PY4 - Abnormal Psychology

Treatments of Unipolar Depression based on the WJEC board

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  • Created on: 18-06-11 17:31
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Emily Hunt
PY4 Abnormal
Treatments for Unipolar Depression
WJEC POTIENTIAL question: Critically consider two (or one) treatment for Unipolar Depression
1. Tricyclic's
Reduces re-absorption rates of noradrenaline and serotonin, by blocking transport
mechanisms that re-absorb. This improves the levels or the neurotransmitters. Leaving the
neurochemical in the synapse for longer encouraging another transmission
2. Selective Serotonin Reuptake Inhibitors... SSRIS
Reduces the rate Serotonin is re-absorbed. Prozac blocks Serotonin, which in effect increases the
levels of serotonin
Lots of research support, Kirsch et al found that only in serve depression was SSRI's more
effective than Tricylics
Decrease in suicides for over 65s
There was no significance found in a meta-analysis between anti-depressants and non-SSRIs
Less effective on children as their brains are not yet developed
Increased suicides in patients in adolescents
Cognitive Behavioural Therapy
To identify and correct disrupted thoughts
1. Thought catching
Clients carry a diary where they right their thoughts down during the day and then try to validate
their thoughts and replace them with more cognitive constructed thoughts, those based on reality
and superficial.
2. Behavioural activation
Clients are encouraged to take up activities that they once enjoyed to try and motivate them and
realise that the participating produces no negative events
Therapist competence, therapist has to have patience allowing them time to re-evaluate
their thoughts
Homework is essential to complete otherwise won't be able to re-evaluate
Clients have to be motivated and willing to participate otherwise they won't replace the
disrupted thought processes

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