Treatments

• CBT

  1. Becks cognitive therapy
  2. Homework
  3. Ellis' rational emotive behaviour therapy
  4. Methods of disputing
  5. Behavioural activism
• Beck's Cognitive Therapy

  • identify automatic negative thoughts of the world, self and future and challenge them to test the reality of the beliefs
• Homework

  • patients might be set homework (record/diary) which is used to dispute their own beliefs in the session - 'patient as scientist'
• Ellis' rational emotive behaviour therapy

  • extends the ABC model to ABCDE (dispute, effect)
  • aims to identify and dispute irrational thoughts, involving a vigorous argument with the intended effect of changing irrational thoughts
• Methods of disputing

  1. Empirical argument - actual evidence
  2. Logical argument - logically follow facts
  3. Pragmatic argument - how practical
• Behavioural Activism

  • therapist encourages patient to be more active and engage in enjoyable activities e.g. sports
• (CBT) + It's effective

  • research shows CBT is just as effective as medication and a combination of the two is an even better way of treatment
• (CBT) - May not work in some cases

  • very severe cases cannot motivate themselves to engage in CBT although medication may be used to get around this
• (CBT) - Success may be due to relationship

  • research suggests many forms of psychotherapy may be similar (therapist-patient relationship being the common factor), this might be determining the success
• (CBT) + Long term benefits

  • patients learn techniques which could be used in the future (long term solution), therefore more cost effective than drugs
• (CBT) - Not suitable for all people

  • Involves hard work, talking about feelings, dedication, and is time consuming which doesn't always suit people's character/life style