Comparing CBT in Group, Family, and Individual Settings
Comparing CBT in Group, Family, and Individual Settings
Cognitive-behavioral therapy has been used in the management of various mental disorders to correct behavior, improve stress management, and enhance mental health (Nakao et al., 2021). This psychotherapeutic treatment helps individuals identify and shun unhealthy thoughts, hence improving balanced thinking and coping. Cognitive-behavioral therapy (CBT) techniques have proved effective when used among patients with anxiety disorders, depression, ADHD, bulimia, smoking, and gambling (Nakao et al., 2021). This post discusses how the implementation of CBT varies in individual, group, and family settings.
Individual CBT offers patients opportunities for individualized therapy to address their specific needs (Guo et al., 2021). This differs from group CBT, which simultaneously offers interventions to a group of patients. Group CBT offers more opportunities for therapeutic peer modeling, social or peer support, normalization, learning from the experiences of others, and behavior reinforcement (Guo et al., 2021). Besides, group CBT saves resources; hence, it is cost-effective. Group CBT is more cost-effective than individual CBT because clients can better share feelings and thoughts to foster interpersonal cooperation (Moloud et al., 2022).
Family CBT involves family members helping address a family-level problem, such as conflicts and poor communication, to reduce symptoms and improve quality of life. Members of a family participating in CBT have a shared understanding of the treatment goals and a strong desire to support them. With family CBT, members can easily support each other to understand psychoeducation delivered on a specific challenge, share knowledge, and understand how to support each other. Involving family in CBT has been associated with better outcomes than individual settings.
In the week’s resources, the therapist explained that in CBT for couples, the therapist has two perspectives to consider. First, it is about focusing on what people have control over. For example, a spouse learns she can control her behavior and how she interprets her husband’s behavior (Beck Institute for Cognitive Behavior Therapy, 2018). As a result, the other spouse may not be able to control one’s behavior or response to another spouse’s behavior. Thus, a spouse understands she cannot control her husband’s behavior but can only have some influence. Another difference seen in couple CBT with other forms is that a couple can practice communication techniques between themselves, such as empathy, paraphrasing, and assertiveness (Beck Institute for Cognitive Behavior Therapy, 2018). Another difference is the presence of someone who can help the couple interpret differently. Such an interpreter helps clients evaluate their ideas or automatic thoughts triggered by their spouse’s actions. Overall, couple CBT helps find alternative ways to look at ideals triggered by the spouse’s actions.
Challenges PMHNPs Might Encounter When Using CBT
One of the challenges in family therapy is feelings of guilt and shame related to disclosure (Reuman et al., 2021). A patient may have self-blame for what caused their mental disturbance or feel guilty of taboo-related obsessional thoughts. This challenge impedes therapy success as the client may conceal information. Another challenge associated with family CBT is criticism and potential refusal to support the affected kin (Reuman et al., 2021). Treatment will likely halt or fail if such a patient depends on the family’s participation to achieve successful therapy. A standard intervention for these family CBT challenges is to reasonably remove a family member from the session (Reuman et al., 2021). Ensuring the client is comfortable, adheres to scheduled therapy sessions, and fully benefits when family members are involved in CBT is essential.
Why Supporting Sources Are Scholarly
Guo et al.: This resource is scholarly because it reports an analysis of research studies on CBT to provide information to professionals.
Moloud et al.: This peer-reviewed article reports on a research study and includes a list of references cited.
Nakao et al.: This resource is scholarly because it was written by experts for healthcare professionals and includes a reference list.
Reuman et al.: A peer-reviewed resource written by experts with a reference list of all sources cited.
References
Guo, T., Su, J., Hu, J., Aalberg, M., Zhu, Y., Teng, T., & Zhou, X. (2021). Individual vs. group cognitive behavior therapy for anxiety disorder in children and adolescents: A meta-analysis of randomized controlled trials. Frontiers in Psychiatry, 12, 674267. https://doi.org/10.3389/fpsyt.2021.674267Links to an external site.
Moloud, R., Saeed, Y., Mahmonir, H., & Rasool, G. A. (2022). Cognitive-behavioral group therapy in major depressive disorder with a focus on self-esteem and optimism: An interventional study. BMC Psychiatry, 22(1), 299. https://doi.org/10.1186/s12888-022-03918-yLinks to an external site.
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 Medicine, 15(1), 16. https://doi.org/10.1186/s13030-021-00219-wLinks to an external site.
Reuman, L., Thompson-Hollands, J., & Abramowitz, J. S. (2021). Better together: A review and recommendations to optimize research on family involvement in CBT for anxiety and related disorders. Behavior Therapy, 52(3), 594–606. https://doi.org/10.1016/j.beth.2020.07.008Links to an external site.Week 5 Discussion:
Comparing CBT in Group, Family, and Individual Settings
Cognitive-behavioral therapy has been used in the management of various mental disorders to correct behavior, improve stress management, and enhance mental health (Nakao et al., 2021). This psychotherapeutic treatment helps individuals identify and shun unhealthy thoughts, hence improving balanced thinking and coping. Cognitive-behavioral therapy (CBT) techniques have proved effective when used among patients with anxiety disorders, depression, ADHD, bulimia, smoking, and gambling (Nakao et al., 2021). This post discusses how the implementation of CBT varies in individual, group, and family settings.
