Client Goal
In persons living with the human immunodeficiency virus (HIV), depression is the most common mood disorder (Safren et al., 2012). Major Depressive Disorder (MDD) is one of the most common mental disorders, with a lifetime prevalence of 15.8% (Mor & Haran, 2009). Overman and Anderson (2001) explained certain HIV/AIDS patients are at greater risk for developing depression, such as those with substance abuse. James, a 16 year old male was prenatally infected with HIV and has been receiving care at the Pediatric Immunology Clinic since birth. For several months, James has presented symptoms of major depression regarding his medical condition. James’ depression is an important factor in his current family and social issues. To cope
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Mor and Haran (2009) explain cognitive behavioral therapy is another antidepressant treatment. CBT has been validated by numerous controlled trials for people with depression (Mor & Haran, 2009). The therapist chose CBT particularly due to the intervention being able to help clients identify irrational, negative thoughts associated with depression (Markowitz et al., 1998). In addition, Kumara and Kumar (2016) suggest that CBT is a popular psychotherapeutic approach which aims to alleviate distress by modifying cognitive content and process, realigning thinking with reality. Not only does CBT include cognitive techniques but it incorporates behavioral components as well (Kumara & Kumar, 2016).
Research related to CBT suggests it has a positive impact on adolescent students and it has helped to reduce the symptoms of depression (Kumara & Kumar, 2016). The goal of CBT therapeutic approach assist adolescents in facilitating insight; this allows adolescents to be able to control their thought, feelings and actions (Kumara & Kumar, 2016). In addition, adolescents who are having depression could experience feelings of emptiness, anxiety, loneliness, helplessness, guilt, loss of confidence and self-esteem and changes in sleeping and eating habits. In addition to these they often act out. That is, they always try to cover their depression by acting angry, aggressive, running away or becoming delinquent (Kumara & Kumar, 2016). According to Kumara and Kumar (2016), CBT
Also, I like it because many studies have shown that CBT treatment is very effective for many disorders such as depression, eating disorders, substance abuse, as well as anxiety disorders (Sheldon 2011). The treatment is very clear because it is based on the patient’s experience, it encourages practice and compliance, and the patients have a sense of control. Not only are the sessions collaborative, it empowers the patient by giving him an active role in the process. The treatment is relatively short too compared to other psychotherapy programs (Goldberg 2012). CBT is goal oriented too. Patients working with their therapists are asked to define goals for each session as well as long -term goals. Anyone with a mild or moderate depression can benefit from CBT.
CBT has a number of strengths; first beginning with its capacity to yield empirical results as to its effectiveness. Countless studies have shown CBT to be the most effective treatment for anxiety and depression (e.g., Oei & McAlinden, 2014; Tolin, 2010); this is likely the result of a number of factors. CBT is a collaborative, educational, time-limited model that demystifies the therapy process; changes are made with clients, not to clients, the strategies learned equip clients to better navigate current and future difficulties, and the setting of goals allows clients to clearly see their progress (Corey, 2013; Skinner & Wrycraft, 2014). An additional strength of CBT for anxiety and depression is its applicability to both individuals and groups; group CBT has a number of auxiliary benefits including, vicarious learning, a sense of cohesiveness that can increase motivation, social interaction and the opportunity to help others (Oei & McAlinden, 2014).
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.
There are many different forms of CBT and the target population varies depending on the form. Some of the many different forms include: trauma-focused CBT for children, CBT for late-life depression, and CBT for adolescent depression to name a few; each form has a variety of age groups intended as its target population. For example CBT for adolescent depression has the target population of individuals ages 13-17 and 18-25 whereas CBT for late-life depression has the target population of individuals ages 55 and older (NREPP, 2014) CBT differs from other forms of psychotherapy in the sense the sessions have more structure. Those with specific focus and goal may benefit more from CBT. It is less suitable for someone who feels vaguely unhappy or unfulfilled, but doesn’t have any symptoms or a particular aspect of their life they want to work on. CBT is effective for a wide variety of mental health disorders, including but not limited to mood, anxiety, personality, eating, substance abuse, sleep, and psychotic
The use of medication and antidepressants in the treatment of psychiatric disorders is currently an issue garnering serious debate in the scientific community. Proponents state that antidepressants can offer a quicker relief than other means, and are more effective for certain illnesses such as bipolar disorder. On the other hand, critics claim that the medications often cause numerous side effects that require further use of medications, and that they only offer a short-term solution. Most critics either argue for a reduction in the use of antidepressants, or an increase in the use of cognitive behavioural therapy (CBT). CBT focuses on the relationships between
Does cognitive-behavioral therapy work just as well as antidepressants when treating depression? How we perceive our depression is what helps to determine the type of treatment necessary. Antidepressants treat the common symptoms of depression rather than the condition while therapy helps change the thought process so the disease is cured in the end. Many studies are done to provide necessary information to what the answer to this question should be. The following articles provided studies that explained the effects of treatment with medication, with therapy, or a combination of both.
