8. Cognitive Approach To Treating Depression Flashcards
What is the most commonly used psychological treatment for depression?
Cognitive behavioural therapy
What is the first stage of CBT?
An assessment with the therapist to understand the patient’s problems
What do the patient and therapist do together in CBT?
What do the patient and therapist do together in CBT?
What is one of the central tasks in CBT?
Finding and challenging irrational thoughts
What do most CBT therapists draw on?
Both Beck and Ellis’ theories
What is the main aim of Beck’s cognitive therapy?
To identify and challenge the negative triad
Other than challenging the negative triad, what is the other aim of Beck’s cognitive therapy?
To test the reality of the patient’s negative claims
What does REBT stand for?
Rational emotive behaviour therapy
What does REBT extend?
Ellis’ ABC model
What is the ABC model extended to in REBT?
ABCDE model
What do the D and E stand for in the ABCDE model?
Dispute, effect
What will a therapist in REBT do to challenge a patient’s beliefs?
Have a vigorous argument to change an irrational belief
What is an empirical argument?
Disputing evidence for negative beliefs
What is behavioural activation?
Encouraging a depressed patient to be more active
Who studied the effects of CBT, antidepressants and a mixture of both?
March et al (2007)
How many adolescents were included in March et Al’s research?
327
Which group in March et Al’s study had experienced the most improvement with their depression?
CBT and antidepressants
What percentage of the CBT and antidepressants group in March’s study had experienced significant improvement in their depression?
86%
What percentage of the CBT group in March’s study had experienced significant improvement in their depression?
81%
What percentage of the antidepressants group in March’s study had experienced significant improvement in their depression?
81%
Why is CBT not effective in the most severe cases of depression?
Patients cannot motivate themselves enough to engage or stay focussed
What can be used as an alternative to CBT?
Antidepressants
What did Rosenzweig suggest in 1936 about different methods of psychotherapy?
Differences may only be small, as the relationship with the therapist is likely to determine success or failure
What did Luborsky et al find in 2002?
The opportunity to discuss feelings is what matters most, not technique
What can patients find frustrating about CBT?
There is little focus on the past, mainly focussing on the present and future instead
What did McCusker argue in 2014 is a limitation of CBT?
It may minimise the importance of the circumstances in which the patient is living
What can happen if CBT techniques are used inappropriately?
It can demotivate people to change their situation
Why is the client taught different types of disputing in REBT?
Theyre different ways to challenge irrational thoughts
What are the three types of disputing in REBT?
- Logical disputing (does this way of thinking make sense)
- Empirical disputing (where is the proof that this belief is accurate)
- Pragmatic disputing (how is this belief likely to help me)
Why does the therapist give the client unconditional positive regard?
to facilitate a change in the client’s irrational belief system
