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Cognitive Behavioral Therapy Group Settings Versus Family Settings Example Essays

Cognitive Behavioral Therapy Group Settings Versus Family Settings Example EssaysAssignment Brief: Cognitive Behavioral Therapy in Group Settings Versus Family Settings

Assignment Overview:

This assignment aims to explore Cognitive Behavioral Therapy (CBT) in group and family settings, looking at how it works and the unique challenges and adaptations needed for effective therapy.

Assignment Objectives:

  • Understand Theory: Look into the theory behind Cognitive Behavioral Therapy and how it fits into group and family settings, focusing on concepts like schemas and social exchange theory.
  • Explore Practical Use: Check out how CBT is used in the real world in both group and family therapy. Use personal practicum experiences or case studies to show the challenges and successes in each setting.
  • Look at Challenges and Solutions: Investigate challenges specific to each setting, such as fitting individual ideas into group dynamics or blending different family ideas. Suggest strategies to handle these challenges.
  • Discuss Research: Talk about relevant research findings on how well CBT works in group and family settings, considering things like cost-effectiveness, societal impact, and therapeutic outcomes.
  • Reflect on Your Experience: Think about your own practicum experiences or observations related to CBT in group and family therapy. Show how theoretical concepts are used in the real world.

Understanding Assignment Objectives:

This assignment wants you to get a good understanding of how Cognitive Behavioral Therapy works in group and family settings. You’ll need to explore the theory, see how it’s used in real life, and understand the challenges and solutions. By using your own experiences or case studies, you can analyze the practical side of things.

Your Role as a Student:

As a student, your task is to get the theory behind Cognitive Behavioral Therapy and see how it’s used in group and family therapy. Use your own experiences or case studies to look at the challenges in each setting and suggest ways to handle them. Also, talk about research to back up your ideas and give a well-rounded view of how well CBT works in different therapy situations. The assignment encourages you to think about your experiences and really understand how to use CBT in group and family settings.

Detailed Discussion Assignment Instructions: Assessment Description

Cognitive Behavioral Therapy: Group Settings Versus Family Settings – Week 8 Discussion Example Essays

Week 8: Cognitive Behavioral Therapy for Groups

CBT is the most widely researched psychotherapeutic model with demonstrated effectiveness in the treatment of a wide range of emotional and behavioral problems. CBT is the first order of business and treatment of choice for most patients who need internal resources and coping skills enhanced.

—Dr. Sharon M. Freeman Clevenger, Psychotherapy for the Advanced Practice Psychiatric Nurse

Although designed for therapy with individuals, cognitive behavioral therapy (CBT) has also proven effective in group settings. With its many benefits, including cost-effectiveness and efficiency, this therapeutic approach allows the psychiatric mental health nurse practitioner to effectively treat a greater number of clients in a relatively short length of time. With the widespread use of CBT with groups, it is important for you to understand how to use this therapeutic approach in clinical settings.

This week, as you explore CBT for groups, you compare CBT in group and family settings. You also develop diagnoses for clients receiving group psychotherapy and consider legal and ethical implications of counseling these clients.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

    Chapter 11, “In the Beginning” (pp. 309–344)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

    Chapter 12, “The Advanced Group” (pp. 345–390)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: You will access this text from the Walden Library databases.

Bjornsson, A. S., Bidwell, L. C., Brosse, A. L., Carey, G., Hauser, M., Mackiewicz Seghete, K. L., … Craighead, W. E. (2011). Cognitive-behavioral group therapy versus group psychotherapy for social anxiety disorder among college students: A randomized controlled trial. Depression and Anxiety, 28(11), 1034–1042. doi:10.1002/da.20877

Note: You will access this text from the Walden Library databases.

Safak, Y., Karadere, M. E., Ozdel, K., Ozcan, T., Türkçapar, M. H., Kuru, E., & Yücens, B. (2014). The effectiveness of cognitive behavioral group psychotherapy for obsessive-compulsive disorder. Turkish Journal of Psychiatry, 25(4), 225–233. Retrieved from

Note: You will access this text from the Walden Library databases.

