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.

Integrated Approach: Reflection and Synthesis

Integrated Approach: Reflection and Synthesis

Integrated Approach: Reflection and Synthesis

This chapter is a brief reflection and synthesis of the whole book, based on the aims set out in Chapter 1.

The Heterogeneity of Major Depression

One of the biggest challenges in treating major depression, and developing new treatments, is its heterogeneity. The case studies across the chapters have demonstrated how much variability there is, and some of the different ways in which treatment can be adjusted, based on individual need. Each chapter has focused on a specific issue, challenge or complexity factor. In clinical practice, clients present with unique combinations of these factors, and it is a challenge for therapists to maintain good fidelity to treatment components, while also being responsive to individual need.

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