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.
Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.
Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.
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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.
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 has been among the top therapeutic modalities used with individuals experiencing issues with their mental health. This type of therapy can be used with individual as well as family or group settings. Although cognitive behavior therapy can be utilized in all of these setting, there are differences when it comes to utilizing techniques as well as sessions.
When comparing group vs family and individualized therapy, one similarity would be the addition of the core components. Research reported, the 5 components of cognitive behavior therapy consist of psychoeducation, fear hierarchy development, exposure/response prevention, cognitive strategies, and generalization/relapse prevention (Kose et al., 2017). No matter the setting, the core components will be applied. One major difference between groups vs individual sessions is cost. According to research, group cognitive-behavioral therapy (CBT) may be less expensive than individual CBT, given that treatment can be provided to several clients concurrently (Olmstead et al., 2019). Another difference is with individual cognitive behavior therapy, alterations may be implemented. According to Kose et al. (2017), CBT systems involve individualized variations. There are numerous studies that have proved that a tailored variant of CBT can result in successful outcomes when treating symptoms such as anxiety and other issues. Cognitive behavior therapy in a group setting may not be as modifiable because of the number of individuals in the group. Also, as opposed to individual therapy, with family therapy, everyone in the session plays a part. For example, when treating children that are experiencing mental health concerns, the parents are involved as well. Parental participation has not only been clinic based. Parents are also accountable for doing homework along with the child to aid generalization of treatment benefits, reduce family accommodation, and stimulate understanding of the problem (Kose et al., 2017).
Although there are numerous benefits that come with group cognitive behavior therapy, challenges also occur. When reviewing this week’s media, several examples of disadvantages or challenges were provided. According to the PsychExamReview (2019), there may be a notion that people with the same condition will have similar demands and that may not be the case. Specific symptoms of a certain disorder with an individual may be overlooked because the attention of the therapist will be less focused due to the decreased allotted time for each client to be detailed. The PsychExamReview (2019) also pointed out the normalization of symptoms or comparison of members. For example, the disease known as anorexia nervosa may pose a challenge in the group setting. Research highlighted, anorexia nervosa is an eating disorder whose main features include a restraint of energy consumption leading to decreased body weight, strong fear of gaining weight, or determined conduct that inhibits weight gain and a disturbance in the way in which one’s body shape is experienced (Saure et al., 2022). A member may attempt to compare his or herself with another member that possibly looks smaller or in worse condition. This can be counterproductive for what they want to achieve. This may also result in less motivation to change because they may not take their condition serous due to assuming that others are worse.
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.
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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