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.

Comorbid Anxiety Disorders

Comorbid Anxiety Disorders

The main questions addressed in this chapter are: to what extent do anxiety disorders modify the maintenance of depression, and do they need separate attention during treatment? Approximately 50% of people with major depression have a comorbid anxiety disorder (Hirschfield, 2001; Kessler et al., 2015), but these are not necessarily complications as we have defined them in Chapter 10. This chapter explores three scenarios, one of comorbid depression with Generalized Anxiety Disorder (GAD), where the client (Angela, from Chapter 2) recovered from GAD without her anxiety disorder receiving direct attention. In this case, Angela’s depression was influenced by anxious worry and other GAD-related phenomena, but disorder-specific treatment for depression was sufficient to treat both disorders. We explore the mechanisms ...

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