Use of CBT in Groups Verses family settings

Use of CBT in Groups Verses 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

Use of CBT in Groups Verses family settings

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!

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.



Cognitive Behavioral Therapy: Group Settings versus Family Settings

            Cognitive behavioral therapy (CBT) be described as a practical, hands-on approach psychotherapy intervention aimed at improving mental health. The objective of CBT is changing the behavior and patterns of thinking behind the difficulties that individuals, groups, or families experience. Furthermore, it is important to note there are considerable differences in the application of CBT inn family and in group settings (Dobson & Dobson, 2018).

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Group CBT tends to involve a simultaneous interaction with people who are typically not in the client’s familial or social network. These people may be considered as relative strangers. Furthermore, a group can either bee homogeneous or heterogeneous. When heterogeneous, the clients tend to have similar issues, but when heterogeneous, the clients to have diverse issues. On the other hand, CBT in family settings tends to be solution-focused and brief (Knell, 2016).  Additionally, it involves supporting the family members to think and to act in a manner that tends to be more adaptive as well as learning to make choices that enhance the relations between family members (Zettle & Hayes, 2015). An example from practicum experience is a family that had some members who had drinking disorders, which resulted in chaos in the family.


Some of the challenges when using CBT inn group settings is the lack of commitment from some of the clients. For these clients to benefit, they need to be fully committed and to undertake any activities as instructed by the therapist. Lack of commitment reduces the efficacy of CBT in group settings. Furthermore CBT in group settings may not be effective since some of the clients may be having learning difficulties, whereas others may have problems that are more complex (Dobson & Dobson, 2018).




Dobson, D., & Dobson, K. S. (2018). Evidence-based practice of cognitive-behavioral therapy. New York, NY: Guilford Publications.

Knell, S. M. (2016). Cognitive-behavioral play therapy. Handbook of play therapy, 118-133.

Zettle, R. D., & Hayes, S. C. (2015). Rule-governed behavior: A potential theoretical framework for cognitive-behavioral therapy. In The Act in Context (pp. 33-63). London, United Kingdom: Rutledge.

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