NRNP 6645 Discussion: Cognitive Behavioral Therapy; Comparing Group, Family, and Individual Setting peer responses
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. (This is already completed)
Complete peer responses only please. Discussion Board Post has already been completed.
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on 2 different days by recommending strategies to overcome the challenges your colleagues have identified. Support your recommendation with evidence-based literature and/or your own experiences with clients.
Peer Response #1
Discussion: Cognitive Behavioral Therapy; Comparing Group, Family, and Individual Setting
Cognitive behavioral therapy (CBT) is a practice model commonly utilized by psychiatric professionals to help clients or patients manage their problems via changes in how they behave and think (undefined [MedCircle], 2019b,). The approach treats anxiety and depression but can be applied to other physical and mental health problems. CBT is a collaborative model whereby the therapist and the patient(s) work together to identify maladaptive behavioral patterns and devise positive coping skills to help manage stress issues. CBT can be placed in different ways and settings, such as individually, as a group, or in a family setting. This paper discusses the application of CBT in individual, group, and family settings.
In a group setting, the utilization of CBT focuses on providing therapy to several patients. The patients are defined to be undergoing the same mental issue; hence training is applied to change their maladaptive thinking patterns by adopting more adaptive thinking. The leader (therapist) focuses on building a positive relationship with the members and individual members. According to undefined [PsychExamReview] (2019), the therapist must improve group facets such as cohesiveness and a task-oriented approach for CBT to work in group settings effectively. More so, not only is the therapist’s ability to lead critical to the success of the CBT in a group, but also participants shared experiences to understand that others have the same issues and acquired skills to face the problems. Finally, the group participants provide a source of support to each other.
Individual application of CBT allows the therapist to develop a care model based on individual needs, as the primary focus is one patient. Unlike the case of group CBT, confidentiality is easy to observe in the individualized setting as only one client’s information is shared. Subsequently, the individualized CBT approach can produce more positive and robust results (Crits-Christoph et al., 2019). The therapist trains the individual with the best-suited problem coping skills based on his level and hence learns to understand and change their behavior, thinking, and problematic emotions.
Lastly, there is CBT in family settings, which is delivered because an individual mental health issue can have adverse effects on the entire family. According to undefined [Beck Institute for Cognitive Behavior Therapy] (2018), mental health issues of an individual can contribute to dysfunction or impede progressive change within a family. Through CBT, family members learn strategies to create and maintain a supportive environment to help navigate family-related issues such as marital dysfunction, conflict within the family, and other problems resulting in family malfunction. In all three settings, the adoption and use of the CBT approach focus on understanding the client’s needs and devising the best practice or training to develop adaptive behavior practices to overcome the stressing issues.
The application of the CBT approach is not a straightforward practice in either of the three settings, i.e., family, individual, and group therapy. The therapist encounters diverse challenges to effective care delivery in a group setting. One is the encounter of restructuring the patient’s thinking patterns simultaneously with multiple differences between the patients in terms of ability to acquire and practice adaptive thinking. The therapist faces the challenge of getting a uniform response from the patients (Crits-Christoph et al., 2019). There is also the possibility of one client monopolizing the group, reducing the therapist’s level of engagement with other patients. It is also hard to motivate to engage patients who aren’t comfortable sharing in group settings. For example, quiet or withdrawn clients may receive less attention in group settings compared to the individualized practice approach. Finally, confidentiality and privacy issues may prove a barrier to successful group therapy. This may reduce participants’ confidence as they may feel highly exposed to others.
undefined [Beck Institute for Cognitive Behavior Therapy]. (2018, June 7). CBT for Couples [Video]. YouTube. Retrieved September 27, 2022, from https://www.youtube.com/watch?v=JZH196rOGsc
Crits-Christoph, P., Rieger, A., Gaines, A., & Gibbons, M. B. (2019). Trust and respect in the patient-clinician relationship: Preliminary development of a new scale. BMC Psychology, 7(1). https://doi.org/10.1186/s40359-019-0347-3
undefined [PsychExamReview]. (2019, April 30). Cognitive Therapy, CBT, & Group Approaches (Intro Psych Tutorial #241) [Video]. YouTube. Retrieved September 27, 2022, from https://www.youtube.com/watch?v=A2_NN1Q7Rfg
undefined [MedCircle]. (2019b, December 13). What a Cognitive Behavioral Therapy (CBT) Session Looks Like [Video]. YouTube. Retrieved September 27, 2022, from https://www.youtube.com/watch?v=8-2WQF3SWwo
Peer Response #2:
Explanation of how the use of CBT in groups compares to its use in family or individual settings?
A psychological intervention used to change dysfunctional behaviors and thought processes is called Cognitive behavioral therapy (CBT). CBT has typically been used for patients with mental health disorders, for example depression, or anxiety, recently CBT has been gotten more attention for its use in survivorship care (Addison, 2022).
CBT can be helpful changing patterns of negative thinking, by changing dysfunctional attitudes and other thoughts. CBT in a group setting can be more cost efficient and allows people in the group to receive real-time feedback from people in similar situations as themselves (Eunjoo Lee, & Mijung Kim, 2021).
CBT in family and individual therapy can focus on the management of certain illnesses for example chronic fatigue, or a family caring for a disabled child. Clark and Holttum (2022) explains that CBT can be used not as a cure but as a support system to help with coping mechanisms.
Explain at least two challenges PMHNPs might encounter when using CBT in one of these settings.
Beck Institute for Cognitive Behavior Therapy (2018) explains that when conducting couples therapy, you have two perspectives. This can be your first challenge, as you have two people who see the situation in two different ways. When conducting couples therapy the dynamic can be intense and the way the couples interpret each other’s thoughts, suggestions, and motives is important. This in return if not handled by a professional who is versed in couples therapy could have a bad outcome for everyone involved.
Addison, S., Shirima, D., Aboagye-Mensah, E. B., Dunovan, S. G., Pascal, E. Y., Lustberg, M.
B., Arthur, E. K., & Nolan, T. S. (2022). Effects of tandem cognitive behavioral therapy and healthy lifestyle interventions on health-related outcomes in cancer survivors: a systematic review. Journal of Cancer Survivorship, 16(5), 1023–1046. https://doi.org/10.1007/s11764-021-01094-8
Beck Institute for Cognitive Behavior Therapy. (2018). CBT for couples.
Clark, C., & Holttum, S. (2022). “A life I can cope with”. An alternative model of
cognitive behavioral therapy (CBT) for CFS/ME. Health Expectations, 25(1), 91–102. https://doi.org/10.1111/hex.13326
Eunjoo Lee, & Mijung Kim. (2021). The effects of a group cognitive behavioral therapy program
using video communication for pregnant women with depressed mood in Korea: a pilot study. Korean Journal of Women Health Nursing, 27(4), 337–347. https://doi.org/10.4069/kjwhn.2021.11.15