The Core Principle Of Cognitive Behavioral Therapy

In Maslow’s hierarchy of needs there are five levels of desires or basic needs that motivate people described (Fiest & Fiest, 2009, pg. 280). Starting with the most basic needs for survival the levels are physiological, safety, love and belongingness, esteem, and self-actualization (Fiest & Fiest, pg. 280). As one need is met an attempt is made to achieve the next level. If one is able to reach what is known as self-actualization, the highest level, values such as truth, justice, beauty simplicity, individuality, balance, and harmony are usually greatly respected (Fiest & Fiest, pg. 283 and McMinn, 1996). As McMinn points out that these values are extraordinarily like the fruit of the Spirit as described by Paul in Galatians 5:22-23, love, joy, peace, patience, kindness, goodness, gentleness, and self-control. If one has attained

Globally, major depressive disorder (MDD) is among the top five public health concerns today (Cuijpers et al., 2011; Jakobsen, Hansen, Simonsen, & Gluud, 2011; Hees, Rotter, Ellermann, & Evers, 2013). Moreover, almost 20% of patients with depression engage in self-harming behaviors, including suicidal attempts (Gamble et al., 2013; Jakobsen et al., 2011). Not only is the prevalence of depression alarming, but costly to the health care system (Cuijpers et al., 2011; Cuijpers et al., 2014; Hees et al., 2013; Jakobsen et al., 2011). The use of antidepressants is the standard for initial treatment, but may be limiting in preventing relapse (Cuijpers et al., 2014; Jakobsen et al., 2011). Therefore, the inclusion of non-pharmacological interventions may be necessary to improve treatment outcomes (Cuijpers et al., 2011; Dekker et al., 2013; Jakobsen et al., 2011). Interpersonal psychotherapy (IPT) and cognitive behavior therapy (CBT) are the two primary psychotherapeutic interventions recommended in the treatment of depression. In this paper, I will discuss the difference between CBT and IPT, compare the effectiveness between both therapies, explore their efficacy as an adjunct treatment with antidepressant medications, and summarize the treatment guidelines for depression.

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 behavioural therapy has been proven to be effective in the treatment of child and adolescent depression (Lewinsohn & Clarke, 1999; Harrington et al, 1998, March et al, 2004). There is general agreement in the clinical literature that the techniques of cognitive behavioural approaches to therapy are likely to be effective in treating depression (Brewin, 1996; Beech, 2000).

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

When treating clients who suffer from major depressive disorder, psychotherapist focus primarily on the aspects of cognitive

Cognitive behavioral therapy (CBT) is a short-term, problem-centered therapy that is used to address psychopathology within the individual (Beck, 1995). This model of therapy is used to address issues of depression, anxiety, eating disorders, relational problems, and drug abuse, and can be utilized when working with individuals, as well as within group and family modalities. The core aspects of this therapy include collaboration and participation by the client, a strong alliance between therapist and client, and an initial focus on current problems and functioning (Beck, 1995). The theory of CBT emphasizes the relationship between the individual’s thoughts feelings and behaviors, which is seen as being the underlying cause of

Treatments using anti-depressants is well documented, but there are very few studies documenting only the use of psychotherapy. However, in one study done using the Cognitive–behavioral analysis system of psychotherapy (CBASP) as a maintenance treatment, the overall findings show that psychotherapy in itself can be successful. “ There were 82 patients who were treated with CBASP long term. Patients were chosen at random to reduce their treatment to monthly or to an observational status. The patients, only treated monthly with CBASP, showed a smaller amount of reoccurring symptoms then the patients in the observational status. These findings support the use of only CBASP as a maintenance treatment for depression.” (Klein, 2004)

The main goal of CBT is to help individuals and families cope with their problems by changing their maladaptive thinking and behavior patterns and improve their moods (Blackburn et al, 1981). Intervention is driven by working hypotheses (formulations) developed jointly by patient, his/her family and therapist from the assessment information. Change is brought about by a variety of possible interventions, including the practice of new behaviors, analysis of faulty thinking patterns, and learning more adaptive and rational self-talk skills. (Hawton, Salkovskis, Kirk, and Clark, 1989).

One of the most challenging aspects of this school program has been trying to recognize a theoretical orientation that I can identify with. Throughout the course of this class, I have discovered various aspects that have remained consistent within my personal wants and desires for group, which have allowed me to focus my attention on which approaches fit well with my style of therapy. The following will describe the key concepts of the cognitive behavioral approach; a view of the roles of the therapist and group members; key developmental tasks and therapeutic goals, techniques, and methods; and the stages in the evolution of a group. An integration of two additional theoretical orientations will also be included.

In this article the authors used data from 66 participants between the ages of 21-65 years-of-age who were suffering from major depressive symptoms only. They participated in a comparative treatment study where they received 16 sessions once a week of either CBT or PET. In the study 13 masters/doctorial candidates and 2 psychologists with 1-15 years of experience administered the therapy. Eight implemented the CBT focusing on cognitive schemas to facilitate change by using various homework sheets such as thought records and mood schedules. While the other seven implemented PET, which focused on attitudes to facilitate change. They used various treatment tasks to resolve cognitive-effective problems.

CBT is an integrated approach using various combinations of cognitive and behavioral modification interventions and techniques (Myers, 2005). The aim is to change maladaptive patterns of thinking and behaving that impact clients in the present (Weiten et al., 2009). From a cognitive behavioral perspective Jane would be diagnosed as having faulty thinking and dysfunctional behavioral issues suffering from depression, and anxiety in the form of Agoraphobia (Weiten et al., 2009).

Major depressive disorder affects nearly 15 million of American adults in a given year. (Kessler, Chiu, Demler & Walters, 2005). With the impact it has on the society as well as the well-being of the individual, it must be in the interest of the healthcare to be able to provide patients with the most effective treatment method. Extensive research has been conducted on the efficacy of antidepressant medication and cognitive therapy, the two main treatment methods used for depression today. The discussion has, however, been characterized by conflicting claims, resulting in a debate over what should be used rather than us having definite conclusion of how patients are best helped.

Cognitive-behavioural therapy or CBT is representative of the integration of behavioural therapy and cognitive therapy. It encourages the empowerment of an individual to be able to change how they think (cognitive) and how awareness of particular problematic patterns may impact upon our consequent responses (behaviour) (R ch7). Pivotal to our understanding of such mental health problems from a CBT perspective is Beck’s ‘Cognitive theory of emotion’. It purposes that events and situations are not responsible for emotional responses. Instead it is the ‘meanings’ we attach which reflect the complex interaction between an individual’s history, mood and the context of experience. These