Case study clinical example CBT: First session with a client with symptoms of depression (CBT model)



Case study example for use in teaching, aiming to demonstrate some of the triggers, thoughts, feelings and responses linked with problematic low mood. This section here represents the first 14 minutes of an initial therapy session, but in order to try and outline the vicious cycle, it moves faster than an average session might. 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 myself am a qualified Clinical Psychologist, but would definitely not suggest that this is a perfect example of therapy!

This video was produced as a collaboration between the University of Leeds and Leeds Trinity University (Ricardo Barker).

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36 thoughts on “Case study clinical example CBT: First session with a client with symptoms of depression (CBT model)”

  1. Conversation is a key word in the field of psychology. Anxiety, depression, sense of loneliness, suicidal

    thoughts are common among those, who are left alone or being affected by killing incidents. A

    conversation can help to overcome these negative feelings. So the importance of an empathetic

    approach can not be ignored.

    According to my views, Listening plays a vital role in a conversation. Before that , asking with all the

    compassions can win the trust of the person who lacks from the mental balance. Then only supporting

    can become a healing touch to the concerned person and the process can make a difference.

  2. The joker in Batman saw a psychologist his response was "everytime I come in you say the same thing, how was your day, have you had any negative thoughts…… All my thoughts are negative"
    Wonder how that therapist responded at someone opening up about their fraudulent profession

  3. The Human Brain is retarded. (quite literally)
    Living in huge population societies is not how humans was supposed to be
    we're evolving faster than our brains can adapt to population increases and technology.

    We're hunter gatherers that are supposed to live in tribes.

  4. i don't know why no psychiatrist never talks or believes in DESTINY and Environment ; these depressed people are born. They should do counselling in that particular way so things should be solved slowly because narcissist mother or father or siblings never allow you to take control over them hence putting you in depression and making you powerless and if you are strong and wise enough then you can control the circumstances slowly. Remember and read the word carefully "WISDOM"

  5. 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.

  6. I went from watching Two and a Half Men to watching this video. I really feel for people who are depressed. I feel like that often though. I guess that’s why I watch Two and a Half Men lol. My solution to depression is to watch comedy series and keep my mind occupied with computer programming. Tried making friends online and at work but people don’t really want to hear about the cool algorithm you just programmed lol. Tried talking to them about things they are interested in but after a while they just get along with others more than they do with you. Despite forcing a smile on your face. Well such is life for some.

  7. CBT talk therapy does help clear things in the minds of people with depression. What I'm not so sure about is if a person still has to live in the toxic environment that triggered the depression … how can this technique help them to cope ?? Please respond and throw some light on this for us. Thanks !!

  8. 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

  9. 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

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