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Peer Response

Peer Response

Peer 1

Sarai Gendriz 

CBT in groups compares to its use in family or individual settings.  Download CBT in groups compares to its use in family or individual settings. 

Personalized Cognitive Behavioral Therapy (CBT) offers a customized strategy to meet each patient’s distinct requirements, thoughts, and behaviors. Psychiatric Nurse Practitioners (PMHNPs) excel in tailoring interventions to precisely match the individual’s needs. In a recent video session with a patient, the focus was on employing the laddering technique, a method aimed at uncovering automatic thoughts and structuring them to identify core beliefs. The patient was assigned homework as part of the therapeutic process, an experiment designed to address and work on these core beliefs. This one-on-one therapy setting ensures the utmost confidentiality, allowing patients to express their concerns without the presence of others openly. On the other hand, the outcome of an evidence-based research with a randomized study for patients with anorexia nervosa showed that that young patients with AN benefit from both individual treatment and family interventions (Nyman-Carlsson, E et al.,2020)

Cognitive-behavioral therapy (CBT) for Couples is designed to empower clients with the ability to comprehend their sphere of influence within the relationship by critically assessing their thought patterns while also considering their partner’s cognitions. This therapeutic approach aims to enhance communication between partners. For instance, in a practical scenario, the therapist can guide one partner in gaining insight into their spouse’s honesty, steering their focus away from negative behaviors such as shouting and instead fostering productive, constructive dialogue.

(CBT) within the context of family therapy involves the therapist’s role in facilitating the identification of cognitive patterns and beliefs that contribute to interpersonal conflicts and emotional distress among family members. A central component of CBT in family therapy is the instruction of effective communication skills to these family members. This serves as a pivotal means of enhancing the quality of intrafamily interactions and the resolution of conflicts. CBT further incorporates behavioral techniques to foster changes in problematic behaviors or responses within the family dynamic. A hallmark of CBT is its emphasis on promoting problem-solving skills within the family unit, thereby assisting them in finding practical and constructive solutions to their challenges. An illustrative (video) example of this application can be observed in how a family collaboratively addresses the education and support required for a teenager grappling with an eating disorder. Evidence-based for family and couple showed that couple and family-based therapies demonstrate positive outcomes for SUD whether applied as exclusive treatments or as components of comprehensive SUD treatment program (Hogue, A. et al,. 2020)

In group CBT, individuals can interact with peers who may share similar concerns or conditions. This can provide a sense of belonging and reduce feelings of isolation. Group members can learn from each other’s experiences and offer support. individuals with various mental health issues by addressing distorted thought patterns and promoting healthier coping strategies. It’s a valuable approach for conditions like anxiety, depression, and many others commonly seen in psychiatric settings. An evidence-based study for woman with breast cancer showed that a statistically significant effect of group therapy in reducing anxiety and depression were observed. Quality of life and emotional well-being significantly improved. These effects remain three months after intervention (Bellyer-Perez, A. et al,.2019)

Challenges PMHNPs Might Encounter When Using CBT in Group Settings:

1. Group Dynamics: Managing group dynamics can be challenging. PMHNPs may need to address conflicts, ensure all group members have an opportunity to participate, and maintain a safe and respectful environment. Differences in personalities and communication styles can also create challenges.

2. Tailoring Treatment: CBT is typically more effective when it’s tailored to an individual’s specific needs and issues. In group settings, it can be difficult to provide personalized treatment for each member. PMHNPs must strike a balance between addressing common themes and tailoring interventions.

These Peer-reviewed articles are considered scholarly because they underwent a rigorous evaluation process by experts in the field before they were published. This process ensures the quality, credibility, and reliability of the research presented in the articles. Peer-reviewed articles are considered scholarly because they have passed through this critical evaluation process, which helps ensure the research’s accuracy, validity, and credibility.


Bellver-Pérez, A., Peris-Juan, C., & Santaballa-Beltrán, A. (2019). Effectiveness of therapy group in women with localized breast cancer.  International Journal of Clinical and Health Psychology,  19(2), 107-114.

Hogue, A., Schumm, J. A., MacLean, A., & Bobek, M. (2022). Couple and family therapy for substance use disorders: Evidence‐based update 2010–2019.  Journal of marital and family therapy,  48(1), 178-203.

Nyman-Carlsson, E., Norring, C., Engström, I., Gustafsson, S. A., Lindberg, K., Paulson-Karlsson, G., & Nevonen, L. (2020). Individual cognitive behavioral therapy and combined family/individual therapy for young adults with Anorexia nervosa: A randomized controlled trial.  Psychotherapy Research,  30(8), 1011-1025.



