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.

Treatment Components and Processes

Treatment Components and Processes

The aim of this chapter is to introduce CBT for major depression based on the self-regulation model. The emphasis is on treatment components and processes, some of which are core for all clients and others are optional based on need. Because of the heterogeneity of depression it is not possible to illustrate all components in this chapter. We introduce core aspects of the assessment and acute phases, with optional components and continuation sessions covered in subsequent chapters.

Figure 6.1 Usual treatment phases using the integrated approach

Figure 26

Treatment Phases

Like most courses of CBT there are three main phases: a period of assessment and treatment planning, an acute phase when the active components are delivered, and a continuation phase to ...

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