Modified Cognitive Behavioral Therapy

Modified Cognitive Behavioral Therapy

Two challenges encountered by therapist during group treatment are boundaries and fear. Some participating members might not understand or might choose not to follow boundary rules. Other members might not fully participate or engage in treatment due to fear of being exposed or judged. An example of this during my clinical rotation was a family member who did not engage in the sessions because he felt he did not need to “expose my problems with a stranger”. Whatever the case might be, I truly believe CBT is one of the most effective approaches in the field.

References

Aharonovich, E., Hasin, D.S., Nunes, E. V., Stohl, M., Cannizzaro, D., Sarvet, A., … Genece, K.

G. (2018). Modified Cognitive Behavioral Therapy (M-CBT) for Cocaine Dependence:

Development of Treatment for Cognitively Impaired Users and Results from a Stage 1

Trial. Psychology of Addictive Behaviors, 32(7).

DeViva, J. C., McCarthy, E., Bieu, R. K., Santoro, G. M., Rinaldi, A., Gehrman, P., & Kulas, J.

(2018). Group Cognitive-Behavioral Therapy for Insomnia Delivered to Veterans with

Post-Traumatic Stress Disorder Receiving Residential Treatment is Associated with

Improvements in Sleep Independent of Changes in Post-Traumatic Stress Disorder.

Traumatology, 24(4).

Selles, R. R., Belschner, L., Negreiros, J., Lin, S., Schuberth, D., McKenney, K., … Stewart, S.

E. (2018). Group Family-Based Cognitive Behavioral Therapy for Pediatric Obsessive

Compulsive Disorder: Global Outcomes and Predictors of Improvement. Psychiatry Research, 260, 116-122.

POST 2

Cognitive Behavioral Therapy: Group Settings Versus Family Settings

Cognitive behavioral therapy (CBT) is a psychosocial intervention that can treat a wide variety of mental health conditions. This approach can be used in treatment with individuals, groups, and families, this method has gained popularity over the years due to evidence-based research, and it’s known effectiveness (Wheeler, 2014). CBT teaches clients to recognize their dysfunctional thought processes and to become more aware of feelings and situations that can trigger negative thinking (Bjornsson et al. 2014). CBT, when used in groups, can be used for clients that suffer from addiction in a self-help group format. In CBT group work, individuals can openly express to other individuals struggles that they are facing during this time other group members can relate to one another, this creates one of Yalom’s therapeutic factors known as universality (Nichols, 2014).

CBT can also be used in families or couples as well. The family setting is typically smaller than the group setting. In family CBT the clients already have a relationship with one another and may have difficulty relating to each other due to conflict and typically includes children with their parents. When working with children the therapist will focus on teaching youth and their parents’ specific skills. CBT in family treatment can assist in helping the family function better as a whole. CBT in the group setting can be more cost-effective versus individual treatment and gives mental health providers the opportunity to increase the availability of evidence-based treatment to the community (Wergeland et al., 2014).

References