Cognitive approach to treating depression

• What is CBT? ( Cognitive behavioural therapy )

  Cognitive element: begins with assessment to clarify client's problems, then plan to identify negative schemas that need changing

  Behavioural element: planning and performing behaviours to alter negative thinking
• What is REBT?

  Extends the ABC model to ABCDE, D for dispute and E for effect

  REBT works by disputing irrational thoughts through vigorous arguement.
• What are the two types of argument used in REBT

  Empirical argument - disputing whether there is evidence to support the irrational belief.

  Logical argument - disputing whether the negative thought actually makes sense from the facts available
• how do relapse rates limit CBT

  1. High relapse rates
  2. Ali study assessed depression in over 400 clients every month for 12 months after CBT, 42% relapsed within 6 months of ending treatment, 53% relapsed within a year
  3. Limits as CBT may need to be repeated periodically