Psychopathology - Depression Treatment Flashcards
(10 cards)
Intro to CBT
Talking therapy
Helps manage problems by changing thoughts and feelings
Focuses on present problems, not past issues
Aims to change negative thought patterns and behaviours
Beck’s cognitive therapy
Based on Beck’s negative triad theory
Addresses negative self-schemas, cognitive biases, and negative triad
1. Thought catching
2. Patient as scientist
3. Behavioural activation
- Thought catching
Patients identify irrational thoughts and negative triad
Negative view of self, world, and future
Often done through keeping a thought diary
- Patient as scientist
Patients generate hypothesis to test irrational thoughts
Compare predictions to actual outcomes
Present evidence for and against irrational thoughts
- Behavioural activation
Patients set specific tasks to change behaviour
Gradual exposure to challenging situations
Builds confidence and challenges negative beliefs
Ellis’s REBT
Rational Emotive Behaviour Therapy
Based on ABC model
Activating event
Beliefs about the event
Consequences (feelings and behaviours)
Disputing irrational beliefs ABC‘D’
3 types of disputing:
1. Logical disputing
2. Empirical disputing
3. Pragmatic disputing
CBT in practice
5-20 sessions with therapist
Homework tasks between sessions
Patients practice identifying and challenging irrational thoughts
Gradual behaviour changes in everyday life
Evidence for CBT effectiveness
Marchetti et al:
Study on 327 patients aged 12-17
Compared CHT , drug treatment and combined approach
CBT showed improvement rates of 48% at 12 weeks, 65% at 24 weeks, 86% at 36 weeks
Evaluating CBT
Advantages:
No negative side effects unlike medication
Empowering for patients
Limitations:
Requires high motivation and commitment
May take longer to see effects compared to medication
Not suitable for all patients
