The Cognitive Behavioural Therapy Discussion

The Cognitive Behavioural Therapy Discussion

Through relaxation, the development of self-esteem, and more reasonable cognitive processes, CBT assists people in overcoming pessimism and having hope about their situation. A family CBT is a sort of psychological counseling (psychotherapy) that aids in improving relations among family members and resolving disputes (Beck Institute for Cognitive Behavior Therapy, 2018). In group CBT, clients find support from fellow individuals with the same situations and are relieved knowing that they are not going through the challenge alone. Findings indicate that I-CBT was more effective than G-CBT for anxiety disorders in adolescents (Guo et al., 2021). However, family-Focused CBT was more effective in managing depression in children and supporting faster recovery in children with depression (Tompson et al., 2017). Further, family-focused CBT is significantly linked to family satisfaction, impressive knowledge and skills for depression management in children (Nichols & Davis, 2020)The Cognitive Behavioural Therapy Discussion.

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Although CBT is an effective approach in management of various mental health disorders, PMHNPs encounter various challenges that interfere with their service delivery. One of these challenges is patient factors. Factors associated with the patient include high-risk behaviors, which are frequently irrational and extreme, and complex illnesses including co-occurring mental illness and personality disorder (Ferrito & Moore, 2017). Patients frequently switch between portraying themselves as frightening aggressors or as defenseless adults who have experienced trauma in the past, which has had a significant impact on how they identify themselves and interact with others (Wheeler, 2020). The patient’s complex presentation, emotional challenges, rigidity, and resistance are among these variables. In some cases, patients exhibit a strong resistance to change and a lack of intrinsic drive to participate in treatment (Wheeler, 2020)The Cognitive Behavioural Therapy Discussion.

Another challenge is the environmental factors. Policies and practices that limit opportunities in the treated environment but are necessary for containment are examples of environmental factors (Ferrito & Moore, 2017). For instance, the patient might be kept for a while away from other people against their will if their behavior is deemed to be potentially threatening to others. This may bring contradiction in ethical issues (Kazantzis, 2017).

 

 

References

Beck Institute for Cognitive Behavior Therapy. (2018, June 7). CBT for couples [Video]. YouTube. https://www.youtube.com/watch?v=JZH196rOGsc

Ferrito, M., & Moore, E. (2017). An exploratory study on the issues and challenges clinicians encounter in the application of cognitive behavioural therapy with mentally disordered offender patients. The Cognitive Behaviour Therapist, 10. https://doi.org/10.1017/s1754470x17000150

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. https://doi.org/10.3389/fpsyt.2021.674267

Kazantzis, N. (2017). The therapeutic relationship in cognitive-behavioral therapy: A clinician’s guide. Guilford Publications. The Cognitive Behavioural Therapy Discussion

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

Tompson, M. C., Sugar, C. A., Langer, D. A., & Asarnow, J. R. (2017). A randomized clinical trial comparing family-focused treatment and individual supportive therapy for depression in childhood and early adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 56(6), 515-523. https://doi.org/10.1016/j.jaac.2017.03.018

Wheeler, K. (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing Company.

SECOND RESPONSE TO A PEERS DISCUSSION POST – INSTRUCTIONS FOR 1ST POST FOR 2ND PEER
To prepare:
• Review the videos in this week’s Learning Resources and consider the insights provided on CBT in various settings.
By Day 3
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.
Read a selection of your colleagues’ response
Learning Resources
Required Readings (click to expand/reduce) The Cognitive Behavioural Therapy Discussion

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (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”
o pp. 793–802 only
• Chapter 22, “Psychotherapy with Older Adults”
o pp. 840–844 only

Required Media (click to expand/reduce) The Cognitive Behavioural Therapy Discussion

Beck Institute for Cognitive Behavior Therapy. (2018, June 7). CBT for couples [Video]. YouTube. https://www.youtube.com/watch?v=JZH196rOGsc

MedCircle. (2019, December 13). What a cognitive behavioral therapy (CBT) session looks like [Video]. YouTube. https://www.youtube.com/watch?v=8-2WQF3SWwo

Discussion: Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Setting
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: The Cognitive Behavioural Therapy Discussion
• Review the videos in this week’s Learning Resources and consider the insights provided on CBT in various settings.
By Day 3
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.

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Learning Resources
Required Readings (click to expand/reduce)

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (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”
o pp. 793–802 only
• Chapter 22, “Psychotherapy with Older Adults”
o pp. 840–844 only

Required Media (click to expand/reduce) The Cognitive Behavioural Therapy Discussion

Beck Institute for Cognitive Behavior Therapy. (2018, June 7). CBT for couples [Video]. YouTube. https://www.youtube.com/watch?v=JZH196rOGsc

MedCircle. (2019, December 13). What a cognitive behavioral therapy (CBT) session looks like [Video]. YouTube. https://www.youtube.com/watch?v=8-2WQF3SWwo

PsychExamReview. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych tutorial #241) [Video]. YouTube. https://www.youtube.com/watch?v=A2_NN1Q7Rfg

Optional Media

Beck, A. (1994). Aaron Beck on cognitive therapy [Video file]. Mill Valley, CA: Psychotherapy.net.

