Discussion: The Essentials of Family Therapy

she is prescribed to treat the symptoms that she is exhibiting will help convince her to become more compliant. Based on the information that you provided, a borderline personality diagnosis, her resistance to medications, withdrawn behavior, and history of trauma, I would recommend trying the cognitive-behavioral therapeutic (CBT) approach. CBT is based on a theory that maintains how an individual structures his or her experiences largely determines how the individual feels or behaves (Wheeler, 2014). Cognitive therapy advocates guided discovery rather than challenging the patient’s views directly (Wheeler, 2014). The most effective approach is to allow the client to find the answers to their own problems or dilemmas as much as possible (Wheeler, 2014). Clinical strategies are used to help the individual recognize the dysfunctional nature of their thinking patterns and to help the individual change their own conclusions. CBT has a cognitive model for depression and a cognitive model for personality disorders specifically, which would both benefit your client.
Narrative therapy may be another approach that would work well with your client. Narrative therapy helps people separate themselves from the problem and allows room for a new and more constructive view of themselves (Nichols & Davis, 2020). Your client sounds as if she needs to explore what her problem actually is and realize that the problem is the problem, and that she is not the problem. The therapist will ask a series of questions to the lead the client to discuss times when the client was able to avoid the problem and will ask the client to elaborate on how those times came about, leading the client to focus on the positive and realize that more positive stories may be made (Nichols & Davis, 2020).
References
Nichols, M.P., & Davis, S.D. (2020). The Essentials of Family Therapy (7th ed.). Hoboken, NJ: Pearson Education, Inc.
Wheeler, K. (ed.). (2014). Psychotherapy for the advanced practice nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

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