Adapting Cognitive Therapy for Depression: Managing by Mark A. Whisman PhD
By Mark A. Whisman PhD
Whereas the efficacy of cognitive remedy for melancholy is easily proven, each clinician is probably going to come across sufferers who don't reply to "standard" protocols. during this hugely sensible quantity, prime experts supply a unified set of scientific guidance for conceptualizing, assessing, and treating hard displays of melancholy. awarded are specified, versatile techniques for addressing serious, power, partly remitted, or recurrent melancholy, in addition to psychiatric comorbidities, health conditions, and kin difficulties that could complicate remedy. The ebook additionally deals crucial wisdom and instruments for providing powerfuble care to precise populations of depressed sufferers: ethnic minorities; lesbian, homosexual, and bisexual humans; teens; and older adults.
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D. (1999). Medications versus cognitive behavioral therapy for severely depressed outpatients: Megaanalysis of four randomized comparisons. American Journal of Psychiatry, 156, 1007–1013. DeRubeis, R. , Hollon, S. , Amsterdam, J. , Shelton, R. , Young, P. , Salomon, R. , et al. (2005). Cognitive therapy vs medications in the treatment of moderate to severe depression. Archives of General Psychiatry, 62, 409– 416. Detweiler, J. , & Whisman, M. A. (1999). The role of homework assignments in cognitive therapy for depression: Potential methods for enhancing adherence.
When asked to consider the implication of this second “fact,” the patient said it meant that he would likely be alone again for a while. He generalized the implication of this “fact” to mean that he likely would never be in another relationship, which meant he could never be fully happy in his life, and that he was probably an unlovable person. Thus, through the examination of the “downward” implications of a single rejection event, it became clear that this patient’s underlying belief was one of unlovability, even though part of his prescription for lifetime happiness was being in a loving relationship.
2 is an attempt to show how these phases of treatment roughly relate to symptom change in a “typical” case of depression. Approximately the first one-third of treatment is focused on behavioral change; the middle one-third of treatment, on negative automatic thoughts; and the final onethird of treatment is focused on the assessment and modification of core beliefs and schemas. Typically, the first phase of treatment is associated with the greatest reduction in depressive symptomatology, because over half of the changes in symptomatology takes place within the first six sessions of treatment.