Treating Depression^

Question 1

Cognitive Behavioural Therapy

Answer 1

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.

Question 2

Beck’s Cognitive Therapy

Answer 2

identifying and challenging the Negative Triad
challenge and test the reality of irrational beliefs

Assessment
Formulation & Goals
Treatments
Homework & Monitoring (go back)
Treatment Complete

Question 3

REBT

Answer 3

turn ABD into ABCDE
Aim
- challenge irrational thoughts
Disputing
- challenge by rigorous arguments

Question 4

Behavioural Activation

Answer 4

Avoiding difficult situations and isolating
aims to decrease avoidance and isolation
increase engagement

Question 5

Evidence for Effectiveness

Answer 5

• supporting evidence
• March et al
  : CBT and antidepressants were 81% effectivewhen together it’s 86%
• CBT was just as effective as AD
  : more effective together
• CBT is usually 1st choice

Question 6

Suitability for Diverse Clients

Answer 6

• 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

Question 7

Relapse Rates

Answer 7

• 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

Question 8

Client Preference

Answer 8

• 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