COUN222 Chapter Notes - Chapter 8: Pelvic Floor, Physical Exercise, Headphones

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"many depressed patients are so preoccupied with negative thoughts that further introspect may aggravate the preseveration ideation. Rationale rests on an individuals forumlation - which demonstrated the links between thoughts, feelings and behaviours. Facing difficult to tolerate thoughts or images - however will be in the context of a respectful, supportive, collaborative relationship and will be taken at appropriate pace. Either a thought or a visual image that you may not be very aware of unless you focus your attention on it. You must guard against your clients identifying unhelpful cognitions as. "wrong" or "irrational" this can feel negative belief such as "im stupid" or "i always get things wrong" Fundamental task - helping clients observe and reconrd the thoughts and images that run through their minds. First step help client learn to "catch" relevant reactions, to discriminate between feelings and thoughts and then link them so that feelings become a cue for cognitive exploration.

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