#1ABNPREM and #2CANDSLIZ PLS respond to the 2 discussions below with 2-Get Answer Now
#1ABNPREM and #2CANDSLIZ
PLS respond to the 2 discussions below with 2 minimum scholarly article use and attach it when posting. Thank You!!
#1 Cognitive-behavioral therapy (CBT) is a systematic, didactic, and goal-oriented therapy. The method is hands-on and practical, involving a joint effort between the patient and the therapist to alter thought and behavior patterns to improve the patient’s mood and way of life. For a variety of mental health conditions, CBT is a reliable and effective type of psychological therapy. When compared to medicine alone, CBT has been found to offer more significant advantages or similar results (Chand et al., 2022).
Individual therapy aims to help patients face their concerns and learn how to become more fully themselves. Treatment can and should focus on the individual and his or her unique characteristics. Individual counseling may be beneficial when people discover a trait about themselves that they have attempted in vain to alter while their social environment is stable. The therapist focuses on one client, making it easier to maintain privacy (Nichols & Davis, 2019).
The goal of the family therapy framework is to alter the family structure. The therapist thinks that external factors are where the dominating ones are located. Every family member impacts how the family changes; thus, when a family group changes, everyone in the family is also changed. Family therapy impacts every family member, which can lead to long-lasting change because each person changes and continues to influence the other members of the family. Both individual and family therapies provide a treatment method and a means of comprehending how people behave (Nichols & Davis, 2019).
Group therapy is the simultaneous treatment of several patients by one or more healthcare professionals. Participants in group treatment sessions should have similar conditions. Moreover, letting other patients understand that their symptoms are not exceptional and that others experience comparable emotions. This issue is resolved by group therapy since it enables the simultaneous treatment of numerous patients. The outcomes of group therapy are behavior modifications, developing interpersonal and relationship skills, education, implementing preventative measures and coping mechanisms, and eventually returning to normal functioning in society. These outcomes are applied to the patient’s life outside of the group. Participant sharing can enhance one’s sense of worth (Malhotra & Baker, 2022). Group therapy seeks to increase social functioning, better adaptability, and interpersonal connection skills and reduce symptoms, including negative symptoms and low motivation (Ezhumalai et al., 2018).
Lack of interest or participation is one of the problems that PMHNP may encounter when utilizing Cognitive Behavior Therapy (CBT) in a group environment. For instance, if a member appears disinterested or is not participating, the provider should step in and inquire as to why. It might be a result of shyness. Patient confidentiality may present another difficulty. Patients’ mental health may suffer as they strive to participate while keeping their confidentiality; for instance, some patients may feel uncomfortable disclosing precise details out of concern that someone would repeat them. Providers should create a set of confidentiality/sharing rules that the group agrees upon to lessen this conflict, and members should be informed of the boundaries of confidentiality before the first session (Malhotra & Baker, 2022).
The supporting sources are scholarly because academics and other experts prepared them, are based on reliable facts, and have undergone peer review. There is a bibliography or list of references, content, discussion, Etc., and a listing of the authors and their credentials.
#2 Cognitive Behavioral Therapy: Comparing Group, Family and
Cognitive Behavioral Therapy (CBT) is used frequently in both individual and group psychotherapy environments. It is based on the belief that one’s psychological health is dependent upon how well a person can adapt positively, both in cognition and function, in order to change environmental situations or conditions. The goal of a CBT therapist is to assist with this process so that the patient is able to observe, evaluate, monitor, and adapt to his or her problematic views when dealing with life’s responsibilities and challenges (Wheeler, 2022). All of the research studies and articles referenced in this paper are scholarly as evidenced by the peer review status, research methods, and validity.
One study discusses the importance of a clinician’s thorough and competent understanding of adherence to treatment protocols and how they are delivered, as well as the need for rigorous assessment. Without these crucial understandings and interventions, the effectiveness of CBT can be compromised. This is especially true for individual psychotherapy, and the study references children with similar results in the adult population (Rapley & Loades, 2018). Individual group therapy can be effective for first those first entering therapy as well. A group may seem overwhelming to open up to at first, and may be more suited for things such as depression and anxiety. Individual CBT sessions can allow for an individual to form that initial bond and trust with his or her PMHNP (Wheeler, 2022).
CBT used in group therapy are very effective in treating substance use related disorders, depression, and PTSD or trauma-related disorders. Studies indicate that the therapeutic alliance that is built between group members and the leader/co-leaders or therapist of the group is greater and there is also an alliance formed within the group members themselves. This alliance provides support, trust, validation, and inclusion or the feeling that “I am not alone”. While individual CBT psychotherapy can also result in a healthy alliance between the patient and the clinician, the positive outcomes and efficacy seems to be lower in these instances (Alldredge et al., 2021).
PMHNPs can face some challenges when it comes to providing cognitive behavioral therapy. Some of the most common and recent factors is the lack of available providers to meet mental health needs. Another issue is the need for integrated care, especially for issues such as substance abuse disorders, and how it relates to the shortage of providers (Abram, White, & Jacobowitz, 2020). Another rather recent sometimes perceived barrier is the abundance of psychotherapy being done via telehealth. While this can offer convenience for both providers and patients, it can also serve as a barrier in relation to forming a true and trusting alliance as mentioned earlier. It can also be an issue for the PMHNP in that they are not able to physically and personally assess the patient. Mental health assessments can be much more difficult to perform over a video screen as opposed to in person. With COVID-19, this clinicians have had to adjust and adapt to the changing ways of psychotherapy such as CBT. The study that references this information discusses that efficacy (as researched thus far) of CBT treatment seems to be overall good. Of notable reference is attendance to both individual and group therapies as well as adherence to CBT protocols and tools (Weinberg, 2020).
Abram, M. D., White, J. H., & Jacobowitz, W. (2020). Developing an Innovative Psychiatric-mental Health Nurse Practitioner Program to meet Current mental Health Needs. Journal of the New York State Nurses Association, 47(2), 18+. https://link.gale.com/apps/doc/A655088164/HRCA?u=anon~46ff976d&sid=googleScholar&xid=7023d472
Alldredge, C. T., Burlingame, G. M., Yang, C., & Rosendahl, J. (2021). Alliance in group therapy: A meta-analysis. Group Dynamics: Theory, Research, and Practice, 25(1). https://www.apa.org/pubs/journals/features/gdn-gdn0000135.pdf
Rapley, H. A., & Loades, M. E. (2019). A systematic review exploring therapist competence, adherence, and therapy outcomes in individual CBT for children and young people. Psychotherapy Research, 29(8), 1010-1019. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6763333/pdf/EMS84377.pdf
Weinberg, H. (2020). Online group psychotherapy: Challenges and possibilities during COVID-19—A practice review. Group Dynamics: Theory, Research, and Practice, 24(3), 201. https://pnns.org/resources/Documents/Weinberg2020Onlinegrouppsychotherapy-ChallengesandpossibilitiesduringCOVID-19-Practicereview.pdf
Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.
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