see the different types of thought and the cycle that keeps people stuck in depression.
So relatable! There's so much that people with depression go through and that too within themselves that others will never be able to comprehend. I just noticed lately that I always use past tension for my depression as if to show people that I've gotten better even on days when it's worst than ever. Unfortunately, there's so much taboo tagged on it and also, people including whom we are very intimately involved just don't understand. I remember my Ex, would actually fight with me about why I keep saying she isn't getting the state of my mind. Everything seems impossible, everything seems unreachable and everything seems numb and painless in front of the pain that dwells within.
+Saad nazim Thanks for watching the video and for your response Saad. It's true that mental health problems are still poorly understand and this can lead to stigma and taboo. But I think things are definitely getting better, too =)
+Judith Johnson the part of the world I live in its less to do with taboo and more to do with people nonchalant attitude towards it courtesy lack of knowledge. do you by any chance do any Skype sessions for people?
Hi Saad, I'm sorry to hear you're struggling with these difficult experiences. I'm afraid I don't do any private therapy work at the moment (I work at Leeds University and for the NHS), but I hope you can find a therapist locally.
+Judith Johnson I certainly hope you do so in the near future. well, I've had therapy sessions actually I've had quite a roller coaster life thus far, having lost parents at a very young age and having no siblings I pretty much had to manage myself and it wasn't until late at age 25 I realised my depression and how it's inflicting me.
A➡️C therapy 1. Identify activating events 2. Jump the behaviour part 3. Consequences- reframe them by conducting experiments to check if they are right or wrong
I do feel with the stress that comes with young people studying, educational settings or courses should have a mandatory short course to help boost mental strength. This is because young people need it, life is hard and they are juggling a lot and expected to do well. Hoping someone starts this initiative
Mental health counseling grad student here - from what I’ve gathered in my internship experience, I think a better way to ask this is to ask, “What’s on your mind right now?” Or “I noticed you started to tear up when I said (so and so), what feelings did that bring up for you?” There are better ways to ask I’m sure but I think just asking “Are you okay” is close-ended and could prevent the client from elaborating :)
@@internallyscreaming90 I agree. I also think it's appropriate to allow the client the space to cry or however they express emotion in silence before asking a question
No its not appropriate. It's better if you just wait and just sit there quietly, it feels better. I had a therapist who kept asking if I was okay, I never went back to her.
Rather than asking if she was okay, you may instead appreciate her effort for seeing u as the therapist and make her feel supportive and positive and make her feel comfortable. In this video the therapist is paraphrasing for a long time.
In this modern world with life so fast, we barely get time to speak and to be heard till we develop mind full of negative thoughts which is worsed by family issues / bullying / Breakups and financial crises, all these things need a listener before it gets into any psycotic disorders. Psychologists play a vital role not just making early intervention but also making critical analysis but also strategizing the everything to help the person get out as soon possible.. Undoubtedly most people cant feel power of session until they get through same breakup or else.
You're exactly right. I was an addict for 18 years and now have 2 years sobriety. I'm a student to become an alcohol/drug counselor. The client's have to want to change and do the work or it will never work. Thanks for sharing...
I see a clear representation of the elements to Beck´s theory of depression which we have learned about in AS psychology. A negative view on the self - "I feel unworthy" and "I should have done better" Negative view on the world - "There is no one to reach out to, my friends would´t understand" And negative view of the future - "There is no point in going to the lectures"... So these things would suggest that Lucy is suffering with depression. Thanks for the video.
She’s me - my female mirror Therapy gives you a different angle to help understand what you don’t. You have to have all the tools to repair the emotional issues and without the therapist and the skill set and training , you will never have the tools you need. Period. Period. And period.
a bunch of people in the comments, who have no clue what therapy means. This session was good. The therapist is repeating to help her client to connect to her emotions, because, what most people dont know, is that depression also occurs disconnecting from self and gives a distorted view on life. Also, repeating is validating and making the client to hear what she says from other voices, so she would have a better view on her cognitions.
wouldnt say depression is disconnecting from the self because it is a neurotic disorder and not a psychotic disorder (bipolar, schizophrenia etc). Depression is gradual and slow development of apathy that arises in the client due to chemical imbalances or events in the environment or a product of both. I agree with you they have a distorted view of life as they probably encompass several cognitive distortions. The general consensus, at least what I had in my studies says that validation that comes from empathy, paraphrasing etc. will indeed help the client to understand their problems and take constructive actions on them. Lucy's depression is manifest because of her wanting to do good in school and I feel there is this underlying fear that if she does not do well she lets down her parents (because she mentioned her parents as well).
@@clivepa prolonged depression can lead to Depersonalization-derealization disorder + numbness. I’m one of those people who went through that and I don’t have psychotic disorders. These symptoms are specific for post traumatic stress symptom (which includes depression and anxiety) However my point was that depression is about intrusive negative beliefs, that was my point, and it’s not necessary to have a psychotic disorder to have disordered perspectives. CBT was designed for trauma and depression and it focuses on cognition.
@@beatrisjitariu4154 I'm sorry you've been through all of that it must have been very difficult. I agree with your points. I just wanted to make sure that you defined depression as the disconnection or detachment of reality (depersonalisation+derealisation) as opposed to losing touch with reality, which is for psychosis (delusions + hallucinations). Do you study psychology by any chance or are you self-taught about this ?
@@clivepa I’m currently in my last year of psychology at Bucharest University. But I’ve been reading about mental health topics since high school so I’m mostly self taught.
@@beatrisjitariu4154 thats pretty cool. I’m in the same boat as you doing my final year in psychology. Semester is held online (at least for us) so it can get kinda lonely so if you wanna chat feel free to add me on discord Clive#7112
Counselling makes you feel better, especially when you feel no one can understand you. Some feelings are too overwhelming to bear, and you just need to pour out to someone who understands.
C: "Hi my name is lucy"... T: " so I understood that you said your name is Lucy?" C: "I am sad" T; " I hear you say you are a sad. is this correct?" I hate when therapists repeat every statement you make. I sounds like a call center employee
a bunch of people in the comments, who have no clue what therapy means. This session was good. The therapist is repeating to help her client to connect to her emotions, because, what most people dont know, is that depression also occurs disconnecting from self and gives a distorted view on life. Also, repeating is validating and making the client to hear what she says from other voices, so she would have a better view on her cognitions.
I agree. for some smart people or who have the psychological insight they would get angry and a much more unhealthy patient like a BPD might even say "If I wanted a parrot I would have bought one' Often BPD clients are very smart and perceptive and sometimes psychologically minded.
This is actually a technique used in therapy called reflection. It allows the client to really understand the words that they are saying and form another thought from that.
It's self-affirming to hear that the therapist is actually listening and understanding. Also. If you said something and then when the therapist says it back you realise that's not entirely true it gives you the opportunity to speak further on the matter instead of the session bulldozing right through with little regard to how you're actually doing. That's what the goal is. To actually listen and show you're listening. Therapy is not just about talking but allowing the service user to think, confirm, accept and verbalize that that's how thing are going. Makes things more real and helps with the healing process.
