Assignment: Cognitive Behavior Theory Case
Assignment: Cognitive Behavior Theory Case
Assignment: Cognitive Behavior Theory Case
Assignment: Cognitive Behavior Theory Case
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Cognitive Behavioral Therapy in Groups
In groups, the dominant feature of CBT is people sharing similar experiences and can be treated using a similar approach. When describing what CBT and group approaches entail, PsychExamReview (2019) explained that group therapy involves individual problems in a group setting where positive social behaviors and skills are encouraged and developed. Feedback comes from multiple sources as individuals get encouragement from peers and perceive their problems from multiple perspectives. Tement et al. (2020) further explained that group therapy helps patients overcome maladaptive thoughts to achieve a more adaptive thinking pattern. Patients with mental health issues support and motivate each other to enhance recovery.
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As different people share common problems, CBT allows mental health practitioners to address multiple problems simultaneously. A perfect case is where a mental health practitioner brings alcohol addicts together in a room to share challenges, personal experiences, and coping strategies. In such situations, the mental health practitioner goes ahead to teach the group on strategies of healthy living, avoiding intrusive and suicidal thoughts, if any, and where to get help if needed. Such an approach has also been instrumental in helping patients with obsessive-compulsive disorder.
Cognitive Behavioral Therapy in Family/Individual Settings
The family or individual context differs profoundly from what happens in group settings. Group therapy is usually for people not familiar with each other but forced to come together to share health experiences by health circumstances. CBT in a family setting involves responding to emotions, feelings, and behaviors affecting family relationships and living conditions. For instance, in a CBT for couples, the objective is to help couples to understand what they should control in the relationship by evaluating their own cognitions and responding to their partner’s cognitions (Beck Institute for Cognitive Behavior Therapy, 2018). CBT in family settings is primarily about addressing issues facing family members mutually. According to Nyman-Carlsson et al. (2020), CBT in a family setting helps the affected family members to alter their maladaptive thinking patterns and restore more adaptive thoughts. Such an intervention plays a critical role in enabling family members to improve their thinking and decision-making, which improves family interactions and the general atmosphere. CBT in family settings can be used for treating obsessive-compulsive disorder (OCD). It looks forward to influencing illnesses, parental pressure, and siblings’ rivalry, among other issues affecting relationship systems (PsychExamReview, 2019). Such a therapy would involve a scenario where a mental health practitioner or family counselor helps the couple to overcome intrusive violent thoughts and withdrawal problems to live cohesively.
CBT in groups and family settings varies in terms of approaches and length of sessions. However, this non-pharmacological treatment process is characterized by solution-centeredness and problem solving to enable people to live healthily and overcome maladaptive thoughts. CBT in group settings takes longer than in family settings since group members attend several sessions together. The variation in their problems forces the sessions to go for several months in many instances. In family settings, the central focus is rules’ exploration and behavior change. Sessions are not lengthy, and there is a lot of focus on support provision.
Challenges that PMHNPs Might Encounter when Using CBT in Groups
Despite their experience in mental health provision, PMHNPs might experience several challenges when using CBT in group settings. A common challenge is personality differences. Members of a group come from different backgrounds and usually have differences as far as attitudes, understanding, and perspectives are concerned. Simon et al. (2020) found that despite mental health practitioners’ determination to provide a healthy interaction forum and group chemistry, it is challenging to achieve a scenario where all members understand things similarly and remain committed to the end. Also, as it emerges in an illustration of what a CBT in groups looks like, restructuring the thinking patterns of different people simultaneously is challenging (PsychExamReview, 2019). The other major problem is the degree of commitment to change. Some members may not complete the entire session or follow everything as advised. Failing to attend some sessions also affects the group’s spirit and makes the work of the mental health provider difficult since it ruins team connection and working towards a shared vision.
