Cognative Apporach To Treating Depression Flashcards
Describe what happens during CBT
Start with an assessment which the patient and therapist work though identifying patients problems. Jointly identify goals for therapy and put a plan together eg. Irrational thoughts and work to change them.
Explain how Beck’s theory can be used in CBT
When negative triad identified the therapist challenges the client. Which helps the client test the reality of these thoughts.
Client set homework to record enjoyable events ‘patient as scientist’
Investigates the truth in their thoughts
Describe what happens during Ellis’s rational emotional behaviour therapy (REBT) (arguments)
Extends ABC —> ABCDE (D= dispute and E= effect)
Central technique is to identify and dispute irrational thoughts
Empirical arguments- wether there is actual evidence for thoughts
Logical argument- involves wether thought follows fact
What is behavioural activation
Along with CBT they may work to encourage depressed patient to get outside and engage in activities
Explain how CBT is effective (AO3)
March et al: compared effects of CBT and antidepressants in 327 adults. 56 weeks, 81% of CBT group and 81% of antidepressant group significantly improved.
CBT just as effective as drugs
Explain how CBT may not work for severe cases (AO3)
Depression can be so severe patients cannot motivate themselves to engage with CBT.
Therefore drugs used first and then can begin CBT.
Explain how success of CBT may just be down to therapist patient relationship. (AO3)
Rosenzweig: suggested differences between CBT and systematic desensitisation may be small.
All psychotherapies share one thing (patient/ therapist relationship) it may be the quality of this which deems the success rather than treatment. (It’s just good to talk to someone)
