Treating Depression^

Question 1

Cognitive Behavioural Therapy

Answer 1

Homework (Cog)
- review issues, set goals, make a plan to achieve them
- identifying the irrational thoughts
Behavioural
- challenge the neg. irrational thoughts
- replace with effective beh.

Question 2

Beck’s Cognitive Therapy

Answer 2

identifying and challenge irrational thought and faulty thinking from Negative Triad
T challenge and test the reality of irrational beliefs via hw

Assessment
Formulation & Goals
Treatments
Homework & Monitoring (go back)
Treatment Complete

Question 3

REBT

Answer 3

turn ABC into ABCDE
aim to challenge irrational thoughts to treat D
D: disputing them with logical, empirical and pragmatic arguments

Question 4

Types of Disputes in REBT

Answer 4

Logical - did they reach that conclusions from a rational way of thinking? Alt explanations?
Empirical - evidence to support their irrational thoughts?
Pragmatic - how useful is it to think in that way? Is it doing more harm than good to mental health?

Question 5

Behavioural Activation

Answer 5

Avoiding difficult situations and isolating
aims to decrease avoidance and isolation
increase engagement

Question 6

Evidence for Effectiveness

Answer 6

Supporting evidence
March et al
- CBT and antidepressants were 81% effective
- when together it’s 86%
CBT was just as effective as AD
- more effective together
CBT is usually 1st choice

Question 7

Suitability for Diverse Clients

Answer 7

• not effective for those with severe depression or learning disabilities
• Sturmey
  :psychotherapy is not suitable for learning disabilities
• too difficult, not motivated for homework

Question 8

VS Suitability for Diverse Clients

Answer 8

evidence that challenges the view CBT is unsuitable
Lewis & Lewis and Taylor et al
- CBT is effective for learning dis.
- CBT may be suitable for a diverse group
therapy is crediable

Question 9

Relapse Rates

Answer 9

• high relapse rates-Ali et al
  : 42% relapse within 6 months
  : 53% within a year
• benefits are not very long lasting or permanent
• CBT may need to be repeated

Question 10

Client Preference

Answer 10

• client prefer other methods
• Yrondi et al
  : CBT least prefered
• clients have different motivations
  : explore trauma
  : get rid of symptoms quickly
• other forms of therapy should be more prevalent