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Outline & Evaluate Psychological Therapies for Depression

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One psychological therapy to treat depression is cognitive behavioural therapy (CBT). CBT therapists believe maladaptive thoughts cause us to misinterpret reality leading to distressing emotions, physical symptoms and dysfunctional behaviour, which can cause depression. The aim of CBT is to identify and then alter these maladaptive thoughts as well as any dysfunctional behaviour, which may be contributing to depression. They will first look at how the negative schema affects current behaviour and try and teach individuals how to see the link between their thoughts, emotions and behaviour. This process is called ‘thought catching’. When the NAT’s are identified the therapist will often present evidence to challenge their negative thinking and think of other ways of explaining a situation using normal cognitions. The patient will be set homework where they may have to do a task/ experiment or have to write a diary which records emotions. In the case of a ‘task’ the therapist will set something the person can do such as taking the minutes at a meeting. They will then discuss the outcome of the task at the next session. CBT believes that by maximising the cognitive change you can maximise the effectiveness of the therapy session. CBT is a more active therapy compared to drugs with patients having to take a role in the treatment. There are usually between 16-20 sessions of which a person has a couple a week and then they may have booster sessions sparsely spread throughout the year.

CBT has been found to be effective. Butler looked at 16 Meta analyses and concluded that CBT was very effective at treating depression. This research meant NICE recommended CBT as most effect psychological treatment for moderate to severe depression. Furthermore Robinson also looked at a Meta -analysis finding that CBT was superior to no treatment control groups. Having said this, when

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