NRNP 6645 Cognitive Behavioral Therapy Comparing Group, Family, and Individual Settings

NRNP 6645 Cognitive Behavioral Therapy Comparing Group, Family, and Individual Settings

NRNP 6645 Cognitive Behavioral Therapy Comparing Group, Family, and Individual Settings

 Cognitive Behavioral Therapy Comparing Group, Family, and Individual Settings

Thoughts are important because individuals greatly influence behavior. They are influenced greatly by the interplay between environmental factors and the human response to these factors. An imbalance causes derailed thoughts, which often translates to derailed behavior. Addressing the disabling thought processes streamline the behavior patterns, hence the basis of cognitive behavioral therapy. The care providers determine the disabling co-belief and help the patient address this co-belief, hence the change in thoughts and behavior. Cognitive behavioral therapy is an important intervention in managing mental health presenting with unhealthy thoughts and behaviors. As discussed in this essay, cognitive behavioral therapy differs when applied to individuals, groups, and families.

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 Cognitive behavioral therapy relies on the psychiatrist’s knowledge, and choosing the best setting significantly influences positive patient outcomes (Blackwell & Heidenreich. 2021). CBT in the family setting can differ from group therapy because it considers the perspectives and interpretations of others’ actions (Beck Institute for Cognitive Behavior Therapy, 2018). CBT in couple therapy cannot utilize group communication activities because one of the major goals is to increase positive interactions between the couples, unlike group therapy, where the goal is to support each other through experiences and goals. The interpretation of each partner’s thoughts and behaviors of the spouse’s actions are significant, unlike group settings where the group members’ perspective may not be so significant to each patient (Nicholas & Davis, 2020).

CBT in group settings requires the psychiatrist to simultaneously identify and help individuals identify and address their disabling thought behaviors, thus eliminating disabling thoughts and behavior, unlike individual settings where the focus is on one person. CBT in group therapy is highly structured and interactive as the psychiatrist strives to ensure group members learn from each other. In group settings, individuals also learn the importance of positive peer modeling, social support, and reinforcement. Members can share problems and experiences, providing exceptional support which may be unavailable in individual settings. In group settings, the psychiatrist focuses on many individuals; hence it is time-consuming and demands prior planning, unlike individual therapy, which focuses on the individual throughout the session (Layton et al., 2020).

CBT in individual settings may face various problems. Heidenreich et al. (2021) note that CBT limitations in individual settings include client behaviors that obstruct implementation (difficult and disruptive clients). Some clients find it difficult to identify emotions and thoughts. Group and family therapy sessions can help trigger an understanding of these emotions. In group sessions, it is difficult to form therapeutic relationships significant to health may be difficult to achieve. Personal differences can impede group CBT settings, making achieving the desired results difficult. In family settings, all family members affected by the problem must attend, which is difficult to achieve, especially for warring families (Stewart et al., 2020). In addition, family CBT is intricate, and all basic needs must be met before joining family therapy, which is often not the case. Addressing these limitations can help increase CBT effectiveness in these various settings.  

The sources used in this work are all peer-reviewed and relevant to the topic of discussion. They also contribute to current knowledge and the body of research hence their significance to this study. In addition, they were also published by reputable journals and sources in reputable databases. The resources used are also current and published within the last five years. Understanding these limitations helps the psychiatrist beforehand and implement corrective interventions. Preparing is significant to execution and greatly influences the success of CBT in various settings. Understanding the differences helps the psychiatrist tune the sessions to optimize the benefits.

References

Stewart, K. E., Sumantry, D., & Malivoire, B. L. (2020). Family and couple integrated cognitive-behavioral therapy for adults with OCD: a meta-analysis. Journal of Affective Disorders, 277, 159-168. https://doi.org/10.1016/j.jad.2020.07.140

Layton, H., Bendo, D., Amani, B., Bieling, P. J., & Van Lieshout, R. J. (2020). Public health nurses’ experiences learning and delivering a group cognitive behavioral therapy intervention for postpartum depression. Public Health Nursing, 37(6), 863-870. https://doi.org/10.1111/phn.12807

Beck Institute for Cognitive Behavior Therapy. (2018, June 7). CBT for couples. [Video]. YouTube. https://www.youtube.com/watch?v=JZH196rOGsc

Blackwell, S. E., & Heidenreich, T. (2021). Cognitive Behavior Therapy at the Crossroads. International Journal Of Cognitive Therapy, 14(1), 1–22. https://doi.org/10.1007/s41811-021-00104-y

Heidenreich, T., Noyon, A., Worrell, M., & Menzies, R. (2021). Existential Approaches and Cognitive Behavior Therapy: Challenges and Potential. International Journal Of Cognitive Therapy, 14(1), 209–234. https://doi.org/10.1007/s41811-020-00096-1

Nichols, M., & Davis, S. D. (2020). Cognitive Behavioral Family Therapy.” The essentials of family therapy (7th ed.). Pearson.

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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.

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.

LEARNING RESOURCES
Required Readings
• American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disordersLinks to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
o “Culture and Psychiatric Diagnosis”
• Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.
o Chapter 9, “Cognitive Behavioral Family Therapy”
• Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.
o Chapter 8, “Cognitive Behavioral Therapy”
o Chapter 21, “Psychotherapeutic Approaches with Children and Adolescents”
 pp. 793–802 only
o Chapter 22, “Psychotherapy with Older Adults”
 pp. 840–844 only
Required Media
• Beck Institute for Cognitive Behavior Therapy. (2018, June 7). CBT for couplesLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=JZH196rOGsc
• MedCircle. (2019, December 13). What a cognitive behavioral therapy (CBT) session looks likeLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=8-2WQF3SWwo
• PsychExamReview. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych tutorial #241)Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=A2_NN1Q7Rfg

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