responding to Mr Maret
Maret Week 5 Initial Discussion
Respond to your colleagues by recommending strategies to overcome the challenges your colleagues have identified. Support your recommendation with evidence-based literature and/or your own experiences with clients.
please no negative
Cognitive behavioral therapy (CBT) is a widely used tool in the psychotherapy community. CBT is an intervention used in psychotherapy to help change or irradicate unwanted behaviors that the patient is currently exhibiting (Scott, et. al, 2022). In our media this week we were able to see how this method works by use of lattering to find our core beliefs as well as how patients catastrophize these core beliefs and recognize them in a way that breaks them down. Once broken down they can be worked on.
Using CBT in groups can have some major benefits. The approach can be similar to individualized meetings, but more expansive. For example group CBT has been used with individuals with violent behavior. During group CBT it has been shown that violent tendencies and reactions are lessened when patients are treated in groups (Murphy, et. al, 2020). Some mode of thinking behind this is that there are always social norms when acting in groups. Behaviors tend to change and there is more compliance in individuals who may be disruptive.
If the same approach was presented in the typical individual therapy setting, anger may be more prevalent and the responses by the individual may be different. Both ways are truly valid, but in the case of anger and violence, maybe a group approach is more advisable.
A psychiatric mental health nurse practitioner (PMHNP) may run into many issues when using CBT. One major issue is that changing behaviors and thought processes take a long time. One study mentioned that during the first conclusion of their study, there was no significant change from the control group versus the experimental group in relation to cognitive behavioral therapy after the first 14 days (Li, et. al, 2020). Change in the mind and our behaviors take time and repetition. They also take a commitment from all parties involved in order be successful.
On that note, a PMHNP may also find it difficult to retrieve self-reported results from patients. It is found that self-reporting results need to be assessed with caution as men and women have been shown to report differently and the memory and education of the patient also affect the reporting (Spitzer & Weber, 2019). As a provider, it is hard to trust some self-reporting as that is part of what we base our plan of care on. We need to always proceed with caution.
As described in our media from this week CBT is a reward and punishment system. So in order to combat some of the self-reporting issues and the time it takes to make serious changes, these reward systems need to be in place to help improve the timeliness and probability of a positive outcome.
References
Li, J., Li, X., Jiang, J., Xu, X., Wu, J., Xu, Y., Lin, X., Hall, J., Xu, H., Xu, J., & Xu, X. (2020).
The effect of Cognitive Behavioral Therapy on Depression, Anxiety, and Stress in Patients With COVID-19: A Randomized Controlled Trial. Frontiers in psychiatry, 11, 580827.
Murphy, C. M., Eckhardt, C. I., Clifford, J. M., LaMotte, A. D., & Meis, L. A. (2020). Individual
Versus Group Cognitive-Behavioral Therapy for Partner-Violent Men: A Preliminary Randomized Trial. Journal of interpersonal violence, 35(15-16), 28462868.
Scott, H. K., Jain, A., & Cogburn, M. (2022). Behavior Modification. In StatPearls. StatPearls
Publishing.
Spitzer, S., & Weber, D. (2019). Reporting biases in self-assessed physical and cognitive health
Status of older Europeans. PloS one, 14(10), e0223526.
All articles that were used to write this discussion are scholarly due to the fact that they are peered reviewed and obtained from PubMed.
CBT pdf.pdf
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