COGNITIVE BEHAVIORAL THERAPY: COMPARING GROUP, FAMILY, AND INDIVIDUAL SETTINGS NRNP 6645
COGNITIVE BEHAVIORAL THERAPY COMPARING GROUP, FAMILY, AND INDIVIDUAL SETTINGS NRNP 6645
CBT in Group vs Family Settings
Cognitive Behavioral Therapy (CBT) is a psychotherapy approach based on the concept that thoughts influence emotions and behavior, and thus, it approaches to therapy by changing the thought patterns of individuals from negative to positive, which translates to positive emotions and behavior (MedCircle, 2020). One major advantage of CBT is its applicability in various settings and its use in multiple mental health conditions. The application of CBT principles and approach have variations from one setting to another, for example, group application is different from how it is used in family settings.
Group CBT vs Family CBT
In group therapy, CBT brings together people with similar problems to change their maladaptive thought patterns into positive thinking. Thus, the focus of CBT in group therapy is sharing so that individuals can learn from each other’s experiences and change their own way of thinking and adopt a positive approach toward life (Yusop et al., 2020). Thus, the interactions between the members bring therapeutic effect because of the chance to share challenges and find solutions within the group. Moreover, in CBT group therapy, the therapist must cultivate the relationship between himself/herself and the group, and at the same time ensure and healthy relationship with the individual members. In group CBT, the involvement of the therapist is minimal as the group members take charge of being each other’s therapists through sharing experiences, encouraging one another, giving hope, and providing unlimited support (Amoke et al., 2020).
On the other hand, family CBT is applied to a group of people with various issues impacting relationships and communication patterns
among the members (MedCircle, 2020). Thus, CBT in a family setting focuses more on the interaction between feelings, and emotions, and how they influence the behavior of individual family members. The goal of family CBT is to create an atmosphere where the family members can connect and improve the atmosphere on how they relate to one another. The role of the therapist in this is to support the family to adopt positive thinking patterns and develop healthy relationships while learning effective ways to communicate with one another (Dalle et al., 2019). Thus, the therapy is more involved compared to group therapy. An example of family therapy I have witnessed is a family of three children and a mother. One of the children was an adolescent with behavioral issues, which started after their parents divorced. Finally, family CBT tailors the therapy to meet the specific needs of each family member.
Challenges of Family CBT
One of the challenges therapist face with family CBT is a lack of motivation. For example, when working with teenagers and other stubborn family members, they may be unwilling to change while the rest of the family is on board with the therapy. The second challenge is when the family members understand the concept and what they need to do, they just fail to alter their thinking patterns. This is because change takes time to reinforce, and it might even require a longer time in some people.
Sources
- A conceptual comparison of family-based treatment by Dalle et al. (2019) is scholarly because it is a peer-reviewed journal article. The evidence is based on a thorough examination of literature giving the source credibility.
- The Effectiveness of Cognitive Behavioral Therapy in Group Counselling by Yusop et al. (2020) is scholarly because it is peer-reviewed and provides a strong evidential background on CBT group therapy based on data collected from studies.
- Effects of group cognitive-behavioural therapy on psychological distress by Amoke et al. (2020) is scholarly because it is a study, which means it provides information based on a primary collection of data, which reduces the unreliability of information. Additionally, the study uses unbiased approaches, enhancing the accuracy of collected data.
COGNITIVE BEHAVIORAL THERAPY: COMPARING GROUP, FAMILY, AND INDIVIDUAL SETTINGS NRNP 6645 References
Amoke, C. V., Ede, M. O., Nwokeoma, B. N., Onah, S. O., Ikechukwu-Ilomuanya, A. B., Albi-Oparaocha, F. C., . . . Amadi, K. (2020). Effects of group cognitive-behavioral therapy on psychological distress of awaiting-trial prison inmates. Medicine, 99(17) – p e18034. https://doi.10.1097/MD.0000000000018034.
