treatment for depression

Question 1

cbt

Answer 1

cognitive behaviour therapy

• one of most common treatment 4 depression

Question 2

how does cbt work

Answer 2

1. assessment , therapist + patient , understand problem , set clear goals
2. make clear plan to achieve goals
   ( key part of cbt is identifying negative / irrational thoughts that may make situation worse)
3. therapy focuses on changing irrational bad thoughts and replacing them with more realistic ones
4. cbt helps patient develop healthier behaviours
5. some therapists use techniques from bct ( beck) others use ellis

Question 3

rebt

Answer 3

rational emotional behaviour ,
- expands abc model into abcdef model

Question 4

def

Answer 4

d- dispute ( challenging irrational beliefs)

e- effect ( new healthier thoughts)

f- feelings ( resulting positive emotions )

Question 5

what does ellis rebt do

Answer 5

• identify/ challenge irrational thoughts , replacing them with rational thoughts =. more positive emotions

Question 6

how is that done ? 3 types of disputing

Answer 6

logical disputing= questions whether belief makes sense

empirical disputing = looks for evidence to support / refute belief

pragmatic disputing = considers whterhr belief is helpful

Question 7

cbt advtanege , effective

Answer 7

p- lots of evidence, showing effectiveness

e- John march , compared cbt to antidepressant , and then a combo of both , treating 327 depressed adolescents , after 36 weeks , 81% of cbt group , 81% of anti dep, and 86% of combo significantly improved, so cbt just as effective when used on its own and with a. combo

e- + fairly brief therapy , 6 -12 lessons , = cost effect ,

l= so good case for making it first treatment in nhs

Question 8

shame attacking excercises

Answer 8

• client performs behaviour they fear doing infant of ppl
• shows clients they can act against their emotions and cope w unpleasant experiences

Question 9

cbt limitaiton , depression oo severe

Answer 9

p- depression too severe,

e- can’t do what cbt needs them to do e.g do homework, challenge irrational thoughts ,+ attending sessions requires motivation/committment

e- dont have that cos so severe

l- so drug therapy is better for them , till they can be stable enough to do psych treatment