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).
Of the non-pharmacological interventions of depression, CBT is the most effective as indicated by research. Enhanced CBT focuses on the processes that maintain the disorder while specific interventions while psychodynamic psychotherapy looks into the roots of the problematic manifestations to see how the factors affect current relationships and behavior. CBT is fast evolving and when integrated with mindfulness and constructivist as well as narrative approaches to therapy, it produces the effective results. Although different patients respond differently to different models of treating depression the integrative care model, when combined with other methods, such as antidepressants seem to alleviate the disorder without further recurrences. The mindfulness-based therapy combined with yoga, meditation, and other health-improving behaviors in addition to and drugs have been proven as effective in preventing subsequent relapses.
CBT is based on how we feel, think, act and how they all interact together. The thoughts of individuals determine their feelings and behaviours.
CBT is effective in medication in treating specific mental health problems .This plays a key role in managing problems, including depressions and anxiety and reduces a negative impact to the client’s life. However CBT poses a risk of bad feelings that are associated with personal problem which can return although they can be controlled with CBT skills. Hence, it is encouraged that someone should continue even after full recovery.
In the 1950s, from the works of Ellis (1989), and Beck, there came about a combination of cognitive therapy with behavioral therapy to form CBT (Hansen, 2008). Cognitive behavior therapy (CBT) was developed by Aaron Beck in 1967 (field, Beeson, & Jones, 2015). In the late mid-1980s, people were still very resistance to the combination of the two therapies, despite the great works of Ellis and Beck (Hansen, 2008). CBT proposed that dysfunctional emotional and behavioral responses were caused directly by dysfunctional thinking, known as cognitive distortions. CBT is the most commonly used evidence-based practice in the treatment of mental disorders (Field, Beeson, & Jones, 2015).
Cognitive Behavioral therapy, otherwise known as CBT, is a treatment that focuses on the examination of the relationship between thoughts, feelings, and behaviors, and finding the patterns that may lead people to self destructive actions. An example of CBT is, if a person suffering from depression thinks of themselves as “unimportant”, they are encouraged to think oppositely by doing a number of exercises. One of the most common of these exercises is to keep a chart of negative thoughts or feelings, and for the patient to counteract them with more positive things. For example, if one is feeling “unimportant”, they can counteract it with, “I am important, because if I hadn’t gotten that
There are strong evidences supporting the use of psychotherapy in the treatment of depression, particularly a standard Cognitive Behavioral Therapy, a high intensity psychological intervention (Department of Health, 2001; National Institute for Health and Clinical Excellence (NICE), 2004, 2009). However, the evidence indicates that patients are not consistently receiving the therapy as a routine clinical care (Shafran et al., 2009). Several problems associated with integrating CBT into treatment include difficulty in accessing services, long waiting times for therapy, expensive service costs, an inadequate and inequitable distribution of CBT therapists in health service (Shapiro, Cavanagh,& Lomas, 2003; Wright et al., 2005) as well as the
By incorporating CBT techniques, it would be important for the therapist to encourage the client to conceptualize what is causing his distress as well as identifying and challenging any irrational and negative beliefs. The therapist and the client work together to establish what goals the client would like to achieve in therapy in order change his mental state, rather than focusing on his depression in a negative manner. The ABC framework would be very helpful in conceptualizing the client’s problem by identifying the activating agent (A), the beliefs (B), and the consequences (C) that all lead to his depression. Throughout the therapeutic process, it will be important to consistently re-visit goal setting and to continue encouraging the