Individual CBT offers patients opportunities for individualized therapy to address their specific needs (Guo et al., 2021). This differs from group CBT, which simultaneously offers interventions to a group of patients. Group CBT offers more opportunities for therapeutic peer modeling, social or peer support, normalization, learning from the experiences of others, and behavior reinforcement (Guo et al., 2021). Besides, group CBT saves resources; hence, it is cost-effective. Group CBT is more cost-effective than individual CBT because clients can better share feelings and thoughts to foster interpersonal cooperation (Moloud et al., 2022).
Family CBT involves family members helping address a family-level problem, such as conflicts and poor communication, to reduce symptoms and improve quality of life. Members of a family participating in CBT have a shared understanding of the treatment goals and a strong desire to support them. With family CBT, members can easily support each other to understand psychoeducation delivered on a specific challenge, share knowledge, and understand how to support each other. Involving family in CBT has been associated with better outcomes than individual settings.
In the week’s resources, the therapist explained that in CBT for couples, the therapist has two perspectives to consider. First, it is about focusing on what people have control over. For example, a spouse learns she can control her behavior and how she interprets her husband’s behavior (Beck Institute for Cognitive Behavior Therapy, 2018). As a result, the other spouse may not be able to control one’s behavior or response to another spouse’s behavior. Thus, a spouse understands she cannot control her husband’s behavior but can only have some influence. Another difference seen in couple CBT with other forms is that a couple can practice communication techniques between themselves, such as empathy, paraphrasing, and assertiveness (Beck Institute for Cognitive Behavior Therapy, 2018). Another difference is the presence of someone who can help the couple interpret differently. Such an interpreter helps clients evaluate their ideas or automatic thoughts triggered by their spouse’s actions. Overall, couple CBT helps find alternative ways to look at ideals triggered by the spouse’s actions.
Challenges PMHNPs Might Encounter When Using CBT
One of the challenges in family therapy is feelings of guilt and shame related to disclosure (Reuman et al., 2021). A patient may have self-blame for what caused their mental disturbance or feel guilty of taboo-related obsessional thoughts. This challenge impedes therapy success as the client may conceal information. Another challenge associated with family CBT is criticism and potential refusal to support the affected kin (Reuman et al., 2021). Treatment will likely halt or fail if such a patient depends on the family’s participation to achieve successful therapy. A standard intervention for these family CBT challenges is to reasonably remove a family member from the session (Reuman et al., 2021). Ensuring the client is comfortable, adheres to scheduled therapy sessions, and fully benefits when family members are involved in CBT is essential.
Why Supporting Sources Are Scholarly
Guo et al.: This resource is scholarly because it reports an analysis of research studies on CBT to provide information to professionals.
Moloud et al.: This peer-reviewed article reports on a research study and includes a list of references cited.
Nakao et al.: This resource is scholarly because it was written by experts for healthcare professionals and includes a reference list.
Reuman et al.: A peer-reviewed resource written by experts with a reference list of all sources cited.
References
Guo, T., Su, J., Hu, J., Aalberg, M., Zhu, Y., Teng, T., & Zhou, X. (2021). Individual vs. group cognitive behavior therapy for anxiety disorder in children and adolescents: A meta-analysis of randomized controlled trials. Frontiers in Psychiatry, 12, 674267. https://doi.org/10.3389/fpsyt.2021.674267Links to an external site.
Moloud, R., Saeed, Y., Mahmonir, H., & Rasool, G. A. (2022). Cognitive-behavioral group therapy in major depressive disorder with a focus on self-esteem and optimism: An interventional study. BMC Psychiatry, 22(1), 299. https://doi.org/10.1186/s12888-022-03918-yLinks to an external site.
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 Medicine, 15(1), 16. https://doi.org/10.1186/s13030-021-00219-wLinks to an external site.
Reuman, L., Thompson-Hollands, J., & Abramowitz, J. S. (2021). Better together: A review and recommendations to optimize research on family involvement in CBT for anxiety and related disorders. Behavior Therapy, 52(3), 594–606. https://doi.org/10.1016/j.beth.2020.07.008Links to an external site.Week 5 Discussion:
Comparing CBT in Group, Family, and Individual Settings
Cognitive-behavioral therapy has been used in the management of various mental disorders to correct behavior, improve stress management, and enhance mental health (Nakao et al., 2021). This psychotherapeutic treatment helps individuals identify and shun unhealthy thoughts, hence improving balanced thinking and coping. Cognitive-behavioral therapy (CBT) techniques have proved effective when used among patients with anxiety disorders, depression, ADHD, bulimia, smoking, and gambling (Nakao et al., 2021). This post discusses how the implementation of CBT varies in individual, group, and family settings.
Individual CBT offers patients opportunities for individualized therapy to address their specific needs (Guo et al., 2021). This differs from group CBT, which simultaneously offers interventions to a group of patients. Group CBT offers more opportunities for therapeutic peer modeling, social or peer support, normalization, learning from the experiences of others, and behavior reinforcement (Guo et al., 2021). Besides, group CBT saves resources; hence, it is cost-effective. Group CBT is more cost-effective than individual CBT because clients can better share feelings and thoughts to foster interpersonal cooperation (Moloud et al., 2022).
Family CBT involves family members helping address a family-level problem, such as conflicts and poor communication, to reduce symptoms and improve quality of life. Members of a family participating in CBT have a shared understanding of the treatment goals and a strong de
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