cognitive treatment for depression Flashcards
what is the cognitive treatment for depression?
cognitive behavioural therapy
who and when was it developed?
Beck et al in the 1960s
what does it combine?
cognitive and behavioural aspects
is it available on the NHS?
yes
what is the individual told to focus on and consider?
focus on negative thoughts and then consider new ways of thinking
what are the 2 main focuses on CBT?
- change distorted thinking present in those with depression
- train patients to use more adaptive methods
what are the 3 main aims of the treatment?
challenge negative thinking and replace with constructive positive thoughts that will lead to healthy behaviour
-make cognitive errors conscious and then challenge then, make it look like there is no basis
when does it usually occur?
once a week/fortnight for 5 to 20 sessions lasting 50-60 mins
how does the course normally start?
education phase, patient taught about relationship between thoughts, emotions and actions, ethical issues
why is an agenda set?
so the client can do what they want at their own pace
how does therapist help break down problem?
- downward arrow technique
- breaks down into parts that can be connected
what does it mean by solution based?
doesn’t dwell in the past, all about the here and now, how thinking is unrealistic
why are homework assignments set?
ao that patient can practice changes talked about, normally hypothesis testing putting self in situations not normally experience
what other tools are used for the client outside treatment?
to discover self concept, speaking to friends and family to find out things about themselves
what can the therapy help change?
how you think and what you do
what does the therapy challenge?
negative thoughts
what does the therapist summarise at the start?
the agenda to check full understanding
what is a mood diary, what does it enable to patient to do?
log and monitor their thought processes outside therapy
who is the programme backed up by? (S)
government funding by the UK
what is a strength of the stud in terms of time etc?
fairly quick, cheap to provide and less side effects when looking at drugs, why the government backs it up
what did butler conclude? (S)
that CBT was effective for treating depression after reviewing several studies and meta analysis where the treatment was used
what did NICE find? (S)
it was the most effective treatment in treating severe and moderate depression
what did williams find? (S)
his study is based on CBT and is our contemporary study he found that CBT alone combined with an imagery treatment was successful in treating depression of a woman named carol
why is the study ethical?
it has no side effects, so can be regarded more ethical than the drug treatment
what belief is CBT based on and why might this idea cause a relapse?
it is based on the belief that depression is caused by faulty thinking, which might be a result of depression not a cause, when depression is removed so is negative thoughts, shows that removing cause may not remove the cause, resulting in a relapse
what are some ethical implications for the treatment? (W)
it essentially blames the person for their disorder as it is their thoughts that cause it, ethical implication based on how it makes the patient feel
what type of data is normally gathered to study the treatment?
self report
why is the data gathered to study this treatment unreliable and in valid?
self report
may try to please the clinician and say treatment is working
also may depend on mood which will change day to day
social desirability
what did chan et al find? (W)
that drug therapy could be useful as an addition to CBT and a combination was more effective than CBT on its own
