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

Sample Answer for NRNP 6645 Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings Included After Question

By Day 3

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.

Read a selection of your colleagues’ responses.

By Day 6 of Week 1

Respond to at least two of your colleagues by recommending strategies to overcome the challenges your colleagues have identified. Support your recommendation with evidence-based literature and/or your own experiences with clients.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply

A Sample Answer For the Assignment: NRNP 6645 Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings 

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

 Week 5 Discussion

Cognitive Behavior Therapy (CBT) is a widely used therapeutic approach that can be adapted for various settings, including group, family, and individual therapy. Each of these settings comes with its own unique dynamics and challenges when implementing CBT.

CBT in Group Settings

CBT in group therapy involves a therapist working with a small group of individuals who often share aligned concerns or challenges (Samaan et al., 2021). Notable characteristics and advantages of using CBT in group settings include:

 1. Peer Support: Group CBT offers the advantage of peer support. Participants can relate to each other’s experiences, providing a sense of validation and reducing feelings of isolation. This can be especially helpful for individuals dealing with issues like anxiety or social phobia.

2. Cost-Effective: Group therapy is affordable and can be accessed by a large group of patients.

3. Skill Generalization: In a group setting, participants can gain insights from one another through personal survival skills, strategies and problem-solving approaches. This can help with the generalization of learned skills to real-life situations.

 Challenges in Group CBT: PMHNPs may face specific challenges when conducting CBT in group settings:

1. Group Dynamics: Managing group dynamics can be challenging. Conflicts or personality clashes among group members may arise and need to be addressed. The therapist must maintain a safe and supportive atmosphere for all participants.

2. Tailoring to Individual Needs: While group therapy can be effective for many, it may not address the unique needs of each participant (Samaan et al., 2021). PMHNPs must strike a balance between addressing individual concerns and maintaining a group focus.

CBT in Family Settings

CBT in family therapy involves working with family members to address interpersonal issues, improve communication, and modify problematic family patterns (Phipps & Thorne, 2019). CBT in family settings is characterized by:

1. Systemic Approach: Family therapy views problems within the context of family systems. It focuses on how family dynamics contribute to individual issues and vice versa (Goldenberg, Stanton & Goldenberg, 2017). PMHNPs must consider how each family member’s cognitions and behaviors impact the family as a whole.

2. Communication Improvement: CBT in family therapy often emphasizes enhancing communication skills and resolving conflicts within the family unit.

Challenges in Family CBT: PMHNPs might face specific challenges when conducting CBT in family settings:

1. Resistance and Defensiveness: Family members may be resistant to therapy or defensive about their roles in family problems. It can be challenging to create a non-judgmental and open therapeutic environment (Phipps & Thorne, 2019).

2. Balancing All Voices: Ensuring that all family members have a chance to express themselves and that power dynamics within the family do not hinder progress can be difficult.

CBT in Individual Settings

CBT in individual therapy is one-on-one and allows for highly personalized treatment. It is effectual for addressing a diverse array of mental illness problems such as anxiety, depression, and phobias (Lungu et al., 2020).

Challenges in Individual CBT: Two potential challenges for PMHNPs in individual CBT include:

1. Resource Intensity: Individual therapy can be resource-intensive – in the aspect of time and cost. It may not be as accessible to everyone due to these limitations.

2. Limited External Feedback: In individual therapy, clients may have limited external feedback. In group or family settings, others can provide different perspectives, but in individual therapy, the therapist plays a critical role in offering alternative viewpoints and strategies.

In summary, CBT is a versatile therapeutic approach that can be adapted to various settings, each with its own advantages and challenges. PMHNPs must consider the specific needs of their clients and the context when choosing between group, family, or individual CBT. Managing group dynamics, balancing individual and group needs, addressing resistance, and tailoring treatment are essential skills for PMHNPs in these settings.

References

Goldenberg, I., Stanton, M., & Goldenberg, H. (2017). Family therapy: An overview (9th ed.) Cengage Learning.

