Transdiagnostic Approach

That cool word; a research area in cognitive therapy. The thing is that clients come with a problem that can have many facets. They don't just have anxiety, but also something compulsive/obsessive/OCD-like. They may be sad to the extent that they fulfill the requirements for an actual Depression. As a psychologist, you can encounter many mixed stories when you have clients. The cognitive scientists have researched what they call a Transdiagnostic Approach. I think it's obvious to work in this way. Carl Rogers did it in the 1950s with his Non-directive approach,where he took the problem presented by the client as his starting point. I do this myself when I'm not busy structuring the conversation as in cognitive therapy, for example. On the other hand, it is important to consider what the client is motivated to work on. What is Important to do something about? What is Possible to do something about and what the client is Ready to do something about? This is taken from Miller & Rollnick's Motivational Interviewing and their work with recovering alcohol addicts. The cognitive ones use it too. The client comes with aStory. It's my job to find out how the client wants it to be handled. What kind of doubt does the client have and where do they want to go? What kind of life does the client want to live; what do they need? Regardless of the psychological method, my job is to offer a framework for the client to consider their situation. Some of the key words for me are Humility, Caring, Patience and Curiosity.

My old mentor and boss Allan Holmgren liked to ask clients what idea they had to give up to move forward in the direction they wanted. I think it's a great question. What do you need to change in yourself to move forward? The cognitive ones do it partly later in their ACT method; Acceptance and Commitment Therapy, where they are interested in what conditions people will/must accept in their lives and what they will work hard for? There is something existentially painful and incredibly liberating in giving up an ambition that doesn't havecould be realized.

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