Cognitive-Behavioral Therapy Discussion Paper

Cognitive-Behavioral Therapy Discussion Paper

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1-Post an explanation of how the use of CBT in groups compares to its use in family or individual settings.

2-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.

3-Explain why each of your supporting sources is considered scholarly and attach the PDFs of your sources.

NB: The specific example from the week’s media is this: Cognitive-Behavioral Therapy Discussion Paper

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In a live session of Cognitive-Behavioral Therapy, Dr. Judy Ho and Kyle Kittleson engage in a role-play scenario, meticulously simulating a CBT session. This culmination of this evaluation reveals Kyle’s deeply ingrained core belief, the bedrock of his most profound fears, which, in his case, revolves around a pervasive sense of worthlessness. This variant of CBT presents unique challenges for PMHNPs, especially when confronted with patients whose core beliefs have become entrenched, thus resisting transformation. As demonstrated by Kyle’s case, Dr. Ho had to employ the lettering techniques as a gradual means of uncovering and addressing his core beliefs. A common hurdle in this context is patient resistance or a lack of active involvement in the experimental phase of the treatment process. Much like Kyle’s initial doubts, certain patients may question their ability to follow through. In such instances, healthcare professionals must employ persuasive strategies and emphasize the experiment’s significance to facilitate progress.

NB: 1-This example will be added after explaining the challenge of the PMHNP part in #2. Please rewrite the example in a different way to avoid plagiarism.

2-Remember to send me the PDF of the resource use.

Group cognitive behavioral therapy (CBT) sessions allow therapists and clients to work together on shared problems. Participants are able to share their stories, perspectives, and coping mechanisms in a group setting. By connecting with others going through similar experiences, group CBT may help people feel less alone. Furthermore, group interactions provide a chance to practice communication, empathy, as well as conflict resolution while also serving as a miniature representation of real-life social dynamics. Because every group member has their own problems and degree of development, it might be difficult to meet everyone’s specific requirements at once (Koffel et al., 2018)Cognitive-Behavioral Therapy Discussion Paper.

When used in a family context, cognitive behavioral therapy shifts its emphasis from an individual to the interplay of family members. When family members are experiencing difficulties in their relationships, therapists may help them recognize and change unhelpful ways of thinking, communicating, and behaving. Recognizing that a person’s problems may be linked with family dynamics, family CBT takes into account the systemic character of difficulties. This method permits an all-encompassing investigation of the function of the family in sustaining or resolving psychological suffering. Family situations may be challenging because of the complexity of relationship dynamics, the resistance to change that certain family members may exhibit, and the need to balance the demands of several persons (Sharry et al., 2013).

Cognitive behavioral therapy (CBT) in an individual setting focuses emphasis on a person’s unique mix of mental processes, feelings, and actions. A deeper investigation of personal concerns is made possible by the more concentrated and intimate nature of the therapy interaction. When it comes to individual cognitive behavioral therapy, the therapeutic relationship is crucial in helping people overcome their own obstacles (Liu et al., 2018)Cognitive-Behavioral Therapy Discussion Paper. The lack of social context from group or family contexts is a drawback, too, since it means that external impacts on an individual’s well-being may go unnoticed.

Challenges

As the instance of Kyle Kittleson’s ubiquitous feeling of worthlessness demonstrates, a major obstacle develops when patients refuse to investigate and resolve firmly established fundamental beliefs. It is common for PMHNPs to meet people whose deeply held ideas have grown rigid and resistant to change. Patients may be afraid, uncomfortable, or unaware enough to avoid confronting these ideas in this setting. One approach to this problem that Dr. Judy Ho used in her cognitive behavioral therapy (CBT) session with Kyle was the use of lettering skills. Dr. Ho overcame Kyle’s resistance and helped him reach a therapeutic breakthrough by systematically identifying and addressing his underlying beliefs. This highlights the importance of PMHNPs using innovative and patient-focused approaches to help people examine and question their long-held beliefs.

