Cognitive Behavioural Therapy (CBT) as a Treatment for Depression

Question 1

What two things does CBT aim to do?

Answer 1

1. Help the patient change the way they think (cognitive)

2. Help the patient change behaviour to improve symptoms (behavioural)

Question 2

What is the first stage of CBT?

Answer 2

Patient discusses symptoms with therapist, explains how they feel and why.

Question 3

What is the second stage of CBT?

Answer 3

Patient realises their thoughts are negative, and aims to replace them with hrational and positive ways of thinking.

Question 4

What is the last stage of CBT?

Answer 4

Patients given ‘homework’ to do in between sessions that involves practicing rational thought processes, and writing their feelings in a diary to be discussed in next session.

Question 5

Give two strengths of using CBT to treat depression.

Answer 5

1. Can be used w other therapies
2. Longer-lasting treatment than only using antidepressants.
   • Patients learn to control symptoms by trying to change negative thoughts and can then do so as needed
   • Long-term use of antidepressants can cause side effects/stop working

Question 6

Give two weaknesses of using CBT to treat depression.

Answer 6

1. Relies on patient’s motivation
   
   • Lack of motiv = symptom : patients may find it diff to complete sessions.
   • Some may be offered drug therapy first to alleviate their symptoms and prepare for therapy.
2. Possibly unethical
   
   • Can be argued therapists encourage patients to believe their own thoughts and behaviours are problematic and somehow wrong
     - Therapist has opportunity to abuse position by telling patients to change to suit therapist’s idea of ‘normal’