psychopathology ; cognitive treatments of depression

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COGNITIVE BEHAVIOURAL THERAPY
dfgf
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CBT begins wth an assessment in which what happens?
therapist and patient work together to clarify problems
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they jointly identify what for therapy?
goals
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and put together what to achieve?
plan
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one of central tasks is to identify what?
where there might be negative / irrational thoughts tht'll benefit from challenge
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CBT then involves working to do what with these irrational / negative thoughts?
change
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and finally put what into place?
more effective behaviours
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how do most do this in relation to beck and ellis?
draw on both
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CBT + BECK'S COGNITIVE THERAPY
DFGD
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idea behind cognitive therapy is to identify automatic thoughts about what three things?
self / world / future
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and this is the?
negative triad
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once identified what must happen to these thoughts?
be challenged
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cognitive therapy also helps patient test what about beliefs?
reality
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therefore may be set hwk like record when?
enjoeyd an event
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this is sometimes referred to as the
patient as scietist
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in futer sessions if patient says no one is nice to them what can therapist do?
whip out the evidence real quick and use it to prove them wrong
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ELLIS + REBT
DFG
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REBT extends ABC model to?
ABCDE model
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D and E standing for?
dispute / effect
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the central tech of REBT is to do what?
identify and dispute irrational thoughts
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for example patient may talk about how unlucky theyve been and REBT would id this as?
utopianism
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and challenge it as an?
irrational belief
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this ould involve?
vigorous argument
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the intended effect is to change irrational belief and so break?
link between negative life events and depression
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what is the hallmark of REBT?
vigorous argument
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ellis identified different methods of?
disputing
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for example empirical argument involves?
disputing whether there's actual evidence to support belief
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and logical argument?
disputing whether neg thought logically follows from facts
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- behavioural activation
dfgd
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alongside cognitive CBT therapist may also work to encourage patient to?
be more active and engage in enjoyable activities
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this behavioural activation will provide more evidence for?
irrational nature of beliefs
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EVALUATION
DFG
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:) effective
dfgd
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march et al compared effects of CBT ewith?
antidepressant drugs / combination
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in how many adolescents w/ depression?
327
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and he looked @ them after how many weeks?
36
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what % of CBT grp were significantly imrpoved?
81%
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and antidepressat?
81%
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and both
86%
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this suggests a good case for making CBT?
1st choice of treatment in public healthcare
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:( may not work for most severe cases
dfgd
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in some cases depression can be so severe patients can't do hat?
motivate selves to engage with CBT
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they may not be able to do what in session?
pay attention to whats happening
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where this is the case what should patient do first?
start with anti depressants
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and commence CBT when?
more motivated + alert
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possible to work around this ith meds why is this a limitationfor CBT?
cant always be used as sole treatment
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:( success may be due to therapist-patient relationship
dfhfd
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rosenzwig suggested difference between what might actually be p small?
diff methods of psychotherapy (e.g CBT / systematic desensitisation)
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all psychotherapies share one esstential ingredient?
patient-therapist relationship
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it may be this that determines success rather than?
technique
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many comparative reviews find what?
v small differences
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which supports view that its what that matters most?
simply having opportunity to talk to someone that'll listen
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EVAL EXTRA
FGD
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:( some patients really want to explore past
dfgfd
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one of basic principles of CBT is that focus is on what over past?
present and future
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some patients are aware of what link though?
childhood and current depression
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such as studies that have shown what about attachment?
insecurely attached children are most likely to develop depression
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and they'll want to?
talk about that
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so what can they find v frustrating?
present-focus
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:( overemphasis on cognition
dfgdf
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risk that because of mind emphasis they may end up minimising importance of?
living circumstances
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a patient in poverty / abuse needs to do what?
change circumstances
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and any approach to therapy that emphasises mind > env can do what?
prevent this
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CBT is used inappropriately and can actually cause what?
demotivation to change situation
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Other cards in this set

Card 2

Front

CBT begins wth an assessment in which what happens?

Back

therapist and patient work together to clarify problems

Card 3

Front

they jointly identify what for therapy?

Back

Preview of the front of card 3

Card 4

Front

and put together what to achieve?

Back

Preview of the front of card 4

Card 5

Front

one of central tasks is to identify what?

Back

Preview of the front of card 5
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