cognitive treatments of depression Flashcards
What therapy is commonly used for depression?
Cognitive behaviour therapy
What is CBT?
Clarify patients problems
Identify goals
Challenge irrational thoughts
What is Beck’s therapy called?
Cognitive therapy
How does Beck’s cognitive therapy work?
Identify automatic thoughts about negative triad
Challenge thoughts
Test reality of thoughts through homework
Patient as scientist
What is Ellis’ therapy called?
Rational emotive behaviour therapy (REBT)
What is the ABCDE model?
REBT
Dispute and Effect
How does REBT work?
Identify and dispute irrational thoughts
Argument between therapist and patient
What types of argument are used in REBT?
Empirical argument - disputing whether there is evidence to support belief
Logical argument - disputing whether thought follows logically from facts
What is behavioural activation?
Therapist encourages activity and engagement in enjoyment
Provides evidence for irrational nature of beliefs
Evaluation - effective
March - compared CBT and antidepressants
81% of CBT and 81% of antidepressants were improved
86% of both
CBT helpful alongside medication
Evaluation - may not work in severe cases
Patients can’t motivate themselves to engage with CBT
Antidepressants better for this
Evaluation - success due to patient therapist relationship
Psychotherapies all share the idea of patient therapist relationship
Quality of this determines success
Small differences between therapies eg comparing CBT to SD
Evaluation - some patients want to explore past
CBT focus on present and future
Patients aware of link between childhood and current depression
Find present focus approach frustrating
Evaluation - overemphasis on cognition
Minimises circumstances of patient
Patient living in abusive home
Can ignore aspects
