Initial post week 8

Introduction: Cognitive Behavioral Therapy, CBT, was developed in the 1970’s. The theory states that the way a person processes and structures their experiences develops into how they feel and behave, (Wheeler 2014). CBT posits three main beliefs: that the way a person views both themselves and their environment determines their emotions and behaviors, so changing their thought processes can change their feelings and actions; that a person has a primary view which identifies the world as indeterminate, irrational and negative, and a secondary view that see things in a positive and rational light; and third importance of changing thought processing as a way to institute overall change, (Wheeler 2014). Because of its versatility in creating new thought processes and new neural pathways to change feelings, it is effective for individuals, groups, or families. Studies have indicated that CBT is especially effective in group settings, (Thimm & Antonsen 2014),

CBT in groups versus families: CBT in a group is geared towards making progress to a specific goal and developing learned skills to apply in real-life situations; it is also beneficial for the patient to have the feedback of other group participants (Johnson 2019). CBT when applied to families helps increase communication skills, explores, and enhances the roles of family members, and teaches patenting skills, (Wood 2006). Unfortunately, I have not had any experience with family therapy in this practicum but have witnessed many moments of enlightenment in the clients in the groups I help facilitate.

Two challenges a counselor may face using CBT in a group: One challenge that counselors face in a group setting, as has been discussed at length before, is confidentiality and HIPPA violations. While it is important to encourage patients to open up and share honestly, it is equally as important to educate the group on maintaining confidentiality – what is said in the group stays in the group. Another factor that can be an issue that I have personally witnessed is maintaining control over the discussion and not allowing one or two patients to monopolize the time or be intrusive while others are sharing.

Johnson, B. (2019, October 31). Psychotherapy: Understanding group therapy. Retrieved October 22, 2020, from

Thimm, J., & Antonsen, L. (2014). Effectiveness of cognitive behavioral group therapy for depression in routine practice. October 21, 2014. Retrieved October 21, 2020, from

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Wood, J. (2006). Family Involvement in Cognitive-Behavioral Therapy for Children’s Anxiety Disorders. July 1, 2006. Retrieved October 22, 2020, from

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