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Kaci is seeking counseling at the urging of a lifelong friend who has grown increasingly worried about her. Kaci acknowledges she has always been a glass half-empty kind of person. In fact, she not only sees the glass as half empty but also suspects there is a crack in it that will cause it to drain even more. And she worries—a lot—even in situations where most people don’t think there is anything to worry about. For example, she heard that the company she works for might be bought out by a larger conglomerate. It is only a rumor, and it could be months before anything happens—if, indeed, anything does happen. Because an acquisition usually means consolidation of various services, however, she is worried about her job and what might happen if her position were eliminated and she could not find a new job. Her unemployment might run out and she might run through what little savings she had. She would not be able to afford her apartment and could wind up homeless because it would be so humiliating to ask her family for help. Kaci realizes that she is probably exaggerating the “doom and gloom” and that what she fears probably won’t happen, but this is characteristic of the way she’s always been and she can’t really seem to stop herself despite being increasingly unhappy and anxious.

 

Imagine that you are Kaci’s counselor and a cognitive therapist. How do you understand Kaci and her downward spiral or worry?

 

How would you explain to Kaci what she is doing?

 

What would you and Kaci work on? What cognitive techniques would you use and why? What behavioral techniques might you also include and why?

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