Document: Group Therapy Progress Note

Discussion: Cognitive Behavioral Therapy: Group Settings Versus Family Settings

As you might recall from Week 5, there are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in group settings and family settings, consider challenges of using this approach with your own groups.

Learning Objectives

Students will:

    Compare the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families

    Analyze challenges of using cognitive behavioral therapy for groups

    Recommend effective strategies in cognitive behavioral therapy for groups

To prepare:

    Reflect on your practicum experiences with CBT in group and family settings.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit! Cognitive Behavioral Therapy: Group Settings Versus Family Settings – Week 8 Discussion Sample Essays

By Day 3

Post an explanation of how the use of CBT in groups compares to its use in family settings. Provide specific examples from your own practicum experiences. Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of 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.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 8 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 8 Discussion

 Assignment 1: Practicum – Week 8 Journal Entry

Learning Objectives

Students will:

    Develop effective documentation skills for group therapy sessions *

    Develop diagnoses for clients receiving group psychotherapy *

    Evaluate the efficacy of cognitive behavioral therapy for groups *

    Analyze legal and ethical implications of counseling clients with psychiatric disorders *

    Cognitive Behavioral Therapy: Group Settings Versus Family Settings – Week 8 Discussion Example Essays

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

Then, in your Practicum Journal, address the following:

    Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.

    Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.

    Using the DSM-5, explain and justify your diagnosis for each client.

    Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach. Cognitive Behavioral Therapy: Group Settings Versus Family Settings – Week 8 Discussion Sample Essays

    Explain any legal and/or ethical implications related to counseling each client.

    Support your approach with evidence-based literature.

By Day 7 of Week 10

Submit your Assignment.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

By Day 7

Complete the Board Vitals questions.

Making Connections

Now that you have:

    Explored cognitive behavioral therapy (CBT) for groups and compared CBT in group and family settings

    Developed diagnoses for clients receiving group psychotherapy and considered legal and ethical implications of counseling these clients

Next week, you will:

    Explore psychotherapeutic approaches to group therapy for addiction

    Develop diagnoses for clients receiving psychotherapy for addiction and consider legal and ethical implications of counseling these clients.

Cognitive Behavioral Therapy: Group Settings Versus Family Settings Example Essay


Cognitive Behavioral Therapy (CBT) serves as a versatile and effective psychotherapeutic model, applicable in diverse settings such as individual, group, and family therapy. This essay explores the comparisons and challenges associated with implementing CBT in group settings versus family settings, drawing insights from the provided sample essays and relevant literature.

CBT in Group Settings versus Family Settings:

Cognitive Behavioral Therapy exhibits similarities and differences when applied in group and family contexts. Both settings have demonstrated effectiveness in treating various mental health disorders, including anxiety, depression, and substance use (McHugh et al., 2010; Naik et al., 2013). However, the structural variances are notable, with group therapy addressing individuals with distinct disorders, while family therapy focuses on the dynamics within a familial unit (Nichols, 2014).

Challenges of CBT in Group Settings:

Group therapy, while cost-effective and conducive to shared experiences, poses unique challenges. Group dynamics can hinder the formation of connections among individuals, impacting the effectiveness of restructuring activities (Bjornsson et al., 2011). Additionally, maintaining focus on individual goals within the collective setting can be challenging, as members may bring diverse issues to the forefront (Wheeler, 2014).

Challenges of CBT in Family Settings:

In family settings, blending diverse family schemas and creating new, adaptive beliefs can be challenging. Families with special needs children, for instance, may struggle to adapt to unique challenges, necessitating additional therapeutic efforts (Bjornsson et al., 2011). Establishing cohesive family dynamics requires addressing individual concerns within the broader context of familial interactions.

Strategies to Overcome Challenges:

To overcome challenges in group settings, fostering a supportive environment and encouraging open communication is paramount. Providing additional individual sessions when necessary ensures personalized attention (Wheeler, 2014). In family settings, gradual integration of family schemas and emphasis on creating new adaptive beliefs facilitate the development of a cohesive familial unit. Individual sessions may be instrumental in addressing specific concerns of family members (Bjornsson et al., 2011).

