In a 3- to 4-page paper, identify the video you selected and address the following: What group therapy techniques were demonstrated? How well do you believe these techniques were

Running Head : Group Therapy 1

Group Therapy

College of Nursing PMHNP, Walden University

NRNP 6645: Psychopathology and Diagnostic Reasoning

Dr. Brandi Williams

9/14/2021

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Running Head : Group Therapy 2

According to Carr et al (2018), patient’s emotions, especially worries and anxieties, may be

improved via group therapy, which provides a supportive atmosphere with peers and a therapist to aid

recovery. Benefits of group therapy include learning with peers and utilizing therapeutic strategies and

ways to help. patients to learn new ways to cope with symptoms including melancholy, sorrow, and

anxiety. anxiousness. This document refers to a film on treatment for schizophrenia. The goal of this This

article will look at some of the most effective treatments. Cognitive behavioral therapy is one of the

group methods used in the movie. The methods were well-used by the facilitators, who asked patients

to share their fears and how they dealt with them. They were able to overcome their anxieties. Cognitive

behavioral therapy has been shown to be effective, according to research. significant impact by

decreasing the need for inpatient hospitalization and improving patient satisfaction (Carr et al., 2018).

The video I selected for this week assignment is psychotherapy group for patients with schizophrenia.

Schizophrenia is a debilitating mental illness that causes sufferers great pain and places a tremendous

strain on caregivers and family members (Soliman et al., 2018). A psychotherapy group for schizophrenia

is the subject of the present course. Six people are in the group: two female facilitators (Brooke and

Robin) and four patients (two females and two males). The goal of this article is to demonstrate how

important successful connection building is in group treatment for reinforcing schizophrenia people'

cognitive and behavioral abilities, allowing them to make better choices and avoid hazardous situations.

Group Therapy Techniques and How Well they were Demonstrated

The facilitators have a plan for what they'll talk about during the meeting. They have a set start

and finish time, as well as a 10-minute break throughout the meeting. The class goes through relaxation

techniques, including the three-rep breathing method that includes inhaling deeply through the nose

and expelling through the mouth (Gerber, 2013). When schizophrenia individuals face difficult

circumstances, they may use this method. It is a coping technique that allows people to better manage

their emotional symptoms. Group therapy promotes inclusive involvement, empathy, and patient

reflections, all of which contribute to the development of meaningful connections. The session begins

with the group leaders welcoming the attendees and having each member provide a short introduction.

This helps to build rapport, reduce tension, and encourage engagement while urging individuals to retain

emotional control. In schizophrenia patients' psychosocial performance, emotional control is critical. To

discovered that mindfulness-based psychoeducation group sessions were effective for early-stage

schizophrenia adult patients in their research. In addition, Cognitive behavioral therapy is one of the

group methods used in the movie. The facilitators did a great job with the methods, encouraging

patients to share their fears and how they overcome them. Evidence suggests that cognitive behavioral

therapy has a significant impact on decreasing the need for inpatient hospitalization and improving

patient satisfaction (Carr et al., 2018). Cognitive behavioral therapy (CBT) is well-known for helping

people improve their knowledge and management of their mental health, according to studies (Lecomte

et al., 2018). The group facilitators performed a good job of introducing themselves, going through the

meeting agenda, group rules, and making follow-up phone calls (Gerber, 2013). The group leaders

demonstrate their concern for and regard for the members by asking them to rate their mood on a scale

of one to ten, with one being a bad day and ten being an outstanding day (Gerber, 01:20). The answers

aid in determining the patients' status. In the functional, social, physical, and well-being domains,

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Running Head : Group Therapy 3

resilience is important. The importance of these areas can't be overstated. reflecting the patients' quality

of life in terms of healthiness and the severity of the illness (Hofer et al., 2017). In their research on the

quality of life in people with bipolar and schizophrenia illnesses, they used evidence-based methods.

Hofer et al. (2017) discovered that implementing treatments aimed at building resilience improves

outcomes and quality of life.

What the Therapist did Well

Providing the session's framework and agendas soon after participants introduced themselves

was one of the things the therapists performed extremely well. Giving patients a session preview is

critical for psychologically preparing them for what to anticipate and piquing their interest in the

treatment. The therapists also performed a good job of restating the group's guidelines. The secrecy of

everything said in the group, as well as members' respect for each other, are some of the norms stated.