Great video. I’m going to school for psychology with a concentration in addiction and child and adolescents. I want to help addicts and their family members who don’t have health insurance. Hope to be where you are soon.
i really want to start therapy sessions but i legit will be speechless. I just couldn’t imagine the fact that i’m venting out the problems no one knows i’ve had and my social anxiety just worsen it like 10x. I’m not good with communications either and if someone ask me about my problem i don’t even know where to start, i can’t focus on one problem and i’ll get lost and sat there nervously or maybe have an anxiety attack. I don’t know what to do, i can’t talk to anyone in my family because they’re all still from stone age and thought that teenagers don’t have the reasons to have mental illnesses. I don’t have friends either.
well i think sh edid an amazing job acting. most people dont even show the depression signs, they smile and talk like normal people, they have the brightest smile, that you wont even recognise they are probably going through something. my brother never showed any signs of depression until it was too late, so never judge anyone and think, "oh, they dont look depressive." coz I strongly believe that sadly that's not how it works. I wish I knew it back then and so I felt the need to say it, as someone pointed rightly its the first session, how can they trust to openly show how they feel. now also that doesnt mean those that appear gloomy and sad arent depressed, im just trying to say, lets not judge by how they appear to us, until we talk and understadn from them we cant say.
I think this could be a Humanistic, Carl Rogers approach than the CBT model, because I don't see much of behaviorism in the session. Or maybe this is just a short beginning, I hope there is a realization of the model more.
"The video features an actor playing the character of Lucy, *but the dialogue is not scripted, and as such represents a natural therapeutic exchange* "
thank you Judith for your videos. I'm currently doing my masters in Cognitive Behaviour therapy and find these videos really helpful. I wish you could make some more videos! thanks again! Sharnelle
This is the first video of yours I watched. I watched it because I have felt depressed for a long time, I hope I can gain the courage to tell my mom soon. I decided to watch this video also because I wanted to see what a session of therapy would be like.
I didn’t understand the young girl was an actress 😳, I’m 60 and still struggling with depression which may be lots of other things 🤔, I don’t understand but I’m starting CBT tomorrow and to be honest I’m dreading it…… I can’t understand my own thoughts let alone try to explain them to someone else , but I’m determined this time I will go through the pain of talking and feeling bad rather than avoiding it , or giving up because it stops the feelings. Take care everyone going through life like this x
- [00:18] 🩺 Lucy was referred by her GP due to feeling down recently and wanting to address it. - [01:02] 🤔 Lucy's feelings of being down have worsened since her last visit to her GP. - [02:09] 🏡 Lucy feels isolated and finds it hard to talk about her feelings with others. - [03:30] 📚 Lucy's low mood began around the time of her exams and was compounded by her parents' marital problems. - [05:15] 💔 Lucy feels guilty for not performing well academically and blames herself for her parents' issues. - [07:19] 🛌 Lucy's mood has deteriorated, leading to a lack of motivation, difficulty attending lectures, and preference for staying in bed. - [09:20] 😞 Lucy experiences negative thoughts, feeling unworthy and comparing herself unfavorably to others. - [11:02] 😔 Lucy feels embarrassed discussing her emotions but acknowledges feeling sad, angry, and frustrated. - [12:00] 😩 Physically, Lucy feels drained, lethargic, and experiences sleep problems. - [12:23] 🔄 Lucy dwells on negative thoughts, leading to a cycle of feeling worse and then becoming emotionally numb.
I actively chose not to read books about different types of therapy because I wanted to tailor strategies for myself. I lived with anxiety, depression and PTSD and took on my recovery on my own. I grew up in an abusive environment and never learned how to relate to depend on others, I also had poor social skills so it made sense to do it on my own. I have been told, through my public speaking with NAMI-NYC that my method is similar to CBT. I wish I had thought of it sooner and wrote a book about it hehe
A good therapist can really make a huge difference. I can relate to you, been working on it on my own, but I realise having someone supporting me can help me to see blindspots, support me in ways that I cannot do on my own.
It is interesting to read the comments people, some of who sound like therapists, are crticising the process in which the therapist in the video is interacting with the client. If any therapaist is to publicly display a session they have with a client, they too would get such comments on the process. Unfortunately, a lot of therapists believe their delivery and approach is god-send. If you are therapist criticisn her skill and style, I would suggest make a consented recording and recieve critique, it helps so much. Also, put a video on youtube and you will also get inflammatory comments for how you practice.
Correct me if I'm wrong, but it seems to me that CBT is for people who don't know themselves very well, I can come up with all the reasons to why I feel a certain way and what makes me tick, and give you counter arguments but it still doesn't help, I share my feelings with anyone, I dont care in that respect, so telling me what I already know doesn't help, it seems you have to just keep moving towards what you want (if you have the strength) and then over time hopefully things work out, so you can start to feel good about something.
This much better than telling my teacher why I have scars and telling her not to call my mom but she did and she ruined me even more, she tries to see my scars and that’s uncomfortable and more when sometimes she is the one that triggers me.
Wow i am not too bad, i thought she was not an actor, but when you talked about the smile, and asked about taking notes in the middle of the session, i thought that is a bit strange...very good acting, and very nice session.I wish i could find a way to help with my french psychology degree and my skills... thank you for the video this is great.
Audri - You may want to read the description... "The video features an actor playing the character of Lucy, but the dialogue is not scripted, and as such represents a natural therapeutic exchange". These are actors that are simply displaying a proper CBT interview. It's great for Counseling students such as myself to learn from!
Thank you Galloway Slot Hits for your feedback, much appreciated! And yes - Audri Gharakhanian - as Galloway Slot Hits suggests the character of "Lucy" is played by an actor. This is certainly not a perfect example of therapy and, as you suggest, there is always room for improvement! I continue to work to try an improve my technique and approach as a Clinical Psychologist.
The first sessions are where we get the client to buy into and put themselves in the model. critical feedback: therapist at this stage is identifying thoughts, feelings, behaviours, physical sensations. this session was more PCT than CBT, you say several times, "you feel...." then you follow up with a statement. This indicates that as a therapist you are confusing feelings and thoughts.
James Morgan Thanks for viewing and engaging with the video. In response to your comments, I should highlight that this video does not aim to display how a course of therapy should begin, because as you suggest, CBT starts with socialising the client to the model and agenda setting. Instead, this video is designed to be used as a teaching tool for teaching formulation, and so moves more quickly to eliciting those factors relevant for formulation. Indeed, it can be used as a companion to my recent co-edited book "Case Formulation in Cognitive Behaviour Therapy: The Treatment of Challenging and Complex Cases" www.amazon.co.uk/Case-Formulation-Cognitive-Behaviour-Therapy/dp/0415741793/ref=sr_1_1?ie=UTF8&qid=1439827925&sr=8-1&keywords=case+formulation+in+cognitive+behaviour+therapy . I outline this in the blurb for the video, which should be visible above. I would also suggest that that reflecting client emotions and providing summaries of what the client has said are techniques often used in CBT which can contribute to developing understanding, interpersonal effectiveness and collaboration between therapist and client, as outlined in the cognitive therapy rating scale www.beckinstitute.org/cognitive-therapy-rating-scale/ . The extent to which these are used is likely to vary at different points in the therapeutic process, and may be used more heavily at the earlier stages of therapy when developing a strong therapeutic relationship is key. These are not techniques which are limited to PCT. Thank you again for your comment, and please do subscribe for further videos in future.
Excellent video! Very natural flow of conversation, solid trust being established. I could relate to the many symptons of depression when i was back in high school! There was a time where you asked "Are you OK?" Would you think of changing that? To me the visitor was held back from some raw emotional release. I feel it would be even better if she stopped the coping smiles and just let her true emotions be shown. what are your thoughts?
