Describe and evaluate the cognitive behaviour therapy for depression 12 mark essay plan

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Describe and evaluate cognitive behaviour therapy for depression (12
marks)
A02
Point 1 CBT: Beck's cognitive therapy
Changes peoples thinking (negative to positive)
Four phases of CBT
o Assessment where the patient and therapist clarify problems
o Jointly identify goals, put forward a plan
o Therapist helps client to recognise the illogical thinking processes that
produce negative thinking
o Therapist helps change their negative views by putting more effective
behaviours into place.
Beck's CBT
o identify automatic thoughts about:
the world
the self
the future
o once identified these must be challenged
o cognitive therapy aims to help patients test the reality of their negative
beliefs
o may set homework to record all good things that happened to them
Point 2 CBT: Ellis's rational emotive therapy (REBT)
REBT extends the ABC model adding D = dispute and E = effect
Patient talks about how unfair their life is
Therapist identifies these as utopianism and challenge this as irrational
May involve vigorous argument
Intended to change the irrational belief and break the link between negative life
events and depression
Empirical argument
o Is there actual evidence to support the negative belief
Logical argument
o The negative thought logically follows from the facts
Behavioural activation
o Therapist may also encourage patient to become more active and engage in
enjoyable activities

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A02 Evaluation
Point 1 Research support
March et al (2007)
o Compared effects of CBT with anti depressants
o Found that CBT is just as effective as medication and alongside medication
Suggests there is a good case for making CBT the first choice of treatment in public
health care systems like the NHS
Point 2 CBT may not work for most severe cases
Some so severe they cannot motivate themselves to engage with the hard work of
CBT
May not be able to pay attention…read more

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