Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings
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Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings
Cognitive-behavioral therapy (CBT) focuses on changing maladaptive negative thinking patterns and behaviors through cognitive restructuring. According to Wheeler (2020), many experiments have validated CBT as an active treatment for various disorders. The Psych Exam Review (2019) indicates that CBT aims to improve reasoning, self-control, and response to events. It applies to group, family, and individual settings. This discussion compares CBT in a group, family, and individual setting, drawing insights from this week’s videos and highlights challenges PMHNPs might face when using CBT in one of these settings.
Comparing CBT in Group, Family, and Individual Settings
Cognitive-behavioral therapy in group settings targets many people with similar problems. The therapist seeks to change the group’s maladaptive negative thinking patterns into positive thinking by allowing group members to share their challenges and experiences. The therapist builds a relationship between them and the group and among the individual group members. Since all members share similar challenges, the group is a source of support for each other. The therapist can address different individuals’ problems simultaneously.
On the other hand, cognitive-behavioral therapy in a family setting assume that family members’ feelings, behaviors, and emotions are mutually influenced. In this regard, CBT in a family setting focuses on supporting the family members to change their negative maladaptive thinking patterns into positive, adaptive thinking, ensuring that family members make better decisions (Nichols & Davis, 2020). It also improves the family’s atmosphere for behavior modification. For example, in the video “CBT for couples,” the therapist suggests that the therapist helps clients interpret each other’s behavior in a family setting. The therapist also helps couples understand what they can control in a relationship by assessing their cognitions while considering their partner’s cognitions (Beck Institute for Cognitive Behavior Therapy, 2018). The video supports that family members’ feelings, emotions, and behaviors are mutually influenced. Therefore, CBT in this setting offers members a different perspective of each other for behavior change.
Unlike group and family therapy which deals with more than one person simultaneously, individual therapy involves treating one person at a time. It provides individualized attention to the client. The therapist focuses on a single individual at a time, allowing flexible scheduling of sessions. A trained therapist helps individuals work through their thoughts, emotions, situations, and concerns (Generes, 2022). Confidentiality is guaranteed in individual therapy because any information shared during the sessions remains private between the client and the therapist. The treatment is customized, allows intense and comprehensive analysis, and enhances self-awareness.
Challenges PMHNPs Might Face While Using CBT in Group Settings
Counselors using cognitive-behavioral therapy in group settings face various challenges. First, it is not easy to restructure all the group members’ thinking patterns simultaneously. Although CBT aims to improve reasoning, self-control, and response to events, different members in the group may not experience the anticipated change at the same time. Some members could be suffering from more than one disorder; thus, they may take longer than others to realize a positive thinking and behavioral pattern.
Second, PMHNPs face privacy and confidentiality challenges when applying CBT in group settings. Since group therapy requires members to share their experiences and challenges, privacy and confidentiality issues arise. Sharing one’s problems with others in a group therapy setting does not guarantee privacy and confidentiality of the information. This aspect sometimes generates trust issues among the group members, making it difficult for some group members to share their challenges. Therefore, counselors using cognitive-behavioral therapy in group settings must deal with privacy and confidentiality issues affecting the treatment’s effectiveness.
References
Beck Institute for Cognitive Behavior Therapy. (2018, June 7). BT for couples [Video]. YouTube. https://www.youtube.com/watch?v=JZH196rOGsc
Generes, W. M. (2022, March 19). Psychotherapy guide: group therapy vs. Individual therapy. American Addiction Centers: https://americanaddictioncenters.org/therapy-treatment/group-individual
Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.
Psych Exam Review. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych tutorial #241) [Video]. YouTube. https://www.youtube.com/watch?v=A2_NN1Q7Rfg
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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