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Posted: June 28th, 2022
Cognitive Behavioral Therapy
When first introduced, cognitive behavioral therapy (CBT) was unlike any other therapeutic approach. For years, psychotherapeutic techniques were driven by psychoanalytic theories. These techniques were time consuming, leaving many therapists frustrated with the length of time involved in helping their patients achieve a sense of relief. With the development of CBT, however, therapists were able to help their patients heal more quickly. This poses the questions: If CBT is more efficient than other techniques, why isn’t it used with all patients? How do you know when CBT is an appropriate therapeutic approach?
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This week, you examine CBT and its use across individual, family, and group modalities.
Required reading
https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.
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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.
Chapter 8, “Cognitive Behavioral Therapy”
Chapter 21, “Psychotherapeutic Approaches with Children and Adolescents”
pp. 793–802 only
Chapter 22, “Psychotherapy with Older Adults”
pp. 840–844 only
Discussion: Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings
Photo Credit: Getty Images
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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.
To prepare:
Review the videos in this week’s Learning Resources and consider the insights provided on CBT in various settings.
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.
RESPOND TO THIS DISCUSSION POST AS
Cognitive Behavioral Therapy
When first introduced, cognitive behavioral therapy (CBT) was unlike any other therapeutic approach. For years, psychotherapeutic techniques were driven by psychoanalytic theories. These techniques were time consuming, leaving many therapists frustrated with the length of time involved in helping their patients achieve a sense of relief. With the development of CBT, however, therapists were able to help their patients heal more quickly. This poses the questions: If CBT is more efficient than other techniques, why isn’t it used with all patients? How do you know when CBT is an appropriate therapeutic approach?
This week, you examine CBT and its use across individual, family, and group modalities.
Required reading
https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.
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.
Chapter 8, “Cognitive Behavioral Therapy”
Chapter 21, “Psychotherapeutic Approaches with Children and Adolescents”
pp. 793–802 only
Chapter 22, “Psychotherapy with Older Adults”
pp. 840–844 only
Discussion: Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings
Photo Credit: Getty Images
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.
To prepare:
Review the videos in this week’s Learning Resources and consider the insights provided on CBT in various settings.
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.
RESPOND TO THIS DISCUSSION POST
Cognitive behavior therapy is widely recognized as an effective method for treating mental health disorders. Individuals, families, and groups can all benefit from this modality of treatment. Although CBT can be used in any of these contexts, the methods and frequency of sessions required to achieve optimal results will vary depending on the specifics of the situation.
One way in which group therapy and family therapy and individual therapy are similar is that they all include these essential elements. Based on the available evidence, the five parts of cognitive behavior therapy are as follows: psychoeducation, fear hierarchy development, exposure/response prevention, cognitive strategies, and generalization/relapse prevention (Kose et al., 2017). The fundamentals remain the same regardless of context. The cost is significantly lower for group sessions than for individual ones. The ability to treat multiple patients at once makes group cognitive-behavioral therapy (CBT) a potentially cost-effective alternative to individual CBT (Olmstead et al., 2019). One key distinction is that in cognitive behavior therapy for individuals, adjustments are often made. Kose et al. (2017) state that there are individual differences in CBT systems. Numerous researches have shown that symptoms, like anxiety, can be effectively treated with a modified form of CBT. Group CBT may be less malleable than individual CBT due to the greater number of participants. In addition, unlike in individual therapy, in family therapy all family members are encouraged to actively participate. Parents are encouraged to participate in their children's treatment for mental health issues. The involvement of parents has expanded beyond clinical settings. For the best possible outcomes following treatment, to minimize the need for adjustments within the family, and to promote a deeper understanding of the issue at hand, parents should complete assignments alongside their children (Kose et al., 2017).
However, there are also some difficulties that can arise during group CBT. Several difficulties or drawbacks were highlighted in the news this week. PsychExamReview (2019) warns against assuming that one group of patients will have uniform needs. When the therapist has less time to spend on each individual, they may miss important cues that could indicate the presence of a disorder. The normalization of symptoms or member comparison was also highlighted by the PsychExamReview (2019). Group therapy for conditions like anorexia nervosa, for instance, can be difficult. According to the highlighted research, the main characteristics of anorexia nervosa are the restriction of energy consumption resulting in a decreased body weight, a strong fear of gaining weight, or determined conduct that inhibits weight gain, and an alteration in the way one perceives their own body shape (Saure et al., 2022). An individual may try to find a member to whom they can draw a more favorable comparison by noting the latter's perceived physical shortcomings. It's possible that doing so would be counterproductive to their goals. One possible repercussion of this line of thinking is a lack of motivation to improve one's situation because of the false belief that there are always people in worse shape.
Sources
Each source presented is considered scholarly. The sources were utilized from the school library database as well as google scholar. The sources were also peer-reviewed. The authors were compliant with ethical standards as well as had an extensive educational background on the topics presented.
PDFs
https://doi.org/10.1007/s10882-017-9559-8
https://doi.org/10.1016/j.jsat.2019.02.001
https://doi.org/10.2147/prbm.s246056
References
Kose, L. K., Fox, L., & Storch, E. A. (2017). Effectiveness of cognitive behavioral therapy for individuals with autism spectrum disorders and comorbid obsessive-compulsive disorder: A review of the research. Journal of Developmental and Physical Disabilities, 30(1), 69–87. https://doi.org/10.1007/s10882-017-9559-8
Olmstead, T. A., Graff, F. S., Ames-Sikora, A., McCrady, B. S., Gaba, A., & Epstein, E. E. (2019). Cost-effectiveness of individual versus group female-specific cognitive behavioral therapy for alcohol use disorder. Journal of Substance Abuse Treatment, 100, 1–7. https://doi.org/10.1016/j.jsat.2019.02.001
PsychExamReview. (2019). Cognitive therapy, CBT, & and group approaches (intro psych tutorial #241) [Video]. YouTube. https://www.youtube.com/watch?v=A2_NN1Q7Rfg
Saure, E., Ålgars, M., Laasonen, M., & Raevuori, A. (2022). Cognitive behavioral and cognitive remediation strategies for managing co-occurring anorexia nervosa and elevated autism spectrum traits. Psychology Research and Behavior Management, Volume 15, 1005–1016. https://doi.org/10.2147/prbm.s246056
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