NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings – Step-by-Step Guide

The first step before starting to write the NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings Instructions

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:

• 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. The Midterm exam is coming up next in NRNP 6645 Week 6 Midterm Exam.

Read a selection of your colleagues’ 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.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply! 

NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings Example

Comparing Group, Family, and Individual Settings

Thoughts are important because individuals greatly influence behavior. They are influenced greatly by the interplay between environmental factors and the human response to these factors. An imbalance causes derailed thoughts, which often translates to derailed behavior. Addressing the disabling thought processes streamlines the behavior patterns, hence the basis of cognitive behavioral therapy. The care providers determine the disabling co-belief and help the patient address this co-belief, hence the change in thoughts and behavior. Cognitive behavioral therapy is an important intervention in managing mental health issues presenting with unhealthy thoughts and behaviors. As discussed in this essay, cognitive behavioral therapy differs when applied to individuals, groups, and families.

Cognitive behavioral therapy relies on the psychiatrist’s knowledge, and choosing the best setting significantly influences positive patient outcomes (Blackwell & Heidenreich, 2021). CBT in the family setting can differ from group therapy because it considers the perspectives and interpretations of others’ actions (Beck Institute for Cognitive Behavior Therapy, 2018). CBT in couple therapy cannot utilize group communication activities because one of the major goals is to increase positive interactions between the couples, unlike group therapy, where the goal is to support each other through experiences and goals. The interpretation of each partner’s thoughts and behaviors regarding the spouse’s actions is significant, unlike group settings where the group members’ perspectives may not be so significant to each patient (Nicholas & Davis, 2020).

CBT in group settings requires the psychiatrist to simultaneously identify and help individuals identify and address their disabling thought behaviors, thus eliminating disabling thoughts and behavior, unlike individual settings where the focus is on one person. CBT in group therapy is highly structured and interactive as the psychiatrist strives to ensure group members learn from each other.

In group settings, individuals also learn the importance of positive peer modeling, social support, and reinforcement. Members can share problems and experiences, providing exceptional support which may be unavailable in individual settings. In group settings, the psychiatrist focuses on many individuals; hence, it is time-consuming and demands prior planning, unlike individual therapy, which focuses on the individual throughout the session (Layton et al., 2020).

CBT in individual settings may face various problems. Heidenreich et al. (2021) note that CBT limitations in individual settings include client behaviors that obstruct implementation (difficult and disruptive clients). Some clients find it difficult to identify emotions and thoughts. Group and family therapy sessions can help trigger an understanding of these emotions. In group sessions, it is difficult to form therapeutic relationships that are significant to health, which may be difficult to achieve.

Personal differences can impede group CBT settings, making achieving the desired results difficult. In family settings, all family members affected by the problem must attend, which is difficult to achieve, especially for warring families (Stewart et al., 2020). In addition, family CBT is intricate, and all basic needs must be met before joining family therapy, which is often not the case. Addressing these limitations can help increase CBT effectiveness in these various settings.  

The sources used in this work are all peer-reviewed and relevant to the topic of discussion. They also contribute to current knowledge and the body of research, hence their significance to this study. In addition, they were also published by reputable journals and sources in reputable databases. The resources used are also current and published within the last five years. Understanding these limitations helps the psychiatrist beforehand and implement corrective interventions. Preparing is significant to execution and greatly influences the success of CBT in various settings. Understanding the differences helps the psychiatrist tune the sessions to optimize the benefits.

References

Stewart, K. E., Sumantry, D., & Malivoire, B. L. (2020). Family and couple integrated cognitive-behavioral therapy for adults with OCD: a meta-analysis. Journal of Affective Disorders, 277, 159-168. https://doi.org/10.1016/j.jad.2020.07.140

Layton, H., Bendo, D., Amani, B., Bieling, P. J., & Van Lieshout, R. J. (2020). Public health nurses’ experiences learning and delivering a group cognitive behavioral therapy intervention for postpartum depression. Public Health Nursing, 37(6), 863-870. https://doi.org/10.1111/phn.12807

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

Blackwell, S. E., & Heidenreich, T. (2021). Cognitive Behavior Therapy at the Crossroads. International Journal Of Cognitive Therapy, 14(1), 1–22. https://doi.org/10.1007/s41811-021-00104-y

Heidenreich, T., Noyon, A., Worrell, M., & Menzies, R. (2021). Existential Approaches and Cognitive Behavior Therapy: Challenges and Potential. International Journal Of Cognitive Therapy, 14(1), 209–234. https://doi.org/10.1007/s41811-020-00096-1

Nichols, M., & Davis, S. D. (2020).Cognitive Behavioral Family Therapy.” The essentials of family therapy (7th ed.). Pearson.

