A cognitive therapist would help Karen and Rob sort out their cognitive distortions and counterproductive thinking styles. The therapist must help Karen see her arbitrary inferences, which she needed to check out in reality. She needs help understanding the downward spiral of her beliefs, which often results in her ending up being distant and angry. Rob needs help understanding and challenging his expectations that his wife be able to read his mind, as well as the way in which his arbitrary inferences
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