The Cognitive Approach to Treating Depression

Question 1

What is CBT?

Answer 1

Cognitive behaviour therapy

Question 2

What is the most commonly used psychological treatment for depression?

Answer 2

CBT

Question 3

What is CBT based on?

Answer 3

Using cognitive and behavioural technqiues

Question 4

What can CBT do?

Answer 4

Help people with how they think and what they do in order to make them feel better

Question 5

What are the two different types of CBTs?

Answer 5

• Beck’s cognitive therapy

- Ellis’s rational emotive behaviour therapy

Question 6

What happens in Beck’s cognitive therapy?

Answer 6

• Client assessed to discover severity of their conditions
• Therapist establishes baseline
• Then challenges the irrational thoughts

Question 7

What did Beck’s cognitive therapy challenge?

Answer 7

Negative triad of the client

Question 8

What are the patients challenged to do during Beck’s cognitive therapy?

Answer 8

Encouraged to test the reality of their irrational thoughts (‘patient’ as ‘scientist’)

Question 9

What is the shorter way of wording Ellis’s CBT?

Answer 9

REBT

Question 10

What did the REBT extend for the purpose of the CBT?

Answer 10

The ABC model

Question 11

What was the ABC model extended to?

Answer 11

ABCDE

Question 12

What does D stand for in the ABCDE model?

Answer 12

Dispute (challenge the thought)

Question 13

What does E stand for in the ABCDE model?

Answer 13

Effect (Beneficial effect on thought and behaviour)

Question 14

What are the two different types of arguments that Ellis use to challenge irrational thoughts?

Answer 14

• Empirical argument

- Logical argument

Question 15

What is the empirical argument?

Answer 15

Disputing whether there is evidence to support the irrational belief

Question 16

What is the logical argument?

Answer 16

Disputing whether the negative thought actually follows from the facts

Question 17

What is behavioural activation?

Answer 17

Increasing and encouraging engagement in activities that have shown to improve moods

Question 18

Why may behavioural activation have to occur?

Answer 18

Due to depression causing a person to increasingly avoid difficult situations and become isolated

Question 19

Why is CBT effective?

Answer 19

Reduces symptoms of depression and in preventing relapse and there is a large body of evidence to support this (March et al, 2007)

Question 20

Does CBT work on all cases?

Answer 20

No

Question 21

Which cases do CBT not work on?

Answer 21

Most severe cases

Question 22

What can you do to try and decrease the severity of depression to allow CBT to occur?

Answer 22

Use antidepressants

Question 23

Why is CBT a limitation in treating depression if not working for severe cases?

Answer 23

CBT cannot be used as the sole treatment in all cases

Question 24

What did Rosenzweig (1936) suggest?

Answer 24

The difference between various methods of psychotherapy is very small

Question 25

What is very important when commencing a CBT?

Answer 25

The therapist-patient relationship

Question 26

Does CBT focus on the present, future or past?

Answer 26

Future and present

Question 27

What does the CBT ot focus on?

Answer 27

The past

Question 28

Why may the focus of the CBT be a limation?

Answer 28

As patients want to focus on childhood experience so can find ‘present-focus’ therapy frustrating

Question 29

Is the cognition of depression oversimplified?

Answer 29

No, overemphasised

Question 30

Why is the cognition of treatment for depression be a limitation?

Answer 30

• Minimising certain aspects of patients living circumstances
• Patient may be living in poverty so may need to change location not there mind set