CBT

• CBT tries to change faulty cognitions
• CBT aims to identify and change the patient's faulty cognitions.

  This is through the patient noticing negative thoughts when they have them and test the accuracy
• Stages of CBT

  1. Therapist and client identify faulty cognition
  2. Therapist tries to help client see that cognitions aren't true
  3. Set goals to think in more positive and adaptive ways
  4. Mainly focuses on present situation
  5. Encourage client to keep a diary of events to record patterns of feelings and actions
• Advantages of CBT

  Empowers patients - put in charge of own treatment by teaching self-help. Fewer ethical issues
• Advantages of CBT

  DeRubeis et al compared CBT and drug therapy for depression.

  Both treatments more effective than placebo

  Generally both methods effective

  CBT slightly less effective than drugs for therapists who lack experience
• Advantages of CBT

  Brandsma et al found CBT effective for people who put a lot of pressure on themselves and feel guilty about being inadequate
• Disadvantages of CBT

  • Cognitive therapies may take a long time and are costly
  • More effective when combined with other approaches
• Disadvantages of CBT

  CBT only effective if therapist is experienced