Counseling for Anxiety Problems (2nd Ed.) by D Sanders; F Wills

By D Sanders; F Wills

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5, enables us to understand the background to anxiety, and what makes the individual vulnerable. It offers an understanding of why the individual might be vulnerable to anxiety in terms of their schema and assumptions, developed from experiences throughout life. Assumptions and beliefs represent the higher layers of the cognitive model, or bottom line, depending on which way up 30 Theory and Practice of Counselling for Anxiety Early Experience Information about the client’s early and other significant experiences which may have shaped core beliefs and assumptions.

Other methods are based on those developed in other forms of psychotherapy and counselling. While many good methods and interventions have been generated and described within cognitive therapy, it is important that the therapy should not be driven by the need to use these techniques. Overall, the conceptualisation should drive the therapy. Any intervention, whether it comes from the casebook of cognitive therapy or from that of some other therapy, can be used quite happily ± provided that it hits home on the issues for intervention identi®ed in the conceptualisation.

How do we, as counsellors and therapists, balance these two apparently contradictory ways of working? Overall, when working with clients with anxiety problems, the art of therapy is to be able to balance our knowledge and consideration of protocols with the individual client conceptualisation, as we discuss in the following section. Protocols versus individual conceptualisation Some, if not many, counsellors will start to feel rather alarmed by the ideas of protocols and manuals for conducting therapy, given that counselling and psychotherapy philosophy and training is Cognitive Approaches to Counselling for Anxiety 41 geared to treating each client as an individual with individual problems.

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