Week 5 Discussion 2

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Describe and define the importance of CBT in group therapy. Use this weeks reading on CBT to guide you. According to Snipes (2021), changing thoughts directly impacts urges and behaviors, while changing behaviors directly affects thoughts and emotional reactions. CBT is According to West (2021), CBT is similar to Gestalt in that it involves collaboration between therapists and clients, the identification of maladaptive thoughts and behaviors, and experimentation with new, healthier behaviors. A difference, however, is that CBT emphasizes the importance of empirical evidence and skill development to address psychological distress. Cognitive-behavioral group therapy (CBGT), is effective and popular as it is highly structured, goal oriented and evidence-based (Carruth, 2013). Key interventions include thought recording, tracking behaviors and emotions, cognitive restructuring to find healthier ways of thinking, and teaching coping skills to address skill deficits (West, 2021). Wolgensinger (2015) writes that while CBGT tends to use the same interventions as individual CBT, the group settings enhance the benefits through peer support and social learning. These interventions, aimed at early intervention and addressing specific anxiety disorders, “foster peer support, model positive behaviors, and offer social exposure opportunities.” She adds that the structure of CGBT lends itself to early group cohesion and a quicker progression into working stages. At the risk of being redundant as always, I liked this next description as well: The Grouport website, an online group therapy platform, states that group Cognitive Behavioral Therapy is a powerful and practical approach to mental health treatment that offers unique advantages over individual therapy. “By harnessing the power of social support, cost-efficiency, and skill development, group CBT can help individuals achieve lasting change and improved mental well-being.” CGBT follows a highly structured format, and group leaders play a technical and educational role with an emphasis on skill development and application to real-life scenarios (Carruth, 2013). While structured, the group leader must remain flexible for adjusting to client needs. To do this, they need to balance directive methods with the fostering of self-responsibility among group members (Wolgensinger, 2015). According to Carruth (2013), this approach promotes cohesion, mutual support, and practical engagement with the therapeutic concepts. This is beneficial for promoting personal growth and change within a structured and supportive environment. Group CBT is beneficial for its ability to address a wide range of disorders collectively, leveraging shared experiences and fostering a collaborative healing process (Carruth, 2013). According to Wolgensinger (2015), It encompasses prevention programs for children and adolescents, aiming for early intervention, and offers specialized treatments for various anxiety disorders in adults as it “leverages the strength of shared experiences to treat and prevent anxiety disorders.” A study by Bryde Christensen et al. (2021) found that group cohesion in CBT, emphasized as key by the study, showcases how members initially perceived differences and evolved to recognize shared experiences, fostering a strong sense of unity and

belonging.This reminded me of discussions we had earlier in this class about looking for similarities rather than differences. The study found group cohesion as a fundamental element in the therapeutic effectiveness of group CBT. (I recommend this study if anyone is interested in knowing more, it’s a good one!- 10.3390/ijerph18105324) The conclusion of the study recommended that group therapists in both diagnosis-specific and transdiagnostic groups focus on acknowledging similarities between patients, not just in terms of symptoms, but in terms of more global constructs such as distress (Bryde Christensen et al, 2021). References: Bryde Christensen, A., Wahrén, S., Reinholt, N., Poulsen, S., Hvenegaard, M., Simonsen, E., & Arnfred, S. (2021). “despite the differences, we were all the same”. group cohesion in diagnosis-specific and transdiagnostic CBT groups for anxiety and depression: A qualitative study. International Journal of Environmental Research and Public Health, 18(10), 5324. https://doi.org/10.3390/ijerph18105324 Carruth, E. (2013, April 26). A CBT approach to group counseling. YouTube. https://www.youtube.com/watch?v=iKLJwR_XpEA Doc Snipes. (2021, April 17). Cognitive behavioral therapy group activities | CBT therapist aid [Video]. YouTube. https://www.youtube.com/watch?v=uPfUxnLO8x4 (1:01:04) Tonnesvane, J., Sommer U., Hammink J., & Sonne, M. (2010). gestalt therapy and cognitive therapy-contrasts or complementarities? Psychotherapy (Chicago, Ill.), 47(4), 586-602. https://doi.org/10.1037/a0021185 West, R. (2021, July 23). Gestalt & Cognitive-Behavioral Group therapy. YouTube. https://www.youtube.com/watch?v=Vo0OTa_d2IU Wolgensinger, L. (2015). Cognitive Behavioral Group therapy for anxiety: Recent developments. Dialogues in Clinical Neuroscience, 17(3), 347–351. https://doi.org/10.31887/dcns.2015.17.3/lwolgensinger

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