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.
Highly Recurrent Depression
Epidemiological studies suggest that 10–20% of adults experience a major depressive episode at some time in their life, but a smaller proportion present to mental health services or receive psychological therapy (Kessler & Bromet, 2013). Many adult first-onsets make a natural recovery, engage in self-help, receive counselling and/or anti-depressant medication, and these inputs are sufficient for them to return to normal functioning and stay well in the future. In mental health services, most cases of major depression are recurrences because they are the people for whom the above interventions are insufficient, and depression then becomes a recurring problem.
In this chapter we focus on the needs of people with highly recurrent depression, by which we mean three or more previous ...