Adapting the Parameters of Treatment Delivery of CT for Depression

Based on the case conceptualization, a therapist might choose to modify the parameters under which CT is administered. Specifically, a therapist might choose to modify the length of treatment. For example, strong endorsement of negative schemas associated with severe depression might require that treatment be extended to provide a greater number of opportunities for testing out alternative belief systems. Similarly, the therapist might decide that patients who only partially respond to treatment require periodic follow-up sessions to help ensure that they are practicing the skills learned in therapy and thereby maintaining their gains. Alternatively, based on the case conceptualization, the therapist might choose to modify the time between sessions. For example, to help get a suicidal patient through a crisis might require more frequent sessions than the typical weekly session.

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