Cognitive Behavioural Therapy for Depression Flashcards
What happens as a result of negative early experiences?
Faulty thinking patterns and negative automatic thoughts
What are the main focuses of CBT for depression?
It changes distorted thinking present in those with depression and trains them to use more adaptive behaviours
What is the aim of the treatment?
- To challenge negative thoughts and replace them with constructive positive ones
- To prevent cognitive errors
How many sessions to clients usually have?
2-20 once a week for an hour
What does the treatment start with?
An education phase where the client learns about the cognitive triad and the relationship between thoughts, emotions and actions
How are ethical issues addressed?
Issues such as confidentiality and privacy wil be discussed as well as doing homework
Is there a plan for the course of treatment?
Yes, an agenda is set so they see what issues they would like to tackle, they also decide what pace they want to go at and what they don’t want to do
What is the frame of reference?
Roots of the clients problems, specific beliefs that need to be modified that are fundamental to the issue
What is the downward arrow technique?
Where the therapist breaks down the problem into seperate parts and sees how they are connected and how they affect the client
How do they look at thoughts, feelings and behaviours ?
To see if they are unrealistic or helpful and how they affect each other and the patient
How does the therapist challenge the faulty thinking?
By offering alternative interpretations and explanations
What do the homework assignments involve?
Getting the patient to carry out and behave in ways they were previously unable to
What is hypothesis testing?
Where the patient puts themselves into situations that are meant to test the negative automatic thoughts they hold in order to provide evidence that they aren’t correct
Do patients keep a diary?
Yes, they log their sessions, thought processes and their moods. They also reflect upon their homework
How does Comer (1999) support?
50-60% of patients show no re occurance of depressive symptoms after treatment
What did Williams et al (2013) find that supports?
That CBT alone and when combined with an imagery based treatment was successful
What did NICE say about CBT?
That they recommend it as the most effective psychological treatment for depression
What did Elkin et al (1989) suggest about its practicality?
That while it can be slightly less effective than clinical management, it is much less invasive than drugs and so is more practical
What is the biggest benefit?
There are no side effects so could be regarded as more ethical than drug treatment
How does Kuyken et al (2008) support?
He suggested that a form of CBT was more effective in preventing relapse and in improving quality of life than the use of antidepressants
What weakness does Chan et al (2006) offer?
That drug therapy could be a useful addition to CBT as a combination is more effective than CBT on its own
How does Holmes (2002) weaken the value of CBT?
Identified that the largest study into treatments for depression showed that CBT was less effective than antidepressant drugs
What is an issue with the data supporting CBT?
That they come from self report methods mostly which are unreliable and they may want to please the therapist and say that it is working.
What negative ethical implications does CBT have?
That is essentially blame the person for their disorder because it is their thoughts that cause it
