Cognitive Approach Treating Depression

Question 1

What is cognitive behavioural therapy

Answer 1

Involves both cognitive and behavioural elements
- aims to identify irrational and negative thoughts and replace them with more positive and rational ones
Components:
1. Initial assessment
2.goal setting
3.identify negative and irrational thoughts and challenge these using:
Beck’s cognitive therapy or Ellis REBT
4.homework

Question 2

Describe becks cognitive behavioural therapy

Answer 2

They will help the patient to identify negative thoughts in relation to themselves,world, future using becks negative triads
They will challenge these irrational thoughts by discussing evidence for and against them
They will be set homework to challenge and test their negative thoughts

Question 3

Describe REBT

Answer 3

Ellis developed his ABC model to include D (dispute) E (effective)
They challenge irrational thoughts through dispute argument

The therapies will dispute the patients irrational beliefs and replace them with more effective beliefs
There are different types of disputes used:
Logical dispute- where the therapist questions the logic of a persons thoughts
Empirical dispute- where the therapist seeks evidence for a persons thoughts

Question 4

After the session the therapist may set patient homework
What does this mean

Answer 4

The patient identifies their own irrational beliefs and then proves them as wrong
-as a result the beliefs begin to change

Question 5

AO3

Answer 5

+research to demonstrate the effectiveness - march et al
-CBT was as effective as antidepressants- 327 pps with depression - 81% of antidepressant group and 81% of of CBT group Improved
— CBT requires motivation
- patients with depression may not engage or even attend the sessions- antidepressants don’t require motivation so my be more effective-CBT can’t be the sole treatment
— overemphasis on the role of cognition as the primary cause of depression
- other social factors- ie people suffering with abuse don’t need to change their negative or irrational beliefs - CBT ineffective until their circumstances of abuse has changes
— CBT success is not due to beck or Ellis
- due to the relationship between client and therapist- having someone to
Talk may be the crucial component of a positive outcome