Cognitive Approach Treating Depression

Question 1

Cognitive behavioural therapy CBT

Answer 1

AO1

Question 2

Beck: Patient and therapist work together

Answer 2

• work together to clarify patients problems

- identify where there might be negative or irrational thoughts that will benefit from challenge

Question 3

Beck: challenging negative thoughts relating to negative triad

Answer 3

• aim to identify negative thoughts about the self and the world and future - Negative Triad
• these thoughts must be challenged by the patient taking an active role in their treatment

Question 4

Beck: patient as scientists

Answer 4

• patients are encouraged ti test the reality of their irrational beliefs
• set HW- record when they have enjoyed an event ow then people were nice to them
• future sessions if partners say no one is nice it them therapist can erode the patient belief is incorrect with evidence

Question 5

Ellis rational emotive behaviour REBT

Answer 5

REBT extends the ABC to ABCDE
D for disputing irrational beliefs
E for effort

Question 6

Ellis- challenging irrational beliefs

Answer 6

-patient may talk about how unlucky- how unfair life is
REBT therapist identify - Utopianism and challenge it as an irrational belief
-Empirical argument- disputing whether there is evidence to support the irrational belief
- logical argument- disputing whether the negative thoughts actually follow from facts

Question 7

Eliis- behavioural activation

Answer 7

• individuals become depressed- increasingly avoid difficult situations and become isolated which maintains or worsens symptoms
• goal of treatment is to work with depressed individuals to gradually decrease their avoidance and isolation- increase engagement in activities that have been show to improve mood

Question 8

CBT evaluation

Answer 8

strength- CBT is effective- evidence- March et al compared the effects of CBT with Antidepressants and combination of the two- 327 depressed teens - after 36 weeks- 81% of CBT group and 86% of AD and 86% of CBT+AD significantly improved- CBT just as effective as medication- suggests CBT can be 1st treatment choice in health care systems
limitation- CBT not work for severe cases of depression-some cases severe patients cannot motivate to take on hard Cognitive work required for CBT- where this is the case possible to treat patients with ADM and include Cat when they are more alert and motivated - therefore L CBT- means CBT cannot be sole treatment for all cases of Depression
limitation- success may be due to the therapist-patient relationship- Rosenzweig (1936)- differences between various methods of psychotherapy might be small in reality- all therapist have a relationship between the patient- might be the quality of the relationship that determines success rather than a technique - limitation because small differences between therapies- suggesting common bias