A CASE STUDY ON COGNITIVE BEHAVIORAL THERAPY FOR LOW SELF-ESTEEM: REDUCING AUTOMATIC NEGATIVE THOUGHTS THROUGH SELFAWARENESS DEVELOPMENT

Auliya Sekar Rini, Muhammad Rizq Al Mutawakkil, Husni Hanafi, Suryantiningsih Suryantiningsih

Abstract


This study explores the application of Cognitive Behavioral Therapy (CBT) in supporting an adolescent with low self-esteem and frequent automatic negative thoughts (ANTs) through the development of self-awareness. Using a qualitative single-case study design, the subject was a 14year-old female presenting withdrawal tendencies, excessive rumination, and negative selfperceptions. The intervention consisted of several individual counseling sessions incorporating CBT principles, including establishing a therapeutic relationship, introducing the cognitive triangle (thoughts–feelings–behaviors), identifying ANTs, implementing relaxation techniques, and cognitive restructuring. Data were gathered through observation, semi-structured interviews, worksheets, and projective assessments. The findings reveal meaningful changes in the counselee’s cognitive and behavioral patterns. The counselee developed an increased ability to recognize, evaluate, and consciously intervene in negative thought processes, leading to reduced anxiety and improved social engagement. Self-awareness emerged as a key mechanism of change in restructuring maladaptive beliefs and fostering a more positive self-concept. This case highlights CBT as an effective counseling strategy for addressing automatic negative thoughts and enhancing psychological well-being in adolescents with low self-esteem.

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