Legal and Ethical Considerations:

Legal and ethical considerations are integral to both group and family settings. Maintaining confidentiality is crucial, requiring therapists to navigate the balance between individual and collective privacy (Wheeler, 2014). Informed consent, particularly in family settings, becomes pivotal, considering the potential impact of shared information on the family dynamic.


In conclusion, CBT’s application in group and family settings offers distinct challenges and advantages. Therapists must navigate the complexities of group dynamics or familial interactions while adhering to legal and ethical considerations. Integrating individual and collective therapeutic approaches ensures a comprehensive and tailored treatment experience for clients in diverse settings. As mental health practitioners continue to refine their skills, understanding the nuanced application of CBT across different contexts remains essential for effective and ethical treatment.

Cognitive Behavioral Therapy: Group Settings Versus Family Settings Example Essay Two


Cognitive Behavioral Therapy (CBT) is a widely recognized short-term psychotherapeutic approach emphasizing attitude change to facilitate behavior modification (Nichols, 2014). Effective in treating various disorders, CBT can be implemented at the individual or family level, with distinct frameworks for each (Wheeler, 2014).

Individual CBT and Family CBT:

Individual CBT involves a collaborative process between therapist and client, considering schemas and physiology to tailor the plan of care, particularly focusing on harm reduction, especially for clients dealing with anxiety and substance abuse (Wheeler, 2014). In contrast, family CBT, a brief and solution-focused approach, aims to cultivate adaptive thinking and behaviors within the family unit, fostering a healthier family environment (Nichols, 2014).

Case Example: T.M’s Struggle with Alcoholism:

T.M, engaged in both individual and family CBT, initially sought help for alcohol-related issues. His resistance to acknowledging the severity of his alcoholism became apparent in individual sessions. When family CBT was introduced, tensions arose, revealing discrepancies in his reported abstinence duration. Such complexities underscore the importance of addressing substance use disorders (SUDs) within a multifaceted therapeutic approach.

CBT Strategies for Substance Use Disorders:

The CBT model for SUDs recognizes substances as reinforcing behaviors, creating associations with daily activities. Cognitive restructuring and skill development are employed to reduce the positive and negative reinforcement effects, promoting abstinence or controlled substance use (McHugh et al., 2010). In T.M’s case, the discrepancy in his narratives highlighted the need for a comprehensive approach, combining individual and family interventions.

Challenges and Recommendations:

Implementing CBT in family settings presents challenges, such as session structure and technique effectiveness concerns (Ringle et al., 2015). To address these challenges, therapists may benefit from evaluation, consultation with peers, and consideration of alternative interventions. In T.M’s case, a recommendation for the “Ready for Change” group was made, leveraging shared experiences to foster awareness of alcohol-related issues (Morin et al., 2017).


This case underscores the complexity of addressing substance use within the family context and the importance of a nuanced therapeutic approach. Utilizing both individual and family CBT, along with group support, proved essential in navigating T.M’s resistance and promoting awareness. Therapists must continually evaluate and adapt their strategies, drawing on the principles of CBT to address the unique challenges presented by each client and family.


McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010). Cognitive behavioral therapy for substance use disorders. The Psychiatric clinics of North America, 33(3), 511-25. doi:10.1016/j.psc.2010.04.012

Morin, J., Harris, M., & Conrod, P. (2017, October 05). A Review of CBT Treatments for Substance Use Disorders. Oxford Handbooks Online. Retrieved from

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

Ringle, V. A., Read, K. L., Edmunds, J. M., Brodman, D. M., Kendall, P. C., Barg, F., & Beidas, R. S. (2015). Barriers to and Facilitators in the Implementation of Cognitive-Behavioral Therapy for Youth Anxiety in the Community. Psychiatric services (Washington, D.C.), 66(9), 938-45. doi:10.1176/

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

Cognitive Behavioral Therapy: Group Settings Versus Family Settings Example Essay Three

Cognitive Behavioral Therapy (CBT) stands out as a highly effective psychotherapeutic approach, adaptable to individual, group, or family settings. Its core objective is to collaboratively work with patients to modify unhealthy thoughts and behaviors, offering a versatile framework applicable to diverse mental health conditions, from addiction to severe illnesses.

