Download or read book An Examination of CT Skills as a Mediator of the Enduring Effect of Cognitive Therapy for Depression written by Benjamin J. Pfeifer and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Cognitive Therapy (CT) is an evidence-based treatment for depression with a substantial supporting literature. Numerous clinical trials support its efficacy in producing acute symptom reduction. Follow-up studies also suggest that CT produces an enduring effect of reduced risk for subsequent relapse or recurrence relative to discontinued antidepressant medication (ADM). However, the mechanism that produces this enduring effect remains unclear. Although some researchers have suggested that skills learned in CT to identify and reduce negative biases may be the mechanism of CT’s enduring effect, there has not yet been a test of whether post-treatment skills account for the reduced risk of relapse and recurrence observed in CT compared to ADM. In the current study, I test this hypothesis in a sample of 104 patients with moderate to severe depression who responded to one of three randomly assigned treatment conditions: CT, continued ADM, or ADM withdrawn to placebo (DeRubeis et al., 2005; Hollon et al., 2005). Results are mixed, with evidence supporting some elements of a mediation hypothesis but not all. Treatment condition predicted risk of relapse/recurrence in this trial, although there was a significant site by treatment interaction such that the magnitude of treatment effects differed between sites. There was also a significant treatment condition by site interaction predicting post-treatment CT skills, and one CT skill score significantly predicted reduced risk of relapse/recurrence. However, results also showed that post-treatment skills did not significantly mediate the effect of treatment condition on risk of relapse/recurrence. These findings do not support a straightforward mediation hypothesis for CT skills, with some indications that site differences in patient characteristics or treatment procedures may have played a role. I discuss the roles of both treatment condition and site in these analyses, explore the possibility of patient characteristics as a potential moderator, and note limitations and possible future directions for this research.

Download or read book Cognitive Therapy of Depression written by Aaron T. Beck and published by Guilford Publications. This book was released on 2024-06-04 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reflecting major contemporary developments in theory and clinical practice, the second edition of this authoritative guide has been significantly rewritten with 85% new material. Cognitive therapy (CT) pioneer Aaron T. Beck and associates provide cutting-edge knowledge about the cognitive model of depression and the most effective, lasting ways to reduce clients' suffering. The volume links clearly explained theoretical principles to specific therapeutic strategies. Techniques for identifying, examining, and changing the thoughts, beliefs, and behaviors that give rise to depression and related disorders are illustrated with compelling vignettes and sample dialogues. New to This Edition *Reflects the maturation of CT for treating more complicated presentations, including patients with chronic depression or underlying personality disorders. *Brings therapists up to date on schema-focused approaches as well as classic cognitive and behavioral interventions. *Incorporates data from basic research and many dozens of clinical trials. *All-new vignettes and a chapter-length case example. *Greater attention to the therapeutic relationship and to longer-term treatment.

Download or read book Examination of the Skills of Cognitive Therapy for Depression written by Shannon Nicole Hollars and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Researchers seeking to improve outcomes for Major Depressive Disorder (MDD) have investigated pre-treatment patient characteristics with the goal of identifying treatments or treatment components that might be more effective for some patients than others. Other studies have focused on improving the effectiveness of existing interventions by evaluating the relation of treatment components to outcomes both directly and indirectly via their association with putative therapeutic mechanisms. In the context of cognitive behavioral therapy (also called cognitive therapy (CT)), cognitive and behavioral change procedures and associated cognitive and behavioral changes have been the subjects of a growing body of research (Lorenzo et al., 2014). In the current study, I examined whether cognitive and behavioral change procedures were associated with specific changes in patients' cognitive and behavioral skills. Previous studies have examined the extent that particular components within CT are more effective than others in modifying cognitive and behavioral vulnerabilities but have not found consistent evidence to support the specificity of these changes to CT or components in CT (Jacobson et al., 1996). To our knowledge, this study is the first to evaluate skill specificity in the context of the cognitive and behavioral components from CT. In addition, I evaluated pre-treatment skills to predict for whom the cognitive and behavioral treatment procedures would be more effective in reducing symptoms and increasing skillfulness.

Download or read book Cognitive Therapy Across the Lifespan written by Mark A. Reinecke and published by Cambridge University Press. This book was released on 2003-09-25 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: This balanced, evidence-based overview examines the effectiveness of cognitive-behavioral therapy in clinical practice.

