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Discussion post reply
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Discussion post reply #1
The evolution of Cognitive Behavioral Therapy (CBT) began with Aaron T. Beck, an American psychiatrist, in the early 1960s at the University of Pennsylvania. CBT refers to methods highlighting the necessity of a mindset shift to support and sustain behavior improvement. CBT involves the patient and the therapist working together to solve problems while conducting practical research and reality checks. CBT provides patients with tools to address and manage their emotional challenges and is used to treat a wide range of issues. It revolves around identifying and changing false or inaccurate thought patterns, emotional responses, and behaviors. Both group and family/individual CBT therapy sessions have their own advantages and disadvantages.
Individual and Family CBT
In a study conducted by Wergeland et al. in 2014, it was found that the effectiveness of individual and group CBT provides partial support for the use of both treatment approaches for anxiety disorders in youth. However, the relatively low recovery rate indicates room for further improvement of the programs and a need for more knowledge on how they may maintain efficiency when transported to community clinics. The reasons for the relatively low recovery rate may be related to the type and severity of the disorder, the amount of therapist CBT training, and treatment duration. Individual or family CBT is more costly and time inefficient or temporizing compared to group CBT. But individual and family CBT provides a personalized treatment approach to address the patient’s specific needs or concerns and focuses on patient-centered treatment or care.
Group CBT Sessions
According to a study conducted by Thimm and Antonsen in 2014, among the population of patients with depression and anxiety, the results showed a significant reduction in depression and anxiety symptoms among patients who received group CBT. The observed treatment gains were maintained at a 3-month follow-up. The study demonstrated good results and a great impact on the group level, but some people still dropped out or did not benefit from it. Some of the benefits of group CBT is that it is cost-effective compared to individual or family therapy. It can also encourage social behaviors and skills. Individuals get feedback or perspectives from others or multiple sources. In a group setting, individuals with similar problems or needs work together, which can help better understand and support each other. One challenge with group CBT would be managing them and exchanging or agreeing between various perspectives and opinions. It can also reduce the stigma since they can relate to others with similar issues, so they don’t feel isolated (PsychExamReview, 2019). Another challenge would be the inflexibility or lack of motivation to engage in the session because of the setting or intrinsic motivation. In group CBT, individuals may also learn negative techniques from others. Individuals might compare themselves to others or use normalization, which can be counterproductive to the objectives of group therapy sessions and negatively impact an individual’s behavior or thought process. The supporting sources I have provided are considered scholarly because they are peer-reviewed journals, and the study method used is evidence-based.
Discussion post reply #2
Comparing CBT Therapy
The cognitive behavioral therapy (CBT) is an approach that utilizes cognitive restructuring towards changing an individual’s pattern of negative thinking to a pattern of positive thinking. According to the notion/assertion of CBT, there can be vulnerability of maladaptive thinking pattern of the self, surrounding environment and the entire world (Fordham et al., 2018). This paper looks at the CBT use among families and groups of people.
With regards to group setting, CBT use emphasizes on therapy provision to a given number of individuals suffering from a similar condition of maladaptive thinking patterns. In this case, the PMHNP’s focus is on the relationship between him/herself, the entire group and each individual within the group. The team members participating in the group therapy benefit from challenge-sharing with other members from other groups that might also be experiencing similar problems (Dalle Grave et al., 2019). The source of morale and support among these groups are the group members themselves who share their challenges among themselves. Furthermore, through attending to multiple individuals within these groups, the PMHNP is able to simultaneously offer help to many individuals.
With regards to family settings, CBT asserts that emotions, feelings and behaviors influence family members in a mutual way. The focus of CBT in a family setting is therefore offering support to family members towards changing their thinking to an adaptive thinking to facilitate better decision making as well as atmosphere improvement in a family setting (Fordham et al., 2018). One example is a scenario that involved a husband having an alcohol use disorder, but both the husband and wife got involved in CBT despite the wife not being an alcoholic. The first challenge encountered by PMHNP when operating in a group setting is thinking pattern restructuring difficulties for many people at the same time (Ndukwe, 2021). The second challenge is the confidentiality and privacy considerations for a group having many individual members. In such a case, the PMHNP might not be able to observe confidentiality and privacy for all individuals in the groups.
The three sources of choice are scholarly since they address the topic of interest and have all the sections of a scholarly paper. These sections include an abstract summarizing all the research work, an introduction, and some having the methodology section. Being scholarly implies that they have been authored by people who have fully dedicated their time in the field doing primary or secondary research.
