KONSELING INDIVIDU DENGAN PENDEKATAN COGNITIVE BEHAVIORAL THERAPY DALAM MENGATASI DISTORSI KOGNITIF PADA KLIEN NARKOTIKA DI RUMAH REHABILITASI HOUSE OF SERENITY LAMPUNG

DINDA, PRAMESWATI (2026) KONSELING INDIVIDU DENGAN PENDEKATAN COGNITIVE BEHAVIORAL THERAPY DALAM MENGATASI DISTORSI KOGNITIF PADA KLIEN NARKOTIKA DI RUMAH REHABILITASI HOUSE OF SERENITY LAMPUNG. Diploma thesis, UIN Raden Intan Lampung.

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Abstract

ABSTRAK Penyalahgunaan narkotika tidak hanya menimbulkan dampak fisik, tetapi juga dampak psikologis berupa distorsi kognitif, khususnya pola pikir hitam-putih, yang menyebabkan klien memandang proses pemulihan secara ekstrem. Kondisi tersebut memerlukan penanganan melalui konseling individu dengan pendekatan Cognitive Behavioral Therapy (CBT) yang bertujuan mengubah pola pikir irasional menjadi lebih realistis. Penelitian ini bertujuan untuk mendeskripsikan proses konseling individu dengan pendekatan Cognitive Behavioral Therapy (CBT) dalam mengatasi distorsi kognitif pada klien narkotika di Rumah Rehabilitasi House of Serenity Lampung. Penelitian ini menggunakan pendekatan kualitatif dengan jenis penelitian lapangan (field research) yang bersifat deskriptif. Subjek penelitian terdiri 1 orang konselor dan 3 klien narkotika yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui wawancara semi terstruktur, observasi partisipatif pasif, dan dokumentasi, kemudian dianalisis menggunakan model interaktif Miles dan Huberman yang meliputi pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa pelaksanaan konseling individu dengan pendekatan cognitive behavioral therapy (CBT) dalam mengatasi distorsi kognitif pada klien narkotika di Rumah Rehabilitasi House of Serenity Lampung dilaksanakan melalui empat tahapan, yaitu: 1) Asesmen, dengan mengidentifikasi kondisi klien secara menyeluruh, termasuk riwayat penyalahgunaan narkotika, kondisi psikologis, sosial, keluarga, serta bentuk distorsi kognitif, sekaligus membangun hubungan terapeutik; 2) Penetapan Tujuan (Goal Setting), yaitu konselor dan klien menetapkan tujuan konseling yang spesifik, realistis, dan terukur sebagai pedoman perubahan; 3) Implementasi Teknik CBT, melalui penerapan restrukturisasi kognitif, Socratic Questioning, jurnal pikiran (diary), dan daily schedule; serta 4) Evaluasi dan Pengakhiran, dengan menilai perkembangan, memperkuat perubahan positif, dan menyusun strategi agar perubahan dapat dipertahankan. Berdasarkan hasil tersebut, dapat disimpulkan bahwa konseling individu dengan pendekatan CBT efektif membantu mengurangi distorsi kognitif sehingga klien mampu berpikir lebih rasional dan adaptif serta mendukung keberhasilan rehabilitasi. Kata Kunci: Konseling Individu, Cognitive Behavioral Therapy (CBT), Distorsi Kognitif, Klien Narkotika. ABSTRACT Drug abuse not only causes physical harm but also psychologi cal problems in the form of cognitive distortions, particularly dichot omous thinking, which leads clients to perceive the recovery process in an extreme way. This condition requires intervention through indi vidual counseling using the Cognitive Behavioral Therapy (CBT) ap proach, which aims to transform irrational thought patterns into more realistic ones. This study aimed to describe the process of individual counseling using the Cognitive Behavioral Therapy (CBT) approach in overcoming cognitive distortions among drug abuse clients at the House of Serenity Rehabilitation Center, Lampung. This study employed a qualitative approach with a descriptive field research design. The research participants consisted of one coun selor and three drug abuse clients selected through purposive sam pling. Data were collected through semi-structured interviews, passive participant observation, and documentation. The data were analyzed using the interactive model of Miles and Huberman, which consists of data collection, data reduction, data display, and conclu sion drawing. The results of this study indicate that the implementation of individual counseling using the Cognitive Behavioral Therapy (CBT) approach to address cognitive distortions among narcotics clients at the House of Serenity Rehabilitation Center, Lampung, was carried out through four stages: 1) Assessment, involving a comprehensive identification of the clients' conditions, including their history of narcotics abuse, psychological, social, and family backgrounds, as well as the identification of cognitive dis tortions, while simultaneously establishing a therapeutic relationship; 2) Goal Setting, in which the counselor and client col laboratively determine specific, realistic, and measurable coun seling goals to guide the intervention; 3) CBT Implementation, through the application of cognitive restructuring, Socratic question ing, thought diaries, and daily schedules; and 4) Evaluation and Ter mination, by assessing the clients' progress, reinforcing positive changes, and developing strategies to help maintain these improve ments after counseling. Based on these findings, it can be concluded that individual counseling using the Cognitive Behavioral Therapy (CBT) approach is effective in reducing cognitive distortions, enabling clients to develop more rational and adaptive thinking patterns while supporting the success of the rehabilitation process. Keywords: Individual Counseling, Cognitive Behavioral Therapy (CBT), Cognitive Distortion, Drug Abuse Clients.

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