INSTRUCTIONS: PLEASE READ; ASSIGNMENTS: INITIAL DISCUSSION FIRST(PLEASE SEE BELOW INSTRUCTIONS) THEN CRITIQUE THE 2 DISCUSSION FROM CLASSMATES
Unit 7 Discussion [Due Wednesday]
Cognitive Behavioral Therapy
Instructions
It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.
Classroom Participation
Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however, should be correlated to the literature.
All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing, and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.
Discussion Prompt [Due Wednesday]
· Read through the CBT Case Study.
o Cognitive Behavioral Therapy Example
Download Cognitive Behavioral Therapy Example[PDF]
· Write a short summary discussing what specific techniques were used to change thought patterns in order to change behaviors through CBT.
· Discuss how you could implement CBT into your clinical practice in the future.
· What specific diagnoses can CBT be used with?
· Support your thought with evidence-based practice through the inclusion of information from scholarly articles related to CBT. Use a minimum of 2 sources other than your textbook.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
Estimated time to complete: 2 hours
Discussion Peer/Participation Prompt [Due Sunday]
Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:
·
o Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
o References and citations should conform to APA standards.
o Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
o Plagiarism is never acceptable – give credit when credit is due – cite your sources.
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria. Collaboration points will be forfeited if you fail to meet the response post guidelines.
Estimated time to complete: 1 hour
PLEASE RESPOND OR CRITIQUE BELOW: FROM CLASSMATE
CLASSMATE 1
Cognitive behavioral therapy (CBT) has been shown to be an effective for many issues such as depression, anxiety, eating disorders, drug and alcohol use issues and other mental illnesses. (American Psychological Association, 2017). CBT is the most researched form of psychotherapy and is often seen as the gold standard of psychotherapy (David, Cristea & Hoffmann, 2018). CBT is the most familiar form of psychotherapy to me and I have seen this used in both my clinical decision making clinical and my psychotherapy clinical.
Specific techniques used to change thought patterns in CBT include facing fears, using role play to reduce anxieties about possibly probabilistic interactions and learning techniques ways to calm the mind and body (American Psychological Association, 2017). CDBT can look different for everyone. Not all techniques are used for every patient with CBT. In CBT the patient will typically be assigned homework which will be agreed upon with the therapist and patient. The homework will involve patients completing actions that lead to emotional and attitude changes. The homework is then reviewed in the next session (Corey, 2016). I think this homework is a great idea to implement into clinical practice. Giving patients a specific skill to work on and use before the next visit can help give them something to be in control of. Talking about the homework at the next session offers an opportunity to praise the client for their work and offer feedback as well as advance to another skill to establish for the next session.
I also found an interesting article on internet-based CBT. In the article Integrating Internet CBT into Clinical Practice: A Practical Guide for Clinicians by Newby et al. the authors describe how internet CBT or iCBT has improved access to care and can be effectively used for patients with anxiety and depression as well as many other diagnosis’s (2021). The article describes an internet-based skills program that was implemented in Australia to improve access to CBT. Internet based CBT can also help reduce wait time, stigma and cost associated with treatment. There are different levels of this treatment available with some being self-guided and others being guided. These programs can be used as adjunct treatment or stand-alone treatment depending on the client (Newby et al., 2021).
References
American Psychological Association. (2017). What is cognitive behavioral therapy? https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral (Links to an external site.)
Corey, G. (2016). Psychoanalytic therapy. In Cengage (eds), Theory and Practice of Counseling and Psychotherapy. https://ambassadored.vitalsource.com/reader/books/9781473744585/pageid/256 (Links to an external site.)
David, D., Cristea, I., Hofmann, S. (2018). Why cognitive behavioral therapy is the current gold standard of psychotherapy. Frontiers In Psychiatry, 9, 4. https://doi.org/10.3389/fpsyt.2018.00004
Newby, J., Mason, E., Kladnistki, N., Muphy, M., Millard, M., Haskelberg, H., Allen, A., Mahoney, A. (2021). Integrating internet CBT into clinical practice: A practical guide for clinicians. Clinical Psychologist. 25(2). https://doi.org/10.1080/13284207.2020.1843968
CLASSMATE 2
First the therapist had the patient do some cognitive homework with cognitive worksheets about what the client was feeling and it was guilt (Corey, 2016). All of this time the client was feeling guilty because she okayed the crew behind her to go and they ended up being blown up by an IED and she felt it was her fault. Next the therapist did some role playing about the events and through this method the therapist was able to show the client that she was just doing her job and following protocol, it was not her fault that the incident happened, and was able to disrupt the irrational belief that she was at fault for the event (Corey, 2016). This made the client realize her guilt was also irrational because it truly was not her fault. Afterwards the therapist gave the client shame-attacking exercises for homework where the client was able to determine if her feelings were based on facts and able to come up with alternative positive thoughts which further lowered her anger and guilt about the event (Corey, 2016).
As a future PMHNP I will be dealing with patients with irrational fears and thoughts, and cognitive behavioral therapy (CBT) will come in handy. Alot of psych patients have irrational thoughts due to psychosis, depression, anxiety, and post-traumatic stress disorders (PTSD) and CBT can help identify these implausible beliefs, replace them with rational ones, and help with their emotions and improve their behaviors (Corey, 2016). I can implement CBT in my practice by trying to help my patients replace unreasonable beliefs with more logical ones based from facts. For my patients who truly have trouble with their irrational thoughts or beliefs I can refer them to a psychologist or therapist.
Some specific diagnoses which CBT can be used with are depression, anxiety, and PTSD. According to a pilot study done by Chatwin et al. (2016) where 57 participants from Bond University in Australia were given an 8-week CBT treatment and found a marked reduction in stress and anxiety and depressive symptoms after treatment. Another systemic review study done by Paintain and Cassidy (2018) confirmed CBT as a more effective treatment of PTSD compared to Psychodynamic-based interventions.
References
Chatwin, H., Stapleton, P., Porter, B., Devine, S., & Sheldon, T. (2016). The Effectiveness of Cognitive Behavioral Therapy and Emotional Freedom
Techniques in Reducing Depression and Anxiety Among Adults: A Pilot Study. Integrative Medicine: A Clinician’s Journal, 15(2), 27–34.
Corey, G. (2016). Theory and practice of counseling and psychotherapy (10th ed.). Boston, MA: Cengage. ISBN: 9781305263727.
Paintain, E., & Cassidy, S. (2018). Firstâ€line therapy for postâ€traumatic stress disorder: A systematic review of cognitive behavioural therapy and
psychodynamic approaches. Counselling & Psychotherapy Research, 18(3), 237–250. https://doi.org/10.1002/capr.12174 (Links to an external site.).
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