Been there & worn the T - Shirt. In fact exactly about 3 months after, from the date of this video, I was in my first episode ever of (Bipolar) Clinical Depression which was annoyingly :( rounded off with a diagnosis of Mania in an inpatient unit 3 years later! No problems prior too but a history of Bipolar Disorder.🥴Having had Mental Health Dysfunction gives you an incite into symptomology in Mental Health Dysfunction like nothing else will (yes & that's inc a medical degree & textbooks like the DSM 5!). I believe (& credit to the person playing the patient for trying to be a genuine patient) this patient is maybe even be in Clinical Depression by now (not just MILD Adjustment Disorder - related Depression) & based on the ongoing stresses that have been knocking her she probably also has started having suicidal ideation (which only if the Psychologist really probed for may POSSIBLY be admitted but not always) following the hopelessness/" everything is going wrong in my life " thoughts. At this point further History Symptoms needs to assess a bipolar or monopolar nature to this abnormal symptom list (wanting to stay in bed & loss of interest in previous interesting activities etc.) that is the bedrock Mental Health Dysfunction brought about by abnormal persistant periods of stress in some genetically prone individuals at least (& in fact a rapid decline in Mental Health amazingly). She sounds as if her sleep pattern has suffered deterioration (hence her tiredness even if she were to sleep early). IMO after a next session, & with no symptomatic improvement, she needs professional Psychiatric evaluation & most likely the appropriate anti depressants (hopefully a short course!) or hospitalization because she will, IMO, if this carries on like this become a Suicide risk & sadly we read about these sort of cases everyday. Once the Depression is under control or remission then GRATITUDE CLINIC CBT psychotherapy & stress coping techniques coaching is essential! History & Symptoms is key to an accurate diagnosis IMO or you are just throwing "stones in the dark", sadly, from a patient point of view. FYI the average length of time in the UK between first symptoms & accurate diagnosis is 3 years FGS:(! An absolute scandal, IMO, that has cost many lives from post (undiagnosed) Clinical Depression/ sub Clinical Suicide. Must stop now!;):)
I’m 14 and recently I’ve had so many things that have stressed me out but can’t talk to anyone about it because they wouldn’t understand or take it the right way and would be mad I am stressed. I wish I could talk to a counselor
That's exactly what l do, l stopped talking people to avoid bringing them down at my situation, and many left cause this depression thing also is full of negativity, l don't know how much o can endure.
It's difficult to judge a media performance by 2 minutes into it. However ECT is the equivalent of a sledgehammer blow into the brain depending on the level of seizure. Social acceptance is the technique employed to legitimise the procedure.
The therapist seems to be using techniques of supporting, probing/questioning, summarizing, and empathizing. I'm currently taking a group facilitating class, so I'm testing to see if I can spot different techniques used by a facilitator; in this case, the therapist.
I just discovered your channel, Judith. I really love your approach and watching your videos. I'm going to do my masters in Psychology this year, thank you for all your videos, it's really helpful and interesting to watch.
@@johnrebay9096 hi there. now, i think im recovered =) although i need to take medication for life. i was diagnosed with bipolar mood disorder type 2, predominant of depression. i wasnt showing any good progression after starting medication for months, and i thought that for my treatment, medication is enough, as how many "awareness campaign" of mental disorder like this keep telling people "it's the chemical imbalance in your brains, so you need medication to balance it back". when my doc wanted to refer me to psychologist for therapy (CBT), i thought "how could it help by talking to a psychologist, if the problem is merely 'chemical imbalance'"? i had no idea what was CBT anyway. however, i was desperate to get better. so i agreed. fast forward, CBT works for me :-)
I still don't understand what CBD is supposed to do? I had a therapist just like the one above. Is it just about her repeating what you are saying. BC I knew what I was thinking. I can speak quite plainly and clearly and know what my problem is. What's the point of just having them repeat what you say?
They are a horrible therapist though. She's just repeating what she's saying. She askes "are you ok" and the girl suppressed the crying. Therapy takes emotion work yourself, the therapist is there to help you guide and see a new light and way of thinking and you have to apply it.
People need to realize that therapy isn't going in and your therapist telling you that "everything will be alright", then you're gonna be cured after 12 sessions of hearing that. You have to put in work. Heavy emotional work, that is. If you think you are going into a therapist office expecting for THEM to make you all better, you will never get better. A therapist is more like a tour guide of your experiences and they help you to see things in a different way so that YOU can change your way of thinking about whatever you are being impacted by.
Is this a critique of the case study or just peoples beliefs in general? If it's the latter, do you have evidence to support the hypothesis that people are not realizing the importance of their own efforts in CBT-treatment?
Just learned that in treatment. Well said.
Get it straight a counsellor cannot help you at all. They have no medical or clinical training . Their sole purpose is to listen and say nothing. Completely outdated.
I'm curious, how does a counsellor "help" you? Any idea? Do tell!
How will they "help you see things in a different way" by just sitting sympathetically in a corner?
I kept my mouth shut in my very first CBT session 😂. As a stubborn teenager I didn't want to express my feelings in front of a stranger even she's my psychologist. My psychologist became friendly, loving, kind and understandable, So as I was comfortable, I started revealing everything to her in my 3rd session. I just want to say my psychologist thank you for being patient with me and having my back each and every time. She's such a good & truthful friend of mine today.
Jesus Loves you, and He makes all things new.
@Relax music & noise "Elsa" but it is not that simple to change your mind that's the problem here..
friends don't charge money for it, but, we all living in a sick twisted society
how much money did you pay to your psychologist?
@@anonymousgirl5150 you didn't quite understand the scenario
The actor is incredible. Body language and vocal tonality were on point.
she should win an Oscar
I think she is not an actor..
anfiscka - Yah, it isn’t unlikely that she has felt exactly the emotions she describes at some point in her life.
she fooled me lol
Hahahhaha
I think this is great representation of a first session. Building rapport, providing validation and actively listening. I know people are so quick to want a solution.. but recovery takes time. Recovery and change happens in the process of therapy, regardless of what modality the therapist is utilizing!
I need u pls u can send me what they talk about cus a hv presentation about it but i can't undersrand the words i need desscution i want write it pls kn u help me pllz
Ashley, Heal yourself. Your breath is directly related to your mind [brain] causing negative thoughts-anxiety-stress. For a relaxed life sit on a chair, back erect, hands on lap with palms upwards, eyes closed, be still and observe your natural incoming--outgoing breath at the entrance of the nostrils for around 10-15 minutes. Be as still as possible. Many thoughts will come which is ok--slowly negative thoughts will reduce and your mind will relax. During your daily activity keep observing your breath consciously. Best part is mood swings also reduce. Do the above meditation daily to feel relaxed. For more relaxation enter the following on google search and listen before sleep repeating the affirmations for 10 minutes in your mind. -“52Hz affirmations for health and healing you tube”. You will get relief quickly. Best wishes. Shyaaam Sir. -Counsellor.
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Take psychedelic drugs and cure your Deppression.
Jesus loves you all:)
She's asking every question I don't want to answer
i know i found it hard to watch the video and i got nervous for her lol
That is what therapy is about. Exploring yourself. And give answers to questions you have never asked yourself
same, i have my first session next week and i havent talked to anyone ever about my feelings. i dont even know how to begin...
