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Introduction: Psychosocial Intervention Theory

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This essay will mainly highlight the chosen physiological intervention, cognitive behavioral Therapy and its uses by the nurses in the hospital sector and also discussed its history by using the high-quality literature.

Cognitive-Behavioral Therapy (CBT) is a prevalent form of talk therapy widely used to address a variety of issues, including depression, anxiety, alcohol and drug use disorders, and various mental illnesses. Extensive research has demonstrated the effectiveness of CBT in improving the overall quality of life. It is primarily employed for treating anxiety and depression, while also supporting the enhancement of both physical and mental well-being (Loughnan et al., 2019). By introducing new coping skills such as meditation or counseling, CBT effectively reduces anxiety and panic-related problems. Additionally, this therapeutic approach equips individuals with the capacity to comprehend and manage their thoughts, emotions, and behaviors (Waller, et al., 2020). Through CBT, people are empowered to build their confidence and skills to achieve a higher quality of life. Furthermore, CBT aids in minimizing negative thoughts and facilitating a transformation towards a more positive thinking pattern.

Discussion

History of the CBT

Cognitive-Behavioral Therapy (CBT) is an approach to talk therapy introduced by American psychiatrist Aaron Teck. This therapy originated in the 1960s through the pioneering work of Beck. Sun (2019) contradicted that, It is founded on cognitive models that emphasize the interconnectedness of thoughts, feelings, and behaviors in individuals. In 1995, Judith further developed this therapy to address anxiety, depression, and various mental health disorders. With the release of its second edition in 2011, this therapeutic approach became widely recognized as "CBT," focusing on mitigating maladaptive thinking patterns in individuals. Additionally, Martin observed that CBT, also known as cognitive therapy, places a primary emphasis on understanding and modifying patients' thought processes. Furthermore, CBT has shown promise in alleviating other speech-related issues experienced by patients.

Development

Cognitive Behavioral Therapy is mainly developed by various fundamental principles. Like the mental principle, the behavioral principle and the continuum principle. The main principle of cognitive behavioral Therapy is cognitive principles. As per the statement of Asano et al. (2019), by this principle, the CBT test mainly increased the patients' thoughts, behavior and feelings and their impacts on each other. Besides that, the three main basic pillars of this Therapy are Identification, Recognition and management. According to Roscoe, (2021), Identification is the central and first pillar of CBT therapy by which the patients mainly identify what they save outstandingly and what they do not.

Moreover, by this identification pill, patients identify their emotions, behaviors and feelings, so this pillory is essential for the CBT test (Menzies et al., 2019). Further, the second pillar of CBT therapy is recognition, by which patients can be recognized for their negative thoughts, feelings and behaviors. This pillar also increased new skills and abilities for mistiness the negative thoughts and improving the positive reviews. Fillan, the last pillar is management, by which people achieve their unique talents and skills for managing their negative thoughts and their behaviors.

Current evidence base

Cognitive Behavioral Therapy (CBT) is a therapy approach that is supported by scientific evidence. Asano et al. (2019) conducted a comprehensive review of scientific experiments and found that CBT is primarily based on solid scientific evidence. This well-known talk therapy is highly effective in reducing negative thinking patterns in patients and has successfully treated various psychological issues. Recent independent meta-analyses, such as the study by Bochco et al. (2019), have confirmed the effectiveness of CBT in addressing anxiety, depression, and eating disorders, as it is based on robust evidence.

Additionally, researchers have also explored the use of internet-delivered cognitive behavior therapy (IBCT) as a component of CBT. IBCT has been found to play a significant role in effectively treating children, particularly those dealing with symptoms of anxiety and depression. Both CBT and IBCT, being evidence-based therapies, have proven crucial in providing optimal treatments for children.

Critique and analysis of the CBT therapy

Cognitive Behavioral Therapy (CBT) is an effective approach for managing mental health disorders. According to van der Zerde et al. (2019), approximately 7% of the Australian population experiences mental health disorders each year, including anxiety, low energy levels, and depression. CBT has been successful in reducing negative thoughts that significantly impact people's overall well-being. However, there are differing viewpoints on the therapy's efficacy.

Baglioni et al. (2020) argue that CBT can be uncomfortable for patients, potentially limiting their willingness to undergo the therapy. Additionally, Asano et al. (2019) note that CBT treatment may require a longer duration, leading to patient frustration with delays in completing their therapy. Conversely, some studies suggest that CBT yields positive results within a relatively short time frame. During therapy sessions lasting between 30 minutes to an hour, patients develop skills to challenge negative thinking and cultivate positive thinking. While CBT programs typically span 20 to 30 weeks, Liu et al. (2019) contend that compared to other long-term therapies, CBT can bring about improvements within a few months. The therapy offers various sessions tailored to individual patients, enabling them to enhance their communication abilities within a shorter timeframe.

