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Cognitive Behavior Therapy
Cognitive behavior therapy (CBT) is a practical therapeutic approach to psychotherapy. According to Eidelmen et al. (2019), CBT effectively treats 50-60 % of individuals with depression and anxiety, sustainably decreasing their symptoms by targeted therapeutic approaches. CBT is a form of psychotherapy that provides clients with the insight that thoughts, feelings, and behavior are connected and teaches clients how to change negative cognition that leads to psychopathology(Tovote et al., 2017).
Spillane-Grieco (2000) noted that in contrasting CBT with families to CBT with individuals, CBT with families focuses on cognition, beliefs, perception, behavior, and current interaction between family members, which overlap and affect how the family functions. On the other, In CBT with individuals, the therapist works with the client to set and achieve specific goals and explore how the client’s behavior, thoughts, and feelings contribute to the difficulties the client is currently facing.
An example from my practicum experience is a couple presenting for psychotherapy due to marital challenges because of the husband’s mother’s strong involvement in the marriage, which displease the wife and causes strife. This family’s treatment goal was to help the couple describe a healthy and positive relationship in their family systems and rebuild essential family relationships.
Stigma is a challenge mental health counselor can encounter in CBT with families. According to Halder and Mahato (2019), although awareness of mental health continues to increase, some families remain in denial of the mental health illness of their family members and can blame their ward, not giving them the attention needed and not developing real insight concerning the challenges their ward faces. For instance, in this week’s video resource, some female group members talked about stigma, feeling blame, and being blamed by others even though they were dealing with very severe traumatic experiences. In conclusion, CBT is a useful tool for both families and individuals; however, healthcare providers must recognize the difference and its impact when treating families or individuals.
Eidelman, P., Jensen, A., & Rappaport, L. M. (2019). Social support, negative social exchange, and response to case formulation-based cognitive behavior therapy. Cognitive Behavior Therapy, 48(2), 146–161. https://doi-org.ezp.waldenulibrary.org/10.1080/16506073.2018.1490809
Halder, S., & Mahato, A. (2019). Cognitive behavior therapy for children and adolescents: Challenges and gaps in practice. Indian Journal of Psychological Medicine, 41(3), 279–283. https://doi-org.ezp.waldenulibrary.org/10.4103/IJPSYM.IJPSYM_470_18
Hauksson, P., Ingibergsdóttir, S., Gunnarsdóttir, T., & Jónsdóttir, I. H. (2017). Effectiveness of cognitive behavior therapy for treatment-resistant depression with psychiatric comorbidity: comparison of individual versus group CBT in an interdisciplinary rehabilitation setting. Nordic Journal of Psychiatry, 71(6), 465–472. https://doi-org.ezp.waldenulibrary.org/10.1080/08039488.2017.1331263
Shryane, N., Drake, R., Morrison, A., & Palmier-Claus, J. (2020). Is cognitive-behavioral therapy effective for individuals experiencing thought disorder? Psychiatry Research, 285. https://doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2020.112806
Spillane-Grieco, E. (2000). Cognitive-Behavioral Family Therapy with a Family in High-Conflict Divorce: A Case Study. Clinical Social Work Journal, 28(1), 105–119.
Tovote, K., Schroevers, M., Snippe, E., Emmelkamp, P., Links, T., Sanderman, R., & Fleer, J. (2017). What works best for whom? Cognitive Behavior Therapy and Mindfulness-Based Cognitive Therapy for depressive symptoms in patients with diabetes. PLoS ONE, 12(6), 1–16. https://doi-org.ezp.waldenulibrary.org/10.1371/journal.pone.0179941
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