The stage of the group is the working stage. The working stage involves the group members giving feedback to one another and sharing differences and similarities in their experiences. The training therapist used multiple techniques in the group therapy treatment session. Firstly, the therapist took the members through comprehensive background knowledge on group development to foster group cohesion, identify and repair ruptures, and make group therapy as effective as possible. Lastly, the therapist conducted a high-quality screening and prepared an interview with every group member before starting the therapy session.
The cognitive group therapy session had multiple challenges. Firstly, some people found it difficult to disclose their personal information in the group setting, especially at the beginning of the therapy session. Additionally, a few members with a history of abuse and trauma were overwhelmed when the therapist handled the subject of abuse and trauma. The training had to pose for some time to allow the members to recover. Lastly, some members of the group engaged themselves in an argument over the difference of opinion.
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I recommend that the therapist uses a more innovative, supportive, and cost-effective group therapy approach. Researchers have researched the possibility of using the internet to carry out CBT sessions. The results of a study carried out by Olthuis et al. (2016) showed that using a therapist-supported internet-based CBT (ICBT) is more effective in diagnosing and reducing anxiety symptoms in adults compared to face-to-face CBT or unguided CBT. Another study by Titov et al. (2015) also shows that applying a therapist-guided internet-delivered cognitive behavior (iCBT) on older adults experiencing symptoms of depressions significantly reduces the symptoms. Based on the findings of the two studies, I recommend a therapist-guided iCBT approach for adults with mental disorders because the approach is more innovative, supportive, and cost-effective than face-to-face CBT.
References
Olthuis, J. V., Watt, M. C., Bailey, K., Hayden, J. A., & Stewart, S. H. (2016). Therapist‐supported internet cognitive behavioural therapy for anxiety disorders in adults. Cochrane Database of Systematic Reviews , (3). https://doi.org/10.1002/14651858.CD011565.
Titov, N., Dear, B. F., Ali, S., Zou, J. B., Lorian, C. N., Johnston, L., … Fogliati, V. J. (2015). Clinical and cost-effectiveness of therapist-guided internet-delivered cognitive behavior therapy for older adults with symptoms of depression: a randomized controlled trial. Behavior Therapy , 46 (2), 193-205. https://doi.org/10.1016/j.beth.2014.09.008