Patients’ lack of engagement during the trial stage of CBT is another potential obstacle that PMHNPs may encounter. Some people, like Kyle, may have first reservations about doing the CBT exercises that their doctor has suggested. Because of this, therapy methods may not be as effective, and development may be slower. An example of patient skepticism and perhaps a lack of active engagement is Kyle’s early reservations. In such cases, PMHNPs should use convincing arguments, reassure patients, and stress the importance of each therapy trial. Effective cognitive behavioral therapy (CBT) results need the capacity to actively engage patients and inspire them (Benuto & O’Donohue, 2015)Cognitive-Behavioral Therapy Discussion Paper.

When working with groups of people, PMHNPs may have difficulties stemming from interpersonal dynamics. Because everyone has their own problems, group therapy sessions might be impacted by disagreements or disputes. Providing personalized care while also creating a welcoming community is a fine balancing act for PMHNPs. Managing group dynamics may be challenging, which can impair the overall efficacy of CBT in a group environment (Yuan et al., 2016). Finding ways to resolve individual problems while maintaining group cohesion is a key component of effective therapy, according to the research.

Because every family is unique, PMHNPs may face obstacles while trying to use CBT in family settings. Addressing fundamental problems requires a nuanced approach since family members may exhibit different degrees of involvement or resistance to therapy. Perna & Caldirola (2017) looks at the difficulties of modifying CBT to accommodate different types of family systems. The study highlights the need to adapt treatment procedures to suit the specific dynamics of every family, lending credibility to the idea that PMHNPs should customize their approach according to the complexities of the family system.

The modern environment presents PMHNPs with the difficulty of incorporating technology into cognitive behavioral therapy (CBT) delivery. New concerns, such as protecting patients’ privacy, keeping the therapeutic rapport intact, and removing any technical hurdles patients may have, have arisen as a result of the proliferation of telehealth as well as digital platforms. Koffel et al., 2018) examine the pros and cons of using technology in mental health treatments. The research emphasizes that PMHNPs should keep up with the changing technology landscape in order to preserve the efficacy of cognitive behavioral therapy (CBT) when it is administered via technological platforms. Cognitive-Behavioral Therapy Discussion Paper

The Specific Example

Dr. Judy Ho and Kyle Kittleson participate in a role-playing exercise that closely mimics a cognitive-behavioral therapy session during a live session. At the end of the day, this assessment has shown Kyle his fundamental conviction, the foundation of his deepest anxieties, which center on an enduring feeling of worthlessness. Particularly when dealing with patients whose fundamental beliefs have become rigid and resistant to change, this style of CBT poses specific difficulties for PMHNPs. Dr. Ho had to use the lettering approach to help Kyle gradually find and confront his basic ideas, as seen in his instance. In such a setting, patient reluctance or inactivity throughout the treatment’s trial phase is a typical obstacle. Some patients, like Kyle, may have first reservations about following through. In these cases, healthcare providers need to use convincing tactics and stress the importance of the trial to help move things forward.

Credibility of The Articles 

Koffel, E., Bramoweth, A. D., & Ulmer, C. S. (2018). Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review. Journal of General Internal Medicine, 33, 955-962.
The wide literature search utilizing renowned databases (PubMed, Embase and PsycINFO) and the systematic review approach give this work scholarly status. It also includes 51 articles. It follows the ACP’s guidelines for CBT-I, examines obstacles, and uses a conceptual model, all of which are hallmarks of academic research in their rigor and reliance on evidence.

Sharry, J., Davidson, R., McLoughlin, O., & Doherty, G. (2013). A service-based evaluation of a therapist-supported online cognitive behavioral therapy program for depression. Journal of Medical Internet Research, 15(6), e121. https://doi.org/10.2196/jmir.2248

The empirical research approach that the article employs to examine a service-based study assessing a CBT-based online treatment for depression with the help of therapists gives it academic credibility. Statistical evaluation, engagement analysis, and participant evaluations make up the study’s methodology. Addressing engagement issues in online treatments with evidence-based outcomes is a significant contribution to the discipline.