Dalle, R., Eckhardt, S., & Calugi, S. (2019). A conceptual comparison of family-based treatment and enhanced cognitive behavior therapy in the treatment of adolescents with eating disorders. J Eat Disord, 7, 42. https://doi.org/10.1186/s40337-019.
MedCircle. (2020). What a Cognitive Behavioral Therapy (CBT) Session Looks Like. Retrieved from YouTube: https://www.youtube.com/watch?v=8-2WQF3SWwo
Yusop, Y. M., Rahman, N., Zainudin, Z., Ismail, A., Othman, W., & Sumari , M. (2020). The Effectiveness of Cognitive Behavioral Therapy in Group Counselling. International of Academic Research, Business, and Social Sciences, 360-371.
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.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
- Review the videos in this week’s Learning Resources and consider the insights provided on CBT in various settings.
BY DAY 3
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.
Read a selection of your colleagues’ responses.
BY DAY 6 OF WEEK 1
Respond to at least two of your colleagues 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.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!
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Manage Discussion Entry
Post an explanation of how the use of CBT in groups compares to its use in family or individual settings.
According to Wheeler (202), Cognitive behavioral therapy or CBT is a type of guided therapy which practices on the belief that our mental health depends on how well one is able to positively adapt cognitively and functionally to changes in their environment by modifying behaviors displayed through cognitive distortions, and assumptions using behavioral experiments (Wheeler, 2020). CBT is a problem focused by being transparent and narrowing down specific problem areas that need solutions, and it is also action oriented by restructuring behaviors and mindsets for a better outcome (Psych Exam Review, 2019).
CBT when used in group setting is used to treat individuals problems in a group setting . The therapist helps individual within a group setting by interacting with them to assess, diagnose and treatment symptoms by teaching coping skills and new behaviors as a vehicle for change. Group CBT has an advantage in that the patients learn from others in the group since they have similar problems and needs, by learning how they resolve issues, and what behaviors need to be modified to achieve success (Psych Exam Review, 2019). Group therapy is more cost effective as it is typically more affordable than individual therapy, and it is more time effective for the therapist as they are able to see more patients in the same time frame as an individual session.
CBT for couples are done to teach them how couples problem-solving skills, how to communicate effectively, how to resolve present conflicts, how to deal with sexual dysfunction, how to deal with domestic violence, and empowered them on how to resolve future conflicts using behavioral contracts. Couple are also thought how to fight fairly verbally in arguments without hitting below the belt (Nichols, 2022).
CBT for family therapy focuses on systems of relationships that influences members of a family unit, and treatment is focused on the family system. CBT for family focuses on behavioral training using reward and consequences system to help members of the family learn healthy ways to communicate, manage their emotions, and modify distressing behaviors.
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.
- One of the challenges that the therapist may encounter in group CBT session is that members of the group who have similar problems may pick up negative techniques of handling their problems. An example was seen when the presenter talked about members of a Bulimia nervosa group may pick up new ways to purge and hide it from their family members, or cutters learning new ways to hide their cuts (Psych Exam Review, 2019).
- Another challenge that the therapist may face is that they may not be able to address the issues of the members in the group completely as some tend to fall through the cracks due to the size of the group. An example in the video was that the member may not speak up or bring up the issue so it can be addresses or, there is not enough time to address all the issues encountered due to the size of the group (Psych Exam Review, 2019).
CBT is a psychotherapy that is a collaborative process between the therapist and the patient, and is an effective way to teach skills to help modify behaviors, to provide symptom relief, enhance treatment adherence, and sustain therapeutic goals and gains (Kopelovich & Tarkington, 2021).
COGNITIVE BEHAVIORAL THERAPY: COMPARING GROUP, FAMILY, AND INDIVIDUAL SETTINGS NRNP 6645 References
Nichols, M., & Davis, S. (2020). Basic Techniques of Family Therapy. The essentials of family therapy (7th ed.). pp. 23–39. Pearson.
