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The Effectiveness of Cognitive Behavioral Therapy and Emotional Disclosure for Managing Stress

Introduction

This essay aims to evaluate credible, empirical evidence regarding the effectiveness of behavioural interventions to determine which is most likely to help Bob manage his stress during this challenging time. The two interventions to be evaluated and compared are cognitive behavioural therapy and emotional disclosure. This essay will also provide an overview of these interventions, their advantages and limitations, and a comparison of their effectiveness in managing Bob’s stress. Finally, it will provide recommendations for Bob to manage his stress better.

Background

Stress is a common experience that all humans encounter at one time or another. It can be caused by various factors, from work-related issues to personal relationships. It is essential for those experiencing stress to manage it effectively (Elomaa et al.,2021). Stress coping strategies may be classified in many ways, but many people consider behavioural techniques as a part of mind-body medicine, and thus, this is an essential consideration for psychologists

Case Overview

Bob is a 26-year-old cis-gendered non-Indigenous Australian man from Redfern (NSW). He has recently completed his MClin degree and is preparing to write a board exam with the Australian Health Practitioner Regulation Agency (AHPRA) in six months’ time to register as a general psychologist. Bob is also currently a full-time behavioural support specialist and feels overwhelmed by his job’s occupational stress and the additional demands on his time and attention. He is experiencing anxiety, a quick temper, poor sleep, and dissatisfaction with his job, career path, and interpersonal relationships. He is also procrastinating on studying for the board exam.

Behavioural interventions for managing stress

To effectively reduce Bob’s stress, it is crucial to evaluate the evidence regarding the effectiveness of behavioural interventions. The interventions include relaxation training, cognitive behavioural therapy, and emotional disclosure, which can be effective but may be less effective in managing stressful situations. In this essay, the two interventions to be evaluated and compared are cognitive behavioural therapy and emotional disclosure.

Cognitive behavioural therapy

Cognitive behavioural therapy (CBT) is a form of psychotherapy that seeks to modify behaviour by addressing the underlying thoughts and beliefs that drive it. CBT can be used in various settings, such as in-person therapy, group therapy, or online therapy (Zarotti et al.,2022). CBT is relatively inexpensive and is covered by most health insurance plans (Yusufov et al., 2019). CBT helps individuals recognize and modify their distorted thoughts, assumptions, and beliefs to improve their mood, reduce anxiety, and change their behaviour. CBT has been found to be effective in reducing symptoms of stress, anxiety, and depression (Nakao et al., 2021). Studies have also shown that CBT effectively reduces insomnia symptoms (Sweetman et al., 2020). CBT also effectively reduces burnout symptoms (Pospos et al., 2018). For Bob, CBT may be an effective intervention for managing his stress. CBT can help him identify and modify his distorted thoughts and beliefs that contribute to his stress. Additionally, CBT can help him build personal resources, such as self-esteem and self-efficacy, which can help him cope with the demands of his job and upcoming board exam. Furthermore, CBT can also help him address his sleep issues, which can help him better manage his stress.

Limitations

However, some limitations of CBT have been identified. For example, it can be time-consuming and may not be suitable for individuals who have difficulty recognizing and changing their thinking patterns (Almen et al., 2020). Furthermore, those with limited access to appropriate mental health resources may be unable to access CBT. Additionally, the effectiveness of CBT may be limited when it is used in isolation and not combined with other forms of treatment such as medication (Yusufov et al., 2019). It may also be less effective for individuals with severe mental illness (Gilbert et al., 2018). Finally, research has shown that cognitive interventions alone may not address the underlying issues associated with stress and may need to be accompanied by behavioural interventions (Nakao et al., 2021).

Emotional disclosure

Emotional disclosure is a form of therapy that involves discussing a traumatic or stressful experience to reduce psychological distress (Kholifah, 2021). It is effective in reducing symptoms of stress, anxiety, and depression (Rimé et al., 2020). It has also improved emotional coping skills and sleep quality (Stächele et al., 2020). Emotional disclosure allows the individual to express their feelings and emotions with a safe person. It can help them gain insight, process emotions, and find alternative ways of responding to stress. It also encourages individuals to be open and honest about their feelings and take responsibility for their actions.