Examining the Sources
In nursing and health care at large, it is crucial to use scholarly and sources to support research and literature as used in different situations. Supporting sources used in this discussion are scholarly since they are academic, peer-reviewed sources published in recognized journals. Content is also lengthy and meets the desired quality and validity standards. The article by Nyman-Carlsson et al. (2020) meets the scholarly criterion since it is an experimental study, peer-reviewed, and published in Psychotherapy Research. Tement et al. (2020) conducted a randomized controlled trial published in BMC Public Health. It is experimental research like the study by Simon et al. (2020) published in the International Journal of Psychology. The articles are detailed, peer-reviewed, academic, and relevant to the problem under review.
In conclusion, CBT is effective in helping individuals to recognize their maladaptive thinking patterns and work towards adaptive thinking. It helps people be aware of situations, thoughts, and feelings and change to be safe from negative thinking. As described in this discussion, CBT in groups and family settings differs in their approaches, length of sessions and overall objectives. Challenges likely to be faced when using CBT in groups include personality differences and the lack of commitment to change.
References
Beck Institute for Cognitive Behavior Therapy. (2018, June 7). CBT for couples [Video file]. YouTube. https://www.youtube.com/watch?v=JZH196rOGsc
Nyman-Carlsson, E., Norring, C., Engström, I., Gustafsson, S. A., Lindberg, K., Paulson-Karlsson, G., & Nevonen, L. (2020). Individual cognitive behavioral therapy and combined family/individual therapy for young adults with Anorexia nervosa: A randomized controlled trial. Psychotherapy Research, 30(8), 1011-1025. https://doi.org/10.1080/10503307.2019.1686190
PsychExamReview. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych tutorial #241) [Video file]. YouTube. https://www.youtube.com/watch?v=A2_NN1Q7Rfg
Simon, E., Driessen, S., Lambert, A., & Muris, P. (2020). Challenging anxious cognitions or accepting them? Exploring the efficacy of the cognitive elements of cognitive behaviour therapy and acceptance and commitment therapy in the reduction of children’s fear of the dark. International Journal of Psychology, 55(1), 90-97. https://doi.org/10.1002/ijop.12540
Tement, S., Zorjan, S., Lavrič, M., Poštuvan, V., & Plohl, N. (2020). A randomized controlled trial to improve psychological detachment from work and well-being among employees: A study protocol comparing online CBT-based and mindfulness interventions. BMC Public Health, 20(1), 1-15. https://doi.org/10.1186/s12889-020-09691-5
Assignment: Application of Cognitive Behavior Theory to a Case Study
This week, your theoretical orientation is cognitive behavior theory. You will use the same case study that you chose in Week 2 and have been analyzing in this course. Use the “Dissecting a Theory and Its Application to a Case Study” worksheet to help you dissect the theory. You do not need to submit this handout. It is a tool for you to use to dissect the theory and then you can employ the information in the table to complete your assignment.
In this Assignment, you prepare a 5-minute video case presentation. It is common to present a case analysis in multidisciplinary team meetings or with your supervisor and colleagues. This assignment offers you an opportunity to provide insights and perspectives to a case.
To prepare:
Use the same case study that you chose in Week 2.
Read this article listed in the Learning Resources: González-Prendes, A. A., & Thomas, S. A. (2009). Culturally sensitive treatment of anger in African American women: A single case study. Clinical Case Studies, 8(5), 383–402. https://doi-org.ezp.waldenulibrary.org/10.1177/1534650109345004This article provides a nice framework for how the authors’ cognitive-behavioral theoretical orientation shaped the conceptualization of the case and assessment and intervention.
To upload your media for this Assignment, use the Kaltura Media option from the mashup tool drop-down menu. Refer to the Kaltura Media Uploader area in the course navigation menu for more information about how to upload media to the course.
By Day 7
Submit a Kaltura video of yourself discussing the client. Your video should be no longer than 5 minutes.
Although this is a professional presentation, it is not a formal presentation as in a speech. Imagine that you are discussing your case with a group of peers in a meeting. For example, if you stumble a bit, don’t feel you have to record yourself again.
