evaluation - cognitive treating depression

Question 1

It may not work for the most severe cases of depression

Answer 1

• CBT requires motivation
• Severe cases = lack of motivation = won’t engage fully
• Or people with learning disabilities
• Only appropriate for certain clients

Question 2

march et al - effective as antidepressants

Answer 2

• March et al (2007) found that CBT was as effective as antidepressants in treating depression
• 327 adolescents with depression
• compared the effectiveness of CBT, antidepressants and a combination
• found that individually 81% had improved
• demonstrates the effectiveness
• 86% of the combination group improved

Question 3

relapse rates

Answer 3

Not good in the long term
Ali et al assessed depression in 439 clients every month for 12 months following a course of CBT
42% relapsed within 6 months of ending treatment
53% relapsed within a year

Question 4

Some patients really want to explore their past - the ‘present focus’ of CBT may ignore an important aspect of the depressed patient’s experience