Class responses
By Day 6 of Week 1
Respond to at least
two of your colleagues by recommending strategies to overcome the challenges your colleagues have identified. Support your recommendation with evidence-based literature and/or your own experiences with clients.
Initial Post
Comparison of CBT in Group vs. Family or Individual Settings:
1.
Dynamics and Interaction:
· In group settings, CBT fosters a sense of community and shared experience among participants, which can enhance motivation and provide diverse perspectives. For instance, individuals may feel less isolated when they hear others discussing similar challenges. Conversely, in family therapy, CBT focuses on interpersonal dynamics and communication patterns within the family unit. The therapist may work with the family to identify dysfunctional communication styles that contribute to individual issues.
1.
Focus on Individual vs. Collective Goals:
· Individual CBT concentrates on personal goals and challenges, allowing for tailored interventions. In contrast, family CBT addresses collective issues, aiming to improve family functioning by targeting relational patterns. The therapist may help family members recognize how their behaviors affect each other, emphasizing collaborative problem-solving strategies.
Challenges for PMHNPs Using CBT in Family Settings:
1.
Resistance and Conflict:
· One challenge PMHNPs may face in family CBT is resistance from family members who may not recognize the need for therapy or who may be reluctant to change their behaviors. For example, a family member may dismiss the therapist’s suggestions, leading to conflicts during sessions. Such scenarios can hinder therapeutic progress and necessitate the therapist’s skill in managing group dynamics and facilitating communication.
1.
Balancing Individual Needs with Family Goals:
· Another challenge is balancing the individual needs of family members with the overarching goals of family therapy. PMHNPs must navigate the complexities of differing priorities within the family. For instance, one child may need support for generalized anxiety, while parents may focus on improving their relationship. The therapist must ensure that the therapy remains inclusive and supportive for all members, which can be difficult when individual needs conflict with family goals.
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Initial Post
· Cognitive behavioral therapy (CBT) in a group setting offers different opportunities than in an individual setting. Patients who participate in a group setting for CBT have a more structured and standardized approach during therapy sessions but have support from others attending therapy and are able to share experiences and learn different coping strategies from other participants with the same issue (Ingibergsdóttir et al., 2024). CBT for individual therapy can be tailored specifically to the individual patient based on the patient’s needs and goals (MacDonald et al., 2022).
· One challenge that may arise for a PMHNP while using CBT in group therapy is that patients may feel unimportant on an individual level from the therapist. Gryesten et al. (2023) studied how patients in group therapy felt as though their personal needs were not being recognized or met on an individualized approach. Another challenge that may arise for group CBT is finding enough participants and a time that works for all patients to participate. Guo et al. (2021) examined that joining group CBT could cause a delay in treatment due to the need to gather participants. Guo et al. (2021) went on to state that group CBT also had less flexibility for scheduled appointments, leading to decreased attendance for group CBT. Lastly, Wong et al. (2021) identified that one of the top challenges for PMHNP is not having enough time to deliver group CBT due to high patient-to-provider ratios.
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· My references are considered scholarly as they are published by reputable institutions, they are peer-reviewed, and were found on an academic database. The article used facts based on research performed and not opinions.
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Gryesten, J. R., Poulsen, S., Moltu, C., Biering, E. B., Møller, K., & Arnfred, S. M. (2024). Patients’ and therapists’ experiences of standardized group cognitive behavioral therapy: Needs for a personalized approach. Administration and Policy in Mental Health, 51(5), 617–633.
Links to an external site.
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.
Links to an external site.
Nakashima, M., Matsunaga, M., Otani, M., Kuga, H., & Fujisawa, D. (2023). Development and preliminary validation of the group cognitive therapy scale. PCN Reports:Psychiatry and Clinical Neurosciences, 2(3), e128.
Links to an external site.
PsychExamReview. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych tutorial #241) [Video]. YouTube.
Gryesten, J. R., Poulsen, S., Moltu, C., Biering, E. B., Møller, K., & Arnfred, S. M. (2023). Patients’ and therapists’ experiences of standardized group cognitive behavioral therapy: Needs for a personalized approach.
Administration and Policy in Mental Health and Mental Health Services Research, 51(5), 617–633.
Links to an external site.
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.
Links to an external site.
Ingibergsdóttir, S., Lárusdóttir, M. K., Kaas, M. J., & Svavarsdottir, E. K. (2024). Group cognitive behavioral therapy (CBT) for university students with attention-deficit/hyperactivity disorder (ADHD): A feasibility study.
Discover Psychology, 4(1), 19.
Links to an external site.
MacDonald, D. E., McFarlane, T., Trottier, K., Mahan, M., & Olmsted, M. P. (2022). Maintenance treatment for eating disorders following inpatient or day treatment: outcomes of intensive outpatient group and individual CBT treatments.
Eating Disorders,
30(4), 453–469.
Links to an external site.
Wong, C. P. S., Fong, D. Y. T., Wang, M. P., & Wong, J. Y. H. (2021). Positive experience and challenges in learning and delivering cognitive behavioral therapy among psychiatric nurses of Hong Kong.
PSYCHOLOGIA, 63(1), 57–72.
Links to an external site.
