Depression in individuals with an acquired brain injury (ABI) has resulted in a great deal of research. Much of the research done has been from a western bio-medical perspective, generally from neurological, neurobiological or neuropsychological viewpoints. Complementary and alternative interventions such as cognitive behavioural therapy (CBT) and mindfulness based cognitive therapy (MBCT) are two treatment modalities that can be utilized for depression in individuals with an ABI. In order to study the efficacy of CBT or MBCT within these parameters, it is necessary to have a definition of ABI and depression and to identify the prevalence of depression in the ABI population as well as the difficulties of this identification. Finally, there is a need to see if there is a need for early intervention and if early use of CBT and/or MBCT can improve the successful psychosocial adjustment outcomes of this population. Acquired brain injury (ABI) is an injury to the brain that occurs after birth and leads to deterioration of cognitive, physical, emotional, or independent functioning. There are many brain-related disorders, including traumatic brain injury (TBI), stroke, epilepsy and brain tumours. Brain injury, whatever the cause, may result in dramatic alterations in an individual’s cognition, behaviour and emotions. Psychiatric diagnoses are categorized by the Diagnostic and Statistical Manual of Mental Disorders, 5th. Edition (DSM-V). The manual is published by the American
The DSM IV-TR, published by the American Psychiatric Association, is the authoritative book for clinicians, psychiatrists, therapists and other healthcare professionals who diagnose mental disorders. It lists the diagnostic criteria and features, differential diagnoses, course and prevalence of the disease. It is the go-t
Research has shown that cognitive behavioral therapy (CBT) can be as successful as medicine in treating many types of depression and other mental health disorders it can be completed in a relatively short time compared with other talking therapies and because it is highly structured, CBT can be provided in a number of different formats such as through computer programs, groups and self-help books. Some research suggests that CBT may be better than antidepressants at preventing the return of depression. It is thought to be one of the most effective treatments for anxiety and depression.
Cognitive behavioral therapy (CBT) is among the most extensively tested psychotherapies for depression. Many studies have confirmed the efficacy of cognitive behavioral therapy (CBT) as a treatment for depression. This paper will provide background information about the intervention, address the target population, and describe program structure and key components. It will also provide examples of program implementation, challenges/barriers to implementing the practice, address how the practice supports recovery from a serious mental illness standpoint and provide a summary. Although there are several types of therapy available to treat depression and other mood disorders, CBT (cognitive behavioral therapy) has been one of the most widely
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is currently the most frequently used way of standardizing and defining psychological disorders. However, the classification systems such as DSM have advantages and disadvantages. The major weakness of DSM is that it judges symptoms superficially and ignores other possible important factors. The major strength of DSM is that it enables categorization of psychological disorders.
Traumatic brain injury occurs when a person is hit in the head with a blunt force. This significant force to the head can happen playing recreational sports, on the playground, being in a car or motorcycle accident, falling down at home and your head impacting something, a blast or explosion. Traumatic brain injuries are also the leading cause of fatality rate and disability, especially in children, young adults and elderly. TBI is a devastating condition that affects millions of people nationwide, because it can affect the nervous system permanently, it also messes with the neurological, musculoskeletal, cognitive and much more. TBI force a family to deal with not just the physical disability, with the behavioral and emotional roller
The Diagnostic and Statistical Manual of Mental Disorders (DSM) has a number of features. First of all, every disorder is identified using a name and a numerical code. In addition, the manual provides the criteria for diagnosing each disorder as well as establishes subtypes of a disorder and examples that would illustrate the disorder. The manual goes further by addressing the typical age of onset, culturally related information, gender-related information, prevalence of a disorder, typical clinical course of a disorder, typical predisposing factors of a disorder and genetic family patterns of a disease (Summers, 2009). The DSM-IV is a tool that is used by mental health practitioners and social service workers. As has been demonstrated
(ABI) It is a brain injury damage caused by the events after birth, rather than as part of genetic or congenital disorder. It affects cognitive, physical, emotional, social or independent functioning can result from either traumatic such as physical trauma due to accidents, falls, assaults.
