Treatment of depression

Question 1

treatments of depression

Answer 1

1. CBT
2. REBT
3. Behavioural activation

Question 2

CBT

Answer 2

Cognitive Behavioural Therapy
* works on principles identified by Beck’s cognitive theory of depression
* aims to identify negative thoughts that form the negative triad
* homework tasks e.g. diary, encourage social activities (cinema)
* challenge irrational thoughts
* applying skills + techniques used to treat behaviour e.g. relaxation techniques + reducing irrational thoughts

Question 3

Evaluation

Answer 3

+ March et al
- Not appropriate- requires motivation
- High relapse rates- ineffective

Question 4

March et al

Answer 4

2007
* Supportive evidence for effectiveness of CBT
* compared CBT to antidepressant drugs
* found that CBT on its own was just as effective as when used alongside the antidepressants

Answer 5

• CBT involves lots of cognitive work
• not very suitable for patients who lack motivation/patients with learning disabilities
• treatment is not very appropriate for all people as it involves attending weekly sessions

Answer 6

• CBT has high relapse rates
• 2017- analysis of 439 clients found that 42% of clients relapsed into depression within 6 months of ending CBT treatment
• 53% relapsed within a year
• CBT may not have strong long term effects
• treatment lacks effectiveness because of high relapse rates

Question 7

REBT

Answer 7

Rational Emotive Behavioural Therapy
* extends the principle of the ABC model
* ABCDE
* D= dispute
* E= effect
* aims to identify + dispute irrational thoughts through vigourous arguements that challenges whether there’s actual evidence to support negative beliefs

Question 8

Evaluation

Answer 8

- requires motivation
- arguementative nature
- doesnt consider endogenous depression

Question 9

- requires motivation

Answer 9

• method may not be appropriate for all patients
• requires attending weekly sessions and some clients may lack the motivation to do so

Question 10

• argumentative nature

Answer 10

• theres an arguementative nature to the treatment so some clients may not like the dispute element of the therapy
• not appropriate for ppl with learning disabilities
• therapy may lack appropriateness

Answer 11

• study does not consider people suffering from endogenous depression
• these people do not have an event that triggers depression
• therapy lacks effectiveness

Question 12

Behaviouarl activation

Answer 12

• therapist aims to encourage the patient to stop avoiding situations that have led to social withdrawal
• therapist aims to reinforce activities that increase engagement

Question 13

Evaluation

Answer 13

• requires motivation
• ineffective in reducing symptoms + relapse rates
• not appropriate

Question 14

• requires motivation

Answer 14

• requires that patient is motivated to participate in social activities e.g. going out with friends
• may not be appropriate for all people

Answer 15

• does not address the causes of depression
• doesnt help patients address and manage their irrational thoughts
• ineffective in reducing symptoms + possible relapse rate

Answer 16

• may not be appropriate for people with disabilities/ learning disabilities