The therapist outlining the guidelines gives participants more confidence and encourages them to

participate without fear of their privacy being violated or being mistreated.

What You Would Have Handled Differently

If I had the chance to head a group like this, I would include psychoeducation to assist the

patients understand and manage their problems. The intervention was statistically successful in

enhancing the value of life in an evidence-based research to assess the impact of psychoeducation

treatment on schizophrenia caregivers and patients' quality of life (Soliman et al., 2018). To encourage

patients to connect to the presented methods, I would assist psychoeducation by including my thoughts

pertinent to the session's lessons. In addition, I would use tentative and direct confrontation to draw

attention to the group's blind spots, harmful habits, and misunderstandings. While supporting members

is important in making them feel valued, adding compassionate confrontation will assist customers

recognize and understand what they are dealing with so they can address it head-on. One thing I would

do is to arrange the clients in a circle and place them somewhat farther apart. Patients are frequently

overstimulated, and sitting that close together may be uncomfortable; it was an unusual configuration,

not a complete circle. Although a tiny circle might be more interesting, I'm not sure whether space was a

problem. Reviewing the agenda, regulations, and following up were some of the things I learnt from the

movie. I've started leading inpatient groups and I'm a little apprehensive. I've become better at coming

up with conversation starters. The movie provided me with a greater understanding of how to validate

and praise patient answers. I often examine a subject with the group and offer open-ended questions to

which anybody may respond. This often works, but not everyone participates, or certain patients

dominate the discussion while others remain silent. I learned how to revisit a subject in various ways and

question patients individually throughout the group so that everyone gets a chance to speak out.

Insight Gained from Watching the Therapist Handle the Group Therapy

Co-therapy is beneficial when the participating therapists coordinate and work in harmony for

the greater benefit of the clients, as I learnt from watching the movie. I also discovered that

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Running Head : Group Therapy 4

documenting treatment sessions, teachings, and any specific action or problem that arises throughout

the sessions is critical. Maintaining consistent records is critical for assessing the success of a session and

directing future changes. Working with a session guide that contains the day's goals and schedule is also

essential for keeping track of progress during the session and throughout the treatment process. During

the recap time, for example, the group may go to the previous session's schedule to reflect on prior

teachings.

Leading Your Own Group Session How You Would Handle a Difficult Group Member

During therapy sessions, the therapist may come with difficult clients who cause discomfort,

emotional responses, and worry. Managing therapist anxiety requires being aware of and controlling

reaction, projection, and compassion fatigue. I would manage anxiety and use careful confrontation to

prevent moody or distractive behaviors, given the likelihood of having problematic group members.

Keeping my emotions under control would help me avoid aggravating the issue and encourage a

peaceful resolution. I've led groups with challenging patients or personalities on a few occasions. I think

it is entirely dependent on the patient, the group, and the patients' views. In one case, I had a manic and

delusional patient who was engaging with me in a way that was neither disruptive nor helpful. Several

times, I had to reroute the patient. In addition, I had a young kid who had been in the hospital for many

weeks. It may be difficult to get and retain the attention of the group. I ended up separating the patient

from the group following redirection for the patient and the group functioned more smoothly. It's

advisable to remove a difficult and unsuitable group member from the group since it's affecting other

patients.

How You Would Elicit Participation in Your Group

To guarantee that everyone benefits from group therapy, everyone must participate. I'd

encourage people to join my group by ensuring that the personal information they provide is kept

private. Furthermore, like Brook and Robin did in their group therapy, I would establish governing

principles that encourage respect among the participants. These methods would empower users to

openly discuss anything they desire without worry of being criticized. To keep the people in the group

engaged, I bring up the subject and ask each group member questions or suggestions about what works

for them, such as what they do to cope with their anxiety. I've learnt to integrate games into children and

teen groups while facilitating them.

What You Would Anticipate to Find in Different Phases of Group Therapy

Members' abilities would gradually increase. They would bring a variety of experiences and

questions depending on how they attempted to put the principles we learned in each session into

practice. Individuals learn to recognize their own points of view as well as learn from the viewpoints of

their peers at various stages of the group. Opening up, understanding, respecting, and enjoying what

others have to say and contribute to the conversation are all advantages of group therapy. Sharing one's

experiences broadens one's horizons and aids healing. Alternative techniques for reducing depression

and anxiety symptoms may be learnt and used in daily life (Li et al., 2020).

