Discussion: Cognitive Behavioral Therapy: Comparing Group, Family, And Individual Settings

Instructions:

Respond to 2 of your colleagues (see attached colleagues post) by:

1. Recommending strategies to overcome the challenges your colleagues have identified.

2. Support your recommendation with evidence-based literature and/or your own experiences with clients.

3. **minimum of three (3) scholarly references are required for each reply cited within the body of the reply & at the end**

Discussion: Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

 

There are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in individual, group, and family settings, consider challenges of using this approach with groups you may lead, as well as strategies for overcoming those challenges.

 

Instructions:

Respond to your colleague (see below colleague post) by:

1. Recommending strategies to overcome the challenges your colleagues have identified.

 

2. Support your recommendation with evidence-based literature and/or your own experiences with clients.

 

3. **minimum of three (3) scholarly references are required for each reply cited within the body of the reply & at the end**

 

 

Colette Affiah 

Week 5 Discussion on Group, family and individual CBT

 

Top of Form

Cognitive behavioral therapy is utilized in different settings to conduct therapy to  groups of people with similar mental disorders and is used to conduct therapy sessions in family or individual settings. Cognitive Behavioral therapy can be defined as the treatment plan or strategies that deal on the maladaptive behaviors to change the negative cognitions that is present in an individual self, world, or the future of the person. According to Hoffman et la. (2012), they speculated that in Beck’s model, the negative cognitions are the general beliefs that generates automatic thoughts concerning any given event or situations.  Cognitive Behavioral therapy therefore if utilized well, can help to interrupt the cognitions that produces emotional stresses or destructive behaviors. CBT can be used in different problems-solving situations for example to help patients with depression, social anxiety, generalized anxiety disorder., post-traumatic stress disorder, eating disorder of anorexia or bulimia, addiction, and substance to mention as noted by Hoffman et al. (2012). As posited by Hoffman et al CBT has a high efficacy rate with a high evidence-based rate as the first-line treatment approach for mental disorders or illnesses.

The use of CBT in groups as it compares to that of individual or family are structured differently because the group sessions and the approach tackles problems of different age groups that are undergoing the same problems. According to the group CBT sessions are likely to offer more opportunities to help normalize the behavior, offer positive peer modeling, reinforcement, social support, and exposure to other social conditions that other group members are undergoing. The individual sessions offer individualized treatment approach to address specific problems that the individual is tackling with especially in the avoidant behavior. In some cases, as postulated by Neufeld et al. (2020), though both group and individual therapy are effective, group CBT is more cost effective but easier to set up an individual session as only one individual is needed to organize the individual session. The family group on the other hand, requires all the family members to be present for this type of sessions to be effective. It also warrants the cohesiveness of the family with a common purpose for resolution of problem to be present in the family for family CBT to be effective. The problem that may exist with the family therapy as noted by Halder & Mahato (2019) is the emotional conflicts that may be seen differently between the parents and the children in a family CBT. Also, there may be difference in priorities and expectations between the parents and the children. Stated that the parent and child relationship must be addressed and needs of both parents and children to become integrated to produce a more effective CBT result.

The challenges that the PMHNP nurse may meet with may include not having success in interrupting the negative cognitions in an individual to help them accept the positive thoughts and responses from the patients. Another challenge will be the area of the group therapy whereby the nurse may meet with group members that are lacking in the skills of maintaining cohesiveness. In the area of the family CBT, the challenge may arise in lack of unification or integration of purpose for the therapy to be successful.

References

Hofmann SG, Asnaani A, Vonk IJ, Sawyer AT, Fang A. The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognit Ther Res. 2012 Oct 1;36(5):427-440. doi: 10.1007/s10608-012-9476-1. Epub 2012 Jul 31. PMID: 23459093; PMCID: PMC3584580.

Halder S, Mahato AK. Cognitive Behavior Therapy for Children and Adolescents: Challenges and Gaps in Practice. Indian J Psychol Med. 2019 May-Jun;41(3):279-283. doi: 10.4103/IJPSYM.IJPSYM_470_18. PMID: 31142932; PMCID: PMC6532387.

Neufeld CB, Palma PC, Caetano KAS, Brust-Renck PG, Curtiss J, Hofmann SG. A randomized clinical trial of group and individual Cognitive-Behavioral Therapy approaches for Social

Anxiety Disorder. Int J Clin Health Psychol. 2020 Jan-Apr;20(1):29-37. doi: 10.1016/j.ijchp.2019.11.004. Epub 2019 Dec 24. PMID: 32021616; PMCID: PMC

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Discussion: Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

 

There are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in individual, group, and family settings, consider challenges of using this approach with groups you may lead, as well as strategies for overcoming those challenges.

 

Instructions:

Respond to your colleague (see below colleague post) by:

1. Recommending strategies to overcome the challenges your colleagues have identified.

 

2. Support your recommendation with evidence-based literature and/or your own experiences with clients.

 

3. **minimum of three (3) scholarly references are required for each reply cited within the body of the reply & at the end**

 

 

 

Felicia Maher 

Week 5 Discussion: CBT Initial Post

 

Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) is a structured, didactic, and goal-oriented form of therapy. The therapist and patient work in a collaborative manner to modify patterns of thinking and behavior to bring change in the patient’s mood and way of living. CBT has been used in wide range of problems, with profound benefits  in psychiatric disorders like depression, anxiety disorders, and personality disorders, also used as an adjunctive treatment to medication for mental disorders like bipolar disorder and schizophrenia and in the treatment of non-psychiatric disorders like irritable bowel syndrome, fibromyalgia, insomnia, and chronic pain condition, appropriate treatment protocols are applied depending on the diagnosis and problems the patient is facing. According to Melton (2017), it has been adapted and studied for children, adolescents, adults, couples, families and group settings.

Several treatment modalities exist for treating psychiatric disorders but current international guidelines recommend cognitive behavioral therapy (CBT) as the first-line treatment. Guo et al., (2021) compared CBT modalities and concluded that Individual-CBT had more benefits than Group-CBT for anxiety disorders. However, group-CBT is likely to offer more opportunities for normalization, positive peer modeling, reinforcement, social support, and exposure to social situations while being more cost-effective and saving on medical resources. On the contrary Individual-CBT would offer more opportunities for individualization of treatment to address the specific needs of each patient, and avoidant behavior may be more readily addressed. Therefore choice on CBT modality remains tailored on patient need and advanced nurse practitioner preference based on needs.

The success of CBT relies on addressing its barriers and reinforcing facilitators. Murphy et al (2020) evidently shows different levels of barriers at individual and organization level such as understaffing, which can be addressed by embracing technology like telemedicine which has equal acceptability and patient satisfaction as face-to-face modality.

 

References

Guo, T., Su, J., Hu, J., Aalberg, M., Zhu, Y., Teng, T., & Zhou, X. (2021). Individual vs. Group Cognitive Behavior Therapy for Anxiety Disorder in Children and Adolescents: A Meta-Analysis of Randomized Controlled Trials. Frontiers in psychiatry, 12, 674267.  https://doi.org/10.3389/fpsyt.2021.674267

Melton, L. (2017). Brief introduction to cognitive behavioral therapy for the advanced practitioner in oncology. Journal of the Advanced Practitioner in Oncology8(2), 188-193. doi:10.6004/jadpro.2017.8.2.6

Murphy, R., Calugi, S., Cooper, Z., & Dalle Grave, R. (2020). Challenges and opportunities for enhanced cognitive behaviour therapy (CBT-E) in light of COVID-19. The Cognitive Behaviour Therapist13. doi:10.1017/S1754470X20000161