@@sofiekjrgaard666 just relax. there wouldnt exists any therapists if you knew where to begin... dont worry, its the therapists job to lead the whole session :) its gonna be ok. hope you understand what i mean!
@@lex7968 Thank you, its just so hard to speak about how you’re doing if you always keep it to yourself, I hope I will learn to share my problems with others instead of keeping everything to myself :)
I have had depression and associated anxiety for 15 years. Ive had a plethora of medications and Ive fought suicide daily. A new shrink weened me off tablets and put me in with a CBT therapist. Ive had 14 sessions and am now winding down in frequency towards finishing. Its not easy but I worked hard and can now say that I think differently and even happy at times after 15 years. Im no longer on medication and incidently my suicidal thoughts disapeared as soon as came off medication. I will always have depression Im sure but now I deal with it and IT doesnt control me. Thank you Liz
+robert hook Thank you for this, I currently am studying to become a psychologist, and I've always felt like medication is only temporary help and can make patients feel worse.
And I've always thought that being able to change the way a person thinks about themselves and the world, although its hard, it would benefit them so much more in the long run.
Things will get better, stay strong and know you ain't alone
What about cutting ur sessions for tow month after reaching almost the end .. how comeback should be like .. should i stsrt from beginning or from the point i stopped
I hope u answer me
Must be nice
For those people who are commenting how she's a terrible actor that portays depression wrong doesn't know the fact that most patients are usually nervous in their first session and so they used smiling and laughter as a defense mechanism and to look less vulnerable to someone they are completely meeting for the first time. There are lots of depressed people out there who end up trying to hide their true emotions due to various reasons. The mindset that a person can only be truly depressed if they can't smile anymore is the problem. Not everyone is what they seem, take a look at Robin Williams for example. He looked like such a wonderful and charming man only for us to find out he was struggling with depression for a long time...
I'm depressed and it feels impossible to smile. But at my therapy session recently, I started laughing during uncomfortable moments which made me feel kind of weird... but now it makes sense.
As a person who goes to therapy, I do it through zoom so I'd see myself smiling while I talk. I'd even be smiling while I talk about my trauma lol. I'm glad to know I'm not the only one
Oh my first impression on watching the video was, such a good actor. It seemed to me like she watched several real patient videotapes before acting for this recording.
Im very depressed and normally smile and laugh a lot in my sessions. A smile can be very tricky.
You're absolutely right. I don't know how did people even draw that conclusion. You call that a smile like really!? Girl is simply trying to communicate what she couldn't with any one else. If someone were to see and believe, they can see sadness in her eyes like she'll break down at any moment. I wish people learn to be more empathetic before commenting such unthoughtful things. Thank you for writing this message.
CBT saved my life. After that I became a CBT therapist and CBT wisdom promotor to help as many people as possible.
Jesus Loves you, He makes all things new.
@@aboundinggrace7029 Thank you very much! Jesus is great and I love him.
In general how does it help for any situation someone is in
@@thewisdomtherapistsir i am from india i am poor boy suffering from anxiety panic please help me....
@@kkag6396 Try deep breathing and lots of exercise, go for runs in the morning and meditate/yoga when you get back.
As someone going to school to be a therapist, this video was a great representation! It reminds me of all the years I’ve spent in therapy
I didn't realize that this girl was acting! This is one of the few counseling videos that I've watched where the client was believable. That had a huge impact on what I was able to learn from this video. Thank you!
I also thought this was a real session.
This session feels like a soft interrogation, a total interview about your inner person. I tremble watching this.
therapy :)
That’s what my first therapy session was like, basically the therapist just wants to know about you and your feelings to see what they can do in future sessions. Feels kind of like interrogation lol.
This is exactly the kind of support my psychologist has provided me with for the past 6 months. I feel like my sessions are just an explanation of what I'm feeling, then her paraphrasing it again. Never get any where unfortunately. I am a final year psychology student and I personally think this approach reveals the insecurity and slight naiveness of the psychologist.
Asiya, I think CBT can be a fairly superficial experience for some. I would suggest seeing a psychodynaically orientated therapist if you feel this approach is too concrete or 'naive'.
Exactly like Tim said. I've started jungian therapy and the insights I get from it are very deep and thought-provoking; nothing like the painfully obvious stuff a CBT therapist tells you that you already know anyway.
Hey! This is just my experience and I do not mean to invalidate your experiences at all. I've been seeing my therapist since I was 13 and I'm 19 now. I'm a psychology student too so back in high school I asked her once if she uses CBT. She said the approach she uses is more eclectic but she's primarily trained in CBT. At various points therapy has been frustrating for me. However, now that I think I'm a little more mature and slightly more in touch with my feelings, I realise that she has really helped me understand myself better. She doesn't just paraphrase stuff back to me, in fact she hardly ever does that. Only when she wants to make sure she's understanding what I'm saying. Mostly she asks me questions so that I can feel and think through my feelings with her and not shut them down the second it gets overwhelming. Right now my depression is more severe so she mostly just focuses on trying to get me to function better in terms of eating more, maintaining personal hygiene etc. I'm also on medication and I've finally realised therapy can't fix the clinical aspect of my illness, it can only help me manage them. I highly recommend going to a psychiatrist as well, preferably someone who is in touch with and can work with your therapist. And, from what it sounds like, if your therapist is actually just paraphrasing, saying obvious things like "that's an irrational belief" or "your relationship with x is unhealthy", I hope you've been able to switch therapists since you posted this comment
I recommend finding a therapist who uses Schema therapy. It uses CBT but goes much further into understanding maladaptive behaviors (coping responses) by examining the unmet emotional needs during childhood.
You're a final year psychology student? But you literally know what she's doing
I've been to a few therapists and got a bad taste from the way they had demonized the people in my life and effectively criticized me for my habits and actions. Just watching this video gives me a vicarious sensation of reflection in what similar experiences I've had. Thanks for sharing this! I wish I could've found someone like you when I needed it most.
Thanks for your kind feedback Aaron!
Treatment of Depression & Anxiety...... just listen 7 times and see the instant results.... It's spirituality.......
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Wow. Don't have the words. It can be impossible when you're in a hole.
This exactly hit every nail on the head for me. The tiredness, the anger and frustration, the deep sadness but unsure exactly why it's felt at such a strong level. Right down to the isolation and avoidance which is one of the most overwhelming forces encountered but which just helps feed the depression...also having high expectations of oneself, feelings of being unworthy and irrelevant...an imposter of sorts in any sort of social situation...the actress did a brill job though and thank you for showing this.
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I've been prescribed this for my first year of Post Grad in Educational & Developmental Psychology. The actress absolutely NAILED this role. Judith is a lovely therapist with a great presence; I'd love to learn from her one day. Thanks for producing such an awesome resource!
Thanks so much Tom! That is so encouraging to hear.
@@JudithJohnsonphd Thank you ma'am for for all you do!
Please I need serious mental attention, I need help
I had a session with a psychologist last year which was pretty much the same as this one, with me telling her my thoughts and her rephrasing them and asking questions that I myself have pondered hundreds of times. found it very unhelpful, guess cbt isn’t for me. it feels like I just get my own thoughts thrown back at me without any constructive dialogue.
edit: just remembered that her summing my thoughts up felt somehow detached, like she could be talking about anyone. you’re sitting there, baring your soul, and she’s throwing names of emotions you’re experiencing without attaching them to you and your personal circumstances.
