This book introduces an approach to CBT for depression that integrates cognitive-behavioural models, evidence and therapies. Rooted in evidence-based practice and practically focused, it draws on components of first, second and third-wave CBT to help readers tailor therapy to the needs of individual clients. There is a particular focus on challenging presentations: the authors equip students with the skills to work with different depression sub-types, co-morbid disorders and a broad range of bio-psychosocial factors that can complicate depression and its therapy. Linking theory, evidence and case illustrations, the authors provide a wealth of practical tips that support clinical practice. In-depth cases studies and client contributions add further depth to this rich and stimulating book. This book is relevant to those taking postgraduate training courses in mental health such as CBT therapists, counsellors, nurses, clinical psychologists, occupational therapists, social workers and psychiatrists.
Beck’s CBT is an inside-out treatment because it stresses the role of clients’ thoughts, assumptions and beliefs in maintaining their problems. From a CBT perspective, individuals construct their environment via their interpretations of it, and treatment consists in developing more accurate thoughts and helpful beliefs. By way of contrast, Behavioural Activation (BA: Martell et al., 2001; Martell et al., 2010) and the less well-known Behavioural Activation Treatment for Depression (BATD; Lejuez, Hopko, LePage, Hopko & McNeil, 2001) are outside-in treatments because they emphasize the role of the environment in precipitating and maintaining depression. From a BA and BATD perspective, individuals are acted upon by their environment in ways that are more or less difficult to deal with. In response, individuals act ...