CBT is a structured, short-term, present-oriented psychotherapy, which is well received by adolescents and their parents. Adolescents are, according to Piaget’s theory of cogni- tive development, in the formal operations stage—the stage in which the young per- son gains the ability to think abstractly and draw conclusions about information. Using one’s cognitive abilities to problem-solve and identify coping strategies in therapy fits well with this cognitive developmental level described by Piaget. Erikson’s psychoso- cial theory of development emphasizes mastery of developmental tasks. For the ado- lescent, the task is identity versus role confusion, which is the ability to understand oneself and others, the ability to see oneself as a unique and integrated individual, and the ability to have success in relationships with others. Adolescents are very interested in exploring where they fit in the world; thus, the self-exploration required in CBT is appealing to them.
In CBT, the therapist works with clients on cognitive restructuring, problem- solving, and behavioral activation. Cognitive restructuring refers to identifying, evaluating, and modifying faulty thoughts and beliefs that are responsible for negative mood states.
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