Jesus Loves you, He makes all things new.
don't spread religious lies.christisnity is false and the result of lies and brainwashing.
Did you continue your sessions?
i dont know you but by your comment I suppose that you just went to the first session and you didn't continue it, because if you had continued you would understand why the psychologist acted that way and how cbt really helps, it takes more than 1 session to see the results, i think you could give it a try again
i know what you mean. i feel the same. i think there are different approaches that different therapists use. i think in the first session she is just trying to get to know the client and form a rapport. the real CBT work prob starts after that. this technique of restating or rephrasing what the client says is the humanistic/person-centric approach... not CBT. correct me if i am wrong anyone
Deep thanks to both of these women to share their conversion, it was enormously helpful.
codent Glad it has been helpful!
this was so incredibly real. i felt like i was looking in a mirror at my first therapy appt.
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poor girl. she smiles while talking about all these things that trouble her. that just shows how accustomed she is to masking her pain.
When she Said “sorry” for being emotional, perhaps the therapist could have Said something like : you don’t need to feel sorry for being emotional, it’s ok” so she dosen’t start hiding her feelings. Thanks 🙏🏾
Very good point i agree
Its important to stay active and get close to nature!! nature has all the healing powers!! I wish everyone a happy and active life 😍
Exactly. Thank you.
I would like to slightly oppose here. I guess in some instances you could say that, but it would be more interesting if the therapist would explore the fact the client is sorry for her feelings. The client feels sorry for being emotional - she needs to find out for herself whether this is a good thing for her or not. I would find saying 'it's ok' rather patronizing, for example. People out there say things will be ok, friends and family etc. all the time. The fact that the client actually went to the therapist speaks for itself. Hope that makes sense
Good point!
The issue I have with this type of counselling is *that voice* the psychologist puts on. That overly-emotive almost whisper. I’d rather she just spoke normally - the parts where she did I felt were more effective.
And all the repetition of what the client was saying. “Okay, (sigh), so it sounds like...”
What you need in that kind of situation is just a real conversation, with the feeling that the person you’re talking to is genuinely interested in you, wants to hear your thoughts and problems, and wants to try to help.
Surely it’s better to tell the client you’ll be taking a few notes when the appointment is made, not during the session? Once the psychologist had told her that, you could see the client watching her write. Part of the skill set of a good therapist is to do such things subtly, and to focus on the actual conversation.
Just my opinion of course
SAME EXACTLY it seems so fake.... this is why I'd never see a therapist because it seems so fake nice
@@sofiastar2933 But I don't think ALL are same
I agree with you. A lot of people want and need genuine interactions.. Personally, I think the goal of this is to try and get the client to adapt to and accept a world that is business-oriented, impersonal and 'corporate'. Ultimately so they fit in and function at their job. I find it quite disgusting.
@@sofiastar2933 Promise I don’t do this in my sessions lol all therapists are so different!
I know these comments are old, but I'll just add a few comments myself:
-the repetition and conclusions is a way to get the client to hear her own thoughts and improve her awareness of feelings/thoughts
-the notes are to make sure she herself remembers things like specific thoughts and events instead of repeatedly asking the same questions
-the "fake emotional" voice serves multiple functions, that are preferred over "talking normally". You talk normally to people every day. In therapy you need to be met by someone you can tell have a different focus to get out of everyday patterns like returning a 'how are you' with false 'I'm fine'. Here the intention is to emotionally meet you. I don't think this is the best example, but being met with empathy and openness is key.
-the therapist isn't fake. That isn't the point or intention. The therapist is keeping herself open and curious to the emotional state of the other person, actively putting herself in the clients shoes.
- you can absolutely explain your preferences if it puts you off, and not every psychologist is like this. Don't let it scare you
I had my first therapy session today,; this is exactly how I behaved in front of the therapist.
I could feel the sadness in her eyes.
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+1(845)377-6556
I can feel her.I cried in my 1st session.😢
This must be a valid session with a model albeit actress giving her own experiences. She is volunteering herself to the session but it is genuine.
Depression is a serious mental health issue that needs to be spoken more of. Especially in these times and this video really shows how people need to seek help.
This brought me back more strongly than I expected to my 20s when I was in this position. I think she’s acting this very well
Wish I had had a daughter like her ...She REALLY brings out my maternal instincts !
Judith, I LOVE watching you....I learn so much.....espec how to show empathy to ones who are suffering...Love the dark hair on you, by the way....Very warm
Hi Evy, thank you for watching and for your kind feedback!
Currently studying how much of an impact empathetic listening can have when working with a client. As a social work major, this video was extremely insightful on how listening and clarifying with a client can be an asset in the field. Great work, thank you!
Mufasa Mufasa Mufasa Thank you for your feedback, I appreciate it =)
The therapist didn’t let her cry, but still she’s way better than all the therapists that I’ve visited and I lost all the faith in therapy.. all they do is made things much worse and I’m trying to help myself now.. that’s hard
Hope you’re doing well now💓
First saw this 4 years ago and I recognise so much here... I have actually discovered how powerful mindfullness can be and I am coming out of all the negativity I was in. It’s so sad seeing people like this young lady seeing so much negative experiences in her life. But what I have found is that negativity has been my downfall and when you are in negativity it’s comforting to stay there and it has robbed me of so much... but the thing that made the difference for me was discovering that I didn’t need to try ... it’s not a case of ‘oh just think positive’ that’s the trouble why positivity gets a bad press...
gosh I would so want to people like this dear young lady I want to share how I have learnt ...
This poor girl is clearly crying inside despite her laughs... she so needs to feel love and self love too ... oh my heart goes out to her x
I remember my visiting to psychiatrists for the first time, before entering his room I was laughing with my friend, was commenting on India vs England cricket match but when I entered in his room my emotions were completely changed..With smile I started telling my problem and did not even know, when I started crying & how that happen but it was relaxing...After 7 months of continuous depression I was relaxed at that day..
Wow! Awesome 👍
She is an actress because in the description it says that it “represents” and initial session. For those wondering
Thumbs up for actresses.. You've my respect.
This video is great and it even made me feel better just by watching it. I'm currently dealing with some heavy sadness and I actually called to set up an appointment with a counselor just today. This video gave me an idea of what to expect on my first visit.
-Thank you
Hi JM S, thanks for your comment, I'm so glad you found it useful.
the young girl seems to take the world on her shoulders trying to be the perfect girl she feels her parents think she could be , trying to be polite and hiding the anger she really feels ..we all have to built a foundation for our self ..self love self respect without the expectations of those around us ...I went to therapy for so long and it helped me have the role models parent figures I never had in a positive way but at the end of the day it comes back to us and going deep within alongside all the things we have learned from others we met along the way .
This was a great counselling session and very true to life. I've had these types of thoughts before with depression and it was interesting to see someone else in a session and understand it from the counsellors perspective and see the different types of thought and the cycle that keeps people stuck in depression.
Her laughing is just a coping mechanism to hide her true emotions and that’s totally normal for someone to react like that in situations like this
I’m due for my first CBT session next week. This video was supper helpful before I experience my first session.
Thankyou for sharing.
People are people. Some people smile when they are nervous, look around a lot…people with depression don’t always show it physically.
