Depression: cognitive behavioural therapy Flashcards
(19 cards)
What does cognitive behavioural therapy aim to do?
Aims to set goals and identify cognitive bias that are challenged by the expert therapist
How often is CBT typically and how long does it usually last?
1 session a week or fortnight, 5-20 sessions
What are typical characteristics of CBT?
Goal orientated
Highly structured
Focused on current problems
Helpful afterward
Where did CBT come from?
Becks cognitive therapy combined with Ellis’ REBT create CBT
What is the aim of Ellis’ REBT techniques?
Aims to challenge/dispute irrational thoughts through 3 types of argument
What are the three disputes of Ellis’ REBT?
Empirical
Logical
Pragmatic
What is the empirical dispute?
Examining evidence for negative thoughts (where is the evidence to prove this belief?)
What is the logical dispute?
Challenging if negative thoughts logically follow facts (does this belief make sense?)
What is the pragmatic dispute?
Assessing whether negative thoughts make the situation better or worse (how does this belief help me?)
What do the DEF in Ellis’ treatment stand for?
D - dispute
E/F - effect (creating helpful beliefs and feelings / desired outcome)
What does Beck’s cognitive therapy aim to do?
Identify cognitive bias and negative self schema about the world, self and future - these are then challenged and changed into rational thoughts (thought catching)
What are some techniques involved in becks cognitive therapy?
Dysfunctional thought diaries
Homework - tasks which challenge cognitive bias
Participate in pleasurable activities
Activity scheduling
What is a dysfunctional thought diary?
Negative thoughts are written down and supported with ‘evidence’, these thoughts are then disputed and alternative thoughts are disputed
What are the components involved in a dysfunctional thought diary?
Situation
Unhelpful thought / image
Factual evidence that supports your thoughts
Factual evidence against your thoughts
Alternative rational perspective
Evaluate CBT (economy)
Benefits economy
Helps people manage in daily life, they can return to work
Therefore increased productivity, pay taxes and dependent from welfare state
Evaluate CBT (real life application)
Real life application to NHS
March (2007) - 81% of teens using CBT significantly improved after 36W.
However it is time consuming, long waiting list and therapist experience varies
Evaluate CBT (empowers client)
Aims to identify irrational beliefs
Provides techniques to support people in the future
Empowers client by showing them they have control over their thoughts
Evaluate CBT (not appropriate for everybody)
Ellis (2001) - some people prefer to share worries with therapists without disputing their cognition / recovering.
People need to be willing to change and not forced into therapy
Needs self awareness so isn’t appropriate for schizophrenics and children
Evaluate CBT (effective with SSRIs)
Drug therapy (SSRIs) are cheap and quick to use
When used alongside CBT it has effective results
However, drugs have side effects whereas CBT doesn’t