Perna, G., & Caldirola, D. (2017). Management of treatment-resistant panic disorder. Current treatment options in psychiatry, 4, 371-386.

This article provides a comprehensive analysis of current research from 2015 to 2017, making it a scholarly work. The publication is academic since it includes both pharmacological and non-pharmacological investigations, analyzes the limits of the methods used, and offers individualized therapeutic recommendations based on the authors’ clinical knowledge.

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Liu, T. W., Ng, G. Y., & Ng, S. S. (2018). Effectiveness of a combination of cognitive behavioral therapy and task-oriented balance training in reducing the fear of falling in patients with chronic stroke: study protocol for a randomized controlled trial. Trials, 19(1), 1-10. https://doi.org/10.1186/s13063-018-2549-z

A well-structured research paper outlining a placebo-controlled single-blind parallel-group randomized controlled experiment validates this article as scholarly. This research uses systematic reviews to back up its approach to a pressing problem. Scholarly research norms are upheld by the approach, which includes established outcome measurements and randomization.

Benuto, L. T., & O’Donohue, W. (2015). Is culturally sensitive cognitive behavioral therapy an empirically supported treatment?: The case for Hispanics. International Journal of Psychology and Psychological Therapy, 15(3), 405-421.
This article adheres to the standards of scholarly research in psychology since it conducts a systematic review of the literature focused on mental health disorders. It does this by including methodological critiques, empirical proof, and a critical analysis of the efficacy of cultural adaptations. Cognitive-Behavioral Therapy Discussion Paper

Yuan, M., Zhu, H., Qiu, C., Meng, Y., Zhang, Y., Shang, J., … & Lui, S. (2016). Group cognitive behavioral therapy modulates the resting-state functional connectivity of amygdala-related network in patients with generalized social anxiety disorder. BMC Psychiatry, 16, 1-9. https://doi.org/10.1186/s12888-016-0904-8

This page takes its academic credibility from the research paper it offers, which looked at how group CBT affected the amygdala’s resting-state functional connectivity in GSAD patients. Using quantitative data analysis renders the article scholarly.

 References

Benuto, L. T., & O’Donohue, W. (2015). Is culturally sensitive cognitive behavioral therapy an empirically supported treatment?: The case for Hispanics. International Journal of Psychology and Psychological Therapy, 15(3), 405-421.

Koffel, E., Bramoweth, A. D., & Ulmer, C. S. (2018). Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review. Journal of general internal medicine, 33, 955-962.

Liu, T. W., Ng, G. Y., & Ng, S. S. (2018). Effectiveness of a combination of cognitive behavioral therapy and task-oriented balance training in reducing the fear of falling in patients with chronic stroke: study protocol for a randomized controlled trial. Trials, 19(1), 1-10. https://doi.org/10.1186/s13063-018-2549-z

Perna, G., & Caldirola, D. (2017). Management of treatment-resistant panic disorder. Current treatment options in psychiatry, 4, 371-386.

Sharry, J., Davidson, R., McLoughlin, O., & Doherty, G. (2013). A service-based evaluation of a therapist-supported online cognitive behavioral therapy program for depression. Journal of Medical Internet Research, 15(6), e121. https://doi.org/10.2196/jmir.2248

Yuan, M., Zhu, H., Qiu, C., Meng, Y., Zhang, Y., Shang, J., … & Lui, S. (2016). Group cognitive behavioral therapy modulates the resting-state functional connectivity of amygdala-related network in patients with generalized social anxiety disorder. BMC psychiatry, 16, 1-9. https://doi.org/10.1186/s12888-016-0904-8  Cognitive-Behavioral Therapy Discussion Paper

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