Psychopathology - Cognitive Approach in Treating Depression

Question 1

CBT

Answer 1

Cognitive behavioural therapy

Question 2

What does cognitive therapy aim to identify?

Answer 2

Aims to identify and challenge the negative automatic thoughts of people with depression

Question 3

What does CBT aim to help people become aware of?

Answer 3

Aware of when they make negative interpretations

Question 4

What does CBT help people to develop?

Answer 4

Alternative ways of thinking and behaving

Question 5

How long is CBT?

Answer 5

Relatively brief. About 20 sessions roughly over 16 weeks

Question 6

What does CBT focus on?

Answer 6

The ‘hear and now’ rather than the past

Question 7

Phase 1 of CBT

Answer 7

Initial assessment - patient and therapist identify patient’s problems

Question 8

Phase 2 of CBT

Answer 8

Goal setting - patient and therapist make set of goals and an action plan

Question 9

Phase 3 of CBT

Answer 9

Identifying and challenging negative or irrational thoughts - patient and therapist challenge irrational thoughts by coming up with evidence for and against them

Question 10

Phase 4 of CBT

Answer 10

Homework - therapist sets tasks for patients to test their negative thoughts

Question 11

REBT

Answer 11

Rational emotive behaviour therapy

Question 12

What does REBT aim to identify, challenge and change?

Answer 12

Irrational thoughts and to change irrational beliefs to break link with negative events and depression

Question 13

Who developed REBT?

Answer 13

Ellis

Question 14

What did Ellis belief about faulty thinking?

Answer 14

It should be challenged and exposed for what it is

Question 15

What did March find about CBT?

Answer 15

It was as effective as antidepressants in treating depression

Question 16

How many adolescents with diagnosis of depression did March et al examine?

Answer 16

Over 300

Question 17

What did March et al look at?

Answer 17

The effectiveness of CBT, antidepressants and both

Question 18

After 36 weeks, what percentage of the antidepressant and CBT group significantly improve?

Answer 18

81% of CBT only group improved
81% of antidepressant only group improved
Shows they are both as effective as each other

Question 19

How did March et al find that a combination of antidepressants and CBT are the most effective treatment of depression?

Answer 19

86% of people in the ‘both’ group significantly improved

Question 20

Strengths of CBT

Answer 20

-Patient is engaged and active
-Deals with root cause and not just symptom
-No real side effect or withdrawal symptom - unlike drug consumption

Question 21

Weaknesses of CBT

Answer 21

-Person has to be committed and motivated to change
-Expensive and time consuming
-People become dependant on therapist

Question 22

All phases of CBT

Answer 22

1) Initial assessment
2) Goal setting
3) Identify and challenge negative or irrational thoughts
4) Homework