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

 

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.

To prepare:

Review the videos in this week’s Learning Resources and consider the insights provided on CBT in various settings.
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. At least 3 pages

Read a selection of your colleagues’ responses.

REQUIRED READING

https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.

Chapter 9, “Cognitive Behavioral Family Therapy”
Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.

Chapter 8, “Cognitive Behavioral Therapy”
Chapter 21, “Psychotherapeutic Approaches with Children and Adolescents”
pp. 793–802 only

 

Sample Solution

Anxiety disorders in children and adolescents are prevalent, with a lifetime frequency of 15 to 20%. They usually begin in childhood or early adolescence (1) and cause substantial psychological and physical health problems (2). Untreated anxiety problems in children and adolescents are linked to poor functioning and put them at a higher risk of developing psychopathology and dysfunction later in life. Different treatment modalities, such as drugs, psychological treatments, and physical therapy, are used to treat anxiety, as we all know. Cognitive behavioral therapy (CBT) is currently recommended as the first-line treatment for anxiety disorders in children and adolescents by various worldwide standards.

Pinker is a cognitive psychologist. Therefore, it is only fair to say he believes in cognitive science and that cognitive science is proving to be very successful in all fields. Pinker view is that cognitive science can thoroughly understand acesss-conciousness. Basically, he thinks of it as a system; one that can successfully process information while limiting the access of information given for each specific task. Each task will perform its own job and carry out its duties, while serving as a helping hand to other tasks. This means a little bit of information will be shared with others in order to run efficiently. But, the information that is being shared must be relevant to the task at hand. Nonetheless, when intelligence comes to the table, all parts and tasks of the brain need to be grouped as a whole. This whole will serve as one huge taskforce in order to create a game plan and establish the action that will be taken. These tasks that consist of tiny breadcrumbs of information, which is relevant and that will serve as this force make up what is called our individual conscious life. Pinker establishes four functions that make up this operating system which are restriction of sensory information, the spotlight of attention, emotions, and the will. All the information is processed through these senses. For example, we hear words, but not phonemes when people are talking. Additionally, the system is capable of directing attention from one thing to the next in regards to our senses. Furthermore, emotions serve as a huge role in when creating a game plan or strategy. Our emotions stir the direction in which our attention flows. For example, you are in an car crash and you hear your baby sister cry for help. The cry for help from a loved one is the focus of one’s attention. And lastly, our will is what displays our manpower to go through with the action. It is what unleashes the handcuffs before we act.

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