Lesson 10- Treating Depression- Cognitive ๐ง Behavioural ๐โโโ Therapy (CBT)- Beck & Rational Emotive Behavioural ๐โโโTherapy (REBT)- Ellis & DEF Model Flashcards
What method of treating depression was developed by Beck?
Cognitive ๐ง Behavioural ๐โโ๏ธ Therapy (CBT)
What method of treating depression was developed by Ellis?
Rational Emotive ๐ญ Behavioural ๐โโ๏ธ Therapy (REBT)
What was the 3rd method of treating depression (Ellis)?
DEF Model (โฆ whole of Ellisโ model to explain and treat depression= ABCDEF model)
What 3 principles is the CBT ๐ง ๐โโ๏ธ based on?
1) Restructure ๐๐ญ-> ๐๐ญ
2) ๐๐ญ= ๐๐โโโ
3) ๐๐ญ about self, ๐ & future addressed (๐ง triad- basis)
What 5 steps are carried out in CBT ๐ง ๐โโ๏ธ?
1) โthough catchingโ- identify ๐๐ญ- client & therapist
2) Challenge ๐๐ญ
3) Set goals ๐ฅ
(focus on present situation)
4) Keep record- events- challenge ๐๐ญ (๐ events)
5) Reinforcement of ๐๐ญ encouraged
What are the evaluation points of Beckโs CBT ๐ง ๐โโ๏ธ?
๐- drugs- less effort needed- Cujipers (2013)- CBT very effective- combined with ๐ therapy- own โ๏ธ as effective- use alongside ๐
๐- gets to root ๐ฑ cause (cure)- uncovers underlying issues unlike ๐ /medication (act as plaster)- mask ๐ท symptoms
๐- CBT โ๏ธ effective to treat severe symptoms- only mild depression- ๐ โฌ๏ธ effective
๐- long term cure- relapse (deterioration) rates โฌ๏ธ- โฆ ๐ต effective for NHS- return ๐ฅ unlikely
What 3 principles is the REBT ๐ญ๐โโ๏ธ based on?
1) Restructure ๐๐ญ-> ๐๐ญ
2) ๐๐ญ= ๐๐โ
3) Reinterpret ABC model- โฌ๏ธ ๐ & logical way (rational)
What 3 steps are carried out in REBT ๐ญ๐โโ๏ธ?
1) Reinterpret ABC Model in ๐ & logical (rational) way
2) Homework- โ
in between therapy sessions- test ๐, irrational beliefs in real ๐- replace with ๐, rational ones
3) Behavioural ๐โโโ Activation- clients encouraged to be active- participate- pleasurable activitiesโฝ๏ธ ๐
What is the DEF model (3)?
1) Disputing irrational ๐ญ & ๐โ: (1)- logical disputing- self defeating, ๐ beliefs- โ๏ธlogic from info available (2)- empirical disputing- self defeating, ๐ beliefs- โ๏ธconsistent with reality
2) Effects of disputing: change self defeating, ๐ beliefs-> rational, ๐ beliefs
3) Feelings/emotions: ๐ญ changes- more ๐ & rational- feel better- ๐ ๐โโโ
What are the evaluation points of Ellisโ REBT ๐ญ๐โโ๏ธ?
๐- unclear if ๐๐ญ cause or symptom of depression. If symptom- REBT โ๏ธ tackle root cause- depression- return- future
๐- research support- David (2008)- compared patients- 14 weeks REBT OR ๐ treatment- 6 months later- REBT better long term depression treatment
๐- dependent- skill/expertise- therapist- rare- the โฌ๏ธ the skills, the โฌ๏ธ the effectiveness
๐- research support- Flannaghan et al (1997)- REBT to treat depressive stroke victims- helps ๐ ๐ญ & ๐โโโ