Eysenck, H. (n.d.). Hans Eysenck on behavior therapy [Video file]. Mill Valley, CA: Psychotherapy.net. The Cognitive Behavioural Therapy Discussion

Psychotherapy.net. (Producer). (2009). Rational emotive behavior therapy for addictions [Video file]. Psychotherapy.net: Author.

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video]. https://waldenu.kanopy.com/video/counseling-and-psychotherapy-theories-contex

• CBT (starts at 2 hours 27 minutes)
Rubric Detail
o Excellent
Point range: 90–100
 Main Posting:
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
 40 (40%) – 44 (44%)
 Thoroughly responds to the discussion question(s).
Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
No less than 75% of post has exceptional depth and breadth.
Supported by at least 3 current credible sources.
 Main Posting: The Cognitive Behavioural Therapy Discussion
Writing
• 6 (6%) – 6 (6%)
 Written clearly and concisely.
Contains no grammatical or spelling errors.
Further adheres to current APA manual writing rules and style.
 Main Posting: Timely and full participation
2ND PEERS DISCUSSION TO RESPOND TO
Week 5 Initial Discussion
JB’S
main discussion post
Cognitive Behavioral Therapy

There are notable differences in the use of cognitive-behavioral therapy (CBT) in groups and individuals Group CBT is conducted in group settings, and it is designed to restructure dysfunctional and negative cognitions in more than one individual (Wheeler, 2020). In contrast, individual CBT is delivered to a single person through individual-based interventions such as trial-based CBT. Additionally, the application of group CBT is more cost-effective than individual CBT (Neufeld et al., 2020). For instance, less time is required to deliver the group intervention, reducing the overall cost. Despite these differences, both individual CBT and group CBT are effective in reducing the symptoms of mental disorders (Wheeler, 2020). For example, both interventions equally reduce symptoms of a social anxiety disorder (SAD). It is imperative for psychiatric nurses to understand the variations to accurately utilize CBT across different settings.
Psychiatric-mental health nurse practitioners (PMHNP) may encounter multiple challenges when using group CBT. One of the challenges is the difficulty of planning group sessions (Neufeld et al., 2020)The Cognitive Behavioural Therapy Discussion. Scheduling group sessions becomes challenging when patients have arranged a different times for sessions. It is difficult for PMHNPs to formulate a conducive schedule for all participants (Murphy et al., 2020). Another challenge is the lack of full participation by members, which may undermine the effectiveness of group CBT. Without full participation, the members are at an elevated risk of relapse and worsening the severity of the conditions (Murphy et al., 2020). PMHNPs must develop effective strategies to overcome these challenges. A potential solution to the scheduling problems is to deliver the group therapy remotely through the assistance of technology (Cuijpers et al., 2019). Additionally, therapists need to empower patients to participate in all sessions by communicating the benefits of full participation (Wheeler, 2020). PMHNPs should anticipate these challenges and address them appropriately for optimal efficacy of the group CBT.

References
Cuijpers, P., Noma, H., Karyotaki, E., Cipriani, A., & Furukawa, T. A. (2019). Effectiveness and acceptability of cognitive behavior therapy delivery formats in adults with depression: a network meta-analysis. JAMA Psychiatry, 76(7), 700-707. https://doi.org/10.1001/jamapsychiatry.2019.0268
Murphy, R., Calugi, S., Cooper, Z., & Dalle Grave, R. (2020). Challenges and opportunities for enhanced cognitive behaviour therapy (CBT-E) in light of COVID-19. The Cognitive Behaviour Therapist, 13. https://doi.org/10.1017%2FS1754470X20000161
Neufeld, C. B., Palma, P. C., Caetano, K. A., Brust-Renck, P. G., Curtiss, J., & Hofmann, S. G. (2020). A randomized clinical trial of group and individual cognitive-behavioral therapy approaches for social anxiety disorder. International Journal of Clinical and Health Psychology, 20(1), 29-37. https://doi.org/10.1016%2Fj.ijchp.2019.11.004
Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.
resourceses.docx (802.779 KB)The Cognitive Behavioural Therapy Discussion

RUBRIC FOR 2nd PEERS RESPONSE
First Response:
Post to colleague’s main post that is reflective and justified with credible sources.
9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.
First Response:
Writing
6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

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Response is effectively written in Standard, Edited English.
First Response:
Timely and full participation
5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation.

Posts by due date. 7/12022 The Cognitive Behavioural Therapy Discussion