Kopelovich, S. L., & Turkington, D. (2021). Remote CBT for Psychosis During the COVID-19 Pandemic: Challenges and Opportunities. Community Mental Health Journal, 57(1), 30–34. https://doi.org/10.1007/s10597-020-00718-0
Wheeler, K. (2020). Psychotherapy for the Advanced Practice Psychiatric Nurse (3rd ed.). Springer Publishing LLC. https://mbsdirect.vitalsource.com/books/9780826193896
Links to an external site.
PsychExamReview. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych tutorial #241) Links to an external site.
Links to an external site.Links to an external site.
[Video]. YouTube. https://www.youtube.com/watch?v=A2_NN1Q7Rfg
Manage Discussion Entry
Response 1:
Excellent post Jennifer!
CBT, as you stated in a group format, has a plethora of benefits for the client that seeks problem solving, deep mental, emotional, and physical strain. CBT, as you stated in a group setting, is intended for the therapist to interact with the group, access, diagnose and treat symptoms by educating the group on how to cope with troubling situations (Psych Exam Review, 2019). Yes, CBT groups have an advantage over individual groups in that the clients do learn from each other since they have similar problems and needs. Plus, the cost to attend and seek help from a group CBT session is way less expensive than hiring a therapist for one-on-one sessions (Generes, 2022).
CBT in group format also has its disadvantages as well. In a group setting you may not have control as a therapist as to who may show up to a session. You do not know if a group member may show up with the main intention to attention seek and keep other group members from learning or seeking help. In group settings also, confidentiality can become easily jeopardized as well. Many times, the individuals in a group setting are not related, but when confessions are made or other group members deliver stories pertaining to personal matters it is hard to assure every conversation that is had will stay within the group (Generes, 2022). It happens more times than none that some individuals ride off of the success of other group members. This is termed “social loafing” this happens often in groups because certain individuals hide their issues from the group to avoid accountability. These are all disadvantages of group sessions with GBT.
COGNITIVE BEHAVIORAL THERAPY: COMPARING GROUP, FAMILY, AND INDIVIDUAL SETTINGS NRNP 6645 References
Generes, W. M. (2022, September 12). Psychotherapy Guide: Group Therapy vs. Individual Therapy. Retrieved from American Addiction Centers: https://americanaddictioncenters.org/therapy-treatment/group-individual
Groot, J. d., Cobham, V., Leong, J., & McDermott, B. (2007). Individual versus group family-focused cognitive behaviour therapy for childhood anxiety: pilot randomzied controlled trial. National Library of Medicine NIH, https://doi.org/10.1080/00048670701689436.
Nichols , M. P., & Davis, S. D. (2020). The Essentials of Family Therapy 7th Edition. Hoboken, NJ: Pearson.
PsychExamReview. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych tutorial #241) Links to an external site.Links to an external site.
Therapy, B. I. (Director). (2018). CBT for Couples [Motion Picture].
Wheeler, K. (2020). Psychotherapy for the Advanced Practice Psychiatric Nurse Third Edition. New York, NY: Springer Publishing Company, LLC.
COGNITIVE BEHAVIORAL THERAPY: COMPARING GROUP, FAMILY, AND INDIVIDUAL SETTINGS NRNP 6645 Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
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Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three or more of the following elements
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| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in the all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three of the following elements
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| 10 Points | 9 Points | 6 Points | 0 Points | |||
| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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Demonstrated 3 of the following:
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Demonstrated 2 of the following:
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Demonstrated 1 or less of the following:
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| 8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
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The following was present:
AND/OR
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The following was present:
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The following was present:
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The following was present:
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The following was present:
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| 0 Points Deducted | 5 Points Lost | |||||
| Participation
Requirements |
Demonstrated the following:
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Failed to demonstrate the following:
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| 0 Points Lost | 5 Points Lost | |||||
| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |