Depression Treatment Flashcards
What is the assumption of cognitive treatments?
If depression is caused by irrational, negative thinking, then changing the thinking will change the behaviour
What is the aim of cognitive treatments?
To turn irrational, negative thoughts into rational and positive thoughts
How many sessions is Beck’s treatment?
20 sessions over 16 weeks
What 4 strategies does Beck’s application use?
1) behavioural activation
2) homework
3) thought catching
4) cognitive restructuring
What is behavioural activation?
Encouraging the client to become more active and engage in fun activities
Rewarding for the client and is an antidote to depression
Gives the client the opportunity to practise challenging negative thoughts associated with fun activities
Scheduling fun events encourages participants to take part in social and rewarding activities
What is homework?
Clients are asked to complete homework between sessions in order to test irrational beliefs against reality e.g. asking someone out on a date when in the past you have been too afraid of due to fear of rejection
Only set tasks confident the patient can succeed at- failure would reinforce the ineptness they feel
Relapse is avoided through the use of booster sessions throughout the year
What is thought catching
The client is encouraged to identify and record their automatic negative thoughts and consider how they might challenge these
A thought log may be used
What is cognitive restructuring?
Changing negative automatic thoughts (NATS) into rational thoughts
What did Blackburn et al in 2000 say about CBT in comparison to antidepressants?
CBT was significantly superior to antidepressants especially over periods of more than a year
What did Derubeis study in 2005?
3 groups-
1) CBT
2) anti-depressant drugs
3) placebo
What was the improvement rate after 8 weeks (Derubeis 2005)
CBT- 43%
Drugs- 50%
Placebo- 25%
What did Hensley et al 2004 say about CBT treatment?
CBT is more enduring and after 2 years patients are more likely to be healthy than other groups of patients
What did Kupfer 2001 say?
The most effective form of treatment is a combination of CBT and anti-depressants
Ellis: people are not disturbed by things but rather?
Their view of things
What did Ellis see irrational thoughts as?
Causing emotional distress and behaviour disorders
