Cognitive approach to treating depression

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  • Cognitive approach to treating depression
    • Theory
      • Irrational thoughts lead to irrational behaviour
      • Therapy to turn irrational thoughts into positive ones (CBT)
    • CBT
      • Reality testing: Therapist encourages patient to become aware of their irrational thoughts. Challenge irrational beliefs through comparing irrational cognitions against real world
      • Behavioural elements: Therapist encourages patient to be more active/ engage in enjoyable activities. Reminds patient of person they were before depression and what they enjoyed
    • Evaluation
      • March study: When used, more than 80% patients conditions significantly improved. Works just as well as drugs
      • Patients aren't motivated enough to take part in session. CBT cannot be used alone
      • 86% CBT and drugs patients significantly improved after 36 weeks. Severe depressives can still recover, CBT highly affective
      • CBT: patients take active role in recovery- more willing to improve themselves and treat root cause. Drugs: Patients take passive role- expect to get better.
      • Sometimes there is an issue that needs to be addresses, so CBT won't help until that happens


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