Development of Cognitive Behaviour Therapy (CBT), and, its role in the practice of Mental Health (MH) Nursing

Your task is to discuss the development of Cognitive Behaviour Therapy (CBT), and, its role in the practice of Mental Health (MH) Nursing. The focus of your essay will draw from your knowledge and understanding of the basic principles and practice of CBT; how CB approach/skills can be adapted to MH nursing, and HOW THESE RELATE TO THE RECOVERY MODEL of mental health. Conclude with a summary of how you see CB approaches shaping the future of MH nursing and the development of MH practice in the 21st century.


This is the part where you a?say what youare going to saya, in the order that your essay will follow. Keep this brief but to the point.

Main Essay a this is the main body of your work, which should be guided by the assessment criteria of this assignment. Under each of the criteria I have identified the key areas that you should consider.
[Please refer to the assessment criteria on page 11]

Assessment criteria 1:

For this criterion, you need to discuss how CBT has developed to its present day status. You need to look at how MH problems had been managed before the era of CBT; what brought about the surge of behaviour therapy for example, and, how CBT has gained its place as one of the most effective treatment for several MH problems (NICE, 2004). Keep the discussion brief.

Assessment criteria 2:

For this criterion, you need to select ONE MH problem e.g. depression, anxiety, schizophrenia, and discuss examples of treatment used to manage the identified MH problem, prior to the inception of CBT.

Assessment criteria 3:

For this criterion, select TWO cognitive behavioural approaches that can be used to work with the MH problem that youave identified in your assessment criteria 2. You need to discuss the rationale for using these approaches i.e. the underpinning principles confirming their applicability. Here the CBT approaches to be discussed must involve those that initiate collaborative and psycho-social interventions that reflect a focus on helping the client to better understand their MH problems and to learn about the inter-connectedness of INTERNAL RESPONSES (i.e. thoughts, emotions behavioural and physiological responses) and how these are linked to EXTERNAL STIMULI (i.e. the environment or situation). You need to give clear examples of these approaches and discuss each one clearly. You are NOT expected to give examples from your own practice experience
MH problem a in discussing a mental health problem such as depression or psychosis, be specific in your definition, and focus on the criteria by which you choose your TREATMENT TARGETS for this problem; for example, what would be your starting point if you were engaging with someone who refuses to eat because their mood is very low. How do you start? What questions would you use and why? WHAT IS THE EVIDENCE BASE for your choice of action?
As you can see, this part of the discussion would take up quite a big part of your essay.

Assessment criteria 4:

In this criterion, discuss the limitations of CBT. Like all forms of therapy or treatment approach, there are aspects that are open to challenge or scrutiny, CBT is no exception. What are these?

Assessment criteria 5:

In this criterion, discuss the importance of adapting and using CB approaches in MH nursing practice, with especial reference to the recovery model. Should the teaching of CB skills become an integral part of MH pre/post-registration nurse education? Should all MH nurses be trained therapists? Discuss.

Assessment criteria 6 and 7:

These criteria are applicable to all written assignments and I am confident youare familiar with these. However, if youare unsure about referencing or use of relevant literature to support your essay, please seek help and advice from: Module Leader, Personal Tutors and Library help resource.

Essay Conclusion

A· Say a?what youave saida. Briefly say what your thoughts are from doing this essay.

1. Word limits in assignments
A maximum word limit is set for most assignments. Students are advised that when this is stated, they should ensure that any work submitted does not exceed this limit. Work which exceeds word limits will be penalised. For some courses students are required to submit an electronic copy of the assignment at the same time as a paper copy, where this is not a requirement students should retain an electronic copy of any assignment submitted. Where there is concern that word limits have been exceeded or inaccurately entered, students will be required to submit their work electronically.

2. What a?wordsa? should be counted?
The word count is defined as any words included in the text of the assignment (counted electronically by your word processing programme). The word count DOES NOT include assignment titles, questions set by the lecturer, tables, figures, graphs, diagrams, footnotes, bibliography / references, in text citations in brackets* and appendices. *As an example and for the purpose of clarification:

a?Amendments to the faculty word limit policy (Whiting and Horrocks, 2008) state thata¦a? would consume 9 words of the total word count.

Whereas, a?The amended faculty word limit policy by Whiting and Horrocks (2008) states thata¦a? would consume 12 words of the word count as the words Whiting and Horrocks are included as part of the sentence.


A· Plagiarism is an academic misconduct a please refer to your Students Handbook and plagiarism information leaflet.

Grammar and punctuation
Writing sentences and paragraphs organising your work
Writing concisely to stay within the word limit


Core Text(s)

Greenberger D, Padesky C, (1995) a?Mind over Mood; Change How You Feel by Changing the Way You Thinka? The Guildford press

Grant A, Townsend M, Mulhern R, Short N (2010) a?Cognitive Behavioral Therapy in Mental Health Carea? (2nd edition) London SAGE

Lam, D. (2008) Cognitive Behaviour Therapy: A Practical Guide to Helping People Take Control. London : Routledge

Westbrook, D., Kennerley, H. and Kirk, J. (2007) An Introduction to Cognitive Behaviour Therapy. Skills and Applications. London : SAGE

Sainsbury Centre for Mental Health Care (2007) a?Making Recovery a Realitya?

Suggested Reading :

Beck, A.T. (1991) Cognitive Therapy and The Emotional Disorders. New York : Penguin Books.