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Enji: REBT Therapeutic Case Goals


Identify REBT therapeutic case goals:

Enji is a 36-year-old Japanese man who moved to the United States 12 years ago. He is a widower, having lost his wife in a car accident shortly after their move. He has a daughter who survived the accident unharmed. Enji is currently facing several challenges, including depressive symptoms, social anxiety, relational and parenting conflicts, and financial difficulties. Despite feeling irritable and lacking energy, he continues to work. He experiences significant anxiety in social situations, leading him to isolate himself. He fears judgment from others, believing they will perceive him as “stupid” and dismiss him. This fear has led him to avoid social interactions, reinforcing his isolation. Enji’s cultural beliefs present a barrier to seeking help, as counseling is not traditionally supported in Japanese culture. However, he has decided to seek counseling due to the strong encouragement of an American friend. His case presents a complex interplay of cultural, psychological, and social factors that need to be considered in his treatment plan.

Explain more S Certainly, let’s delve deeper into the concept. Enji’s situation is a complex mix of cultural, psychological, and social factors. Culturally, Enji is from Japan, a country where mental health issues.

Solution:- Enji: REBT Therapeutic Case Goals

Rational Emotive Behavior Therapy (REBT) is a cognitive-behavioral therapeutic approach that aims to help individuals identify and change irrational beliefs and thought patterns that contribute to emotional distress and dysfunctional behaviors. In Enji’s case, several therapeutic goals can be established based on his presenting issues and the principles of REBT:

  1. Identifying and Challenging Irrational Beliefs:
    • Goal: Enji will work to identify and challenge his irrational beliefs, such as the fear of being judged as “stupid” and the belief that seeking counseling is not culturally acceptable.
    • Objective: Enji will engage in cognitive restructuring exercises to question and modify these irrational beliefs, promoting healthier thought patterns and emotional responses.
  2. Managing Depressive Symptoms:
    • Goal: Enji will learn strategies to manage his depressive symptoms, such as low energy and irritability.
    • Objective: Enji will work on recognizing and reframing negative thought patterns that contribute to his depression. He will also develop coping skills to improve his mood and energy levels.
  3. Addressing Social Anxiety:
    • Goal: Enji will reduce his social anxiety and avoidance of social situations.
    • Objective: Enji will engage in exposure therapy exercises to gradually confront and tolerate anxiety-provoking social situations. He will also practice assertiveness and communication skills to enhance his self-confidence.
  4. Improving Parenting and Relational Skills:
    • Goal: Enji will work on his parenting and relational conflicts, including his relationship with his daughter.
    • Objective: Enji will learn effective parenting techniques and communication skills to build a healthier relationship with his daughter and resolve conflicts within his social network.
  5. Addressing Financial Stress:
    • Goal: Enji will develop strategies to address his financial difficulties and reduce stress related to his financial situation.
    • Objective: Enji will work with a therapist to create a budget, explore potential financial solutions, and develop stress management techniques to better cope with his financial challenges.
  6. Cultural Sensitivity and Integration:
    • Goal: Enji will navigate the interplay between his Japanese cultural beliefs and the therapeutic process.
    • Objective: Enji and his therapist will explore cultural factors and work together to integrate Enji’s cultural values and beliefs into his therapy journey, ensuring that counseling aligns with his cultural background and values.
  7. Gradual Exposure to Counseling:
    • Goal: Enji will gradually become more comfortable with the idea of counseling and overcome cultural barriers.
    • Objective: The therapist will provide psychoeducation about counseling and its benefits, create a safe and non-judgmental environment, and gradually expose Enji to counseling techniques, respecting his cultural concerns and preferences.

Enji’s case is complex due to the intersection of cultural, psychological, and social factors. REBT’s goal-oriented and cognitive-behavioral approach can be effective in helping him address his issues, challenge irrational beliefs, and develop coping strategies to improve his mental health and overall well-being while respecting his cultural background and values.

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