By Mark A. Whisman PhD
Whereas the efficacy of cognitive remedy for melancholy is easily confirmed, each clinician is probably going to come across sufferers who don't reply to "standard" protocols. during this hugely sensible quantity, prime experts offer a unified set of scientific guidance for conceptualizing, assessing, and treating difficult displays of melancholy. provided are unique, versatile ideas for addressing critical, persistent, partly remitted, or recurrent melancholy, in addition to psychiatric comorbidities, health conditions, and kinfolk difficulties that can complicate therapy. The ebook additionally bargains crucial wisdom and instruments for providing useful care to precise populations of depressed sufferers: ethnic minorities; lesbian, homosexual, and bisexual humans; children; and older adults.
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Additional resources for Adapting Cognitive Therapy for Depression: Managing Complexity and Comorbidity
Dobson, K. , & Dozois, D. J. A. (2001). Historical and philosophical bases of the cognitive-behavioral therapies. In K. S. , pp. 3–39). New York: Guilford Press. -L. (1989). A conceptual and empirical review of the depressive realism hypothesis. Canadian Journal of Behavioural Science, 21, 419– 433. Dobson, K. , Hollon, S. , Schmaling, K. , Kohlenberg, R. , et al. (2007). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence of major depression in adults.
For these reasons, cognitive therapists commonly ask patients to complete an activity schedule as homework following the first session. This assignment may be used more systematically to record patients’ activities, because it requests that they indicate major activity in 1-hour time slots throughout each day. Some therapists also ask patients to indicate activities that are associated with mood changes, so that they can see which activities have positive or negative associations for patients. Another possible strategy is to ask patients to track events associated with mastery (success, accomplishment) or pleasure (fun, enjoyment), both to determine the frequency of such activities in patients’ lives and to see whether their occurrence is associated with changes in the patients’ moods.
1979; J. S. Beck, 1995, 2005; Gilbert, 2001; see also Beutler, Clarkin, & Bongar, 2000). One way to conceptualize the overall treatment of depression is as a series of three loosely connected phases. These phases tend to have different treatment targets; therefore, they require somewhat different intervention techniques or methods. It is important to note, however, that these are not lockstep phases, because the targets of intervention in one domain may continue for some time into therapy, even while other areas of intervention are introduced.