The cognitive approach to treating depression

• What is the effectiveness rate of CBT after 36 weeks?

  81%
• What do SSRIs suggest about depression?

  There is a biological aspect to depression
• What do cognitive theories assume about depressed thoughts?

  They are irrational
• What is the goal of cognitive therapy for depression?

  To change negative schemas and thoughts
• What is the role of the patient in Beck's CBT?

  To act as a scientist testing hypotheses
• What is the purpose of homework tasks in CBT?

  To identify and challenge negative thoughts
• What is hypothesis testing in CBT?

  Comparing negative thoughts to reality
• What is behavioral activation in CBT?


  Encouraging participation in enjoyable activities
• What does Ellis's REBT add to the ABC model?

  D for dispute and E for effect
• What are empirical arguments in REBT?


  Challenging clients to provide evidence
• What is the goal of shame attacking exercises in REBT?

  To confront fears and cope with disapproval
• How do Beck's CBT and Ellis's REBT differ?

  Beck involves self-discovery, Ellis direct confrontation
• What was the effectiveness rate of combined treatment in March's study?

  86%
• Why might some patients need drug therapy before CBT?

  To stabilize severe depression symptoms
• What is a criticism of CBT regarding patient responsibility?

  It can be seen as victim blaming
• What is a limitation of focusing on the present in CBT?

  It may overlook past trauma's impact
• What is an economic argument for CBT compared to drug therapy?

  CBT is more expensive for health services
• Why might patients prefer drug treatments over CBT?

  Due to fewer side effects and ease
• What are the key components of Beck's cognitive therapy?

  • Identifying irrational thoughts
  • Testing hypotheses about thoughts
  • Gathering evidence through diary tasks
  • Behavioral activation to increase engagement
• What are the key components of Ellis's Rational Emotive Behavior Therapy (REBT)?

  • ABC model: Activating event, Belief, Consequence
  • Adding D for Dispute and E for Effect
  • Challenging irrational beliefs with empirical and logical arguments
  • Shame attacking exercises to confront fears
• What are the strengths and weaknesses of cognitive therapies for depression?

  Strengths:

  • Effective in treating depression
  • Empowers patients to take control
  • Validates cognitive explanations

  
  

  Weaknesses:

  • May overlook biological factors
  • Can be seen as victim blaming
  • Focuses on present, ignoring past trauma
• What are the differences between Beck's CBT and Ellis's REBT?

  • Beck's CBT: Patient discovers irrationality
  • Ellis's REBT: Therapist confronts irrational beliefs
  • Both aim to restructure negative thoughts
  • Different methods of engagement with clients
• What are the implications of the effectiveness of combined treatment for depression?

  • Higher effectiveness rate (86%)
  • Suggests integration of therapies is beneficial
  • Highlights need for tailored treatment approaches