Q4. Depressed patients, when they note their mood is worsening, should record in an automatic thought log the date and time of the thought, the situation, the automatic thoughts, their emotions, the adaptive responses they use and the outcome. This helps the client understand the frequency by which they are plagued with depressive thoughts, what situations provoke such moods, the type of (usually irrational) thinking processes that lead to the depressed mood, and how well they coped with the mood. The therapist can gain a sense of the degree to which the client is depressed, the client's coping mechanisms, and the degree to which the depressive stimulus is irrational (such as feeling rejected by a friend when the friend does not call) or real (a chronically ill parent at home).
Q5. Behavioral therapy can be problematic, given that different cultures reinforce different behavioral norms, and a child from a bicultural environment may not be subject to a consistent reinforcement schedule. Additionally, behaviors, as always, must be interpreted in light of the client's...
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