Using evidence based cognitive behavioural coaching to facilitate gender transition: Goal setting and pre and post intervention measures of mental wellbeing

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Oral presentation at the 1st International Congress of Coaching Psychology Conference UK. British Psychological Society, Special Group in Coaching Psychology, 14th & 15th December 2010, City University, London, UK.

Health & Medicine

Using evidence based cognitive behavioural coaching to facilitate gender transition: Goal setting and pre and post intervention measures of mental wellbeing Dr Dasha Grajfoner C.PsycholMSCP Accred

TRANSITION = ULTIMATE CHANGE EMOTIONAL BEHAVIOURAL ENVIRONMENT INDIVIDUAL SOCIAL SEXUAL COGNITIVE

Why CBC? EMOTIONAL BEHAVIOURAL AWARENESS COGNITIVE SOCIAL SEXUAL

CBC Tools Raising awareness (ABC) Modifying stress inducing thinking, behaviour and emotions Thinking skills SMART goals Tools for self coaching

Transition Model AFFIRMATION DISCLOSURE ADJUSTMENT MAINTENANCE Grajfoner, 2009

Methods 9 sessions - 2 hours 12 Participants in 2 groups (MtF and FtM) 8 completed questionnaires Tools: Visualisation Thinking Errors SMART goals, ABC, Core values and beliefs

Results Goal Setting and Progress Depression (PHQ-9) Well-being Scale (WEMWBS)

Goal Setting Scale Week 1 or 2 Week 8 0 10

Goal 1 “Tell my parents I am a woman” (Disclosure)

Goal 2 “ To be able to speak in feminine voice by the end of the course” (Adaptation)

Goal 3 “To be able to recognise and stop my anxiety” (Maintenance)

Conclusions Significant Goal progression Significant lower Depression scores Significant increase in Well-being Reported Group support

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Paper presented at the 29th World Summit on Positive Psychology, Mindfulness & Psychotherapy May 21-22, 2018 New York City, New York, USA The emergence of Coaching Psychology and Positive Psychology as ways to improve wellbeing and reduce distress have proliferated over the last few years. However, this has traditionally been the domain of Counseling or Clinical Psychology. This research aimed to explore these different helping approaches sit alongside each other and under what circumstances one approach should be used over another to ensure maximum efficacy and client safety. Abstract Over recent years, the emergence of Coaching Psychology (CP) and Positive Psychology (PP) as methods to improve wellbeing and happiness have grown rapidly. From their initial starting point, the two disciplines have matured and are now developing a growing evidence base as effective interventions for the improvement of ill-health, an area that has traditionally been the domain of Counseling or Clinical Psychology (C/CP). However, this growth has not occurred without debate, tension and misunderstanding. One area yet to be fully explored is how do CP and PP sit along side their therapeutically orientated sister disciplines of C/CP and under what circumstances should one approach be used over another so as to ensure maximum efficacy and client safety. Through the analysis of over 100 hours of clinical and coaching session notes, this paper explores the possible link and divide between the different approaches. The use of thematic analysis led to the identification of a number of common and different themes between the approaches. By adopting the notion that these different approaches were “conceptual maps” of phenomena, with different “Ranges” and “Focuses” of convenience, allowed possible overlap and difference to be coherently explored and integrated. This culminated in the creation of a Wellness Staging Framework (WSF) based upon a dual continuum model of “wellbeing” and “complexity & severity of presentation”. This staging framework was then retrospectively applied to the data set. Results indicated that the WSF could provide a way in which allocation to C/CP or CP/PP could be decided. Exploration of the data also revealed that mindfulness (used implicitly or explicitly) was common in all approaches and was often central to a hermeneutic growth cycle that underpinned changes in wellbeing, happiness and goal attainment. Several methodological issues and avenues for future research were identified and are discussed.

