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.
Part I has introduced the best-established CBT therapies for major depression and we are unambiguous in our support of these treatments as first-line interventions. When Beck’s CBT and BA are effective they do an excellent job bringing clients out of depression and helping them stay well in the future. However, in our view, difficult-to-treat cases who haven’t responded to established CBT should not be given further standard CBT protocols. If those protocols have not been effective, it is better for clients to step up to another type of intervention.
Integrated CBT is an alternative next step. It harnesses the learning and evidence from Part I and seeks to apply it to the treatment of challenging cases. Compared with established CBT, integrated CBT ...