Section II. Psychological Treatments

Question 1

Psychological treatments for MDD share 7 common components, what are they?

Answer 1

1. Goal of treatment is to alleviate course symptoms of depression
2. Careful attention to specific method of therapy [use manual]
3. Psychotherapy focusses on current problems of patient
4. High levels of activity are expected from both therapist and patient [homework]
5. Careful symptom monitoring, preferably with rating scales
6. Psychoeducation
7. Treatment is generally time limited

Question 2

severe/high-risk cases of MDD, would you start psychotherapy treatment first?

Answer 2

No, must start pharmacological treatment or neurostimulation for severe cases

Question 3

when are psychological therapies NOT indicated?

Answer 3

• Psychotic depression
• Severe MDD requiring antidepressants, antipsychotics, or neurostimulation (ECT, rTMS, DBS, etc.)

Question 4

True or false: Comorbid personality disorder with MDD has a positive/ good prognostic impact on treatment?

What level evidence supports this?

Answer 4

False

Level 2 evidence

Question 5

What psychological therapy helps improve depressive symptoms in SUD? What level evidence?

Answer 5

CBT

Level 2 evidence

Question 6

What psychological therapy helps improve both depressive and ADHD symptoms? What level evidence?

Answer 6

CBT

Level 2 evidence

Question 7

which psychological therapy is most effective for those with HIV and depression? Level of evidence?

Answer 7

CBT delivered in group format [Level 1]

IPT [level 2]

Question 8

what types of psychological therapies [3] are shown to be effective with cardiovascular disease and depression? Level of evidence?

Answer 8

CBT, IPT, and PST [level 2]

Alone or with antidepressants

Question 9

What psychological therapy helps with depression in those with Parkinson’s disease? Level of evidence?

Answer 9

CBT

Level 2 evidence

Question 10

what 3 comorbid medical disorders with depression benefit from CBT with level 2 evidence?

Answer 10

• Cardiovascular disease
• Multiple sclerosis
• Parkinson’s disease

Question 11

List the 1st line psychological therapies for acute MDD [3]:

Answer 11

CBT (Level 1 evidence)
IPT (Level 1 evidence)
BA (Level 1 evidence)

Question 12

List the 1st line psychological therapies for maintenance treatment of MDD [2]:

Answer 12

CBT (Level 1 evidence
MBCT (Level 1 evidence)

Question 13

List the 2nd line psychological therapies for acute MDD [6]:

Answer 13

1. MBCT
2. CBASP
3. PST
4. STPP
5. Phone-delivered CBT or IPT
6. Internet assisted psychological therapy

• all level 2 evidence

Question 14

List all 2nd line psychological therapies for maintenance treatment of MDD [3]:

Answer 14

1. IPT
2. BA
3. CBASP

• all level 2 evidence

Question 15

List all 3rd line psychological treatment for acute MDD [4]:

Answer 15

1. Long term PDT (only 3rd line option for maintenance therapy)
2. ACT
3. Video psychotherapy
4. MI