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 provided an overview of established CBT and Part II introduced the integrated approach with its emphasis on self-regulatory processes. In Part III we focus on three challenging sub-types of depression that are associated with difficult-to-treat cases: early-onset, highly recurrent and chronic/persistent. The same self-regulation model is used with each of these types but treatment parameters and dynamic focus are somewhat different. The aim of this part is to orient therapists towards the main clinical and contextual issues that have a bearing on these sub-types, so that treatment can be adjusted accordingly.
There are two reasons for prioritizing early-onset depression, as explored in Chapter 7. Firstly, people who go on to develop highly recurrent depression are likely to have their first-onset ...