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.
Early-onset depression refers to young people who experience a first major episode prior to the age of eighteen. They need to be high priority clients, because of the distress they experience during such a formative period of life, and also because untreated adolescent depression can contribute to recurrent difficulties later. At any point in time, between 4% and 5% of adolescents aged 13–18 years are affected by major depression, and young women are more likely to be affected than young men (Thapar et al., 2012). Early-onset depression is associated with never marrying, less adaptive social and occupational functioning, poorer quality of life, greater medical and psychiatric comorbidity, a more negative view of self and life, more lifetime depressive episodes, more suicide ...