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Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings
Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings
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mental health by helping people to learn how to identify and change destructive thought patterns
challenging and changing maladaptive thinking patterns, improving emotional regulation, and
developing coping strategies that target cognitive problems (Wheeler, 2020). Several studies
have identified CBT as one of the best psychological treatments for depression, anxiety
disorders, addiction problems, and severe mental illness. It improves the emotional well-being of
people with the problems above by teaching them coping strategies. This approach can be used
psychological problems to change their maladaptive thinking patterns into a more adaptive or
positive thinking pattern. It utilizes the interactions of group members as a remedy source to the
challenges faced by the group members (Psych Exam Review, 2019). Team members share their
problems with other members, who may be experiencing the same difficulties (Whitfield, 2010).
Other members present their knowledge of dealing with such problems, helping the group
achieve the solution to the challenge. As such, the group members provide support and morale to
each other.Yusop et al. (2020) presumed that group CBT is more dynamic than based on the
interactions of the group associates. During CBT, therapists educate self-motivated individuals,
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making the intervention readily acceptable to deal with group challenges by utilizing limited
In contrast, family CBT involves sharing therapeutic information with the client together
with their family members. It focuses on supporting family members by seeking to address the
specific issues affecting the health or functioning of the family (Lan & Sher, 2019). It also seeks
to ensure family members think and act more adaptively, learn to make better decisions, and
develop a friendlier and calmer family atmosphere (Söylemez, 2017). In family CBT, therapists
perceive feelings, behaviors, and cognitions as mutually influencing all individuals involved. For
instance, in the YouTube video by Psych Exam Review, Michael Cora says that a case of mental
illness is likely to affect all family members even if only one person has the condition (8.35). As
such, family CBT enables family members to overcome the transition of psychiatric disorders
from one person to the entire family. It means that a family therapist must view the individual
PMHNP Challenges
One of the challenges Psychiatric mental health nurse practitioners (PMHNPs) might
encounter when using CBT in the group setting is difficulty in restructuring the thinking patterns
et al. (2019), clients with persistent relational problems and personality disorders can experience
a major difficulty with collaboration. Some members fail to comply with the group principles of
freely sharing challenges affecting them due to fear of being exposed or judged. This makes it
individual members of the group at the same time. Whereas a therapist may work with members
with similar psychological problems like depression and anxiety, they should note the causes of
these conditions may vary. For example, a person may experience depression caused by rape or
the loss of a loved one. Another person may have the same condition caused by the loss of a job
or drug abuse. The above causes are unrelated, which is why it may be difficult for a therapist to
To overcome this problem, the therapist should group the members based on the causes
of their psychological conditions and work with them at different intervals. Having people with
similar causes and conditions could help the therapist restructure the thinking patterns of these
individuals simultaneously. It also encourages the group members to share their feelings freely,
thus, boosting their cooperation. The therapist should also consider the clients’ beliefs to foster
their collaboration. As early as the first session, the clinician should inquire about the client's
thoughts about the therapist (Okamoto et al., 2019). If dysfunctional beliefs emerge, they should
assist the client in testing them or look for evidence to support or rebuke the thoughts (Okamoto
Conclusion
CBT in a group setting is similar to CBT in the family setting because they both involve a
professional therapist who helps the clients cope with their psychological conditions. However,
CBT in the two settings differs in the sense that group CBT involves individuals from diverse
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families, whereas family CBT uses people of the same family. Each of the supporting sources
used in this work is considered scholarly because they are peer-reviewed. A peer-reviewed
source is written by an expert and reviewed by several other experts in the field to ensure its
quality before publishing. The selected sources focused on CBT in family and group, and they
References
Lan, J., & Sher, T. G. (2019). Cognitive-behavioral family therapy. Encyclopedia of Couple and
https://www.researchgate.net/publication/329138631_Cognitive-
Behavioral_Family_Therapy
Okamoto, A., Dattilio, F. M., Dobson, K. S., & Kazantzis, N. (2019). The therapeutic
https://www.researchgate.net/publication/330941099_The_therapeutic_relationship_in_c
ognitive-behavioral_therapy_Essential_features_and_common_challenges
PsychExamReview. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych
Söylemez, A. (2017). Cognitive Behavior Therapy with Couples and Family Relationships.
https://www.researchgate.net/publication/327908994_Cognitive_Behavior_Therapy_with
_Couples_and_Family_Relationships
Wheeler, K. (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide
Whitfield, G. (2010). Group cognitive–behavioural therapy for anxiety and depression. Advances
cambridge-
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core/content/view/458CD3360742FE9E90AEB107493E2F0C/S1355514600006696a.pdf
/div-class-title-group-cognitive-behavioural-therapy-for-anxiety-and-depression-div.pdf
Yusop, Y. M., Rahman, N. A., Zainudin, Z. N., Ismail, A., Othman, W. N., & Sumari, M.
359-378. https://hrmars.com/papers_submitted/7648/the-effectiveness-of-cognitive-
behavioral-therapy-in-group-counselling.pdf