cognitive approach to treating depression Flashcards
what is CBT
congitive: identifys irrational and negative thoughts that would benefit from challenge
behavioural: work to change negative and irrational thoughts and puts more effective behaviours into place
begins with inital assement where asses problems. jointly identify goals for therapy + plan how achieved (goal setting)
therapists use techniques from who?
-becks cognitive therapy
-ellis’ rational emotive behavioural therapy
what happens in Beck’s cognitive therapy?
- therapist identify + challenge automatic negative thoughts about negative triad
- test reality of neg beliefs through homework
- this is used as evidence if pateint continue to believe their irrational thoughts
- eventually see things optimistically reducing depressive thoughts
what happens in Ellis’ rational emotive behaviour therapy (REBT)?
- ABCD: D=dispute. E=effect.
- REBT therapist identifies these + disputes irrational beliefs through vigorous argument
- asked to reinterpret their ABC + practice positive + optimistic thinking.
- intended effect is to change irrational belief + break link between negative life events + depression
what are the two arguments?
- empirical
- logical
what is an empirical argument?
there is evidence to support beliefs
what is a logical argument?
disputing whether the thought logically follows on from the fact
what happens in Behavioural Activation?
- therapist encourages depressed patient to decrease avoidance of difficult situation + isolation.
- instead should be more active + engaged in enjoyable activities
- this behaviour activation will provide more evidence for irrational nature of beliefs + help take part in enjoyable activities again
benefits of few side effects
- techniques in CBT like identifying and challenging automatic negative thoughts and goal setting,
- more ethical than drug treatments , long term sucess.
- C-> 42% relapse within 6 months. Only short term. to prevent CBT would have to continue
what supporting evidence is there?
Evidence supporting effectiveness of CBT
- March CBT + antidepressants vs isolated. Improvement- 81% CBT, 81% antidepressants, 86% CBT + antidepressants.
- Valuable + highly effective and just as effective as medication and more effective with antidepressants
what does it mean that the success could be due to the relationship?
- Quality of rel determines success rather than techniques
- opportunity to talk to sm who will listen matters most,
- questions validity as goes against what CBT trying to achieve
why might CBT not work for everyone?
- depression so severe cant motivate themselves to engage in work in CBT.
- More holistic- cbt + antidepressants.
+ not suitable for those not comfortable talking about feelings. - only suitable for specific range of those with depression
