Adapting the Emphasis or Focus of CT for Depression

Another direction for modifying CT for depression is to emphasize or to place a greater focus on one or more specific aspects of CT of depression. For example, Beck et al. (1979) hypothesized that greater severity of depression requires greater use of behavioral strategies in CT. Therefore, whereas behavioral interventions might be included in working with many depressed individuals, they may make up a larger percentage of sessions for people who are more severely depressed.

Another area in CT for depression that is important in working with various manifestations of depression is different emphases on the therapeutic relationship. Whereas a good therapeutic relationship is viewed as necessary but not sufficient in conducting CT for depression (Beck et al., 1979), the therapeutic relationship may assume a greater role in working with certain types of depressed patients. For example, using the therapeutic relationship as a testing ground for modifying cognitions might be particularly helpful for people with chronic or persistent depression, or for people with personality disorders or dysfunctional personality traits (Beck et al., 2003; Young, Klosko, & Weishaar, 2003).

Anxiety and Depression 101

Anxiety and Depression 101

Everything you ever wanted to know about. We have been discussing depression and anxiety and how different information that is out on the market only seems to target one particular cure for these two common conditions that seem to walk hand in hand.

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