Download or read book Overcoming Depression written by Mark Gilson and published by Oxford University Press. This book was released on 2009-04-24 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: This therapist guide is designed to give mental health professionals the necessary tools to assess and treat a broad range of mood disorders, particularly depression. Based on the principles of cognitive-behavioral therapy, the Taming the BEAST (TTB) program helps patients develop a set of coping strategies and skills to proactively manage their depressed mood. Using the acronym BEAST, treatment modules address biology, emotions, activity, situations, and thoughts. Each module comes complete with step-by-step instructions for delivering treatment including outlines and lists of materials needed. In-session exercises as well as home assignments help motivate the patient and allow for the monitoring of progress. Written by experts in the field, this guide comes complete with chapters on assessment, socialization, and termination. The TTB program offers both therapist and patient a roadmap for overcoming the depression 'beast.' TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Download or read book The Psychological Treatment of Depression written by J. Mark G. Williams and published by Routledge. This book was released on 2013-01-11 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'A clear, rigorous account of cognitive behavioural methods for treating depression.' - British Journal of Psychiatry The use of behavioural and cognitive techniques for treating depression has yielded exciting results. Cognitive Behaviour Therapy (CBT) is as effective in the short term as anti-depressant drugs and has longer-lasting effects than medication. This book brings together assessment and treatment techniques of proven efficacy, describing them in usable detail and setting them in the context of current psychological theories of depression. It is an invaluable guide to practitioners wishing to make use of CBT.

Download or read book Cognitive Therapy for Depression Provided by Novice and Expert Therapists written by Lizabeth Alexandra Goldstein and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: There is considerable evidence to support the efficacy of cognitive therapy (CT) for depression in a clinical trial context (Gloaguen, Cottraux, Cucherat, & Blackburn, 1998). Clinical trials involving a psychotherapy component, however, typically utilize therapists with substantial experience and expertise in the modality of interest. Less is known about the outcomes of CT when provided in other settings, particularly settings with relatively novice clinicians. The current study compared change in depressive symptom severity and change in CT skills among patients with moderate to severe depression treated by (a) relatively expert therapists at two sites in a randomized clinical trial (i.e., DeRubeis et al., 2005) and (b) patients treated by relatively novice therapists at a university training clinic. The clinical trial sites and university training clinic site had similar inclusion and exclusion criteria, duration of treatment, and treatment manual. Using Hierarchical Linear Modeling to evaluate symptom change on both the Beck Depression Inventory-II and Hamilton Rating Scale for Depression, there were no significant differences between the training site and either of the clinical trial sites. When comparing the training site with one of the clinical trial sites, there was not a statistically significant difference in change in CT skills. Contrary to expectation, however, when comparing the training site with the other clinical trial site, patients treated by novice therapists at the training site demonstrated a greater increase in cognitive therapy skills. These results provide evidence that CT provided by novice therapists in a training clinic can produce outcomes similar to those of patients treated by expert therapists in a clinical trial. Further research is needed to evaluate the generalizability of these findings as well as identify other factors associated with optimal treatment outcomes.

Download or read book Treating Depression written by Adrian Wells and published by John Wiley & Sons. This book was released on 2015-10-12 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical and conceptual guide to treating depression using both Beckian CBT and the latest, cutting-edge third wave CBT approaches, including mindfulness and metacognitive therapy. It provides an understanding of depression and its treatment and a clear practical guidance on how to use each treatment approach. Covers CBT, metacognitive therapy, and third-wave behavioural approaches within one volume Presents the theoretical background and evidence for each approach, and describes application in a clear case study approach which clearly outlines the contrasting features of the treatments Includes separate chapter commentaries on the theory and clinical material covered Internationally renowned contributors include Arthur Nezu, David A. Clark, Robert Zettle, Keith Dobson, Ruth Baer, Adrian Wells and Robert Leahy

Download or read book Cognitive Psychotherapy Toward a New Millennium written by Tullio Scrimali and published by Springer Science & Business Media. This book was released on 2012-02-02 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the roughly two decades since Aaron T. Beck published the now classic "Cognitive Therapy of Depression," and Michael J. Mahoney declared the "Cognitive Revolution," much has happened. What was proposed as the "cognitive revolution" has now become the zeitgeist, and Cognitive Therapy (CT) has grown exponentially with each passing year. A treatment model that was once seen as diffe rent, strange, or even alien, is now commonplace. In fact, many people have allied themselves with CT claiming that they have always done CT. Even my psychoanalytic colleagues have claimed that they often use CT. "After all," they say, "Psychoanalysis is a cognitive therapy." Cognitive Therapy (or Cognitive Psychotherapy) has become a kaleidoscope model of treatment, with influences coming from many sources. Some of these contributory streams have been information pro cessing, behavior therapy, Constructivist psychology, and dynamic psychotherapy. Each of these sources have added color, shading, and depth to the CT model. What was originally uni dimensional in terms of the CT focus on depression has become multidimensional as the CT model has been applied to virtually every patient population, treatment setting, and therapy context. CT must now be seen as a general model of psychotherapy that, with modifications, can be applied to the broad range of clinical problems and syndromes. What has tied these various applications of CT together is the emphasis on a strong grounding in cogni tive theory, a commitment to empirical support, and a dedication to broadening the model.

