Depression treatment Flashcards
Cognitive Behavioral
Therapy (CBT)
a structured form of psychotherapy that aims to change patterns of thinking or behavior causing people’s emotional distress. there is a focus on how thoughts, feelings, and behaviors are interconnected
Cognitive Triad
depressed people often have neg views of themselves, the world, and the future
CBT Triangle
thoughts influence behaviors influence feelings influence thoughts and so on
Automatic thought
spontaneous thoughts that occur in response to events. These thoughts are often irrational and negative, contributing to mood disorders like depression
Core belief
fundamental, deep-seared ideas individuals hold about themselves and the world. Influence automatic thoughts
Cognitive restructuring
process of identifying and challenging distorted or irrational thoughts and replacing them w/ balance, evidenced-based alternatives
Socratic questioning
technique where therapist asks guided questions to help client reflect on and challenge their assumptions
Behavioral activation
Involves encouraging clients to engage in positive and rewarding activities to counteract avoidance and inactivity, common in depression
Cognitive distortion
thinking errors that cause people to perceive reality inaccurately
all or nothing thinking (cog dist)
Viewing situations in extreme, black and white terms
Overgeneralization (cog dist)
Drawing broad, negative conclusions from a single event
Catastrophizing (cog dist)
Expecting the worst possible outcome. In a situation, no matter how unlikely it is
Personalization (cog dist)
Taking responsibility for events that are outside of one’s control
Jumping to conclusions (cog dist)
Making assumptions w/out evidence
Minimization and magnification (cog dist)
Min: downplaying achievements or positive outcomes
Mag:exaggerating the importance of mistakes or negative outcomes
Provide and example of an automatic thought and how one can challenge/replace said thought.
Thought: i ate poorly at lunch today, so I’ve completely ruined my health
restructuring: one meal doesn’t undo the progress. I can make healthy choices with my next meal
Describe how cognitive restructuring can be used to challenge a cognitive distortion
by restructuring how we think about a situation, we can think ourselves out of a thought trap by hitting it with evidence
What is the main underlying theory of change in CBT? (e.g., how does CBT work? What is assumed? Think
about the CBT triangle)
changing how a person thinks can change how they feel and behave
How is an automatic thought different than a core belief?
an automatic thought is a spontaneous thought in a response to an event, while a core belief is a fundamental idea individuals hold about themselves and the world. they influence automatic thoughts
What is the theory/reasoning behind the use of behavioral activation? Why does
it work?
depressions leads to avoidance and inactivity, which worsens depressive symptoms. It encourages clients to engage in rewarding, meaningful activities to combat avoidance, improving mood
Why might CBT with a child be difficult?
Kids have shorter attention spans, so you have to be creative to engage them fully with treatment. It also requires cognitive and developmental ability to think about your thoughts, so some kids might lack these skills
Why might CBT with a teen be difficult?
It requires a willing and active participant, and teens might be drug into therapy unwillingly, so it makes it difficult to see progress in them
Why might depression be hard to diagnose in a child? In a teen?
Child: might not understand feelings, could just present as irritable
Teen: might not talk about their feelings, could just be interpreted as normal teenage angst
