Analyze Group Therapy Sessions With Older Adults ✓ Solved

Analyze group therapy sessions with older adults

Students will analyze group therapy sessions with older adults and recommend strategies for improving the effectiveness of group therapy sessions for older adults. To prepare, review the week's Learning Resources and consider the insights provided on group therapy with older adults, reflecting on your practicum experiences with older adults in group therapy settings.

Group work among older adults has shown to enhance their spontaneity, creativity, and empathy, decreasing depressive symptoms and enhancing psychosocial functioning (Jalili Nikoo et al., 2017). As individuals age, modifications in priorities, relationships, and accountabilities occur, producing both positive and negative feelings and experiences (Wheeler, 2014). Efficiency in psychotherapy with older adults requires an understanding of individual, family, collective, and systemic issues to ensure an effective psychotherapeutic process (Wheeler, 2014).

The observed group consisted of five older adult members. The group accepted an additional member to move into the formative stage, where they introduced themselves, discussed their goals, and expressed commitment to the group's objectives and the number of weekly therapy sessions.

The group met twice weekly for five weeks, featuring participants from diverse racial backgrounds and various age brackets and genders. The members appeared comfortable with each other and were open about their challenges. Some group members required frequent redirection to maintain focus on discussions, ensuring that everyone could process and share their thoughts.

Most of the older adults in the group faced common difficulties with depression at varying levels. The therapeutic approach employed was cognitive behavioral therapy (CBT), recognized for its effectiveness in treating geriatric depression and reducing depressive symptoms (Krishna et al., 2013). The cycle of life experiences, including increasing thoughts of death, necessitates support to enhance individuals' quality of life (Tavares & Barbosa, 2018).

The therapist utilized cognitive behavioral therapy for depression, including behavioral strategies and cognitive restructuring aimed at changing negative thought patterns and maladaptive behaviors (Halverston, 2019). Participants began by completing questionnaires and cognitive assessments, such as the Beck Depression Inventory (BDI). The group engaged in expressive sharing for approximately 15 minutes about crucial emotional issues affecting their lives. Some members maintained journals to reflect on their day-to-day experiences and emotions.

Research indicates that individuals diagnosed with major depressive disorder who engage in expressive writing exhibit significant decreases in depression scores (Beck Depression Inventory and Patient Health Questionnaire-9). Group therapy thrives on open and honest communication; confidentiality is essential in establishing trust. However, sharing personal information carries inherent risks, necessitating caution among members (APA, 2020).

Diverse groups may face conflicts stemming from disagreements. The therapist's role is crucial in addressing conflicts as they arise, preventing lingering animosity and improving the group's cohesion. Challenges specific to older adults in group settings include chronic illness, cognitive decline affecting functional capacity, and compromised mobility, which hinder their ability to engage fully in therapy (Wheeler, 2014). Addressing these challenges is vital for participants to utilize psychotherapeutic resources effectively.

Strategies to encourage independence and self-mastery can combat challenges associated with aging (Wheeler, 2014). Overall, sharing experiences through group psychotherapy proves beneficial for older adults, facilitating a supportive environment that addresses their interpersonal and emotional needs.

Paper For Above Instructions

Group therapy is a powerful intervention utilized to support older adults as they navigate various life challenges. This analysis focuses on the dynamics of group therapy, specifically examining the observed sessions, the therapeutic strategies used, and recommendations for enhancing the effectiveness of such settings.

Group therapy functions on numerous psychological principles, bringing together individuals in a structured environment where they can share experiences and support each other. Each member contributes unique perspectives, fostering a sense of community and shared understanding. For older adults, such collective experiences can significantly alleviate feelings of isolation and depression, whereas individual therapy may sometimes fall short in addressing the complex social needs of this demographic.

The cognitive behavioral therapy approach is particularly effective for older adults. CBT focuses on changing negative thinking patterns that contribute to depression, allowing participants to reframe their thoughts and develop healthier behaviors. The group I observed adhered to these principles, utilizing various CBT techniques such as cognitive restructuring and expressive writing. Initial questionnaires helped gauge the members' levels of depression, thus aiding in tailoring the sessions to their specific needs (Halverston, 2019).

During the therapy sessions, participants engaged openly, expressing their deepest feelings related to shared emotional issues. This open communication offers several benefits, including the validation of experiences and the opportunity for members to explore solutions collectively. However, challenges were evident, including moments when some members needed redirection to remain focused. Such challenges highlight the importance of effective group facilitation to maintain optimal engagement among participants.

The diversity within the group also presented unique challenges. Different backgrounds, life experiences, and mental health statuses could generate disagreements. Therefore, establishing ground rules regarding confidentiality and respectful communication is crucial. It is essential that therapists actively mediate discussions to prevent any lingering resentment or harmful dynamics within the group. Regular monitoring of group interactions helps ensure that everyone remains focused and engaged.

In addition to addressing communication challenges, it is essential to consider the individual needs of older adults who may be facing physical or cognitive limitations. For example, chronic illnesses, cognitive decline, and mobility issues can restrict participation levels. Addressing these aspects requires a therapist's creativity and adaptability, potentially incorporating more flexible session structures or alternative methods of interaction to enhance participation (Wheeler, 2014).

Moreover, strategies to promote independence among older adults can be beneficial. Encouraging practices such as manageable physical exercises or establishing routines can help combat feelings of helplessness and foster self-esteem (Wheeler, 2014). Integrating discussions about empowerment or mastery into sessions serves to validate the members' experiences while reinforcing their autonomy.

As therapy progresses, monitoring effectiveness through continuous feedback and assessments can significantly improve outcomes. Utilizing tools such as follow-up questionnaires or one-on-one check-ins allows for the identification of specific challenges each member faces and monitors improvements in their mental health status. Such feedback will enable therapists to adjust their strategies accordingly, personalizing approaches based on real-time data. Efforts to facilitate community and inter-member support will further enhance the efficacy of the group process.

In conclusion, placing older adults in a supportive group therapy setting can yield numerous benefits. By cautiously managing group dynamics, employing effective therapeutic strategies, and focusing on individualized needs, facilitators can help enhance the overall quality of life for older adults. The therapeutic relationship created within the group provides essential support, leading to improved mental health outcomes and positive social connections.

References

• American Psychological Association (2020). Psychotherapy: Understanding group therapy. Retrieved from [APA Website]
• Halverson, J.L. MD (2019). What are the DSM-5 criteria for diagnosis of major depressive disorder (clinical depression)? Retrieved from [Halverson Website]
• Jalili, N.S., Karimi, Z., Nejatinejad, N., Bahmani, B., Naghiaee, M., & Ghasemi, J.R. (2017). Effectiveness of cognitive existential group therapy on quality of life of elderly people.
• Krishna, M., Honagodu, A., Rajendra, R., Sundarachar, R., Lane, S., & Lepping, P. (2013). A systematic review and meta-analysis of group psychotherapy for sub-clinical depression in older adults. International Journal of Geriatric Psychiatry, 28(9), 881–888. DOI:10.1002/gps.3905.
• Stangor, C. (2017). Group Processes. Oxford Research Encyclopedias: Psychology. DOI: 10.1093/acrefore/.013.255.
• Tavares, L.R., & Barbosa, M.R. (2018). Efficacy of group psychotherapy for geriatric depression: A systematic review. Archives of Gerontology and Geriatrics, 78, 71-80.
• Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.