CBT is particularly suitable for Margarita since it is short and can be carried out in the three remaining sessions. It has also been found to be effective for Latinas “as the techniques are culturally adopted and relevant” (Diaz-Martinez, et. al., 2010). In fact, CBT is just as successful 7
Theoretical Framework and Application 1 for Latinas as non-Latinas for the treatment of anxiety and depression, particularly those who speak the language and are acculturated. Margarita does speak the language and is acculturated by all appearances (Chavira, et. al. 2014). In this regard, some of the CBT techniques this writer would consider incorporating would be suggesting Margarita keep a journal, and write down her thoughts when she is beginning to feel depressed and anxious. It would also be suggested she look at the assumptions she made when she experienced a depressive or anxious thought. Margarita would also be taught the value in disputing those thoughts and forming alternative thoughts. For example, if she goes places is she really being socially judged? With regard to her anxiety, it would be pointed out that anxiety stems from a feeling that one lacks control. This type of behavior can be pointed out to Margarita. For example, we see that she is anxious in social situations, yet she is confident in structured work projects where is in charge and has control. Provided with these understandings, Margarita can then reformulate the negative, anxious and depressive thoughts she wrote down into more positive thoughts. In that way, she can learn to begin the process of turning those negative thoughts around in her mind. Lastly, because Margarita’s anxiety and depression are impacting her behavior and ability to work, appear in social situations, go places, and have friends, CBT self-management skills could be used to improve those areas. Those skills would be useful in allowing her to better cope with the anger she feels towards her husband. Margarita’s goals for the remaining three sessions would be small, measurable and attainable. For example, it could be to discuss the places she wishes to go, but feels she can’t because of her anxiety. Then the therapist and Margarita can discuss ways she can feel comfortable visiting those places, such as going to them for a short period of time. Or perhaps 8
Theoretical Framework and Application 1 there can be a discussion of maybe just doing one kind thing for her husband each day as a method of overcoming her anger and repairing her relationship with him. Then Margarita can self-monitor for any behavioral changes. A plan can be developed in the first session to achieve those goals. That plan can then be evaluated in the remaining sessions to determine where progress has been made, and where further adjustments may be needed. It is something that Margarita can continue after her therapy is completed.
- Spring '16
- Dr. Mindy Heher
- Feminist theory, Margarita