CBT for depression

Question 1

role of doctor depression cbt

Answer 1

• Depression is caused by faulty thinking so CBT is a method to change the maladaptive thoughts
  which lead to depression to more adaptive ones thus treating the depression e.g., teach you to
  decatastrophise thoughts/not let them run away.
• You will have 1:1 sessions with a therapist.
• Cognitive behavioural therapy for clients with depression often lasts for 6 to 12 sessions on the
  NHS, with the clients receiving one or two sessions a week.

Question 2

depression cbt identify

Answer 2

• At the beginning of the treatment clients may be told how their thought patterns lead to their
  depression and behaviours. The therapist will identify the individuals maladaptive/faulty
  thinking through methods like the Johari window, downward arrow technique and discussion
  with the therapist.
• The therapist listens to the client’s core beliefs about themselves to understand what the
  client is thinking and the processes involved.
• Patients are asked to keep a thought catching diary/mood diary (keep track of when the
  thoughts occur) throughout the time between sessions

Question 3

depression cbt challenge

Answer 3

Encouraged to challenge negative thoughts and replace them with more positive/realistic
thoughts for given situations, which should reduce their depression. The role of the therapist is
to help them do this, as a collaborative method.
* A therapist will also carry out evidential disputing. This is finding the evidence which goes
against negative thoughts.

Question 4

depression cbt change

Answer 4

• Patients are encouraged to put techniques into practice each week. For example, they may
  teach you to de-catastrophise thoughts/not let them run away.

Question 5

Hollon (2005)

Answer 5

showed CBT had a longer lasting effect than drugs with relapse being 47% for
drugs and 31% for CBT. This shows that there is evidence CBT can be an effective therapy to
reduce the symptoms of depression.

Question 6

Williams et al. (2013)

Answer 6

found that CBM-I combined with iCBT significantly reduced the
symptoms of unipolar depression on all the measures they used. This shows that there is
evidence CBT can be an effective therapy to reduce the symptoms of depression

Question 7

Mirai et al (2013

Answer 7

Mirai et al (2013) questioned the efficacy of computer based CBT as it has an unacceptable
high drop-out rate and relapse is greater than face-to face therapy. This suggests other
treatments might be better for treating depression.

Question 8

March et al (2004)

Answer 8

suggested that for adolescents the best results are found by combining
drug treatment with CBT, meaning just the use of CBT is not effective.