Cognitive Treatments Depression
COGNITIVE BEHAVIOURAL THERAPY
->IDENTIFY IRRATIONAL THOUGHTS
- client + therapist work together to identify nature of irrational thoughts the client is having
->DISPUTING IRRATIONAL THOUGHTS
- logical argument based on client inferences
- empirical argument based on actual evidence
->PATIENT AS SCIENTIST + ROLE OF HOMEWORK
- client required to objectively assess validity of their irrational beliefs like a scientist
- set homework for client
- client encouraged to continue going out + doing things usually enjoy
- the more they go out , these can be used as evidence against irrational thoughts
+ comparing CBT to antidepressants -> MARCH ET AL assessed treatment response after 36 weeks in 387 adolescent -> CBT = 81% improved, A = 81%, but CBT + A = 86% improve -> evidence that CBT is affective treating depression as A
+ why CBT preferred to antidepressants? -> A can create dependency + has side effects -> like weight gain, nausea, and sleep disturbance -> CBT targets problem, antidepressants masks symptoms
- success due to patient-therapist relationship -> LUBORSKY ET AL found very little difference in effectiveness between different psychotherapy forms -> so relationship between may be most important -> people want to talk opening to someone -> means CBT effectiveness has nothing to do with actual techniques used, people just want to feel listened to