Furthermore, it can also help to create a sense of trust and connection with the person and provide them with an opportunity to practice self-care and self-reflection. In Bob’s case, emotional disclosure may be the most effective stress management intervention. By talking about his stress and fears in a safe environment, Bob can gain insight and perspective on the source of his stress and how to respond to it differently. Additionally, emotional disclosure can allow Bob to practice self-care and self-reflection and develop healthier coping skills that can help him better manage his stress. Furthermore, it can help Bob create a sense of trust and connection with his therapist, which can help him manage his stress.

Limitations

However, some limitations of emotional disclosure have been identified. For example, it may not be suitable for individuals who have difficulty talking about their traumatic experiences (Gilbert et al., 2018). Moreover, emotional disclosure can increase distress in the short term if it is not done in a safe and regulated environment (Rimé et al., 2020). Additionally, individuals may be more likely to engage in emotional disclosure if they have strong social support, which may not be available to all (Nakao et al., 2021). Furthermore, emotional disclosure may not benefit everyone, as some individuals may not be comfortable discussing their emotions (Sianoja et al., 2018). Lastly, it is essential to note that emotional disclosure may require additional time and resources, which may not be available to all individuals (Sweetman et al., 2020).

 Comparison of interventions

When comparing the effectiveness of cognitive behavioural therapy and emotional disclosure for managing stress, it is clear that both interventions can effectively reduce symptoms of stress, anxiety, and depression. However, CBT may be more suitable for individuals with difficulty recognizing and changing their thinking patterns. At the same time, emotional disclosure may be more suitable for individuals with difficulty discussing their traumatic experiences. Additionally, CBT effectively reduces symptoms of insomnia and burnout, while emotional disclosure improves personal coping skills and sleep quality. CBT is also effective in helping individuals establish healthy habits, such as developing a regular sleep schedule and engaging in physical activities (Omylinska et al.,2019). Emotional disclosure effectively promotes social support and interpersonal relationships, which can be beneficial for individuals feeling overwhelmed and isolated (Rimé et al., 2020).

Furthermore, CBT can help individuals develop problem-solving skills, while emotional disclosure can help them better manage their emotions. Both interventions have proven effective in reducing overall stress levels, which can benefit Bob in his current situation. Finally, CBT can help individuals develop better-coping strategies, while emotional disclosure can help individuals identify and address underlying issues.

Recommendations

Based on the evidence, it is recommended that Bob use a combination of cognitive behavioural therapy and emotional disclosure to manage his stress during this challenging time. He should consider which intervention is more suitable for him, depending on his difficulty recognizing and changing his thinking patterns or talking about his traumatic experiences. It is also vital for Bob to establish a routine and practice healthy lifestyle habits such as exercise, eating well, and getting enough sleep. He should also be mindful of his social and emotional well-being by maintaining meaningful connections with his family and friends and seeking professional help if he feels overwhelmed. Additionally, Bob should consider mindfulness and relaxation techniques to practice self-care and reduce his stress. Finally, Bob should ensure a good work-life balance by taking regular breaks and engaging in activities that reduce his stress levels, such as reading, listening to music, or taking up a hobby.

Conclusion

In conclusion, cognitive behavioural therapy and emotional disclosure can effectively reduce symptoms of stress, anxiety, and depression. However, CBT may be more suitable for individuals with difficulty recognizing and changing their thinking patterns. At the same time, emotional disclosure may be more suitable for individuals with difficulty discussing their traumatic experiences. Additionally, CBT effectively reduces symptoms of insomnia and burnout, while emotional disclosure improves personal coping skills and sleep quality.

