cognitive approach to treating depression

Question 1

Becks CBT:

patient and therapist work together

Answer 1

• work together to clarify problems

- find out why there negative and irrational thoughts that can be challenged

Question 2

Becks CBT:

challenge negative thoughts and trad

Answer 2

• aim to identify negative thoughts

- must be challenged by patients taking an active role in the treatment

Question 3

Becks CBT:

patient as scientist

Answer 3

• encouraged to test the reality of beliefs
• cans et homework like to note down happy thoughts
• in future, if they cant think positive, evidence to be produced to show its incorrect

Question 4

ellis’s rational emotive behavior therapy (REBT):

D and E

Answer 4

• D for dispute/ challenge irrational beliefs

- E for effect

Question 5

ellis’s REBT:

challenge irratinal beliefs

Answer 5

• empirical arguments - dispute whether there evidence to support the belief
• logical argument - disputing negative thoughts actually following from facts

Question 6

ellis’s REBT:

behavioral activation

Answer 6

• tend to avoid difficult situations and become more isolated (makes it worse)
• the goal is to gradually decrease avoidance and increases engagement in activities to improve mood

Question 7

limitation of CBT:

may not work for more serious cases

Answer 7

• in server cases, people cant be motivated to engage with the cognitive side of CBT
• antidepressants and medication used to commence CBT
• CBT sometimes cant be used as the sole treatment

Question 8

positive evaluation of CBT:

success may be due to the therapist-patient relationship

Answer 8

• Rosenzweig says the difference between therapies is small
• all psychotherapies have a therapist and patient relationship in common
• quality of relationship determines success rather than techniques
• suggests there a common basis between therapies that make them successful

Question 9

limitation of CBT:

maybe an overemphasis on cognition

Answer 9

• CBT can minimize the importance of patients circumstances (McCuster)
• patient living in abuse or poverty needs to change circumstances
• any process that emphasizes thoughts over environment can stop this
• can demotivate people to change their situation