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Running Head: CBT VS REBT 1 Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory Cognitive Behavioral Therapy and Rational Emotive Behavioral Therapy Cognitive behavioral Therapy (CBT) was developed by Aaron T. Beck during the 1960s (McLeod, 2015). CBT refer to a system of psychotherapeutic intervention that take into account the impact of people's experience structures on their feelings and behaviors (Wheeler, 2014). Rational Emotive Behavior Therapy (REBT), was created by Albert Ellis during the 1950s which centers on resolving emotional and behavioral issues (McLeod, 2015). REBT is a type of CBT which stresses the role of irrational beliefs in provoking dysfunctional emotions and maladaptive practices (Păsărelu & Dobrean, 2018). Similarities between Cognitive Behavioral Therapy and Rational Emotive Behavioral Therapy CBT is grounded on the idea that how we think- cognition, how we feel- emotion and how we act- behavior, all relate together, in particular, our thoughts decide our feelings and behavior (McLeod, 2015). Hence, negative and impractical thoughts can give us distress and result in issues. CBT can be utilized to treat individuals with an extensive variety of mental health problems. REBT urges an individual to recognize their general and irrational beliefs, for example, “I must be perfect" and subsequently persuades the individual challenge these false beliefs through reality testing (McLeod, 2015). Converting irrational beliefs to more rational ones is the aim of the therapy. The two therapeutic theories include human emotions and behavior which is linked to thinking, beliefs, attitudes and ideas, and are considered to have a strong impact on attitude change. Nevertheless, despite the fact that these two treatment strategies are from two different entities and course of events, they correspond or are related in Running Head: CBT VS REBT 2 different ways. The two therapies are entangled on the idea that individual habits and emotions are brought forth from thoughts, stances, inspirations and credence, not from situations. Additionally, both CBT and REBT are identical with their perceptions that if it’s someone’s thinking that rousing dysfunctional beliefs, then they should change their beliefs as reiterated by American Psychiatric Association (2013). Differences between Cognitive Behavioral Therapy and Rational Emotive Behavioral Therapy In Cognitive Behavioral Therapy (CBT), some anger is healthy and appropriate ; now and again, directness or confrontation might be important, yet usually best to be as collective as could be expected under the circumstances and to enable clients to solve their issues with insignifican ...

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Amy Bucher, Ph.D., works in Behavior Change Design at Mad*Pow, a purpose-driven strategic design agency in Boston. Amy focuses on crafting engaging and motivating experiences that help people change behaviors that contribute to physical, mental, and financial health and well-being. Before joining Mad*Pow in 2016, Amy worked on behavior change products in-house at CVS Health and Johnson & Johnson. Amy received her A.B.from Harvard University, and her M.A. and Ph.D. in organizational psychology from the University of Michigan, Ann Arbor. She’s a frequent speaker at behavior change and UX conferences where she talks about motivation, engagement, and product design.

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MINI ASSIGNMENT 2 1 The Effectiveness of Cognitive Behavioral Therapy (CBT) as an Intervention for Student diagnosed with Anxiety Melissa Kelly Albany State University COUN5620 Research and Program Evaluation for Counselors Dr. Claudia Calder October 13, 2021 Literature Review Comment by Calder, Claudia: Great job with the review. Be sure this section includes all 7 articles from your annotated bib in addition to other articles that provide the background and context for the research problem and establish the need for the research. – you only have six references listed Cognitive-behavioral therapy is defined as psychotherapeutic treatment that helps people in learning how to manage and identify worrying or negative thought patterns that cause an undesirable influence on one's emotions and behaviors. It focuses on changing the negative thoughts automatically, which often contributes to and worsens o emotional difficulties, anxiety, and depression. These spontaneous thoughts harm an individual mood (Luo & McAloon, 2021). Cognitive-behavioral therapy is a well-established treatment for anxiety disorder in adolescents and children. Research has shown that about 60% of youths recuperate from anxiety disorder and experience a significant reduction in the disease’s symptoms after treatment (Stjerneklar et al., 2019). According to various studies, cognitive behavior therapy has proven effective in treating anxiety disorders in children and adolescents. This form of therapy helps promote improved self-control, elude activates, and develop coping skills for day-to-day stressors. On the other hand, anxiety disorder is a form of mental health illness that makes one respond differently to certain conditions and situations with fear and dread. An individual with an anxiety disorder typically feels anxious and nervous. Anxiety interferes with one's ability to function normally, and a person overreacts when something triggers their emotions; hence one cannot control their response to situations. According to a national institute of health report, almost one in every three elementary students experiences an anxiety disorder. These have increased steadily by 20% between 2007 and 2012; the high incidence of anxiety disorder among youths usually arises due to pressure and high expectation to succeed (Krister et al.,2017). In the contemporary world, youths feel more pressured to succeed academically, and these thoughts often overwhelm them. Cognitive-behavioral therapy of generalized anxiety disorder treatment helps address the anxiety and mental prejudices, equipping one with a relaxation mechanism suitable for managing tension and marginal exposure to disastrous exposure and imageries to traumatic situations and prevent over stressful behaviors. Effectiveness of Cognitive-Behavioral Therapy as an i ...

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