CBT in Family and Group Setting Essay

Discussion: Cognitive Behavioral Therapy: Group Settings Versus Family Settings
As you might recall from Week 5, 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 PMHNP 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 group settings and family settings, consider challenges of using this approach with your own groups. CBT in Family and Group Setting Essay

Learning Objectives
Students will:
Compare the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families
Analyze challenges of using cognitive behavioral therapy for groups
Recommend effective strategies in cognitive behavioral therapy for groups
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings
Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Chapter 11, “In the Beginning” (pp. 309–344)
Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Chapter 12, “The Advanced Group” (pp. 345–390)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. CBT in Family and Group Setting Essay
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Note: You will access this text from the Walden Library databases.

Bjornsson, A. S., Bidwell, L. C., Brosse, A. L., Carey, G., Hauser, M., Mackiewicz Seghete, K. L., … Craighead, W. E. (2011). Cognitive-behavioral group therapy versus group psychotherapy for social anxiety disorder among college students: A randomized controlled trial. Depression and Anxiety, 28(11), 1034–1042. doi:10.1002/da.20877

Note: You will access this text from the Walden Library databases.

Safak, Y., Karadere, M. E., Ozdel, K., Ozcan, T., Türkçapar, M. H., Kuru, E., & Yücens, B. (2014). The effectiveness of cognitive behavioral group psychotherapy for obsessive-compulsive disorder. Turkish Journal of Psychiatry, 25(4), 225–233. Retrieved from http://www.turkpsikiyatri.com/

Note: You will access this text from the Walden Library databases.

Document: Group Therapy Progress Note
Mental illnesses are amongst the chronic ailments affecting individuals around the globe. The diseases are caused by many agents and affect people of all ages. However, healthcare institutions, with the help of Psychiatric Mental Health Nurse Practitioners (PMHNPs) apply an array of interpolations to warrant patient stabilization. Albeit pharmacological interventions are known to stabilize ailing victims, incorporation of therapeutic approaches is known to prevent further relapsing. In fact, Trauer, Qian, Doyle, Rajaratnam, and Cunnington (2015) assert that engaging patients in behavioral change is linked with a speedy recovery from a psychotic disease. Cognitive behavioral therapy (CBT) is among the best-studied forms of psychotherapy. Notably, it entails engaging patients to alter their behavioral and cognitive perceptions about issues. PMHNPs apply CBT in family and group settings. CBT works effectively in both clusters, and it is important to identify any shortcomings and implement relevant strategies to warrant its efficiency.

CBT in Families and Groups: Comparison

CBT in a Family Setting

Families in diverse social settings regardless of their financial abilities experience predicaments, which may lead to mental instabilities if not addressed on a timely basis. PMHNPs apply CBT to ensure peaceful coexistence. Characteristically, they focus on the identification of underlying issues affecting the families. Basing their approach on the fact that families operate as a unit, Lock and Le Grange (2015) stipulate that PMHNPs attempt to resolve existing conflicts. Each family member is informed of his/her role. Through this approach, dynamics which result in power struggles and resentment are eradicated. Applying CBT during family therapy sessions is effective since household members are present to give their views about underlying predicaments. Evidently, members will deliberate on their propositions, leading to amicable solutions and family stability. CBT in Family and Group Setting Essay

CBT in a Group Setting

PMHNPs apply CBT amongst people suffering from an array of problems, meeting in a common group. Normally, Turner, Marshall, Stopa, and Waller (2015) state that administration of CBT in a group setting occurs during a stipulated time, as directed by the presiding PMHNP. The approach focuses on developing good social skills amongst the members. Through revealing about their situations to fellow associates, interactions lead to a sense of belonging and acceptance. Resultantly, members advise each other against inappropriate behaviors, leading to stability.

Similarities of CBT in Family and Group Setting

CBT application in family and group setting are similar, in that both are designed to treat individual predicaments. According to Fairburn et al (2015), the two approaches allow affected individuals to work in groups and deliberate on appropriate propositions. Notably, individuals are encouraged to air their feelings, and voice opinions on issues.

Differences of CBT in Family and Group Setting

While family counseling is focused on strengthening a family unit, CBT in a group setting brings strangers together. Vallarino et al (2015) elaborate that individuals in a group setting are likely to suffer diverse problems, and the focus of CBT is to induce them to help each other. Besides, family CBT sessions are most likely to occur in homes, while group therapy sessions can happen at any place of choice.