Lungu, A., Jun, J. J., Azarmanesh, O., Leykin, Y., & Chen, C. E. J. (2020). Blended care-cognitive behavioral therapy for depression and anxiety in real-world settings: pragmatic retrospective study. Journal of Medical Internet Research, 22(7), e18723.

Phipps, R., & Thorne, S. (2019). Utilizing Trauma-Focused Cognitive Behavioral Therapy as a Framework for Addressing Cultural Trauma in African American Children and Adolescents: A Proposal. Professional Counselor, 9(1), 35-50.

Samaan, M., Diefenbacher, A., Schade, C., Dambacher, C., Pontow, I. M., Pakenham, K., & Fydrich, T. (2021). A clinical effectiveness trial comparing ACT and CBT for inpatients with depressive and mixed mental disorders. Psychotherapy Research, 31(3), 372-385.

A Sample Answer For the Assignment: NRNP 6645 Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings 

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

I enjoyed reading your post and want to elaborate on the challenges you have identified for individual Cognitive Behavioral Therapy. 

Challenge 1: Resources (Cost and Time)

Cognitive–behavioral therapy (CBT) allows clients to eliminate harmful behaviors by self-correcting their beliefs, reducing stress, and enhancing their mental health. Therefore, I would propose that CBT become an essential form of training that mental health providers standardly teach. For example, in my inpatient unit, we must take crisis prevention training (CPT) for a four-hour renewal yearly. Original CPT training is 8 hours for our new employees. I propose that CBT be included as a yearly training program to best prepare our mental health workers for treating patients.

According to Nakao et al. (2021), several RCTs have indicated that CBT effectively improves anxiety-related symptoms, attention deficit hyperactivity disorder, bulimia, and depression. Their studies also mentioned the effectiveness of CBT for physical conditions such as chronic fatigue, fibromyalgia, breast cancer, and IBS. Behavioral problems such as drug abuse, gambling disorder, binge eating, and smoking are also treatable with CBT (Nakao et al. 2021). Another strategy to consider (dependent on the population and cost-effectiveness) is online CBT and self-help CBT mobile applications.

 Challenge 2: Feedback Limitations in individual vs. group settings

According to the article by Marmarosh (2018), it is important for the group leader to identify which members may be struggling and at risk of dropping out by collecting feedback. Although this doesn’t directly address your specifically mentioned challenge, it addresses the possibility that if the group leader does not get direct feedback from a group member, it is possible for them to disengage despite their engagement during the group process, which makes group therapy potentially limited compared to individual therapy.

During individual therapy, there is undivided time to check in provided by the client with no other members, and there is no possibility of others dominating the group or using the group process time for themselves. Therefore, the group therapist should ask group members to provide feedback after the session to better guide the therapeutic group process. Marmorosh (2018) states that most groups don’t train their therapists to collect feedback during treatment. Another solution would be to standardize the curriculum of every graduate program to include a group psychotherapy course because most interns and mental health-care professionals will be expected to lead group therapy.

References and Scholarly Explanation

Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive-behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. BioPsychoSocial medicine15(1), 16. https://doi.org/10.1186/s13030-021-00219-w

Links to an external site.

Scholarly Explanation:  BioPsychoSocial Medicine journal is from the Japanese Society of Psychosomatic Medicine. The journal publishes peer-reviewed research on biological, psychological, social, and behavioral health.

Cognitive–behavioral therapy for management of mental health and stress-related disorders_ Recent advances in techniques and technologies – PMC-2.pdf

Download Cognitive–behavioral therapy for management of mental health and stress-related disorders_ Recent advances in techniques and technologies – PMC-2.pdf

Marmarosh, C. L. (2018). Introduction to the special issue: Feedback in group psychotherapy. Psychotherapy55(2), 101–104. https://doi.org/10.1037/pst0000178

Links to an external site.

Scholarly Explanation: All peer-reviewed articles in APA follow a peer review process that is masked in which the author and reviewers’ identities are not initially shared.