cognitive

• cognitive approach

  The therapist works with the client to aid them in identifying negative thoughts which contribute to their problems. Then aim to turn those irrational thoughts into rational ones
• behavioural approach - The belief of which behaviour is learnt, meaning that it can be reversed. This focuses on the actions of the client, the techniques used include rewarding and modelling desirable behaviours
• client and therapist relationships - The client and therapist both play a role in the therapy, and the client will need to work outside the therapy too. There also needs to be trust between the two and ensuring the client feels safe.
• dysfunctional thought diary- Clients will be given homework, where they have to keep a record of events leading up to any unpleasant experience. They should record the negative thoughts associated with the events and record how much they believe the thoughts. Next they must write a rational response and then re-rate their beliefs
• Cognitive reconstructing- Clients may feel distressed due to certain scenarios, such as feeling someone is talking about them. The Therapist will ask a variety of questions trying to replace dysfunctional thoughts with ones which are more constructive.
• Pleasent activity scheduling- Its thought that engaging in an activity each day, either giving them a break from their routine or to feel a sense of accomplishment. This is thought to induce more positive emotions and focus on these new things. This is an example of behavioural activation techniques.
• Kuyken and Tsivrikos (2009)- found that the effectiveness of a therapist is associated with therapy outcomes.

  69 depressed clients were treated by 1 of 18 CBT therapists.

  Competence was measured for each and those with higher competence achieved greater outcomes for their clients.
• CBT is a very effective therapy for a variety of mental health disorders. The evidence from Jarrett (1999) suggests that CBT is as effective as antidepressants and, due to CBT having far fewer side effects than antidepressants, it may be a more effective option.