NRNP 6645 Week 5 Discussion – Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings Example 2

CBT in Groups vs Family or Individual Settings.

Cognitive Behavioral Therapy (CBT) is a widely used form of psychotherapy rooted in the belief that an individual’s interpretation and processing of their experiences significantly shape their emotions and actions. The fundamental premise of CBT is that dysfunctional or maladaptive thoughts regarding oneself, the world, and others are often based on irrational assumptions. This approach emphasizes identifying and challenging these negative thought patterns to bring about positive changes in feelings and behavior.

In regards to mental health treatment, two common forms of therapy are individual Cognitive Behavioral Therapy (CBT) and group CBT. One example looks at research on anxiety disorders in children and adolescents, such as the study conducted by Guo et al. (2021), which indicates that group CBT offers unique benefits, including opportunities for normalization, positive peer modeling, reinforcement, social support, and exposure to social situations, which are not as readily available in individual CBT. Moreover, group CBT is more cost-effective, potentially leading to savings in medical resources. Conversely, some trials have suggested that individual CBT allows a more tailored approach to address each patient’s specific needs and may be more effective in addressing avoidant behavior.

When comparing group therapy with individual or family therapy, looking at the setting is essential. Group therapy involves a therapist leading a session with multiple participants dealing with similar issues. This setting allows for interaction and support from peers who understand and can empathize with each other’s experiences. On the other hand, individual and family therapy typically occurs in a one-on-one setting, focusing on the individual or family unit’s specific needs and dynamics. This setting allows for more personalized attention and tailored interventions to address the unique challenges and concerns of the individual or family involved.

Individual and family therapy offers a personalized setting where people can openly discuss their emotions, feelings, and experiences in complete privacy. The sole focus is on the patient and addressing their needs, providing a safe and confidential space for self-reflection and exploration.

Individual therapy appointments are more flexible regarding scheduling than group therapy sessions, usually held at specific times. This flexibility can accommodate individual work schedules, personal commitments, and the need to arrange childcare, making fitting therapy into a busy lifestyle easier.

Regarding topics, group therapy typically centers around a particular theme or set of related topics. This focused approach can be beneficial for delving deep into specific issues. On the other hand, individual or family therapy allows for a more diverse and comprehensive exploration of thoughts, feelings, and life circumstances, enabling a deeper understanding and addressing a broader range of personal concerns.

In group interventions, universality is specific to psychological and emotional distress. Marmarosh et al. (2022) explain how individuals dealing with mental health challenges often experience a profound sense of isolation and alienation, particularly when contending with stigmatized conditions. The weight of this stigma leads to greater levels of secrecy, which in turn fuels intensified feelings of shame and isolation. It is common for many individuals to internalize the belief that their struggles are unique.

In group settings, members share their personal experiences, often discovering that they have a lot in common, even when it comes to their most private and challenging mental health struggles. This shared understanding shows that no one is alone in their battle, creating a strong sense of unity within the group. Sharing with peers emphasizes that mental health struggles are every day and reduces the feeling of being burdened alone.

Cognitive-behavioral family therapy is rooted in the concept that family members mutually influence each other. The focus is on how one family member’s thoughts and behaviors can impact others’ responses, resulting in a cycle of behaviors, thoughts, and emotions that may lead to escalating family dynamics and conflict. Family therapy is a structured form of psychotherapy that seeks to reduce distress and conflict by improving the systems of interactions between family members.  

Challenges PMHNPs might encounter when using CBT in Group settings.

