Treating Depression^ Flashcards
Cognitive Behavioural Therapy
Homework (Cog)
- review issues, set goals, make a plan to achieve them
- identifying the irrational thoughts
Behavioural
- challenge the neg. irrational thoughts
- replace with effective beh.
Beck’s Cognitive Therapy
identifying and challenging the Negative Triad
challenge and test the reality of irrational beliefs
Assessment
Formulation & Goals
Treatments
Homework & Monitoring (go back)
Treatment Complete
REBT
turn ABD into ABCDE
Aim
- challenge irrational thoughts
Disputing
- challenge by rigorous arguments
- with logical, empirical and pragmatic arguments
Types of Disputes in REBT
Logical - did they reach that conclusions from a rational way of thinking? Alt explanations?
Empirical - evidence to support their irrational thoughts?
Pragmatic - how useful is it to think in that way? Is it doing more harm than good to mental health?
Behavioural Activation
Avoiding difficult situations and isolating
aims to decrease avoidance and isolation
increase engagement
Evidence for Effectiveness
Supporting evidence
March et al
- CBT and antidepressants were 81% effective
- when together it’s 86%
CBT was just as effective as AD
- more effective together
CBT is usually 1st choice
Suitability for Diverse Clients
- not effective for those with severe depression or learning disabilities
- Sturmey
:psychotherapy is not suitable for learning disabilities - too difficult, not motivated for homework
VS: evidence that challenges the view CBT is unsuitable- Lewis & Lewis and Taylor
: CBT is effective for learning dis.
- CBT may be suitable for a diverse group
- therapy is crediable
Relapse Rates
- high relapse rates-Ali et al
: 42% relapse within 6 months
: 53% within a year - benefits are not very long lasting or permanent
- CBT may need to be repeated
Client Preference
- client prefer other methods
- Yrondi et al
: CBT least prefered - clients have different motivations
: explore trauma
: get rid of symptoms quickly - other forms of therapy should be more prevalent