References

Almen, N., Lisspers, J., Öst, L. G., & Sundin, Ö. (2020). Behavioural stress recovery management intervention for people with high levels of perceived stress: A randomized controlled trial. International Journal of Stress Management, 27(2), 183-194. https://doi.org/10.1037/str0000140

Elomaa, M., Eskelä-Haapanen, S., Pakarinen, E., Halttunen, L., & Lerkkanen, M. K. (2021). Work-related stress of elementary school principals in Finland: Coping strategies and support. Educational Management Administration & Leadership, 17411432211010317 https://doi.org/10.1177/17411432211010317

Gilbert, E., Foulk, T., & Bono, J. (2018). Building personal resources through interventions: An integrative review. Journal of Organizational Behavior, 39(2), 214–228. https://doi.org/10.1002/job.2198

Khaliah, S. (2021). Expressive Writing Therapy and Disclosure Emotional Skills on Improving Mental Disorder Patients Control Hallucinations. In 2nd Syedza Saintika International Conference on Nursing, Midwifery, Medical Laboratory Technology, Public Health, and Health Information Management (SeSICNiMPH, 2021) (pp. 71–76). Atlantis Press. https://www.atlantis-press.com/proceedings/sesicnimph-21/125962065

Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive–behavioural therapy for managing mental health and stress-related disorders: Recent advances in techniques and technologies. BioPsychoSocial Medicine, 15(1), 1-4. https://doi.org/10.1186/s13030-021-00219-w

Omylinska, T.J., McMeekin, A., Walton, P., & Proctor, G. (2019). Client’s perceptions of unhelpful factors in CBT in IAPT serve a deprived UK area. Counselling and psychotherapy research19(4), 455–464. https://doi.org/10.1002/capr.12249

Pospos, S., Young, I. T., Downs, N., Iglewicz, A., Depp, C., Chen, J. Y., … & Zisook, S. (2018). Web-based tools and mobile applications to mitigate burnout, depression, and suicidality among healthcare students and professionals: a systematic review. Academic Psychiatry, 42(1), 109-120. https://doi.org/10.1007/s40596-017-0868-0

Rimé, B., Bouchat, P., Paquot, L., & Giglio, L. (2020). Intrapersonal, interpersonal, and social outcomes of the social sharing of emotion. Current Opinion in Psychology, 31, 127-134. https://doi.org/10.1016/j.copsyc.2019.08.024

Sianoja, M., Syrek, C. J., de Bloom, J., Korpela, K., & Kinnunen, U. (2018). Enhancing daily well-being at work through lunchtime park walks and relaxation exercises: Recovery experiences as mediators. Journal of Occupational Health Psychology, 23(3), 428-442. https://doi.org/10.1037/ocp0000083

Stächele, T., Domes, G., Wekenborg, M., Penz, M., Kirschbaum, C., & Heinrichs, M. (2020). Effects of a 6-week internet-based stress management program on perceived stress, personal coping skills, and sleep quality. Frontiers in Psychiatry, 11, 463. https://doi.org/10.3389/fpsyt.2020.00463

Sweetman, A., Lovato, N., Micic, G., Scott, H., Bickley, K., Haycock, J., … & Lack, L. (2020). Do symptoms of depression, anxiety or stress impair the effectiveness of cognitive behavioural therapy for insomnia? A chart review of 455 patients with chronic insomnia. Sleep Medicine, 75, 401–410. https://doi.org/10.1016/j.sleep.2020.08.023

Yusufov, M., Nicoloro-SantaBarbara, J., Grey, N. E., Moyer, A., & Lobel, M. (2019). A meta-analytic evaluation of stress reduction interventions for undergraduate and graduate students. International Journal of Stress Management, 26(2), 132–145. https://doi.org/10.1037/str0000099

Zarotti, N., Eccles, F., Broyd, A., Longinotti, C., Mobley, A., & Simpson, J. (2022). Third wave cognitive behavioural therapies for people with multiple sclerosis: a scoping review. Disability and Rehabilitation, 1-16. https://doi.org/10.1080/09638288.2022.2069292

 

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