Cognitive Behavioral Therapy Family Settings Versus Individual Settings
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Cognitive Behavioral Therapy: Family Settings Versus Individual Settings
Cognitive Behavioral Therapy (CBT) is an intervention that can be used when providing psychotherapeutic therapy to individuals who are experiencing mental distress (Wheeler, 2014). Benefits of utilizing this approach is through the concept of assisting individuals to understand their perceptions about their thoughts, behaviors, and feelings to certain situations (Farris, 2015). With the primary goal of CBT to find more practical ways to challenge negative thinking and responses that follow a behavior (American Nurses Association, 2014). Further discussion will address solutions using CBT with
family therapy compares to the use of CBT with individual therapy, addressing some potential challenges, as well as noting instances I have seen in current experience.
Family Therapy compared to Individual Therapy
Whether used in a family therapy session or an individual therapy session the use of CBT approaches have been shown to have positive benefits with client treatment. The use of CBT generally focuses on behavioral outcomes with family therapy, with original development t focusing on use in couples (Patterson, 2014). In family sessions CBT provides a flexible framework for assessment, providing treatment in a focused and time-efficient fashion. Individual therapy is provided by the therapist directly to one individual seeking assistance towards their treatment needs. It is important to
acknowledge that in both family and individual therapies when an action is initiated this elicits a chain of responses back to the initiator as well as to others in the environment (Patterson, 2014). In a group setting, it may be easier to perceive dynamics or behaviors based on therapy techniques used, as a positive progression might be seen as a whole of the group. The therapist will have the role of understanding as well as directing the environment. During the therapy session as behaviors are not linear and understanding each person involved in the sessions is a key factor (Patterson 2014).
When providing individual therapy there could be fewer challenges as the focus is on one person when trying to build autonomy skills. In both setting it will still be important to build clients self-esteem, motivation to focus on recommendations and continue treatment while maintaining a safe environment (Stern, Fava, Wilens, and Rosenbaum, 2016). Workbooks have shown to be beneficial when be used for CBT skills and could be in both family or individual therapy sessions (Farris, 2015).
A challenge that could arise in the use of CBT whether with family therapy or individual is the concern for treating an individual who has a diagnosis of schizoaffective. This concern is due to the individuals ability to process their situation appropriately based on their perceptions of what they experienced (Wheeler, 2014). When having a larger group conflict and drifting away from the primary focus is likely to occur. It will important to set boundaries while emphasizing the importance of respect among all members involved in the therapy session. As well as not allowing a group member to take
over leading the group. This could be ethical concerns for a client to educate or encourage poor decision making and ineffective stress management skills to other clients. With individual therapy sessions the
Currently I have been able to observe the use of a workbook with the CBT approach in a group setting. This group’s primary members were individuals who were dual diagnoses of mental health disorders and substance use disorders. Members at different stages of their recovery can join throughout the group process. This provides an opportunity for individuals to be able to share their experiences while have set communication that promotes cognition of the individual towards their perceptions and behaves behaviors. Identifying past triggers and developing new habits is looked at. Identifying
the needs to find new friend groups or avoid certain people or places and recognize when they are feeling bored or finding themselves falling into similar patterns. It sometimes takes people a while to open up, if they do decide to share their experience. Having a group setting may be difficult for certain individuals to communicate. This will sometimes require the therapist to need to use motivational interviewing techniques with the clients to try to engage them.
American Nurses Association. (2014). Psychiatric-mental health nursing: scope and standards of practice (second). Silver Spring, MD: American Nurses Association/Nursesbooks.org.
Farris, D. (2015). Aguirre, Blaise & Gillian Galen. Coping with BPD: DBT and CBT Skills To Soothe the Symptoms of Borderline Personality Disorder. Library Journal, (18), 107. Retrieved from https://search-ebscohostcom.ezp.waldenulibrary.org/login.aspx? direct=true& db=edsgea&AN=edsgcl.443057585&site=eds-live&scope=site
Patterson, T. (2014). A Cognitive Behavioral Systems Approach to Family Therapy. Journal of Family Psychotherapy, 25(2), 132144. https://doi-org.ezp.waldenulibrary.org/ 10.1080/08975353.2014.91002
Stern, T. A., Fava, M., Wilens, T. E., & Rosenbaum, J. F. (2016). Massachusetts General Hospital psychopharmacology and neurotherapeutics (First). London: Elsevier
Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse a how to guide for evidence-based practice. New York, NY: Springer Publishing Company, LLC.
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