Cognitive Approach To Treating Depression Flashcards
What are the two types of cognitive therapy?
Cognitive behavioural therapy
Rational emotive behavioural therapy
What is the primary aim of the cognitive element in CBT?
To clarify the problem and identify goals
This involves working together with the therapist to identify negative or irrational thoughts.
What is the primary aim of the behavioural element in CBT?
To put effective behaviours in place
What is Beck’s cognitive therapy?
Identify automatic negative thoughts about the world, self and future
Helping client test reality of their thoughts/beliefs
- sets client homework such as recording an event they enjoyed
- homework is used to correct client negative statements
What are irrational thoughts also known as?
Dysfunctional thoughts
Can interfere with a person’s happiness and lead to mental disorders such as depression.
What is Ellis’s rational emotive behaviour therapy?
Aims to identify and dispute irrational thoughts, breaking the link between negatibe life events and depression.
Therapist argues with client using two types of arguments
- Empirical argument: using statistics to challenge negative beliefs
- Logical argument: using logic to challenge negative beliefs
How was the ABC model changed for REBT?
ABC model extended into ABCDE
D - dispute
E - effect
What is behavioural activation?
Decreasing avoidance and isolation through increasing engagement in activities that improve mood
People increasing avoid difficult situations when depressed
- isolation maintains or worsens symptoms
What is one limitation of CBT in terms of effectiveness?
Lack of effectiveness in severe depression and learning disability (LD)
Clients may lack motivation or concentration
Complex rational thoughts is required (LD)
- Sturney: any form of talking therapy isnt suitable for those with learning disabilities
What’s another limitation of CBT?
High relaspe rates
Concerns over how long the benefits last
- Ali et al: 42% relasped into depression within 6 months and 53% relasped within a year
What’s a strength of CBT regarding effectiveness?
March et al compared CBT to antidepressents and a combination of both
81% effectiveness for both CBT and antidepressants
The combination of both had an effectiveness of 86%.
How many sessions does CBT usually involve?
as a strength of CBT
Between 6-12 sessions
This makes it a fairly brief treatment option and cost effective
- first choice in NHS treatment
What’s another strength of CBT?
Lewis and Lewis concluded CBT was as effective as antidepressants and behavioural therapies for people with learning disabilities