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Running Head : Group Therapy 5

Benefits and Challenges of Group Therapy

Group therapy helps to create a good support system. It is less expensive than a one-on-one

treatment session (Fogarty et al., 2019). Group therapy also helps participants overcome loneliness,

exposes them to new behaviors shown by other team members, and offers a sense of safety in which

they may express their emotions and learn about their mental health condition. Furthermore, since

group therapy focuses on transferring coping skills learned during therapy to everyday life, its benefits

last long after the treatment is stopped or completed (Fogarty et al., 2019). Despite these advantages,

group therapy has difficulties such as resistance from members, the possibility of confrontations among

members in instances of disrespect, and the need for additional time to enable members to adequately

express their emotions.

Finally, group therapy is an effective technique for helping individuals share and learn from

others who have had comparable experiences. As providers, promoting group therapy to learn

alternative coping strategies and emphasizing that medicine is not a cure-all may be beneficial.

The papers I've included are academic, have been peer-reviewed, and were acquired from the

Walden Library within the past five years.

References

Chien, W. T., Cheng, H. Y., McMaster, T. W., Yip, A. L., & Wong, J. C. (2019). Effectiveness of a mindfulness-

based psychoeducation group programme for early-stage schizophrenia: An 18-month randomised

controlled trial. Schizophrenia Research, 212, 140-149. https://doi.org/10.1016/j.schres.2019.07.053

Derksen, F., Hartman, T. C. O., van Dijk, A., Plouvier, A., Bensing, J., & Lagro-Janssen, A. (2017).

Consequences of the presence and absence of empathy during consultations in primary care: A focus

group study with patients. Patient Education and Counseling, 100(5), 987-993.

http://dx.doi.org/10.1016/j.pec.2016.12.003

Fogarty, C., Hevey, D., & McCarthy, O. (2019). Effectiveness of cognitive behavioural group therapy for

social anxiety disorder: Long-term benefits and aftercare. Behavioural and Cognitive Psychotherapy,

47(5), 501-513. DOI: 10.1017/S1352465819000079 Gerber, B. (2013, November 21).

Psychotherapy group for schizophrenia [Video]. YouTube. https://www.youtube.com/watch?

v=t8Dzus8WGq A Hofer, A., Mizuno, Y., Wartelsteiner, F.,

Fleischhacker, W. W., Frajo-Apor, B., Kemmler, G., Mimura, M., Pardeller, S., Sondermann, C., Suzuki, T.,

Welte, A., & Uchida, H. (2017). Quality of life in schizophrenia and bipolar disorder: The impact of

symptomatic remission and resilience. European Psychiatry, 46, 42-47.

http://dx.doi.org/10.1016/j.eurpsy.2017.08.005 Shamoon, Z. A., Lappan, S., & Blow, A. J. (2017).

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Running Head : Group Therapy 6

Managing anxiety: A therapist common factor. Contemporary Family Therapy, 39(1), 43-53. DOI

10.1007/s10591-016-9399-1

References

Carr, E. R., McKernan, L. C., Hillbrand, M., & Hamlett, N. (2018). Expanding traditional paradigms: An

integrative approach to the psychotherapeutic treatment of psychosis. Journal of Psychotherapy

Integration, 28(2), 154–170. https://doi.org/waldenulibrary.org/10.1037/int0000083

Gerber, B. (2013, November 21). Psychotherapy group for schizophrenia [Video]. YouTube. Retrieved

September 14, 2021, from https://www.youtube.com/watch?v=h6CF09f5S1

M Lecomte, T., Samson, C., Naeem, F., Schachte, L., & Farhall, J. (2018). Implementing cognitive

behavioral therapy for psychosis: An international survey of clinicians’ attitudes and obstacles.

Psychiatric Rehabilitation Journal, 41(2), 141–148.

https://doi.org/waldenulibrary.org/10.1037/prj0000292 Li, X.,

Kivlighan, D. M., Paquin Jr., J. D., & Gold, P. B. (2020). What was that session like? An empirically-derived

typology of group therapy sessions. Group Dynamics: Theory, Research, and Practice.

https://doi.org/waldenulibrary.org/10.1037/gdn0000139

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