6) CA to treating depression

Question 1

What is the cognitive way of treating depression

Answer 1

CBT
- cognitive behavioural therapy

Question 2

What does CBT aim to do

Answer 2

Challenge negative and irrational thoughts, changing behaviour to be more effective

Question 3

What ways does Beck combat depressions

Answer 3

• Challenging negative thoughts and having the patient take an active role in their treatment
• Writing a diary and keeping track of emotions and events (client as scientist)

Question 4

What way does Ellis combat depression

Answer 4

• REBT rational emotive behaviour therapy
• Extends ABC to ABCDE, D for dispute and E for effect

Question 5

What are the two ways of challenging irrational thoughts

Answer 5

Empirical argument - is there evidence to support the belief ?
Logical argument - does the negative thought follow from the facts ?

Question 6

What is behavioural activation

Answer 6

Decrease in avoidance and isolation, increasing engagement which is shown to improve mood

Question 7

EV - Evidence of effectiveness

Answer 7

• March et al compared CBT/antidepressants and both
• After 36weeks 81% of CBT/antidepressants, 86% or both had significantly improved
• Shows relevance of CBT

Question 8

EV - Not suitable for diverse patients

Answer 8

• Requires high intensity engagement, however in severe case people lack the inability to do so
• as well as people with learning disabilities
• only available and helpful for a specific range of patients

Question 9

EV - High relapse rates

Answer 9

• Ali et al, assessed people 12 moths following CBT
• 42% had relapse within 6 months, and 53% within a year
• may require quite frequent repetition to remain effective