Download or read book The Clinician s Guide to CBT Using Mind Over Mood written by Christine A. Padesky and published by Guilford Publications. This book was released on 2020-03-23 with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt: This authoritative guide has been completely revised and expanded with over 90% new material in a new step-by-step format. It details how, when, and why therapists can make best use of each chapter in Mind Over Mood, Second Edition (MOM2), in individual, couple, and group therapy. Christine A. Padesky's extensive experience as a CBT innovator, clinician, teacher, and consultant is reflected in 100+ pages of compelling therapist–client dialogues that vividly illustrate core CBT interventions and management of challenging dilemmas. Fully updated, the book offers research-based guidance on the use of MOM2 to treat anxiety disorders, depression, anger, guilt, shame, relationship problems, and personality disorders. Invaluable therapy tips, real-life scenarios, and troubleshooting guides in each chapter make this the essential MOM2 companion for novice and experienced therapists alike. Reproducible Reading Guides show how to sequence MOM2 chapters to target specific moods. First edition title: Clinician’s Guide to Mind Over Mood. New to This Edition *Detailed instructions on how, when, and why to use each of MOM2’s 60 worksheets. *Expanded coverage illustrating effective use of thought records, behavioral experiments, and imagery. *Shows how to flexibly tailor MOM2 to address particular anxiety disorders, using distinct principles and protocols. *Incorporates evidence-based practices from positive psychology, motivational interviewing, and acceptance and commitment therapy. *Updated practice guidelines throughout, based on current clinical research. *More content on using MOM2 for therapist self-study and in training programs and classrooms. *Free supplemental videos on the author's YouTube channel provide additional clinical tips and discuss issues in practicing, teaching, and learning CBT. See also Mind Over Mood, Second Edition: Change How You Feel by Changing the Way You Think.

Download or read book Recovery Oriented Cognitive Therapy for Serious Mental Health Conditions written by Aaron T. Beck and published by Guilford Publications. This book was released on 2020-12-08 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book can help you develop a spirited savvy in recovery-oriented cognitive therapy over the course of fifteen chapters, which we have organized into three parts: The first six chapters in Part I introduce you to recovery-oriented cognitive therapy, the basic model and how it works. Building on the basics, the five chapters in Part II extend understanding, strategy, and intervention to the challenges that have historically gotten the person stuck: negative symptoms, delusions, hallucinations, communication challenges, trauma, self-injury, aggressive behavior, and substance use. The final four chapters in Part III delve deeper into specific settings and applications - individual therapy, therapeutic milieu, group therapy, and families"--

Download or read book The Effect of a Motivational Interviewing Style in Cognitive Therapy for Depression written by Erica Carlin and published by . This book was released on 2010 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: While cognitive therapy (CT) is one of the most well-validated and widely used treatments for patients with Major Depressive Disorder (MDD), many individuals remain symptomatic at the end of treatment or drop out prematurely (Cuijpers, van Straten, Anderson, & van Oppen, 2008; Vittengl, Clark, Dunn, & Jarrett, 2007). Evidence suggests that certain types of therapist relational styles, such as one characterized by empathy and support, are facilitative of better therapeutic outcomes (Keijsers, Schaap, & Hoogduin, 1997) and motivational interviewing (MI; Miller & Rollnick, 2002) is a therapeutic approach which emphasizes this type of relational stance. The present study examined whether cognitive therapists exhibit a relational stance that is emphasized in motivational interviewing and whether this relational stance is associated with greater symptomatic improvement in cognitive therapy for depression. The Motivational Interviewing Treatment Integrity Skills Code (MITI; Moyers, Martin, Manuel, Miller, & Ernst, 2007), an observational coding system originated for assessing fidelity to MI, was used to assess three aspect of MI relational stance (MI Spirit, MI Adherent behaviors, and MI Nonadherent behaviors) among cognitive therapists in a randomized-controlled of CT for individuals with moderate to severe depression. Multilevel modeling was employed to examine the effect of MI relational stance on overall symptom trajectories throughout treatment and subsequent symptom reduction immediately after the use of MI relational stance. In order to rule out early symptom reduction as a potential confound, shared variance between MI relational stance and early symptom reduction was removed. The hypothesis that MI relational stance would be associated with more rapid symptom reduction was confirmed for MI Adherent behaviors but not for MI Spirit or MI Nonadherent behaviors. The prediction that initial depression severity would moderate the effect of MI relational stance on symptomatic improvement was not confirmed; however, a three-way interaction between initial depression severity, MI Adherence, and session number revealed that patients with high initial depression severity did not significantly improve through the course of therapy unless they received high MI Adherence. The hypothesis that MI relational stance in a given session would be associated with a reduction in depressive symptoms in the following sessions across the first four sessions was not confirmed. As predicted, early clinical improvement was not associated with MI relational stance in a later session, suggesting that MI relational stance was not merely an artifact of early clinical improvement. There was no support for the prediction that MI relational stance would be associated with subsequent retention in therapy or the therapeutic alliance. Overall, these findings suggest that a specific type of MI relational stance, MI Adherent behaviors, contribute to more symptomatic improvement. Implications of the role of MI relational stance in cognitive therapy are discussed.

