treating depression

• what is 1 type of cognitive behavioural therapy is used to treat depression?

  -rational emotive behavioural therapy (REBT)
• what is REBT

  -based on the assumption that depression is caused by the way the patient views themself and the world.

  -it teaches them to identify maladaptive thought processes and replace them with more adaptive ones to reduce depression
• ABCDE structure: and afterwards:

  A - activating event

  B - beliefs about event

  C - consequences

  D - disputing the irrational beliefs

  E - effective new beliefs to replace the maladaptive ones

  after: client learns to identify, challenge and change their own irrational beliefs
• what is behavioural activation?


  -patients are asked to complete homework assignments to put the process into practice in real life
• what are the two types of disputing


  -empirical

  -pragmatic
• what is empirical disputing?


  -identifying when the self-defeating beliefs are inconsistent with reality/evidence
• what is logical disputing?


  -emphasising the lack of usefulness in self-defeating beliefs
• REBT AO3 - effectiveness

  -cuijpers 2013 reviewed 75 studies on the outcome of treatments

  = cbt was superior to no treatment

  + was especially effective when combined with drug therapy (anti depressants) that control biological factors (low serotonin)

  
  

  :( second hand data + temporal validity
• REBT AO3 - ignores other factors

  -situational factors

  -biological factors (low serotonin = depression) + hereditary
• REBT AO3 - not a quick fix

  -requires commitment, motivation and effort

  -on average, 27 sessions are needed
• REBT AO3 - expensive


  -therapists charge between £50-100 per session (unless NHS but that is in very short supply)

  -however, antidepressants are cheap but:

  :( dependency, side effects, dont get to the root cause