Challenges of using CBT in a Group Setting

Despite CBT being effective in a group setting, it fails to address all patient issues in depth. According to Safak, Karadere, Ozdel, Ozcan, Türkçapar, Kuru and Yücens (2014), CBT approach in group therapy is mechanistic, as a patient suffering from mental ailments find difficulties healing through a combination of cognitive and behavioral changes. Additionally, Mehta et al (2015) state CBT lacks substantial linkage to cognitive psychology and neuroscience. In fact, the author avows that CBT lacks an elaborate theoretical basis regarding human cognition (Mehta et al., 2015). Based on this aspect, its incorporation in healing members in a group setting is unsubstantiated. CBT in Family and Group Setting Essay

Additionally, patients are urged to change their behavioral perceptions regarding aspects affecting their lives. However, it is difficult for PMHNPs to convince their clients, especially when victims experience difficulties identifying emotions. The difficulty to experience emotions prior to conscious recognition of preceding thoughts leads to misdiagnosis of actual thoughts which trigger any meaningful emotional response. Evidently, such occurrences pose detrimental challenges to PMHNPs in their quest to disseminate meaningful CBT help. Similarly, clients in a CBT group session may agree to principles as guided by their counselors. However, Mehta et al (2015) state that the victims may experience altering their overall thinking. In fact, they experience difficulties in applying the learned interventions in real life. Besides, many clients in a group setting demonstrate lack of motivation towards change. Indeed, some abscond counseling sessions, a factor that poses challenges to psychiatrists in their quest to attain better outcomes.

Remedies for Effective Group Therapy

Despite the challenges of implementing CBT in group therapy, psychiatrists can implement numerous strategies to attain positive results. For instance, there is a need for deeper research to identify the connection between cognitive change and the overall outcome for patients. Additionally, counselors ought to reinforce change through repetition. Clients can be directed to practice certain behaviors to achieve end results (Koffel, Koffel & Gehrman, 2015). Besides, psychologists ought to incorporate clever tactics when trying to identify emotions amongst patients. Through this approach, they can implement precise approaches to handling victims, leading to positive outcomes.

Conclusion

People suffer from various mental instabilities around the globe. However, incorporation of pharmacological and therapeutic approaches is known to stabilize affected persons. CBT is one of the interventions used in group and family settings. However, counselors face problems when applying CBT in group settings, especially when clients fail to identify their emotions. Despite these shortcomings, enacting clever tactics in a professional manner helps psychiatrists handle members in a group setting, leading to eventual stabilization.

References

Fairburn, C. G., Bailey-Straebler, S., Basden, S., Doll, H. A., Jones, R., Murphy, R., … & Cooper, Z. (2015). A transdiagnostic comparison of enhanced cognitive behavior therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders. Behaviour research and therapy, 70, 64-71. https://doi.org/10.1016/j.brat.2015.04.010 CBT in Family and Group Setting Essay

Koffel, E. A., Koffel, J. B., & Gehrman, P. R. (2015). A meta-analysis of group cognitive behavioral therapy for insomnia. Sleep medicine reviews, 19, 6-16. https://doi.org/10.1016/j.smrv.2014.05.001

Mehta, N., Clement, S., Marcus, E., Stona, A. C., Bezborodovs, N., Evans-Lacko, S., … & Koschorke, M. (2015). Evidence for effective interventions to reduce mental health-related stigma and discrimination in the medium and long-term: systematic review. The British Journal of Psychiatry, 207(5), 377-384. https://doi.org/10.1192/bjp.bp.114.151944

Safak, Y., Karadere, M. E., Ozdel, K., Ozcan, T., Türkçapar, M. H., Kuru, E., & Yücens, B. (2014). The effectiveness of cognitive behavioral group psychotherapy for obsessive-compulsive disorder. Turkish Journal of Psychiatry, 25(4), 225–233. Retrieved from http://www.turkpsikiyatri.com/

Lock, J., & Le Grange, D. (2015). Treatment manual for anorexia nervosa: A family-based approach. Guilford Publications.

Trauer, J. M., Qian, M. Y., Doyle, J. S., Rajaratnam, S. M., & Cunnington, D. (2015). Cognitive behavioral therapy for chronic insomnia: A systematic review and meta-analysis. Annals of internal medicine, 163(3), 191-204. Doi: : 10.7326/M14-2841

Turner, H., Marshall, E., Stopa, L., & Waller, G. (2015). Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting. Behaviour Research and Therapy, 68, 70-75. https://doi.org/10.1016/j.brat.2015.03.001

Vallarino, M., Henry, C., Etain, B., Gehue, L. J., Macneil, C., Scott, E. M., … & Miklowitz, D. J. (2015). An evidence map of psychosocial interventions for the earliest stages of bipolar disorder. The Lancet Psychiatry, 2(6), 548-563. https://doi.org/10.1016/S2215-0366(15)00156-X CBT in Family and Group Setting Essay

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