CBT Discussion

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Psychology

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Nov 24, 2024

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Hello professor and class, Cognitive-behavioural therapy (CBT) is a psychotherapeutic approach that has gained popularity over the years for its effectiveness in treating mental health disorders. It is a widely researched and evidence-based practice effective in various settings, including groups, families, and individual sessions. However, using CBT in different settings presents unique challenges for psychiatric mental health nurse practitioners (PMHNPs) (Guo et al., 2021). This discussion will compare CBT in groups with its use in a family or individual settings and highlight two challenges PMHNPs might encounter when using CBT in one of these settings. Comparison of CBT in Groups with CBT in Family or Individual Settings CBT is an effective form of psychotherapy that can be used in different settings to treat mental health disorders. However, using CBT in groups, family, or individual settings presents unique challenges. CBT can effectively treat various mental health disorders in group settings, including depression, anxiety, and substance abuse (Guo et al., 2021). CBT in groups is beneficial because it provides participants with a supportive environment where they can interact with others experiencing similar problems. This interaction creates a sense of community, and participants can learn from each other's experiences (Ishikawa et al., 2022). Furthermore, group therapy is more cost effective than individual therapy because it allows therapists to treat more patients simultaneously. On the other hand, CBT in the family or individual settings provides an opportunity for a more personalized and tailored approach to therapy. In individual therapy, the therapist can focus on the patient's specific needs and provide one-on-one attention (Moloud et al., 2022). In family therapy, the therapist can work with the patient and their family members to address

interpersonal issues contributing to their mental health disorder. This approach can be especially useful in treating disorders such as eating disorders or addiction, where family dynamics can play a significant role. Challenges PMHNPs Might Encounter when Using CBT in a Group Setting Cognitive-behavioural therapy (CBT) in group settings can pose unique challenges for psychiatric mental health nurse practitioners (PMHNPs). One such challenge pertains to managing multiple individuals with distinct needs and symptoms. Although group therapy for anxiety disorders has been deemed effective by Guo et al. (2021), it may not be suitable for all patients, particularly those with severe or intricate symptoms. Thus, the PMHNP must balance personalized treatment and the advantages of group therapy, such as social support and shared experiences. A second challenge associated with CBT in group settings is the emergence of conflicts or power dynamics among group members. According to Moloud et al. (2022), group therapy can intensify existing conflicts between group members or give rise to power dynamics that undermine the efficacy of therapy. The PMHNP must possess the skills necessary to navigate these conflicts while fostering an environment of support and collaboration. A third challenge that PMHNPs may face is the preservation of confidentiality and privacy within the group. Ishikawa et al. (2022) assert that maintaining confidentiality and privacy is crucial in promoting openness and establishing trust among group members. Therefore, the PMHNP must establish clear guidelines and regulations concerning confidentiality and privacy and ensure that all participants understand and respect these rules.

References 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 metaanalysis of randomized controlled trials. Frontiers in Psychiatry, 12, 674267. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8564073/ Ishikawa, S., Romano, M., & Hudson, J. L. (2022). A comparison of interactions among children, parents, and therapists in cognitive behavior therapy for anxiety disorders in Australia and Japan. Behavior Therapy, 53, 1, 34-48. https://www.sciencedirect.com/science/article/pii/S0005789421000769 Moloud, R., Saeed, Y., Mahmonir, H., & Rasool, G. A. (2022). Cognitive-behavioral group therapy in major depressive disorder with focus on self-esteem and optimism: an interventional study. BMC Psychiatry, 22(1). https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-022-03918-y

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