Rhian + CBT

• Point: effectiveness

  One strength of cognitive behavioural therapy (CBT), which may reassure Rhian, is that it is generally an effective treatment for depression and anxiety.
• Evidence: effectiveness

  Research by Jarrett et Al (1999) found that CBT was just as effective as antidepressants in treating severe depression over a 10-week trial. this shows that CBT can be a powerful alternative to drug therapies, especially for people who prefer not to rely on medication
• Evaluate: effectiveness

  However, other research, like that by Hollon et Al (1992), found that CBT was no more effective than another kind of antidepressant, suggesting CBT isn’t always superior. Additionally, factors like therapist competence can impact how successful the therapy is, as Kuyken and Tsivrikos (2009) found that therapist skill accounted for up to 15% of CBT’s effectiveness.
• Link: effectiveness

  Overall, CBT can be highly effective, but it’s success depends on individual differences and the quality of delivery, which Rhian should consider when deciding whether to proceed
• Point: Ethics

  Rhian’s concerns about ethics are valid, as CBT does raise some ethical issues, particularly around patient blame
• Evidence: ethics

  CBT assumes that clients are responsible for their own negative thoughts, which may empower some, but can also feel like blame for others. If rhian’s mental health issues are linked to life stressors like bereavement or financial hardship, CBT might unintentionally overlook these external issues
• Evaluate: ethics

  Another concern is how irrational thoughts are judged. CBT may try to challenge beliefs that a therapist sees as irrational, but research by Alloy and Abrahamson (1979) suggests that depressed people may actually have more realistic views than others - the “sadder but wiser” effect. This raises the risk of psychological harm if CBT leads Rhian to doubt valid concerns or lowers her self-esteem
• Link: ethics

  Therefore, while CBT can be empowering, Rhian should be aware that it might not suit everyone and can carry emotional risks if not applied sensitively
• Conclusion

  In conclusion, CBT is often effective and empowering, which may reassure Rhian. However, its success depends on the therapist and the individual’s needs, and ethical concerns such as blame or misjudging rationality ahould be carefully considered before starting therapy