Cognitive behavioral therapy (CBT) emphasizes problem-solving, whether conducted in a group or individual setting. This approach is essential for identifying and addressing problematic thoughts and behaviors while learning how to modify them. Additionally, CBT helps individuals acquire skills to resolve challenges in various areas of their lives, including relationships, work, school, and home. When working towards a goal within CBT treatment, the therapeutic alliance between PMHNP and patient is considered a critical factor in CBT. This alliance fosters an environment of non-judgment and confidentiality, enabling clients to overcome obstacles effectively.

In group settings, therapists may encounter specific challenges when the therapeutic relationship is disrupted due to transference or countertransference. One of the manifestations of these disruptions is the occurrence of various signals that indicate transference. These signals can include sudden changes in expression or posture, avoiding eye contact, abruptly transitioning to new topics, giving admiring glances, sidestepping important issues, stalling, pausing in the middle of speaking, clenching fists, tapping feet, and hesitating to express automatic thoughts (Prasko et al., 2022).

In circumstances like these, the therapist finds themselves in a dual role: managing the patient’s transference without allowing themselves to react in a countertransference manner. As emphasized by Prasko et al. (2022), the therapist needs to navigate this delicate position and assist the patient in comprehending the significance and consequences of the therapist’s devaluation.

Cognitive behavioral therapy (CBT) introduces a more intricate dynamic characterized by multiple interpersonal relationships and interaction systems in group therapy. Unlike in individual therapy, clients involved in group therapy tend to attribute higher importance to their relationships with fellow group members than their relationships with the therapist or group leader. This emphasis on peer relationships over the therapist-client relationship was underscored in a study conducted by Bryde et al. (2021). Furthermore, the study suggests that patients may exhibit a broad spectrum of symptomology and disorder-related behaviors and experiences in group CBT. These variations among group members can significantly influence the dynamics and interactions, positively or negatively, contributing to a unique and diverse group therapy environment.

While reviewing the PsychExamReview (2019) video, Aaron Beck, a therapist, emphasizes the importance of challenging patients’ distorted belief processes, such as catastrophizing. This refers to when a person fixates on the worst possible outcome and treats it as likely, even when it is not. During episodes of catastrophizing, the PMHNP should challenge the patient’s thoughts, make them aware of this pattern, and help them identify when they are catastrophizing. This will enable the patient to recognize when this thought process is triggered and address or stop it.

Challenges PMHNPs might encounter when using CBT in individual settings.

Individual therapy sessions provide a valuable space for clients to explore their thoughts and emotions with the guidance of a professional. However, they lack the communal aspect of connecting with others who are facing similar challenges. This absence of group interaction may be particularly challenging for individuals dealing with mental health issues who already feel isolated from others.

References

Bryde Christensen, A., Wahrén, S., Reinholt, N., Poulsen, S., Hvenegaard, M., Simonsen, E., & Arnfred, S. (2021). “Despite the Differences, We Were All the Same”. Group Cohesion in Diagnosis-Specific and Transdiagnostic CBT Groups for Anxiety and Depression: A Qualitative Study. International Journal of Environmental Research and Public Health, 18(10), 5324. https://doi.org/10.3390/ijerph18105324

Guo, T., Su, J., Hu, J., Aalberg, M., Zhu, Y., Teng, T., & Zhou, X. (2021). Individual vs. Group Cognitive Behavior Therapy for Anxiety Disorders in Children and Adolescents: A Meta-Analysis of Randomized Controlled Trials. Frontiers in Psychiatry, 12(674267). https://doi.org/10.3389/fpsyt.2021.674267

Marmarosh, C. L., Sandage, S., Wade, N., Captari, L. E., & Crabtree, S. (2022). New horizons in group psychotherapy research and practice from third wave positive psychology: a practice-friendly review. Research in Psychotherapy: Psychopathology, Process and Outcome, 25(3). https://doi.org/10.4081/ripppo.2022.643

Prasko, J., Ociskova, M., Vanek, J., Burkauskas, J., Slepecky, M., Bite, I., Krone, I., Sollar, T., & Juskiene, A. (2022). Managing Transference and Countertransference in Cognitive Behavioral supervision: Theoretical Framework and Clinical Application. Psychology Research and Behavior Management, 15(15), 2129–2155. https://doi.org/10.2147/prbm.s369294