However, Brotto et al. (2020) challenge the notion that CBT is universally beneficial. Some patients may encounter difficulties in learning the therapy's techniques, and the effectiveness of CBT may be hindered in unsafe environments or for individuals with acute mental illnesses. It is important to consider these factors when applying CBT, as certain elements of the therapy may pose risks. In some cases, CBT may be complemented with medication and counseling, as recommended by healthcare professionals. These additional interventions contribute to the development of patients' positive thinking capabilities in an efficient manner.

Cognitive behavioral Therapy and uses by the nurses

Nursing professionals employ Cognitive Behavioral Therapy (CBT) as a comprehensive treatment for mental health disorders. Nurses utilize CBT to diagnose conditions such as traumatic stress disorders, depression, and anxiety. Brotto et al. (2020) assert that nurses play a crucial role in healthcare by addressing mental illness through medication management, alongside the implementation of CBT therapy to alleviate mental health issues. Nurses also take on the responsibility of educating patients about their health conditions. Thakral et al., 2020), contradicted that, they employ CBT therapy and its various strategies to support individuals, foster their comfort, and promote engagement in order to reduce health disorders. Additionally, nurses closely monitor patients throughout CBT therapy, aiding them in achieving improved health outcomes within a short timeframe, leading to an enhanced quality of life.

Furthermore, nurses play a key role in encouraging patient participation in CBT therapy sessions (Delgadillo & Gonzalez Salas Dune, 2020). Their intervention complements the CBT approach, ensuring comprehensive treatment for each patient. Through their compassionate care and counseling, nurses empower patients to develop a positive mindset, facilitating their journey towards improved mental health in a shorter period of time. Moreover, CBT therapy nurses provide guidance and support to help individuals cope with their disorders and manage the associated problems effectively. Additionally, nurses implement mental health awareness programs tailored to individual patients, aiding them in understanding and managing mental health disorders such as anxiety and depression, thereby promoting better overall well-being.

Conclusion

Cognitive Behavioral Therapy (CBT) is an evidence-based therapeutic approach used to address various mental health disorders. It focuses on the connection between thoughts, emotions, and behaviors, aiming to identify and modify negative patterns that contribute to psychological distress. CBT is effective in treating conditions such as anxiety, depression, trauma-related disorders, and eating disorders.

The therapy involves collaboration between the therapist and the individual, working together to challenge and reframe negative thoughts and beliefs. CBT employs a range of techniques, including cognitive restructuring, behavior modification, and exposure therapy, to help individuals develop healthier coping mechanisms and improve their overall well-being.

References

  • Roscoe, J. (2021). Maximizing trainee Cognitive Behavioral Therapist's use of clinical supervision: Can a bespoke workshop help to broaden their horizons? Journal of Applied Psychology and Social Science, 6(1), 58-89. Retrieved from: https://insight.cumbria.ac.uk/id/enprint/6397/1/JAPASS% [Accessed on 25th May 2023]
  • Asano, L. D., Bei, B., Krystal, A., Buysse, D. J., Thase, M. E., Edinger, J. D., & Manber, R. (2019). Circadian preference as a moderator of depression outcome following cognitive behavioural Therapy for insomnia plus antidepressant medications: a report from the TRIAD study. Journal of clinical sleep medicine, 15(4), 573-580. Retrieved from: https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.7716 [Accessed on 26th May 2023]
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  • Delgadillo, J., & Gonzalez Salas Duhne, P. (2020). Targeted prescription of cognitive–behavioural Therapy versus person-centred counselling for depression using a machine learning approach. Journal of Consulting and Clinical Psychology, 88(1), 14. Retrieved from: https://eprints.whiterose.ac.uk/153112/7/Depression [Accessed on 26th May 2023]
  • Brotto, L. A., Bergeron, S., Zdaniuk, B., & Basson, R. (2020). Mindfulness and cognitive behaviour therapy for provoked vestibulodynia: Mediators of treatment outcome and long-term effects. Journal of Consulting and clinical psychology, 88(1), 48. Retrieved from: https://sophiebergeron.ca/images/publications/Brotto_2020 [Accessed on 26th May 2023]
  • Liu, J., Gill, N. S., Teodorczuk, A., Li, Z. J., & Sun, J. (2019). The efficacy of cognitive behavioural Therapy in somatoform disorders and medically unexplained physical symptoms: A meta-analysis of randomized controlled trials. Journal of affective disorders, 245, 98-112. Retrieved from: https://research-repository.griffith.edu.au/bitstream/handle/10072/380915/LiuPUB6815.pdf?sequence=1 [Accessed on 25th May 2023]
  • Baglioni, C., Altena, E., Bjorvatn, B., Blom, K., Bothelius, K., Devoto, A., ... & Riemann, D. (2020). The European Academy for Cognitive Behavioural Therapy for Insomnia: An initiative of the European Insomnia Network to promote implementation and dissemination of treatment. Journal of sleep research, 29(2), e12967. Retrieved from: https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/js [Accessed on 26th May 2023]
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