Respond to of your colleagues by recommending CBT strategies to overcome the challenges your colleagues have identified. Support your recommendations with evidence-based literature and/or your own experiences with clients.
(NOTE: POSITIVE COMMENT)
The use of cognitive-behavioral therapy approaches in individuals and families is often recommended for mental health issues. CBT in a family is a comparatively modern development and therapist are generally left to their own strategies when it approaches to treating families through the use of CBT. CBT is widely used in families and individuals as it examines the association between emotions, actions, thoughts, and behavior (Fenn & Byrne, 2013). Cognitive-behavioral therapy in a family is different from other traditional individual or group therapies in different ways. CBT in a family is different as it based on conceptual principles (Nichols, & Davis, 2020). CBT in a family is based on the cognitive pattern of psychopathology, content specificity hypothesis, and hierarchical anatomical organizational model. CBT in a family is assurance on co-operative empiricism, it is observable and transparent. Self-monitoring, self-instructions, rational analysis, and behavioral enactment are some of the important techniques associated with CBT for families, which are delivered sequentially for the successful and effective implementation of CBT in families (Friedberg, 2006).
CBT in an individual is useful in the formulation of the process in which experiences of individuals are arranged within a cognitive-behavioral framework (Fenn & Byrne, 2013). Different chronic conditions in which individuals who required special care and behavioral health requirements nearby management of illness, medication fidelity and involvement, and retention in care. CBT delivered in relation to specialty medical treatment to individuals might target the psychological syndrome rightly and aims to better whole quality and performance of life and address the particular behavioral and cognitive factors essential for controlling the medical condition of individuals (Magidson & Weisberg, 2014).
There are several differences in CBT in individual and family session. Some of these are presented in following points
- In individual CBT, psychotherapist need to connect with one single person, while in family therapy, the psychotherapist need to connect with the whole family.
- In individual CBT, there are less ethical issues compared to family therapy, as principles of beneficence and non-maleficence need to considered for all family members.
Throughout my practicum experience, I have experienced and observed the effects of CBT use in family on family relationships and their psychological disorder. During my practicum experience, I was able to observe the relationship of a father who was addicted to alcohol with his family members including teenage son and daughter. Different CBT sessions hold with family in order to solved problems and trained new behavior related to the control of anger which impacts their family relationship. The educational role of self-command introduced in the initial session which helps in decreasing the psychological disorder of participants. In the second session, optimism was learned to the members of the family to reduced depression and improvement of their relations. In the individual session, the father participant said that he was feeling good but sometimes worried about losing his family. During an individual session the daughter and son had declared to the therapist that their father’s obsession and anger were improving and he was well, and able to go to his office and work more enthusiastically. Through this, I have been able to observe that CBT techniques are useful behavioral strategies that influence on changing negative behavior of family members. Therapist faces various challenges during CBT use in a family such as low level of cooperation cognitive distortions, absence of self-regulation, negative behavior towards each other and less motivation towards positive change, etc. Therapists advise some suggestions to the family members which better family relations and changed thinking patterns of family members.
Fenn, K., & Byrne, M. (2013). The key principles of cognitive behavioral therapy. InnovAiT, 6(9), 579-85.
Friedberg, R. (2006). A Cognitive-Behavioral Approach to Family Therapy. Journal of Contemporary Psychotherapy, 36(4), 159-165.
Magidson, J. F., & Weisberg, R. B. (2014). Implementing cognitive behavioral therapy in specialty medical settings. Cognitive Behavioural Practice, 24(4), 367-71.
Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson
Piacentini, J., Bergman, R. L., Chang, S., Langley, A., Peris, T., Wood, J. J., & McCracken, J. (2011). A controlled comparison of family cognitive behavioral therapy and psychoeducation/relaxation training for child obsessive-compulsive disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 50(11), 1149-1161.
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