That was 14 minutes of paraphrasing the client's problems. Where is the CBT?
Ikr, that's how my session went. Like im wasting money for nthg. No new/useful insight.
Absolutely! Complete waste of time!
UnfrozenLeaf
Yeah, where’s the Cock and Ball Torture at?
It's an initial appointment. The therapist is getting a picture of what is going on for the client.
UnfrozenLeaf yeah, I need my testicle cuff
I completely understand the nervous laughter, such a good actress and a well done session ❤️
So relatable! There's so much that people with depression go through and that too within themselves that others will never be able to comprehend. I just noticed lately that I always use past tension for my depression as if to show people that I've gotten better even on days when it's worst than ever.
Unfortunately, there's so much taboo tagged on it and also, people including whom we are very intimately involved just don't understand. I remember my Ex, would actually fight with me about why I keep saying she isn't getting the state of my mind. Everything seems impossible, everything seems unreachable and everything seems numb and painless in front of the pain that dwells within.
+Saad nazim Thanks for watching the video and for your response Saad. It's true that mental health problems are still poorly understand and this can lead to stigma and taboo. But I think things are definitely getting better, too =)
+Judith Johnson the part of the world I live in its less to do with taboo and more to do with people nonchalant attitude towards it courtesy lack of knowledge.
do you by any chance do any Skype sessions for people?
Hi Saad, I'm sorry to hear you're struggling with these difficult experiences. I'm afraid I don't do any private therapy work at the moment (I work at Leeds University and for the NHS), but I hope you can find a therapist locally.
+Judith Johnson I certainly hope you do so in the near future. well, I've had therapy sessions actually I've had quite a roller coaster life thus far, having lost parents at a very young age and having no siblings I pretty much had to manage myself and it wasn't until late at age 25 I realised my depression and how it's inflicting me.
+Judith Johnson while I watched this video I felt each and every word she spoke was mine that's how much I related.
wow, I am so impressed about her acting!she should became a famous actress
A➡️C therapy
1. Identify activating events
2. Jump the behaviour part
3. Consequences- reframe them by conducting experiments to check if they are right or wrong
A good counseling process. Good communication from both Therapist and Client.
I do feel with the stress that comes with young people studying, educational settings or courses should have a mandatory short course to help boost mental strength. This is because young people need it, life is hard and they are juggling a lot and expected to do well. Hoping someone starts this initiative
Is it appropriate to stop her from crying, and ask "are you okay?"
Mental health counseling grad student here - from what I’ve gathered in my internship experience, I think a better way to ask this is to ask, “What’s on your mind right now?” Or “I noticed you started to tear up when I said (so and so), what feelings did that bring up for you?” There are better ways to ask I’m sure but I think just asking “Are you okay” is close-ended and could prevent the client from elaborating :)
@@internallyscreaming90 I agree. I also think it's appropriate to allow the client the space to cry or however they express emotion in silence before asking a question
No its not appropriate. It's better if you just wait and just sit there quietly, it feels better. I had a therapist who kept asking if I was okay, I never went back to her.
this might have been a break in character, worried that the actor was emotionally distressed
Rather than asking if she was okay, you may instead appreciate her effort for seeing u as the therapist and make her feel supportive and positive and make her feel comfortable. In this video the therapist is paraphrasing for a long time.
In this modern world with life so fast, we barely get time to speak and to be heard till we develop mind full of negative thoughts which is worsed by family issues / bullying / Breakups and financial crises, all these things need a listener before it gets into any psycotic disorders.
Psychologists play a vital role not just making early intervention but also making critical analysis but also strategizing the everything to help the person get out as soon possible..
Undoubtedly most people cant feel power of session until they get through same breakup or else.
You're exactly right. I was an addict for 18 years and now have 2 years sobriety. I'm a student to become an alcohol/drug counselor. The client's have to want to change and do the work or it will never work. Thanks for sharing...
This is a great representation of counselling. She could almost be me!
I see a clear representation of the elements to Beck´s theory of depression which we have learned about in AS psychology. A negative view on the self - "I feel unworthy" and "I should have done better" Negative view on the world - "There is no one to reach out to, my friends would´t understand" And negative view of the future - "There is no point in going to the lectures"... So these things would suggest that Lucy is suffering with depression. Thanks for the video.
She’s me - my female mirror
Therapy gives you a different angle to help understand what you don’t. You have to have all the tools to repair the emotional issues and without the therapist and the skill set and training , you will never have the tools you need. Period. Period. And period.
a bunch of people in the comments, who have no clue what therapy means. This session was good. The therapist is repeating to help her client to connect to her emotions, because, what most people dont know, is that depression also occurs disconnecting from self and gives a distorted view on life. Also, repeating is validating and making the client to hear what she says from other voices, so she would have a better view on her cognitions.
wouldnt say depression is disconnecting from the self because it is a neurotic disorder and not a psychotic disorder (bipolar, schizophrenia etc). Depression is gradual and slow development of apathy that arises in the client due to chemical imbalances or events in the environment or a product of both. I agree with you they have a distorted view of life as they probably encompass several cognitive distortions. The general consensus, at least what I had in my studies says that validation that comes from empathy, paraphrasing etc. will indeed help the client to understand their problems and take constructive actions on them. Lucy's depression is manifest because of her wanting to do good in school and I feel there is this underlying fear that if she does not do well she lets down her parents (because she mentioned her parents as well).
@@clivepa prolonged depression can lead to Depersonalization-derealization disorder + numbness. I’m one of those people who went through that and I don’t have psychotic disorders. These symptoms are specific for post traumatic stress symptom (which includes depression and anxiety)
However my point was that depression is about intrusive negative beliefs, that was my point, and it’s not necessary to have a psychotic disorder to have disordered perspectives. CBT was designed for trauma and depression and it focuses on cognition.
@@beatrisjitariu4154 I'm sorry you've been through all of that it must have been very difficult. I agree with your points. I just wanted to make sure that you defined depression as the disconnection or detachment of reality (depersonalisation+derealisation) as opposed to losing touch with reality, which is for psychosis (delusions + hallucinations). Do you study psychology by any chance or are you self-taught about this ?
@@clivepa I’m currently in my last year of psychology at Bucharest University. But I’ve been reading about mental health topics since high school so I’m mostly self taught.
@@beatrisjitariu4154 thats pretty cool. I’m in the same boat as you doing my final year in psychology. Semester is held online (at least for us) so it can get kinda lonely so if you wanna chat feel free to add me on discord Clive#7112
Why am I crying while watching this?
same idk
Counselling makes you feel better, especially when you feel no one can understand you. Some feelings are too overwhelming to bear, and you just need to pour out to someone who understands.
C: "Hi my name is lucy"... T: " so I understood that you said your name is Lucy?" C: "I am sad" T; " I hear you say you are a sad. is this correct?" I hate when therapists repeat every statement you make. I sounds like a call center employee
a bunch of people in the comments, who have no clue what therapy means. This session was good. The therapist is repeating to help her client to connect to her emotions, because, what most people dont know, is that depression also occurs disconnecting from self and gives a distorted view on life. Also, repeating is validating and making the client to hear what she says from other voices, so she would have a better view on her cognitions.
To me it's just repeating.
I agree. for some smart people or who have the psychological insight they would get angry and a much more unhealthy patient like a BPD might even say "If I wanted a parrot I would have bought one' Often BPD clients are very smart and perceptive and sometimes psychologically minded.
