cognitive approach to treating depression; CBT

Question 1

What is CBT?

Answer 1

-treat depression
-patient and therapist work together to achieve goals
-identify negative and irritational thoughts and try to change them
-therpaists use beck and ellis model

Question 2

CBT and becks cognitive therapy?

Answer 2

-focuses on negative triad
-thoughts about self, world and future identified by patient and therpaist then challenged
-patient made to test reality of their beliefs
-set hw to record when someone was nice to them for example(client as scientist)
-later proved to client their statement isnt true

Question 3

rational emotive behaviour therapy (REBT)
-ELLIS ABC MODEL

Answer 3

-extends the model to D and E
-D= dispute
-E= effect

Question 4

what does the REBT do?

Answer 4

-identify and dispute irriaitonal thoughts
-if patient talks of how unfair life is
the therapist sees it as utopianism and challenge the thought using a vigrous argument
-breaks link between negative life events and depression
-irriational thought is challenged

Question 5

how are beliefs disupted?

Answer 5

-empirical = is there evidence to support belief?
-logical= does negative impact logically follow from facts?

Question 6

what is behavioural activation?

Answer 6

-when individuals are depressed they avoid or isolate themselves to maintain symotoms or worsen them
-behavioural activation decreases avoidance and increase engagment to imporve mood
-e.g exercise or go out for dinner
-therpaist reinforces this

Question 7

CBT evaluate- strengths

Answer 7

effectivness?
-works
-march et al comapred CBT to anti depressants and also a combo of both
-when treating 327 teens
-after 36 wks, 81% of CBT grp and 81% of antidepressant group imapacted
-including 86% of cbt and anti dep significantly imapcted
-cbt only requires 6 to 12 sessions - cost effective
-cbt seen as first treatment in NHS

Question 8

CBT evaluate - limitaions

Answer 8

(sustainablity for diverse clients:)
-lack effectivness for severe cases and learning dis
-severe dep may cause lack of motivation and lack of attention in sessions
-complex rational thinking required in sessions may be unsuitable
-talking therapies unsuitbale for those w learning dis
-cbt only appropriate for a few
(relapse rates:)
-high relapse
-short term benefits
-ali et al = assesed 439 clients every month for 12 months after cbt
- 42% relapse within 6 months
-53% within a year
-cbt may have to be repeated periodcally
(client preference:)
-some clients prefer meds to tackle symptoms quick
-survivors of truama= prefer tp explore origins of symptoms
-yrondi et al - found depressed ppl rated cbt as least preffered

Question 9

CBT evaluate - counterpoint diverse clients

Answer 9

-cbt as effective as anti depressants and behavioural therpaies for severe depression
-taylor et al = when cbt used appropriatly can be used with those who have learning dis