Cognitive Behavioral approach

Brenda and Tom, an African American couple in their mid 30’s, have been together for 10 years, married for 7 years. They have no children. Brenda reports concern that the marriage is not fulfilling. In the beginning of their relationship, Brenda desired Tom physically, emotionally and sexually. She states, “I felt we had the perfect relationship”. About 5 years ago, Brenda wanted to start a family, but Tom did not want any children. She was hurt and angry and found herself withdrawing from Tom. At this time, she is no longer attracted to her husband. She expresses confusion regarding her desire to remain in the relationship. She is tearful and anxious throughout the session. Tom agrees with the feeling of distance in the relationship. Tom states, “we were so good with each other in every way imaginable.” He reports confusion regarding Brenda's "intense" reaction to his not wanting children as they discussed this before they got married. Tom expresses a desire to strengthen their relationship and to re-kindle their romance and love. The couple has sought counseling to find resolution and direction. As the therapist, you are wondering if their relationship can sustain their differences. 1. Discuss how a therapist might utilize two (2) of the following approaches with Brenda and Tom: 1. Psychodynamic 2. Cognitive Behavioral 3. Structural 4. Mind-Body 1. Discuss the sexual narratives you see with Tom and Brenda.