cognitive treatment for depression Flashcards

(29 cards)

1
Q

what is the cognitive treatment for depression?

A

cognitive behavioural therapy

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2
Q

who and when was it developed?

A

Beck et al in the 1960s

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3
Q

what does it combine?

A

cognitive and behavioural aspects

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4
Q

is it available on the NHS?

A

yes

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5
Q

what is the individual told to focus on and consider?

A

focus on negative thoughts and then consider new ways of thinking

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6
Q

what are the 2 main focuses on CBT?

A
  • change distorted thinking present in those with depression
  • train patients to use more adaptive methods
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7
Q

what are the 3 main aims of the treatment?

A

challenge negative thinking and replace with constructive positive thoughts that will lead to healthy behaviour
-make cognitive errors conscious and then challenge then, make it look like there is no basis

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8
Q

when does it usually occur?

A

once a week/fortnight for 5 to 20 sessions lasting 50-60 mins

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9
Q

how does the course normally start?

A

education phase, patient taught about relationship between thoughts, emotions and actions, ethical issues

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10
Q

why is an agenda set?

A

so the client can do what they want at their own pace

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11
Q

how does therapist help break down problem?

A
  • downward arrow technique

- breaks down into parts that can be connected

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12
Q

what does it mean by solution based?

A

doesn’t dwell in the past, all about the here and now, how thinking is unrealistic

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13
Q

why are homework assignments set?

A

ao that patient can practice changes talked about, normally hypothesis testing putting self in situations not normally experience

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14
Q

what other tools are used for the client outside treatment?

A

to discover self concept, speaking to friends and family to find out things about themselves

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15
Q

what can the therapy help change?

A

how you think and what you do

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16
Q

what does the therapy challenge?

A

negative thoughts

17
Q

what does the therapist summarise at the start?

A

the agenda to check full understanding

18
Q

what is a mood diary, what does it enable to patient to do?

A

log and monitor their thought processes outside therapy

19
Q

who is the programme backed up by? (S)

A

government funding by the UK

20
Q

what is a strength of the stud in terms of time etc?

A

fairly quick, cheap to provide and less side effects when looking at drugs, why the government backs it up

21
Q

what did butler conclude? (S)

A

that CBT was effective for treating depression after reviewing several studies and meta analysis where the treatment was used

22
Q

what did NICE find? (S)

A

it was the most effective treatment in treating severe and moderate depression

23
Q

what did williams find? (S)

A

his study is based on CBT and is our contemporary study he found that CBT alone combined with an imagery treatment was successful in treating depression of a woman named carol

24
Q

why is the study ethical?

A

it has no side effects, so can be regarded more ethical than the drug treatment

25
what belief is CBT based on and why might this idea cause a relapse?
it is based on the belief that depression is caused by faulty thinking, which might be a result of depression not a cause, when depression is removed so is negative thoughts, shows that removing cause may not remove the cause, resulting in a relapse
26
what are some ethical implications for the treatment? (W)
it essentially blames the person for their disorder as it is their thoughts that cause it, ethical implication based on how it makes the patient feel
27
what type of data is normally gathered to study the treatment?
self report
28
why is the data gathered to study this treatment unreliable and in valid?
self report may try to please the clinician and say treatment is working also may depend on mood which will change day to day social desirability
29
what did chan et al find? (W)
that drug therapy could be useful as an addition to CBT and a combination was more effective than CBT on its own