Problems helped by psychotherapy are usually related to difficulties in behavior (things we do or don’t
do), emotions (feelings we have, such as anxiety or depression), or cognitions (ideas or beliefs). When a client successfully changes one or more of these three areas, it is very likely that changes in the others will follow. For instance, it is very probable that if
a persons feelings and thoughts change, behavior will also change. Similarly, if a person behaves differently and thinks in a different way, there is a strong likelihood that feelings will also change.
Therapists with differing theoretical orientations choose to intervene at one or more of these three levels. Traditional therapists tend to focus on feelings, while behavior therapists focus almost exclusively on external behavior. Unfortunately, it is very difficult to ask a client to change a feeling (for example, “don’t be sad”) or even encourage a person to change behavior either in or outside the office (for instance, don’t yell at your kids”). On the other hand, it is possible to help a client examine and modify thoughts and then examine both the emotional and behavior outcomes of these changes. This approach has come to be known as Cognitive Behavior Therapy (CBT).
The thrust of Dr. King's work with adult clients, therefore, involves helping clients identify thoughts and beliefs which appear to result in dysfunctional behavior and unpleasant feelings. Often these beliefs are illogical, irrational or based on some distortion of reality. As the client first learns how to identify these beliefs and later learns to challenge and change them, the client is well on the way to changing. There are, of course, situations in which an exploration of feelings and behavioral interventions are appropriate, but as a rule, beliefs are the easiest and most efficient means of helping clients change, with feelings and behavior following.
In addition to these in-office therapeutic techniques, Dr. King makes use of out of office activities which include homework, questionnaires , and other self-monitoring strategies. Homework assignments solidify gains made in the office, reinforce healthy behavior, and give clients confidence that they can master emotional difficulties. Computerized tests and forms are not like academic tests, but rather, ways for the client and therapist to gather information and plan treatment strategies aimed at target symptoms. Finally, self-monitoring techniques enable clients to track their progress and develop cognitive expectations for positive change.
In summary, Dr. King's psychotherapy with adults focuses on identifying and then challenging the ideas and beliefs which underlie dysfunctional behaviors and emotions which enable the behaviors and emotions to change as well.