This is actually a technique used in therapy called reflection. It allows the client to really understand the words that they are saying and form another thought from that.
It's self-affirming to hear that the therapist is actually listening and understanding. Also. If you said something and then when the therapist says it back you realise that's not entirely true it gives you the opportunity to speak further on the matter instead of the session bulldozing right through with little regard to how you're actually doing. That's what the goal is. To actually listen and show you're listening. Therapy is not just about talking but allowing the service user to think, confirm, accept and verbalize that that's how thing are going. Makes things more real and helps with the healing process.
She seems very happy to be in an environment where she can be comfortable with an expert, and understood.
Great video. I’m going to school for psychology with a concentration in addiction and child and adolescents. I want to help addicts and their family members who don’t have health insurance. Hope to be where you are soon.
I can absolutely feel this ,i understand her
Thank you for the video! I feel like this is my calling
The therapist kept repeating her self and not really listening and allowing the client to express her true feelings and CRY!!
i really want to start therapy sessions but i legit will be speechless. I just couldn’t imagine the fact that i’m venting out the problems no one knows i’ve had and my social anxiety just worsen it like 10x. I’m not good with communications either and if someone ask me about my problem i don’t even know where to start, i can’t focus on one problem and i’ll get lost and sat there nervously or maybe have an anxiety attack. I don’t know what to do, i can’t talk to anyone in my family because they’re all still from stone age and thought that teenagers don’t have the reasons to have mental illnesses. I don’t have friends either.
well i think sh edid an amazing job acting. most people dont even show the depression signs, they smile and talk like normal people, they have the brightest smile, that you wont even recognise they are probably going through something. my brother never showed any signs of depression until it was too late, so never judge anyone and think, "oh, they dont look depressive." coz I strongly believe that sadly that's not how it works. I wish I knew it back then and so I felt the need to say it, as someone pointed rightly its the first session, how can they trust to openly show how they feel. now also that doesnt mean those that appear gloomy and sad arent depressed, im just trying to say, lets not judge by how they appear to us, until we talk and understadn from them we cant say.
I think this could be a Humanistic, Carl Rogers approach than the CBT model, because I don't see much of behaviorism in the session. Or maybe this is just a short beginning, I hope there is a realization of the model more.
"The video features an actor playing the character of Lucy, *but the dialogue is not scripted, and as such represents a natural therapeutic exchange* "
I'm hoping she is doing wonderful now
thank you Judith for your videos. I'm currently doing my masters in Cognitive Behaviour therapy and find these videos really helpful. I wish you could make some more videos! thanks again!
Sharnelle
+Hephzibah Lopez Thanks for the positive feedback Sharnelle! I should have some more videos up in the next 1-2 weeks.
This is the first video of yours I watched. I watched it because I have felt depressed for a long time, I hope I can gain the courage to tell my mom soon. I decided to watch this video also because I wanted to see what a session of therapy would be like.
I feel safer now, knowing that I'm not the only one. Also that if the questions are always like this I can answer them with out feeling invaded.
I didn’t understand the young girl was an actress 😳, I’m 60 and still struggling with depression which may be lots of other things 🤔, I don’t understand but I’m starting CBT tomorrow and to be honest I’m dreading it……
I can’t understand my own thoughts let alone try to explain them to someone else , but I’m determined this time I will go through the pain of talking and feeling bad rather than avoiding it , or giving up because it stops the feelings.
Take care everyone going through life like this x
- [00:18] 🩺 Lucy was referred by her GP due to feeling down recently and wanting to address it.
- [01:02] 🤔 Lucy's feelings of being down have worsened since her last visit to her GP.
- [02:09] 🏡 Lucy feels isolated and finds it hard to talk about her feelings with others.
- [03:30] 📚 Lucy's low mood began around the time of her exams and was compounded by her parents' marital problems.
- [05:15] 💔 Lucy feels guilty for not performing well academically and blames herself for her parents' issues.
- [07:19] 🛌 Lucy's mood has deteriorated, leading to a lack of motivation, difficulty attending lectures, and preference for staying in bed.
- [09:20] 😞 Lucy experiences negative thoughts, feeling unworthy and comparing herself unfavorably to others.
- [11:02] 😔 Lucy feels embarrassed discussing her emotions but acknowledges feeling sad, angry, and frustrated.
- [12:00] 😩 Physically, Lucy feels drained, lethargic, and experiences sleep problems.
- [12:23] 🔄 Lucy dwells on negative thoughts, leading to a cycle of feeling worse and then becoming emotionally numb.
I actively chose not to read books about different types of therapy because I wanted to tailor strategies for myself. I lived with anxiety, depression and PTSD and took on my recovery on my own. I grew up in an abusive environment and never learned how to relate to depend on others, I also had poor social skills so it made sense to do it on my own. I have been told, through my public speaking with NAMI-NYC that my method is similar to CBT. I wish I had thought of it sooner and wrote a book about it hehe
A good therapist can really make a huge difference. I can relate to you, been working on it on my own, but I realise having someone supporting me can help me to see blindspots, support me in ways that I cannot do on my own.
same. i was diagnosed with anxiety attack 10 months ago. i want to cure my own mess. even if its so hard to do sometimes. i will do this on my own.
It is interesting to read the comments people, some of who sound like therapists, are crticising the process in which the therapist in the video is interacting with the client. If any therapaist is to publicly display a session they have with a client, they too would get such comments on the process. Unfortunately, a lot of therapists believe their delivery and approach is god-send.
If you are therapist criticisn her skill and style, I would suggest make a consented recording and recieve critique, it helps so much. Also, put a video on youtube and you will also get inflammatory comments for how you practice.
Luke Thank you for this :)
I found this really helpful for my counseling class but I wish I understood the stages between the session
Very late reply but thank you for these informative case study videos.
I hate seeing the superficial kindness in their face (counsellors).
YES SAME
Correct me if I'm wrong, but it seems to me that CBT is for people who don't know themselves very well, I can come up with all the reasons to why I feel a certain way and what makes me tick, and give you counter arguments but it still doesn't help, I share my feelings with anyone, I dont care in that respect, so telling me what I already know doesn't help, it seems you have to just keep moving towards what you want (if you have the strength) and then over time hopefully things work out, so you can start to feel good about something.
This much better than telling my teacher why I have scars and telling her not to call my mom but she did and she ruined me even more, she tries to see my scars and that’s uncomfortable and more when sometimes she is the one that triggers me.
Same happened to me. I begged my teacher not to call my parents and he did😭
Same happened to me. I begged my teacher not to call my parents and he did😭
Thanks for sharing this. I have started to be trained for CBT. It is a learning path for me.
Wow i am not too bad, i thought she was not an actor, but when you talked about the smile, and asked about taking notes in the middle of the session, i thought that is a bit strange...very good acting, and very nice session.I wish i could find a way to help with my french psychology degree and my skills... thank you for the video this is great.
Thanks for your feedback Raphael, it's great to hear you liked it.
You welcome Judith ;)
This is so helpful for my intro to counseling class
the therapist should make sure that taking the notes is ok with the client BEFORE they started the session, not half way through.
I'm holding back tears...this is soo relatable🥺😫
Audri - You may want to read the description... "The video features an actor playing the character of Lucy, but the dialogue is not scripted, and as such represents a natural therapeutic exchange".
