Depression treatment

• CBT


  Cognitive Behavioural Therapy

  REBT is a type of CBT developed by Ellis
• REBT


  rational-emotive behaviour therapy

  -problems (Consequences) are the result if irrational thinking (Beliefs)

  -individuals develop self defeating habits because of faulty beliefs about themselves and the world around

  them

  -helps clients understand irrationality and the consequences of thinking that way

  -helps them substitute the thinking for more effective problem solving methods

  = cognitive restructuring
• How is REBT carried out


  Ellis argued if patients develop a dispute system to challenge these belief , they will no longer suffer from emotional problems

  a therapist would use disputing with them to help change from irrational to rational beliefs
• 3 types of Disputing 


  logical - does it make sense? Is it logical?

  empirical - is there proof? is it accurate/factual?

  pragmatic - usefulness, does it help me?
• Strength 


  Effective

  Ellis = 90% success rate for REBT taking an average of 27 sessions to complete treatment. however, could be researcher bias = devised treatment and conducted study

  but - meta analysis REBT had 2nd highest average success between 10 forms of therapy
• Weakness 


  May not work for most severe cases of depression

  might not be able to motivate themselves to attend the sessions and to pay attention during sessions = in this situation a combination of drug treatments and CBT may be most successful- evidence =

  CBT : 81% vs Prozac & CBT : 87%
• Weakness


  Some irrational beliefs are more accurate than most, inappropriate to change their thinking if it’s more accurate
• Weakness


  focuses on symptoms not causes - depression could reassure , might not be long term
• Strength 


  Provides clients with strategies for self help , useful in long term , patients in control - less manipulative than flooding
• Weakness 


  REBT is aggressive and judgmental, basically blaming them for treatment - unethical