treating depression

• one treatment of depression of cognitive behavioural therapy (CBT)
• Becks version of CBT involves identifying negative thoughts in relation to themselves their future and the world around them. These negative thoughts are challenged by discussing evidence for and against them.
• ellis' rational emotive behavioural therapy (CBT) consists of the A,B,C,D,E model- A- activating event, B- beliefs, C- consequences, D- dispute, E- effect. patient's irrational thoughts are challenged and they are presented with ways of rational thinking.
• ellis' rational emotive behavioural therapy (CBT) uses 2 methods to dispute patient's irrational thoughts: empirical arguments= therapist seeks evidence from patient to support their ways of thinking. logical arguments= therapist questions patients logic, this could involve shame-attacking exercises
• both Ellis' and Beck's CBT involves behavioural activation which consists of increasing patients engagement in activities that improve their mood and decrease avoidance
• becks CBT may involve giving patients homework - investigating the the reality of their negative beliefs and proving them as incorrect
• supportive evidence to show CBT as effective - March et al - compared CBT to antidepressants and also a combination of the 2. After 36 weeks, 81% of the CBT group had significantly improved, 81% of the antidepressant group had also improved but 86% of the combo group had improved. So CBT is just as effective as drug therapy and also more cost effective
• limitation of CBT - high relapse rates - research has shown 42% of clients relapsed 6 months after treatment - success may depend more on the quality of the patient-therapist relationship