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Posted: December 25th, 2022
NRNP 6645 WEEK 5 ASSGN DRAFT 1Sample
Discuss 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.
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders Links to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787 “Culture and Psychiatric Diagnosis”
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
Chapter 22, “Psychotherapy with Older Adults” pp. 840–844 only
videos Resources to use
Beck Institute for Cognitive Behavior Therapy. (2018, June 7). CBT for couples Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=JZH196rOGsc
MedCircle. (2019, December 13). What a cognitive behavioral therapy (CBT) session looks like Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=8-2WQF3SWwo
PsychExamReview. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych tutorial #241) Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=A2_NN1Q7Rfg
Beck, A. (1994). Aaron Beck on cognitive therapy Links to an external site.[Video file]. Mill Valley, CA: Psychotherapy.net.
Eysenck, H. (n.d.). Hans Eysenck on behavior therapy Links to an external site.[Video file]. Mill Valley, CA: Psychotherapy.net.
Psychotherapy.net. (Producer). (2009). Rational emotive behavior therapy for addictions Links to an external site. [Video file]. Psychotherapy.net: Author.
Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice Links to an external site.[Video]. https://waldenu.kanopy.com/video/counseling-and-psychotherapy-theories-contex
CBT (starts at 2 hours 27 minutes)
Cognitive-behavioral therapy (CBT) is a form of psychological treatment that is based on the idea that our thoughts, feelings, and behaviors are interconnected and that modifying our thoughts and behaviors can lead to positive changes in our emotions and overall functioning. CBT can be delivered in various settings, including individual therapy, group therapy, and family therapy. Here, I will discuss the differences between the use of CBT in group and family settings and some challenges that psychiatric mental health nurse practitioners (PMHNPs) might encounter when using CBT in these settings.
In group CBT, a group of individuals with similar problems or concerns meet with a therapist or PMHNP to work on their issues together. Group CBT can be beneficial because it provides a supportive and collaborative environment where people can share their experiences and learn from each other. Group CBT can also be more cost-effective than individual therapy and can be a good option for individuals who prefer group support. However, one challenge that PMHNPs might encounter when using CBT in group settings is managing the group dynamic and ensuring that all members feel heard and included. This can be especially challenging if the group is diverse in terms of age, gender, or cultural background. PMHNPs might also need to be mindful of power dynamics within the group and ensure that one or two individuals do not dominate the discussion.
In family CBT, the focus is on the relationships and interactions within the family system. Family CBT can be beneficial because it addresses the root causes of problems and helps family members develop new patterns of communication and problem-solving. However, one challenge that PMHNPs might encounter when using CBT in family settings is managing the differing perspectives and agendas of each family member. It can be difficult to get everyone on the same page and to ensure that everyone feels heard and validated. PMHNPs might also need to be mindful of power dynamics within the family and ensure that one or two individuals do not dominate the discussion.
There is evidence to support the effectiveness of CBT in group and family settings. For example, a meta-analysis of 25 studies found that group CBT was effective in reducing symptoms of anxiety and depression (Cuijpers, van Straten, Warmerdam, & Andersson, 2007). Similarly, a systematic review of 14 studies found that family CBT was effective in reducing symptoms of anxiety and depression in children and adolescents (McLeod, Weisz, & Wood, 2007).
In conclusion, CBT can be effectively delivered in group and family settings, and each has its own unique benefits and challenges. PMHNPs might encounter challenges when using CBT in these settings, such as managing the group or family dynamic and ensuring that all members feel heard and included. However, with careful planning and intervention, PMHNPs can effectively use CBT to help individuals and families overcome their problems and improve their overall functioning.
Cuijpers, P., van Straten, A., Warmerdam, L., & Andersson, G. (2007). Psychotherapy for depression in adults: A meta-analysis of comparative outcome studies. Journal of Consulting and Clinical Psychology, 75(6), 945-951.
McLeod, B. D., Weisz, J. R., & Wood, J. J. (2007). Examining the association between treatment outcome and therapist adherence and competence in family therapy: A meta-analysis. Journal of Family Psychology, 21(1), 104-115.
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