cognitive appraoch treating depression

Question 1

what is cognitive behaviour therapy

Answer 1

• method for treating mental disorders based on cognitive and behavioural therapies
• aims to deal with thinking and challenging negative thoughts

Question 2

what is Beck’s cognitive therapy

Answer 2

• challenges thoughts linked to cognitive triad
• aims to test reality of negative beliefs
• patient as scientist = homework to investigate reality , used as evidence in later sessions

Question 3

what is Ellis’ therapy

Answer 3

• REBT = rational emotive behavioural therapy
• extends ABC and adds DE - dispute and effect
• challenging belief to produce a positive Effect rather than negative Consequences
• disputing = can be empirical (evidence), or logical (does it follow from facts)

Question 4

what is behavioural activation

Answer 4

• encouraging patient to be more active and engage in enjoyable activities
• provides more evidence for irrational nature of beliefs

Question 5

evaluate CBT as a treatment for depression

Answer 5

• March et al = CBT vs/+ drugs, after 36 weeks both alone were 81% significantly improved and 86% combined - shows both are equally effective but better together
• no side effects = with CBT you don’t get the side effects like you do from drugs which could be difficult for people with depression so therefore CBT may be more appropriate
• time and effort = CBT requires motivation and time commitment to go to multiple sessions and people with depression may lack motivation, therefore making it difficult to attend sessions
• Keller (2000) = 52% effective alone, 85% effective with anti-depressants
• appropriateness = works well for moderate depression but not for severe depression
• non-invasive = only involves talking to a patient and reframing thoughts