Acquired brain injury (ABI) is a general term that includes any type of injury to the brain that is either traumatic or nontraumatic. A nontraumatic brain injury results from internal events including injuries sustained from reduced oxygen
For example, one head injury might cause poor memory or slurred speech. It can also cause a personality change or someone to have sudden difficulties with math. People who have experienced TBI have a much higher likelihood of having depression because they compare what they used to be able to do. They might suddenly have greater difficulty with simple tasks, noise and crowds, and it makes them sad. Sleep insomnia is another common issue with this injury because it can mess up an individual's sleep
This essay will review the literature on the effectiveness of cognitive behavioural therapy (CBT). Cognitive Behavioural Therapy was developed by Aaron Beck in the early 1960s and originally it was defined as cognitive therapy (CT). According to Beck (1967, 1976) cognitive therapy is a time restricted but structured approach, which is used effectively in treatment of many different mental illnesses. Despite the fact that the literature covers this therapy in a variety of contexts, this paper will mainly focus on applying CBT to depression. Depression can be described as a type of afflicted psychological well being, where the individual lacks confidence in their own worth (DH, 2004). Overall, this paper will review literature which is of
Farrow (2004) explains that “A traumatic brain injury is caused by a blow to the head, face, or neck area…” (p.53). It is an injury to the brain that causes an immediate change in brain function, which includes a loss of consciousness (Levy, 1993). You do not have to be knocked unconscious in order to sustain a traumatic brain injury (The Franklin Institute, 2004). The term traumatic brain injury (TBI) refers to injuries to the brain that are caused by some form of traumatic impact. A blow to the head, violent shaking or penetration of the brain tissue usually causes traumatic brain injuries. This is due to sudden, non-congenital physical damage to the brain from an external force that temporarily or permanently disrupts normal brain function. Brain characteristics and functions that can be affected include consciousness, speech and language, memory, mobility, personality and others. Depending on the cause and severity of the brain injury, brain damage can be mild, moderate or severe. In more serious cases , complications can be fatal. While the severity of traumatic brain injuries varies, the long-term affects are often devastating and life altering. Because the brain controls all bodily functions, any damage to the brain, regardless of severity, can impair physical and psychological activity (Rehberg,
TBI is a term that represent a subgroup of brain injuries that are minor compared to the larger group of brain disease. Yet, despite the many types of brain injuries, they all have some similar effects on an individual’s life that include: the inability to succeed academically and socially, family and work roles, and normal physical activities. Symptoms related to traumatic brain injury fall into three board areas-physical, cognitive, and psychosocial or behavioral challenges (Trudel et al., 2009, pg.
A probable reason why CBT works with depressed patients is that depression interacts with both cognitive and motivational processes. This is well evidenced in experimental analogue research with healthy and depressed individuals. Individuals with depression show deficits on a range of cognitive tests (Brown, Scott, Bench, 1994) with the pattern of dysfunction having many of the characteristics associated with fronto-subcortical impairment. Reischies and Neu (2000) found that depressed individuals displayed mild cognitive impairments in comparison with matched controls, particularly in the areas of "adverbial" memory, psychomotor speed and verbal fluency. Further in these patients there appears to be considerable variation in the recovery of cognitive function with remission of the depressive episode.
In the current study MBCT was associated with statistically significant reductions in depression from pre to post treatment. The gains were maintained over time and treatment variables like booster session attendance and compliance to mindfulness practice correlated with better depression outcomes. The study showed a strong negative correlation between ruminating thoughts and mindful attention which is consistent with the application of Metacognitive Attention during
Terms discussed in paper: CBT: Cognitive-behavioural therapy; HEP: Health enhancement program; TAU: Treatment as usual; TRD: Treatment-resistant depression; Mediators: Measurable changes during a treatment; MBCT: Mindfulness-based cognitive therapy;