the cognitive approach to treating depression

cognitive behaviour therapy
1. common, psychological treatment
  1. assess the patient
    1. identify goals
      1. challenge irrational thoughts
Beck's cognitive therapy
1. identify thoughts about: self, world and future
  1. challenge them
  2. test the reality of negative beliefs
2. homework diary
  1. patient as scientist
  2. proof that things are better than first thought
Ellis's - rational emotive behaviour therapy (REBT)
1. ABCDE model
  1. D - dispute
  2. E - effect
2. identify & dispute irrational thoughts
  1. challenge irrational thoughts
behavioural activation
1. encouraged to be more active & enjoyable activities
evaluation
1. it is effective
  1. large evidence - March
    1. compared CBT and drugs
      1. CBT just as effective (81%)
      2. drugs & CBT (86%)
2. may not work in severe cases
  1. can't motivate to engage in hard work of CBT
    1. can't pay attention
    2. may have to use CBT and drugs
3. more successful with a better patient/ therapist relationship
  1. quality of relationship determines success
  2. talking is what makes it successful
evaluation +
1. some patients want to explore their past
  1. CBT focuses on present and future
  2. they are aware of their past that is affected them
  3. talking about the present is frustrating
2. overemphasis on cognition
  1. CBT may miss important circumstances of a patient
    1. e.g. living with abuse - CBT ignores this
      1. may make people demotivated to change their situation

Resource summary

	Created by Daisy U almost 9 years ago