cognitive treatment for depression

Question 1

what is the cognitive treatment for depression?

Answer 1

cognitive behavioural therapy

Question 2

who and when was it developed?

Answer 2

Beck et al in the 1960s

Question 3

what does it combine?

Answer 3

cognitive and behavioural aspects

Question 4

is it available on the NHS?

Answer 4

yes

Question 5

what is the individual told to focus on and consider?

Answer 5

focus on negative thoughts and then consider new ways of thinking

Question 6

what are the 2 main focuses on CBT?

Answer 6

• change distorted thinking present in those with depression
• train patients to use more adaptive methods

Question 7

what are the 3 main aims of the treatment?

Answer 7

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

Question 8

when does it usually occur?

Answer 8

once a week/fortnight for 5 to 20 sessions lasting 50-60 mins

Question 9

how does the course normally start?

Answer 9

education phase, patient taught about relationship between thoughts, emotions and actions, ethical issues

Question 10

why is an agenda set?

Answer 10

so the client can do what they want at their own pace

Question 11

how does therapist help break down problem?

Answer 11

• downward arrow technique

- breaks down into parts that can be connected

Question 12

what does it mean by solution based?

Answer 12

doesn’t dwell in the past, all about the here and now, how thinking is unrealistic

Question 13

why are homework assignments set?

Answer 13

ao that patient can practice changes talked about, normally hypothesis testing putting self in situations not normally experience

Question 14

what other tools are used for the client outside treatment?

Answer 14

to discover self concept, speaking to friends and family to find out things about themselves

Question 15

what can the therapy help change?

Answer 15

how you think and what you do

Question 16

what does the therapy challenge?

Answer 16

negative thoughts

Question 17

what does the therapist summarise at the start?

Answer 17

the agenda to check full understanding

Question 18

what is a mood diary, what does it enable to patient to do?

Answer 18

log and monitor their thought processes outside therapy

Question 19

who is the programme backed up by? (S)

Answer 19

government funding by the UK

Question 20

what is a strength of the stud in terms of time etc?

Answer 20

fairly quick, cheap to provide and less side effects when looking at drugs, why the government backs it up

Question 21

what did butler conclude? (S)

Answer 21

that CBT was effective for treating depression after reviewing several studies and meta analysis where the treatment was used

Question 22

what did NICE find? (S)

Answer 22

it was the most effective treatment in treating severe and moderate depression

Question 23

what did williams find? (S)

Answer 23

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

Question 24

why is the study ethical?

Answer 24

it has no side effects, so can be regarded more ethical than the drug treatment

Question 25

what belief is CBT based on and why might this idea cause a relapse?

Answer 25

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

Question 26

what are some ethical implications for the treatment? (W)

Answer 26

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

Question 27

what type of data is normally gathered to study the treatment?

Answer 27

self report

Question 28

why is the data gathered to study this treatment unreliable and in valid?

Answer 28

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

Question 29

what did chan et al find? (W)

Answer 29

that drug therapy could be useful as an addition to CBT and a combination was more effective than CBT on its own