These are actors that are simply displaying a proper CBT interview. It's great for Counseling students such as myself to learn from!
Thank you Galloway Slot Hits for your feedback, much appreciated! And yes - Audri Gharakhanian - as Galloway Slot Hits suggests the character of "Lucy" is played by an actor. This is certainly not a perfect example of therapy and, as you suggest, there is always room for improvement! I continue to work to try an improve my technique and approach as a Clinical Psychologist.
In what possible way is it "theraputic"?
The first sessions are where we get the client to buy into and put themselves in the model. critical feedback: therapist at this stage is identifying thoughts, feelings, behaviours, physical sensations. this session was more PCT than CBT, you say several times, "you feel...." then you follow up with a statement. This indicates that as a therapist you are confusing feelings and thoughts.
James Morgan Thanks for viewing and engaging with the video. In response to your comments, I should highlight that this video does not aim to display how a course of therapy should begin, because as you suggest, CBT starts with socialising the client to the model and agenda setting. Instead, this video is designed to be used as a teaching tool for teaching formulation, and so moves more quickly to eliciting those factors relevant for formulation. Indeed, it can be used as a companion to my recent co-edited book "Case Formulation in Cognitive Behaviour Therapy: The Treatment of Challenging and Complex Cases" www.amazon.co.uk/Case-Formulation-Cognitive-Behaviour-Therapy/dp/0415741793/ref=sr_1_1?ie=UTF8&qid=1439827925&sr=8-1&keywords=case+formulation+in+cognitive+behaviour+therapy . I outline this in the blurb for the video, which should be visible above. I would also suggest that that reflecting client emotions and providing summaries of what the client has said are techniques often used in CBT which can contribute to developing understanding, interpersonal effectiveness and collaboration between therapist and client, as outlined in the cognitive therapy rating scale www.beckinstitute.org/cognitive-therapy-rating-scale/ . The extent to which these are used is likely to vary at different points in the therapeutic process, and may be used more heavily at the earlier stages of therapy when developing a strong therapeutic relationship is key. These are not techniques which are limited to PCT. Thank you again for your comment, and please do subscribe for further videos in future.
I can relate to what Lucy is saying because lately I feel like I have the whole world on my shoulders
Excellent video! Very natural flow of conversation, solid trust being established. I could relate to the many symptons of depression when i was back in high school! There was a time where you asked "Are you OK?" Would you think of changing that? To me the visitor was held back from some raw emotional release. I feel it would be even better if she stopped the coping smiles and just let her true emotions be shown. what are your thoughts?
Yeah Im borderline and those coping smiles are a last line of defense, good point.
Been there & worn the T - Shirt. In fact exactly about 3 months after, from the date of this video, I was in my first episode ever of (Bipolar) Clinical Depression which was annoyingly :( rounded off with a diagnosis of Mania in an inpatient unit 3 years later! No problems prior too but a history of Bipolar Disorder.🥴Having had Mental Health Dysfunction gives you an incite into symptomology in Mental Health Dysfunction like nothing else will (yes & that's inc a medical degree & textbooks like the DSM 5!). I believe (& credit to the person playing the patient for trying to be a genuine patient) this patient is maybe even be in Clinical Depression by now (not just MILD Adjustment Disorder - related Depression) & based on the ongoing stresses that have been knocking her she probably also has started having suicidal ideation (which only if the Psychologist really probed for may POSSIBLY be admitted but not always) following the hopelessness/" everything is going wrong in my life " thoughts. At this point further History Symptoms needs to assess a bipolar or monopolar nature to this abnormal symptom list (wanting to stay in bed & loss of interest in previous interesting activities etc.) that is the bedrock Mental Health Dysfunction brought about by abnormal persistant periods of stress in some genetically prone individuals at least (& in fact a rapid decline in Mental Health amazingly). She sounds as if her sleep pattern has suffered deterioration (hence her tiredness even if she were to sleep early). IMO after a next session, & with no symptomatic improvement, she needs professional Psychiatric evaluation & most likely the appropriate anti depressants (hopefully a short course!) or hospitalization because she will, IMO, if this carries on like this become a Suicide risk & sadly we read about these sort of cases everyday. Once the Depression is under control or remission then GRATITUDE CLINIC CBT psychotherapy & stress coping techniques coaching is essential! History & Symptoms is key to an accurate diagnosis IMO or you are just throwing "stones in the dark", sadly, from a patient point of view. FYI the average length of time in the UK between first symptoms & accurate diagnosis is 3 years FGS:(! An absolute scandal, IMO, that has cost many lives from post (undiagnosed) Clinical Depression/ sub Clinical Suicide. Must stop now!;):)
I’m 14 and recently I’ve had so many things that have stressed me out but can’t talk to anyone about it because they wouldn’t understand or take it the right way and would be mad I am stressed. I wish I could talk to a counselor
@@azerila6140 people like you are wholesome , I appreciate your concern and I hope you have a greate life :)
@@musiclearner6799 thank you!
@@musiclearner6799 damn idk why my comments keep getting deleted
That's exactly what l do, l stopped talking people to avoid bringing them down at my situation, and many left cause this depression thing also is full of negativity, l don't know how much o can endure.
this made me cry tho...
Very nice video, gives me an interesting peek inside what kind of work therapists do and what therapy is like
It's difficult to judge a media performance by 2 minutes into it. However ECT is the equivalent of a sledgehammer blow into the brain depending on the level of seizure. Social acceptance is the technique employed to legitimise the procedure.
The therapist seems to be using techniques of supporting, probing/questioning, summarizing, and empathizing. I'm currently taking a group facilitating class, so I'm testing to see if I can spot different techniques used by a facilitator; in this case, the therapist.
Identifying thought and behavioural patterns too.
I just discovered your channel, Judith. I really love your approach and watching your videos. I'm going to do my masters in Psychology this year, thank you for all your videos, it's really helpful and interesting to watch.
Did you complete your course and if so what was your experience like? Im an a level psych student and would love to hear your thoughts on the subject.
i cried so bad the 1st time i do CBT :-(
now improving!!!
:-)
How are you now
@@johnrebay9096 hi there. now, i think im recovered =) although i need to take medication for life.
i was diagnosed with bipolar mood disorder type 2, predominant of depression.
i wasnt showing any good progression after starting medication for months, and i thought that for my treatment, medication is enough, as how many "awareness campaign" of mental disorder like this keep telling people "it's the chemical imbalance in your brains, so you need medication to balance it back".
when my doc wanted to refer me to psychologist for therapy (CBT), i thought "how could it help by talking to a psychologist, if the problem is merely 'chemical imbalance'"? i had no idea what was CBT anyway.
however, i was desperate to get better. so i agreed.
fast forward, CBT works for me :-)
I still don't understand what CBD is supposed to do? I had a therapist just like the one above. Is it just about her repeating what you are saying. BC I knew what I was thinking. I can speak quite plainly and clearly and know what my problem is. What's the point of just having them repeat what you say?
i feel down all the time
Is there anyway possible that I can get to see the 2nd session?
They are a horrible therapist though. She's just repeating what she's saying. She askes "are you ok" and the girl suppressed the crying. Therapy takes emotion work yourself, the therapist is there to help you guide and see a new light and way of thinking and you have to apply it.
Your videos are amazing, I have subscribed ! Thank you