Peer 2

Vivianne Albert 

Cognitive Behavioral Therapy: Comparing Group, Family, And Individual Setting

Cognitive behavioral therapy (CBT) is a psychotherapy that enables clients to identify their distressful behaviors, emotions, and thoughts and develop appropriate coping skills to manage them effectively. It is a recommended psychosocial intervention for patients with psychiatric disorders since it fosters behavioral changes and stress control and reduces depressive symptoms. Thus, it is more efficient and secure than pharmacological approaches. Cognitive behavioral therapy is recommended for group, family, and individual-focused therapy. The paper critically analyzes the use of the CBT model in groups, families, and individual settings. It also describes various challenges PMHNPS may meet when using the psychological approach in a given environment based on credible media and evidence-based resources.

CBT in a Group Settings

The effective use of the CBT approach in a group setting entails collaboration and sharing experiences among the victims. There must be trained and competent therapists who engage a group of clients simultaneously. A group setting usually gives more opportunities for social support, exposure to distressful situations, normalization, reinforcement, coping skills, and peer modeling. Notably, group setting is a cost-efficient approach and saves health resources with increased efficacy (Ferrito & Moore, 2017). The psychologist (s) create a conducive environment for the clients to interact effectively by enhancing respect and mutual understanding among themselves.

CBT in a Family Setting

The application of psychotherapy in a family setting differs from that in a group context in various ways. In this category, the approach focuses on family members to gain coping and problem-solving skills for distressful incidents or mental disorders. The therapist must engage all family members and create a friendly environment to foster their interactions and understanding of their problems (Goldenberg et al., 2017). In most cases, family-focused therapy trains the parents to be role models in helping their children manage and cope with stressful experiences. Unlike in a group setting, family-focused therapy encompasses mainly family members and fosters their positive relationships to manage mental disorders and stressful events collaboratively. Like in the video, couple or family conflicts might be dealt with using this setting (Beck Institute for Cognitive Behavior Therapy, 2018).

CBT in an Individual Setting

This occurs when a therapist helps an individual using therapeutic techniques, including relaxation and stress-coping skills. Since the intervention involves the client and a therapist, they freely express their emotions, thoughts, behavioral changes, and stressful experiences (Neufeld et al., 2020). It is a one-on-one interactive session, and all the strategies are developed tailored to the client’s emotional needs for improved wellness. Unlike in a group context, this approach increases the client’s openness and creation of coping skills and strategies exceptional for the client based on their disruptive behaviors and clinical condition (Guo et al., 2021).

Challenges the PMHNPs Could Encounter While Using the CBT Approach

Therapists can encounter challenges when using the CBT model in a group setting. For instance, resistance, rigidity, and lack of flexibility are possible obstacles in a group setting. Based on their diverse perceptions or interests, some clients might lack the intrinsic enthusiasm to participate and collaborate in psychotherapy sessions. The inability to willingly engage and open up will lead to wrong outcomes (Neufeld et al., 2020). Besides, confidentiality is another challenge since they must discuss their sensitive matters publicly. The disclosures of the information make some clients uncooperative, contributing to poor diagnosis. They are not convinced that the information shared will remain confidential and decide to conceal it from others. It is usually a lengthy process and session where the therapist must address each client’s issues and foster their satisfaction for better outcomes (Ferrito & Moore, 2017).

The Credibility of the Scholarly Resources

The supporting resources are credible and scholarly since they have comprehensively described the use of evidence-based therapy in enhancing and managing patients with mental disorders; thus, they are relevant. Again, the sources are authored by competent professionals and experts with vast knowledge of the psychotherapy intervention, making them accurate to serve their purpose (Neufeld et al., 2020). They have described research results, insights, and theories surrounding CBT and its application in various settings. The content is up-to-date and recommends the use of CBT intervention in clinical settings for improved patient outcomes and increased wellness (Ferrito & Moore, 2017).


Beck Institute for Cognitive Behavior Therapy. (2018, June 7).  CBT for couples [Video]. YouTube. https://www.youtube.com/watch?v=JZH196rOGscLinks to an external site. 

Ferrito, M., & Moore, E. (2017). An exploratory study on the issues and challenges clinicians encounter in the application of cognitive behavioural therapy with mentally disordered offender patients.  the Cognitive Behaviour Therapist,  10, e19. https://doi.org/10.1017/S1754470X17000150Links to an external site. 

Goldenberg, I., Stanton, M., & Goldenberg, H. (2017).  Family therapy: An overview (9th ed.) Cengage Learning.

Guo, T., Su, J., Hu, J., Aalberg, M., Zhu, Y., Teng, T., & Zhou, X. (2021). Individual vs. group cognitive behavior therapy for anxiety disorder in children and adolescents: A meta-analysis of randomized controlled trials.  Frontiers in psychiatry,  12, 674267. https://doi.org/10.3389/fpsyt.2021.674267Links to an external site. 

Neufeld, C. B., Palma, P. C., Caetano, K. A., Brust-Renck, P. G., Curtiss, J., & Hofmann, S. G. (2020). A randomized clinical trial of group and individual cognitive-behavioral therapy approaches for social anxiety disorder.  International Journal of Clinical and Health Psychology,  20(1), 29-37. https://doi.org/10.1016/j.ijchp.2019.11.004Links to an external site.