Cognitive Approach- Treating Depression Flashcards
What is CBT?
Cognitive Behaviour Therapy- a method for treating mental disorders based on cognitive and behavioural techniques. Therapy aims to challenge negative thoughts, such as behavioural activation.
What is the cognitive element of CBT?
Assessment where the client and CBT therapist work together to clarify clients problem. Identify goals for therapy and put together a plan to achieve them. Identify negative or irrational thoughts is central.
What is the behavioural element of CBT?
Working to change negative and irrational thoughts, put more effective behaviours into play.
What is Becks Cognitive Therapy?
Negative triad- identify automatic thoughts about self, world and future. These thoughts must be challenged. Test reality of negative thoughts, set hw to record when they enjoyed an event “client as scientist”. Use evidence to prove clients statements incorrect.
What is Ellis’s REBT?
Rational Emotive Behaviour Therapy (REBT).
Extends ABC model to include D and E, (dispute and effect) challenge irrational thoughts. A client may talk about how unfair things seem and a therapist would identify these as utopianism and challenge as an irrational belief. Change irrational belief to break link between negative life effects and depression. Use empirical argument (evidence) and logical (truth).
What is behavioural activation?
An individuals become depressed they avoid difficult situations and their symptoms worsen. Goal of behavioural activation is to gradually decrease avoidance and isolation engagement in activities to improve mood.
What is brief AO3?
- Evidence for effectiveness of CBT: March et al
- Lack of effectiveness for severe cases and those with learning difficulties HOWEVER, Lewis and Lewis, Taylor dispute this
- High relapse rates
What are strengths of CBT?
Evidence for effectiveness of CBT, March et al compared CBT to antidepressant drugs and to combination of both. When treating 327 depressed adolescents. After 36 weeks, 81% of CBT group, 81% of antidepressant group and 86% of CBT group had significantly improved. CBT just as effective on its own and more when used with antidepressants. CBT is a brief therapy (6-12 sessions) cost effective, CBT seen as first choice of treatment by NHS.
What are weaknesses of CBT?
