The cognitive approach to treating depression

Question 1

Cognitive behavioural therapy CBT

Answer 1

get us to change our underlying thoughts and behaviours that are contributing to our depression

Question 2

Rational emotive behavioural therapy REBT

Answer 2

works by changing negative irrational thoughts into positive rational thoughts. It extends Ellis’ model to ABCDE.
D- we dispute these negative consequences
E- and see the effect this will have

Question 3

3 different ways we can challenge irrational thoughts

Answer 3

1. Logically disputing: why those thoughts don’t make sense
2. Empirically disputing: finding evidence against those thoughts
3. Pragmatically disputing: working out what would happen in your life if you continue this way.

Question 4

Evaluation strength: March et al (2007)

Answer 4

found that CBT was just as effective as medication in terms of improving depressive symptoms and even more effective when used in combination with drugs.

Question 5

Evaluation weakness: dependent on the therapist

Answer 5

If the patient does not develop a good relationship with the therapist, they will not benefit from any of the strategies in session.

Question 6

Evaluation weakness: requires motivation

Answer 6

patients have to complete homework assignments between sessions to practice strategies.

Question 7

Evaluation weakness: issues with causation

Answer 7

an unpleasant environment may be causing depression and no amount of positive thinking will change this.

Question 8

Evaluation weakness: not suitable for all patients

Answer 8

i.e. those who struggle to articulate their thoughts and feelings will not benefit as they cannot find what is causing their depression.