You can have notes in front of you to help you remember your points.
However, your video does need to be professional. In other words, dress professionally and conduct yourself as if you are in an agency setting with colleagues and supervisors. Be sure to maintain eye contact as if you were speaking in front of your colleagues. Finally, be sure to record yourself in a room that is quiet and where no one interrupts you.
Your video presentation should include the following:
In 1 to 2 sentences, identify and describe the presenting problem.
In 1 to 2 sentences, briefly define and conceptualize the problem from a cognitive-behavioral theoretical orientation.
Formulate 2 assessment questions that you will ask the client to better understand the client’s problem. Remember, the assessment questions should be guided by cognitive-behavioral theory.
In 1 to 2 sentences, identify two goals for treatment. Again, remember, the goals should be consistent with cognitive-behavioral theory.
In 1 to 2 sentences, describe the treatment plan from a cognitive-behavioral theoretical orientation. Remember, the treatment plan should align with the goal(s) for work.
Discuss one outcome you would measure, if you were to evaluate whether the intervention worked, and explain how this is consistent with cognitive behavior theory. Evaluate one merit and one limitation of cognitive behavior theory as it relates to the case study.
Evaluate the application of cognitive-behavioral theory in relation to a diversity issue pertinent to the case.
Be sure to:
Identify and correctly reference the case study you have chosen.
Speak clearly
Required Readings
Turner, F. J. (Ed.). (2017). Social work treatment: Interlocking theoretical approaches (6th ed.). New York, NY: Oxford University Press.
Chapter 4: Cognitive Behavior Theory and Social Work Treatment (pp. 54–79)
Chapter 5: Cognitive Theory and Social Work Treatment (pp. 80–95)
González-Prendes, A. A., & Thomas, S. A. (2009). Culturally sensitive treatment of anger in African American women: A single case study. Clinical Case Studies, 8(5), 383–402. https://doi-org.ezp.waldenulibrary.org/10.1177/1534650109345004
Note: You will access this article from the Walden Library databases.
Graham, M. A., Sauerheber, J. D., & Britzman, M. J. (2013). Choice theory and family counseling: A pragmatic, culturally sensitive approach. Family Journal, 21(2), 230–234. https://doi-org.ezp.waldenulibrary.org/10.1177/1066480712466538
Note: You will access this article from the Walden Library databases.
Document: Worksheet: Dissecting a Theory and Its Application to a Case Study (Word document)
Document: Theory Into Practice: Four Social Work Case Studies (PDF)
Required Media
Sommers-Flanagan, J., & Sommers-Flanagan, R. (2014). Counseling and psychotherapy theories in context and practice [Video file]. Retrieved from http://www.psychotherapy.net.ezp.waldenulibrary.org/stream/waldenu/video?vid=277
This week, watch the “Behavioral Therapy” and “Cognitive-Behavioral Therapy” segments by clicking the applicable links under the “Chapters” tab.
Note: You will access this video from the Walden Library databases.
Optional Resources
Gregory, V. L. (2010). Cognitive-behavioral therapy for bipolar disorder: implications for clinical social workers. Journal of Social Service Research, 36(5), 460–469. https://doi.org/10.1080/01488376.2010.510950
Gregory, V. L. (2010). Cognitive-behavioral therapy for schizophrenia: applications to social work practice. Social Work in Mental Health, 8(2), 140–159. https://doi.org/10.1080/15332980902791086
Pössel, P., & Knopf, K. (2011). Bridging the gaps: An attempt to integrate three major cognitive depression models. Cognitive Therapy & Research, 35(4), 342–358. https://doi.org/10.1007/s10608-010-9325-z
(Only read pp. 342–344)
Hinton, D. E., & Pollack, M. H. (2009). Introduction to the special issue: Anxiety disorders in cross-cultural perspective. CNS Neuroscience & Therapeutics, 15(3), 207–209. doi:10.1111/j.1755-5949.2009.00097.x
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