Cognitive approach to treating depression

Question 1

What is CBT?

Answer 1

Cognitive behavioural therapy - Identifying negative/irrational thoughts that need to be challenged.

Question 2

What is the aim of Beck’s cognitive therapy?

Answer 2

To get patients to test the reality of their negative beliefs.

Question 3

How is the aim of Beck’s cognitive therapy achieved?

Answer 3

By the therapist setting homework that can be used as evidence for the patient in the future.

Question 4

What is REBT and who created it?

Answer 4

Rational emotional behaviour therapy - Ellis

Question 5

How does REBT extend the ABC model?

Answer 5

It adds dispute and effect to it.

Question 6

What is the central technique of REBT?

Answer 6

To identify and challenge irrational thoughts.

Question 7

What is behavioural activation?

Answer 7

To decrease the depressed person’s avoidance and increase their engagement in activities.

Question 8

What is one strength of CBT? - There is evidence to support its effectiveness

Answer 8

• March et al: study comparing CBT with drugs and both at the same time.
• After 36 weeks, 81% CBT group, 81% drugs group and 86% of the both group significantly improved.
• CBT is 6-12 sessions so is also cost-effective.

Question 9

What is a limitation of CBT? - Lack of effectiveness for severe cases/patients with learning disabilities

Answer 9

• Severe clients can’t motivate themselves to engage with the work, or be able to pay attention.
• The complex work and concentration also means those with learning disabilities may struggle.
• CBT, only appropriate for a specific group of people.

Question 10

What is a limitation of CBT? - High relapse rates

Answer 10

• There are concerns over how long the benefits of CBT last.
• Some studies suggest that long-term outcomes aren’t as good as first assumed.
• Ali et al followed 439 clients every month for 12 months after CBT: 42% relapsed in 6 months and 52% in a year.