CORNELL HD 3700 - CBT_Case_Study(1) (1) (12 pages)

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CBT_Case_Study(1) (1)



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CBT_Case_Study(1) (1)

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Pages:
12
School:
Cornell University
Course:
Hd 3700 - Adult Psychopathology

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FindArticles Perspectives in Psychiatric Care Oct Dec 1998 Article Print friendly Cognitive therapy for the suicidal patient A case study Reilly Christine E TOPIC The use of cognitive therapy to treat a suicidal patient PURPOSE To demonstrate through the use of a case study the cognitive therapy method in treating a suicidal patient SOURCE The author s own clinical work CONCLUSION Suicidal people often demonstrate perfectionism social sensitivity difficulty problem solving and hopelessness Cognitive therapy addresses these problems by helping patients plan activities track destructive thinking and its impact on feelings and behaviors and substitute constructive thinking thus decreasing hopelessness Key words Cognitive therapy depression suicide Suicide is responsible for more than 31 000 deaths a year making it the ninth leading cause of death in America Anderson Kochanek Murphy 1997 The single most predictive risk factor for a completed suicide is a psychiatric diagnosis As in the case of depression and panic disorder cognitive therapy research has made a significant contribution toward understanding the variables in suicide A task force of the National Institute of Mental Health Center for Studies of Suicide Prevention developed a tripartite classification system in 1973 to describe suicidal behavior suicide ideation suicide attempt and completed suicide Beck et al 1973 Within these three processes the variables of intent lethality and method can be assessed so the clinician can evaluate the degree to which a suicidal patient is at risk There has been much discussion in the literature about the relationship of suicidal intent to degree of lethality in the suicide attempt Beck Resnik Lettieri 1986 Riggs McGraw Keefover 1996 Weishar 1996 This research suggests greater suicidal intent leads to greater lethality of method chosen If the patient is knowledgeable about the method chosen to end life the degree of intent is considered to be high potentially placing the



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