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14 Cards in this Set
- Front
- Back
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What is CBT
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Therapy that encourages people to consider the beliefs and expectations that are at the roots of their depression and to replace their irrational, negative thoughts with more positive, adaptive ones. It aims to change the way that people think and therefore end their depression
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How does it work?
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The therapist encourages the client to become aware of their beliefs that lead their depression. These beliefs are then tested in role play or everyday life. This shows the client the consequences of their irrational thinking, so they become aware that their thoughts lead to depression. Techniques then used to encourage the client to develop more rational, positive beliefs. Once adopted, depression should end |
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Ellis REBT
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Dysfunctional behavior and emotional distress, is the result of irrational thoughts. Irrational thoughts lead to an irrational "internal dialogue" which will go on to produce irrational behavior and depression. So replacing these irrational and maladaptive thoughts using the ABC model with rational thoughts, so ending depression
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ABC Model |
Activating event - the actual event and the clients immediate interpretations of the event Beliefs about the event - the evaluation can be rational or irrational Consequences - how you feel and what you do or other thoughts |
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Linking ABC model to depression |
Event - Lost your job Irrational belief : I'll never get another job, I'm worthless Consequence: Depression Rational belief: I will find another job as i have lots to offer an employer Consequence: Neutral emotion |
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Effectiveness Holmes |
Identified some limitations of the evidence to support CBT such as the trials are of highly selected patients with only depression and no additional symptoms. There is far less evidence for real patients problems with more complex problems |
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Effectiveness Research studies: Rush (1977), Blackburn (2000) |
Gave a varied idea of how effective CBT is but at the very least it is claimed that it is AT LEAST as effective as anti-depressants (Rush).
Whilst some research claim it is significantly superior, especially over periods of more than a year (Blackburn) |
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Effectiveness Butler |
Reviewed 16 meta-analysis of CBT and depression and based on this very large body of evidence concluded it was very effective for treating depression |
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Effectiveness Hollons research (From drug therapy) |
Hollins research supports the effectiveness of CBT because less people relapsed when continuing CBT compared to drug therapy |
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Effectiveness Royal college of psychiatrists and NICE |
Recommended CBT as the most effective psychological treatment for moderate and severe depression |
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Appropriateness + Effectiveness Treating the cause |
Doesn't just treat symptoms but the actual cause - it can make a real change in a persons outlook and behaviour and help them face every day problems and adapt to stressful situations in a way that ECT or drug therapy never could |
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Appropriateness Cost |
CBT is not as cost effective as other treatments such as drug therapy and it is not always available on the NHS |
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Appropriateness Side effects |
No side effects, withdrawal symptoms or dependence |
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Appropriateness Not an overnight cure |
A depressed person has to do a cost-benefit analysis at the beginning of treatment as CBT takes a time and requires motivation. Lack of motivation is a symptom of depression and so CBT may not be appropriate. Even drug therapy takes 3-4 weeks before symptoms start to alleviate |
