The first phase of this cognitive-behavior treatment is increasing activities and elevating mood. When going through the card sort values, you may learn what the patient enjoys to do and what they find is important to them. Then you can suggest that they do those things or spend time with the people that make them happy. The second phase is challenging automatic thoughts. In this case, Lucy believed that she is not good enough or worthless, these thoughts should be recognized and recorded as well as realistically tested. After all, automatic thoughts are not facts, they are just thoughts. She must understand the thoughts she is having and change them, as mentioned above. The third phase goes along with the second phase in that it is shifted towards identifying negative thoughts and biases. Understanding how these illogical thinking processes are contributing to the untrue thoughts. In addition, recognizing and changing negative biases in interpretation of situations. Lastly, the fourth phase, changing primary attitudes. A majority of this treatment is about change and it cannot happen until the person is willing to do so. They must also be committed to the treatment as well as open to understanding their own thoughts and feelings during every …show more content…
This can be used in combination with the above treatments, which would be the most beneficial; however, they can be used on their own as well. There are several different types of medications that increase serotonin levels to different degrees (Howard, et. al., 2012). The first are MAOIs, monoamine oxidase inhibitors. MAOs break down norepinephrine and MAOIs increase availability or norepinephrine. The second are Tricyclics. These act on the reuptake system for serotonin and norepinephrine, which decreases depressed mood. The third form of medication is SSRIs, selective serotonin reuptake inhibitors, or SNRIs, serotonin and norepinephrine reuptake inhibitors. Of course, with all medications, they should be regulated and monitored as they can include major negative side-effects, as well as slowly stopped because of withdrawal symptoms. Another thing to keep in mind is to be sure that the specific patient does not also experience manic episodes along with depressive episodes. “In patients with a history of mania, antidepressants may precipitate a recurrent episode, particularly when administered without a mood stabilizer.” (Howard, 2012). If a patient is prescribed an antidepressant but is bipolar, the side-effects could be detrimental to the individual’s health, social situation, and economic situation; therefore, you must rule-out a bipolar disorder before prescribing these