“In search of truth?” Integrating religious consultation into CBT to address ambivalence: A case study

Abstract

Ambivalence-defined as the simultaneous experience of conflicting emotions, attitudes, or beliefs toward a specific person, object, or situation—is a complex construct that plays a critical role in psychological processes such as decision-making, emotional regulation, and interpersonal relationships. While Cognitive Behavioral Therapy (CBT) combined with Motivational Interviewing (MI) has been shown to be effective in addressing ambivalence, there is limited research on religiously sensitive interventions for individuals with strong faith-based values. This case study introduces an integrative approach that incorporates consultation with a Muslim religious leader into the therapeutic process to address ambivalence regarding family responsibilities. The client, a young Muslim woman, experienced psychological distress due to uncertainty about her religious obligations to maintain her relationship with her father. Initial CBT sessions targeted anxiety and interpersonal difficulties. However, the inclusion of religious consultation played a crucial role in helping the client clarify her values and resolve her inner conflict. This intervention provided a faith-based framework for interpreting her obligations, reduced ruminative thinking, and fostered a more future-oriented perspective. Post-treatment assessments indicated notable reductions in anxiety and depression levels, and the client’s feedback highlighted the value of the religious consultation. These findings suggest that integrating religious consultation into psychotherapy may improve treatment outcomes for clients with strong religious commitments.