Post an explanation of how the use of CBT in groups compares to its use in family or individual settings. Explain at least two challenges PMHNPs might encounter when using CBT in one of these settings. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly and attach the PDFs of your sources.
Select any of the SPECIFIC EXAMPLES FROM THIS WEEK MEDIA LINKS
https://www.youtube.com/watch?v=JZH196rOGsc
https://www.youtube.com/watch?v=8-2WQF3SWwo
Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings
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Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings
Cognitive-behavioral therapy is a therapy that helps individuals to change behaviors and patterns of thought, which negatively influence their emotions and behavior. During stressful situations, people tend to be a pessimist about solving their problems. Cognitive-behavioral therapy, therefore, promotes positive thoughts and the ability to cope with the stress that a person might be going through (Nakao et al., 2021).
Family-centered cognitive behavioral therapy aims at helping the family members interact better. Cognitive-behavioral therapy, which is family-centered, assumes that the family members simultaneously affect each other hence the thoughts and behaviors of one family member are likely to affect the overall functioning of all the family members. The common response in a family setting makes the family members vulnerable to negative emotions or actions. Therefore, through cognitive behavioral therapy, the family members can have an understanding of how their erroneous and distorted thoughts and actions could lead to strained relationships (Lan & Sher, 2018). Through family cognitive-behavioral therapy, the family members are likely to experience better-thought patterns, which translate to better and more productive interactions. The family members share experiences and beliefs, which define the family unit. Therefore, if the family unit has cognitive distortions, it is likely to suffer from dysfunctional interactions.
As compared to family-centered cognitive behavioral therapy, group cognitive-behavioral therapy provides a platform for sharing and receiving feedback, which acts as an intervention itself. During group therapy, the members of the group may have similar or different experiences. The members therefore highly interact with each other, based on their interpersonal characteristics. The interactions provide a platform for learning and change of perceptions and behavior. Group cognitive-behavioral therapy provides a platform for the development of socialization techniques, altruism, universality, hope, catharsis, and cohesion among the members.
Unlike group and family-centered cognitive behavioral therapy, individual cognitive behavioral therapy, focuses on the individual thought process and perception of things. The therapy process may curb avoidance behavior and as well as cost-effective (Guo et al., 2018). It aims at enabling an individual to cope with their emotions and thoughts resulting in better emotion control and coping skills. Three conditions must be present in individual cognitive behavioral therapy for the client to show positive outcomes and the effectiveness of the therapy in improving their thought process and overall coping skills. The three conditions are client acceptance by the therapist, and the therapist must also show empathy and congruence. The therapist needs to create a favorable environment characterized by bond, warmth, trust, and mutual positive regard between two people.
In a group setting, the therapist is likely to experience two challenges related to privacy and confidentiality of the information shared. It is vital to acknowledge that in a group cognitive behavioral therapy, the group members might shy aware from sharing information in the presence of the rest due to fears that the information might leak to other quarters. More so, one might feel that the information might be too confidential and might experience judgment from the other group members. It would therefore be of paramount importance for the therapist to create a conducive environment to ensure that the group members feel safe to share, listen, and most importantly experience empathy and positive feedback. The therapist can ensure that the group members sign consent documents assuring confidentiality and privacy of information shared. The sources used are scholarly having gone through peer review.
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.
Lan, J., & Sher, T. G. (2019). Cognitive-Behavioral Family Therapy. Encyclopedia of Couple and Family Therapy, 497-505.
MedCircle. (2022). Youtube.com. Retrieved 30 June 2022, from https://www.youtube.com/watch?v=8-2WQF3SWwo.
Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive–behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. BioPsychoSocial Medicine, 15(1), 1-4.