Download or read book Cognitive Therapy in Clinical Practice written by Jan Scott and published by Routledge. This book was released on 2003-09-02 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume contains examples of how cognitive therapists working in varied settings with groups of adult clients have applied the cognitive model in their domain. Cognitive therapy has much broader application than the traditional area of depression; contributors illustrate the way they work by using extended case material, readers will hear the voices of the clients and empathise with both client and therapist as they seek to build a collaborative relationship. Areas discussed range from drug abuse and eating disorders to obsessive behaviour. Any therapist, however experienced, will learn from `listening in' on the cases presented and students will find it essential reading.

Download or read book Cognitive Coping Therapy written by Kenneth Sharoff and published by Psychology Press. This book was released on 2002 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book partners coping skills therapy and cognitive behavior therapy.

Download or read book CBT for Depression An Integrated Approach written by Stephen Barton and published by SAGE. This book was released on 2018-10-01 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Assessment in Cognitive Therapy written by Gary P. Brown and published by Guilford Publications. This book was released on 2014-12-19 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume brings together leading experts to explore the state of the art of cognitive clinical assessment and identify cutting-edge approaches of interest to clinicians and researchers. The book highlights fundamental problems concerning the validity of assessments that are widely used in cognitive-behavioral therapy (CBT). Key directions for further research and development are identified. Updated cognitive assessment methods are described in detail, with particular attention to transdiagnostic treatment, evidence-based practice, cognitive case formulation, and imagery-based techniques.

Download or read book REBT in the Treatment of Subclinical and Clinical Depression written by Diana Cândea and published by Springer. This book was released on 2018-12-27 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: The clinical protocols included in this book are focused both on clinical and subclinical depression and are targeted for both adults and youth. After providing a concise overview on depression and the empirical data supporting the clinical protocols, the book illustrates REBT/CBT protocols that provide essential guidance on how to address depression by practitioners at all levels of expertise (e.g. therapists in training and/or more experienced therapists). ​​ ​​ The field of psychotherapy research is now at a stage where the efficacy (i.e., how treatments work in controlled studies) and effectiveness (i.e., how treatments work in real life) of psychological treatments have been demonstrated for a large spectrum of disorders (Barlow, 2001). Cognitive – behavior therapies (CBT) are considered the gold standard for empirically validated forms of psychotherapy in the treatment of clinical and subclinical depression, showing short- and long-term effects (see Barlow, 2001; Chambless & Hollon, 1998) that are at least as strong as those of pharmacotherapy (medication) or other therapies (i.e., interpersonal therapy; DeRubeis et al., 200 5; Hollon et al., 2005; Shea et al., 1992) and it is hoped that these treatments will help not only treat but also prevent the onset of major depression (Cuijpers, Smit, & Straten, 2007). Cognitive –behavior therapies are based on the premise that psychological problems stem from dysfunctional cognitions (Beck, Rush, Shaw, & Emery, 1979; Ellis, 1962). In CBT, the therapist works with the client to identify and focus upon dysfunctional cognitions to modify them and remedy associated emotional and/or behavior al consequences. Two of the most influential and widespread forms of CBT are cognitive therapy (CT) and rational emotive behavior therapy (REBT) (Elis, 1987; David, 2007; David & Szentagotai, 2006).