COGNTIVE APPROACH TO TREATING DEPRESSION Flashcards
what is the cognitive approach to treating depression?
cognitive behavioural therapy (CBT)
what do the patient and therapist do?
they work together to sort out the patients problems
identify where they may be negative of irrational thoughts
how is Beck’s theory showed in CBT?
through challenging the thoughts in the negative triad, so the patient can have a active role in their treatment
what are patient encouraged to be in CBT?
the scientist
what are patients encouraged to do in CBT?
encouraged to test the reality of their irrational beliefs
what might the therapist do in CBT?
set homework e.g. to recorded when they enjoyed an event and use this to challenge a belief
what does Ellis’ rational emotional behaviour therapy (REBT) extend the ABC model to?
ABCDE model
what is the DE in the ABCDE model?
dispute irrational beliefs
effect
how are irrational beliefs challenged in REBT?
identify if there is evidence to support this belief
dispute whether the negative thought follows facts
what is the goal of REBT?
to work with depressed individuals to decrease avoidance and isolation and increase behaviour activation e.g. going out for dinner or exercising
who conducted research to show that CBT is effective?
March et al
what did March et al find to support CBT?
research to support that CBT is just as effective a medication and helpful alongside medication
what might CBT not work for?
more severe types of depression
why might CBT not work for those with more severe cases of depression?
because they can’t motivate themselves into doing cognitive work
since CBT cannot treat all depression, what does this show?
shows that CBT cannot be used as the sole treatment for all depression
what can there be an overemphasis of in CBT?
overemphasis on cognition
what is an example of CBT having too much emphasis on cognition?
for example if someone is homeless or is unemployed, they need to change their circumstances and environment as this can still change the way they think
what can CBT do when it is overly focused on cognition?
can inappropriately demotivate people to change their situation
what does CBT not focus enough on?
someone’s past
why do some people want to focus on their past rather than the present and future (which CBT does)?
because they can have underlying trauma and childhood experiences that could link between their current depression
how does CBT’s lack of focus on the past limit it as a treatment for depression?
because the present focus of CBT can ignore the important aspect of the depressed patients experience