Effectiveness of Group Therapy:

While some argue that group therapy is more effective than individual therapy (Kellett, Clarke, & Matthews, 2007), the choice between group, family, or individual sessions depends on the nature of the condition being treated. The Johnson Family Session video provides insight into the nuanced effectiveness of group or individual therapy. For instance, a survivor of sexual assault displayed internal issues hindering her engagement in group therapy. This highlights the importance of addressing individual needs before progressing to group or family sessions.

Challenges in Group/Family Therapy:

Ensuring client commitment to treatment is pivotal, as poor compliance can impact the therapeutic dynamics within the group (Söchting, Lau, & Ogrodniczuk, 2018). A case from practicum involving a terminally ill patient illustrates the challenges of family therapy when individual issues are not addressed first. The patient’s readiness for comfort care conflicted with her family’s denial. Individual CBT would have been beneficial in addressing her anxiety, insecurities, and depression, allowing for a healthier transition to family sessions.

CBT for Depression:

CBT, recognized for its evidence-based efficacy, particularly shines in treating depression (Driessen et al., 2017). However, challenges arise when individuals are not fully engaged, harbor doubts about the treatment’s effectiveness, or possess unresolved individual issues. These challenges underscore the need for a flexible and individualized approach, even within the broader framework of CBT.


In navigating the landscape of CBT applications, practitioners must carefully consider the unique needs of each client. While CBT is a powerful tool, its success relies on addressing individual barriers and tailoring therapeutic approaches to specific circumstances. Whether in group, family, or individual settings, the adaptability of CBT provides a solid foundation, but the key lies in recognizing and addressing individual nuances.


Kellett, S., Clarke, S., & Matthews, L. (2007). Delivering Group Psychoeducational CBT in Primary Care: Comparing Outcomes with Individual CBT and Individual Psychodynamic-Interpersonal Psychotherapy. British Journal of Clinical Psychology, 46(2).

Söchting, I., Lau, M., & Ogrodniczuk, J. (2018). Predicting Compliance in Group CBT Using the Group Therapy Questionnaire. International Journal of Group Psychotherapy, 68(2).

Driessen, E., Van, H. L., Peen, J., Don, F. J., Twisk, J. W. R., Cuijpers, P., & Dekker, J. J. M. (2017). Cognitive-Behavioral Versus Psychodynamic Therapy for Major Depression: Secondary Outcomes of a Randomized Clinical Trial. Journal of Consulting Clinical Psychology, 85(7).

Cognitive Behavioral Therapy: Group Settings Versus Family Settings Example Essay Four

Cognitive Behavioral Therapy (CBT) has proven efficacy in treating various psychiatric disorders, presenting itself as an adaptable intervention available in individual, family, or group settings (Naik et al., 2013). While individual and family therapies have their merits, Group Cognitive Behavioral Therapy (GCBT) emerges as a promising alternative, particularly in scenarios where delivering extensive treatment to a larger number of patients is logistically challenging.

Efficacy Across Disorders:

Research indicates that CBT, whether delivered individually or in a group, is highly effective across diverse conditions, including unipolar depression, anxiety disorders, bulimia nervosa, and more (Naik et al., 2013). This versatility positions CBT as a valuable therapeutic tool, adaptable to different settings based on patient needs.

Cost-Effectiveness of Group CBT:

One notable advantage of GCBT is its cost-effectiveness. In particular, group treatment has demonstrated economic benefits, especially in cases involving children and adolescents with conditions like anxiety disorders and depression (Hedman et al., 2010). The reduction in medical and nonmedical costs contributes to a societal cost offset, making GCBT a pragmatic solution in resource-limited healthcare environments.

