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Cognitive Behavioral Therapy Across Various Settings

COLLAPSE

Agnes Mnene

NRNP 6645 – Psychotherapy with Multiple Modalities

Week 5 Discussion

Initial Post

Cognitive Behavioral Therapy Across Various Settings

Psychotherapy can be achieved in various ways depending on the patient’s characteristics and the therapist’s skills. Methods of psychotherapy include but are not limited to skills training, exposure training, cognitive therapy, and cognitive-behavioral therapy. Cognitive-behavioral therapy (CBT) is the most commonly used method of psychotherapy. CBT combines both exposure and cognitive therapies. There are various CBT approaches. These include but are not limited to multimodal therapy, cognitive therapy, dialectical behavior therapy, and Rational emotive behavior therapy (REBT).

CBT in Group Therapy Versus Individual or Family

Individual Cognitive Behavioral Therapy (CBT) involves one client and the therapist or therapists. The goal of individual CBT is to achieve positive behavioral and thinking outcomes. The focus is on the individual and not the environment or circumstances (Villabø et al., 2018). The decision to use individual CBT is determined by the need to avoid in-session anxiety, promote individualization of therapist attention, and individualize session’s frequency and duration. It should be noted that sometimes in-session anxiety can be managed through group CBT. Group CBT involves one or more therapists conducting psychotherapy for a group of clients with one or more related mental illnesses. During group CBT, group members set their goals under the therapists’ guidance. The desired outcomes from group CBT include preventing relapse of symptoms and members’ acquisition of new skills, including coping with psychological problems, alleviation of symptoms, and self-management of symptoms (Rasmussen et al., 2021). In family CBT, the family is considered as one emotional and psychological unit. The clients draw their psychological strength from the family. Other therapy adjuncts such as socioeconomic support are made readily available by the family. Therefore, it is evident that in these three settings of CBT, the indication may vary depending on the goals of the therapy. Past research evidence has shown that individual and group CBT is effective in equal measures (Villabø et al., 2018). However, there are challenges that the therapist and the clients face in the process of goal achievement.

Challenges of Group CBT

Group CBT brings together a heterogeneous group of individuals. The therapist faces a hard time maintaining a therapeutic relationship with all these individuals. The therapeutic relationship is an essential element of therapy that significantly determines the success of psychotherapy (Ferrito & Moore, 2017). Different individual factors determine a therapeutic relationship in group therapy. Care delivery should usually be individualized, even in group therapy where members have heterogeneous symptoms and characteristics. In group therapy, it is also challenging to individualize therapy and attention as this would alleviate other members from the common group goal (Rasmussen et al., 2021). Even though group CBT may be less expensive in the long run, the above two challenges make it less efficient for the therapist to achieve therapy goals within the shortest possible time.

Evidence Sources

Included are peer-reviewed scholarly references in the discussion. The evidence came from recently published studies that presented abstracts and full texts. Each of these sources is authored by more than one expert in mental health. This increases/proves their credibility for reuse and referencing. All the sources were from journal articles published in known journals and available by official databases such as PubMed. The systematic arrangements of information in these journal articles were scholarly, and the introduction, methodology, results, and conclusion were presented.

References

Ferrito, M., & Moore, E. (2017). An exploratory study on the issues and challenges clinicians encounter in the application of cognitive-behavioral therapy with mentally disordered offender patients. The Cognitive Behaviour Therapist, 10, 19. https://doi.org/10.1017/S1754470X17000150

Rasmussen, L.-M. P., Patras, J., Handegård, B. H., Neumer, S.-P., Martinsen, K. D., Adolfsen, F., Sund, A. M., & Martinussen, M. (2021). Evaluating the delivery of a CBT-based group intervention for schoolchildren with emotional problems: Examining the reliability and applicability of a video-based adherence and competence measure. Frontiers in Psychology, 12, 702565. https://doi.org/10.3389/fpsyg.2021.702565

Villabø, M. A., Narayanan, M., Compton, S. N., Kendall, P. C., & Neumer, S.-P. (2018). Cognitive-behavioral therapy for youth anxiety: An effectiveness evaluation in community practice. Journal of Consulting and Clinical Psychology, 86(9), 751–764. https://doi.org/10.1037/ccp0000326

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