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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 individual, group, and family settings, consider challenges of using this approach with groups you may lead, as well as strategies for overcoming those challenges.

To prepare:

ASSIGNMENT

Post an explanation of how the use of CBT in groups compares to its use in family or individual settings. Explain at least two challenges PMHNPs might encounter when using CBT in one of these settings. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly and attach the PDFs of your sources.

NRNP_6645_Week5_Discussion_Rubric

 Excellent

Point range: 90–100
Good

Point range: 80–89
Fair

Point range: 70–79
Poor

Point range: 0–69
Main Posting:

Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
40 (40%) – 44 (44%) Thoroughly responds to the discussion question(s).

Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

No less than 75% of post has exceptional depth and breadth.

Supported by at least 3 current credible sources.
35 (35%) – 39 (39%) Responds to most of the discussion question(s).

Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of the post has exceptional depth and breadth.

Supported by at least 3 credible references.
31 (31%) – 34 (34%) Responds to some of the discussion question(s).

One to two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with fewer than 2 credible references.
0 (0%) – 30 (30%) Does not respond to the discussion question(s).

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only 1 or no credible references.
Main Posting:

Writing
6 (6%) – 6 (6%) Written clearly and concisely.

Contains no grammatical or spelling errors.

Further adheres to current APA manual writing rules and style.
5 (5%) – 5 (5%) Written concisely.

May contain one to two grammatical or spelling errors.

Adheres to current APA manual writing rules and style.
4 (4%) – 4 (4%) Written somewhat concisely.

May contain more than two spelling or grammatical errors.

Contains some APA formatting errors.
0 (0%) – 3 (3%) Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.
Main Posting:

Timely and full participation
9 (9%) – 10 (10%) Meets requirements for timely, full, and active participation.

Posts main discussion by due date.
8 (8%) – 8 (8%) Posts main discussion by due date.

Meets requirements for full participation.
7 (7%) – 7 (7%) Posts main discussion by due date.0 (0%) – 6 (6%) Does not meet requirements for full participation.

Does not post main discussion by due date.
First Response:

Post to colleague’s main post that is reflective and justified with credible sources.
9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.
8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting.7 (7%) – 7 (7%) Response is on topic, may have some depth.0 (0%) – 6 (6%) Response may not be on topic, lacks depth.
First Response:
Writing
6 (6%) – 6 (6%) Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in Standard, Edited English.
5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in Standard, Edited English.
4 (4%) – 4 (4%) Response posed in the discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.
0 (0%) – 3 (3%) Responses posted in the discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.
First Response:
Timely and full participation
5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation.

Posts by due date.
4 (4%) – 4 (4%) Meets requirements for full participation.

Posts by due date.
3 (3%) – 3 (3%) Posts by due date.0 (0%) – 2 (2%) Does not meet requirements for full participation.

Does not post by due date.
Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.
8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting.7 (7%) – 7 (7%) Response is on topic, may have some depth.0 (0%) – 6 (6%) Response may not be on topic, lacks depth.
Second Response:
Writing
6 (6%) – 6 (6%) Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in Standard, Edited English.
5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in Standard, Edited English.
4 (4%) – 4 (4%) Response posed in the discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.
0 (0%) – 3 (3%) Responses posted in the discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.
Second Response:
Timely and full participation
5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation.

Posts by due date.
4 (4%) – 4 (4%) Meets requirements for full participation.

Posts by due date.
3 (3%) – 3 (3%) Posts by due date.0 (0%) – 2 (2%) Does not meet requirements for full participation.

Does not post by due date.

Learning Resources

Required Readings (click to expand/reduce)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596 

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.

Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.

Required Media (click to expand/reduce)

Beck Institute for Cognitive Behavior Therapy. (2018, June 7). CBT for couples [Video]. YouTube. https://www.youtube.com/watch?v=JZH196rOGsc

MedCircle. (2019, December 13). What a cognitive behavioral therapy (CBT) session looks like [Video]. YouTube. https://www.youtube.com/watch?v=8-2WQF3SWwo

PsychExamReview. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych tutorial #241) [Video]. YouTube. https://www.youtube.com/watch?v=A2_NN1Q7Rfg

Optional Media

Beck, A. (1994). Aaron Beck on cognitive therapy [Video file]. Mill Valley, CA: Psychotherapy.net.

Eysenck, H. (n.d.). Hans Eysenck on behavior therapy [Video file]. Mill Valley, CA: Psychotherapy.net.

Psychotherapy.net. (Producer). (2009). Rational emotive behavior therapy for addictions [Video file]. Psychotherapy.net: Author.

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video]. https://waldenu.kanopy.com/video/counseling-and-psychotherapy-theories-contex

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