Challenges and Considerations:

Despite its potential, challenges exist in implementing GCBT, including the scarcity of properly trained therapists and associated high costs in family settings (Hedman et al., 2010). Additionally, the acceptability and efficacy of GCBT need to be explored further in real-world mental health settings to ensure its applicability and benefits in diverse populations.

Addressing Healthcare Resource Limitations:

As healthcare resources become increasingly constrained, the demand for cost-effective treatments rises. GCBT aligns with this demand by offering a time- and cost-efficient therapeutic approach, potentially reducing societal costs associated with sick leave and healthcare consumption (Hedman et al., 2010).


Group Cognitive Behavioral Therapy stands out as a promising and cost-effective approach in mental health treatment. Its effectiveness across various disorders and potential societal cost offsets position it as a valuable addition to the therapeutic toolkit. Future research and implementation efforts should focus on addressing challenges and expanding our understanding of GCBT’s acceptability and efficacy in diverse mental health settings.


Naik, A., O’Brien, A., Gaskin, C., Munro, I., & Bloomer, M. (2013). The Acceptability and Efficacy of a Group Cognitive Behavioural Therapy Programme in a Community Mental Health Setting. Community Mental Health Journal, 49(3), 368–372.

Hedman, E., Ljótsson, B., Andersson, E., Rück, C., Andersson, G., & Lindefors, N. (2010). Effectiveness and cost offset analysis of group CBT for hypochondriasis delivered in a psychiatric setting: an open trial. Cognitive Behaviour Therapy, 39(4), 239–250.

Cognitive Behavioral Therapy: Group Settings Versus Family Settings Example Essay Five

Cognitive Behavioral Therapy (CBT) stands as a cornerstone in evidence-based therapeutic practices, adaptable to individual, group, and family settings. The integration of CBT into family therapy is rooted in Thibaut and Kelley’s theory of social exchange, emphasizing the interplay of rewards and sacrifices within relationships to maintain homeostasis (Nichols, 2014).

In both group and family CBT, the concept of schemas plays a pivotal role. Schemas represent core beliefs shaping individuals’ responses, consciously or unconsciously (Wheeler, 2014). However, challenges arise when group members attempt to bring their family schemas into the group setting, potentially complicating the therapeutic process (Wheeler, 2014). Moreover, the focus on restructuring activities in group CBT, as highlighted by Bjornsson et al. (2011), may impede the formation of crucial group dynamics, limiting the effectiveness of the therapy.

In my practicum experience, maintaining a focus on the present and fostering change-oriented goals has been a significant aspect of group therapy. Group members often grapple with reconciling past experiences that led to their behaviors, necessitating the therapist’s effort to anchor discussions in the present (Wheeler, 2014). Conversely, family therapy sessions have presented distinct challenges, particularly in blending disparate family schemas into a cohesive unit. The complexities are heightened when families are navigating the unique dynamics associated with having autistic children, necessitating the creation of new schemas to accommodate these circumstances.

The effectiveness of CBT in various settings also hinges on addressing the nuances of each therapeutic context. While family therapy may encounter struggles in blending family schemas, group therapy, as observed by Bjornsson et al. (2011), may face obstacles in establishing cohesive group dynamics. These challenges underscore the importance of tailoring CBT approaches to suit the specific needs of each setting.

In conclusion, CBT’s versatility in individual, group, and family settings underscores its adaptability to diverse therapeutic contexts. As therapists navigate the complexities of group and family dynamics, a nuanced understanding of schemas and a focus on present-oriented goals remain paramount in achieving positive outcomes.


Bjornsson, A. S., Bidwell, C., Brosse, A. L., Carey, G., Hauser, M., Mackiewicz, K. L., … Craighead, W. E. (2011). Cognitive-Behavioral Group Therapy Versus Group Psychotherapy For Social Anxiety Disorder Among College Students: A Randomized Controlled Trial. Depression and Anxiety, 28(11), 1034-1042.

Nichols, M. (2014). The Essentials of Family Therapy (6th ed.). Boston, MA: Pearson.

Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse (2nd ed.). New York, NY: Springer Publishing Company.

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