The group therapy with older adults involved five members who had been diagnosed with depression being subjected to cognitive behavioral therapy. At this session, there has been much conflict with each member trying to establish power and occupy a position in an emerging control hierarchy. In fact, the session occurred at the storming stage when there is little acceptance and much conflict within the group. At this point, the group is unsettled owing to an inability to complete its tasks. The uncertainties identified when the group was first formed have become glaring and result in individual group members having conflicts over completing group tasks and activities so that they form clichés based on interpersonal issues and group tasks (Wheeler, 2014). Other than the noted conflicts, age-based declines also presented barriers for the group activities. These age-based declines include cognition, sight, hearing and age. In addition, cultural barriers prevent the members from expressing themselves within the group setting since they attach stigma to depression as a mental illness (Smith, 2012) Group Therapy With Older Adults Paper.
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There are a range of strategies that can be applied to counter the described challenges. Firstly, the therapist must identify the right facilitation approach between frailty and authority in confronting issues in the group. This would give the group members courage to express themselves without being unbridled so that they respect the group (Katona, Cooper & Robertson, 2012). Secondly, sessions should be held in a location easily accessible to the members with minimal disturbance to maximize their involvement. Thirdly, practical facilities should be offered to counter the age-based declines. These include offering earphones with sound amplifiers to patients with hearing difficulties (Smith, 2012). Finally, the therapist should present the members with introductory material on the role of therapy in addressing depression while increasing emphasis on sensitivity to privacy values (Wheeler, 2014). Overall, the challenges noted the group therapy with older adults can be addressed by adapting the sessions accordingly.
Katona, C., Cooper, C. & Robertson, M. (2012). Psychiatry at a Glance (5th ed.). Hoboken, NJ: Wiley-Blackwell.
Smith, G. (2012). Psychological Interventions in Mental Health Nursing. Berkshire: Open University Press.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer Group Therapy With Older Adults Paper.
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