By Mark A. Whisman PhD
Whereas the efficacy of cognitive remedy for melancholy is definitely confirmed, each clinician is probably going to come across sufferers who don't reply to "standard" protocols. during this hugely sensible quantity, prime professionals offer a unified set of scientific instructions for conceptualizing, assessing, and treating hard displays of melancholy. awarded are precise, versatile concepts for addressing critical, power, partly remitted, or recurrent melancholy, in addition to psychiatric comorbidities, health conditions, and relations difficulties which may complicate therapy. The publication additionally bargains crucial wisdom and instruments for offering powerfuble care to express populations of depressed sufferers: ethnic minorities; lesbian, homosexual, and bisexual humans; youngsters; and older adults.
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Additional resources for Adapting Cognitive Therapy for Depression: Managing Complexity and Comorbidity
Back to reality: A critique of postmodern theory in psychotherapy. New York: Norton. Hollon, S. , & Beck, A. T. (1994). Cognitive and cognitive-behavioral therapies. In A. E. Bergin & S. L. , pp. 428–466). New York: Wiley. Hollon, S. , DeRubeis, R. , Shelton, R. , Amsterdam, J. , Salomon, R. , O’Reardon, J. , et al. (2005). Prevention of relapse following cognitive therapy vs. medications in moderate to severe depression. Archives of General Psychiatry, 62, 417–422. Hollon, S. , & Strunk, D. (2006).
Clark, D. , & Beck, A. T. (1991). Personality factors in dysphoria: A psychometric refinement of Beck’s Sociotropy–Autonomy Scale. Journal of Psychopathology and Behavioral Assessment, 13, 369–388. Clark, D. , Beck, A. , & Alford, B. A. (1999). Scientific foundations of cognitive theory and therapy of depression. Hoboken, NJ: Wiley. Coyne, J. C. (1976). Toward an interactional description of depression. Psychiatry, 39, 28–40. , & Daley, S. E. (1997). Poor interpersonal problem solving as a mechanism of stress generation in depression.
A positive predictor of treatment response in CT for depression is early completion of homework (Burns & NolenHoeksema, 1991), so if the patient expresses some enthusiasm for attempting the homework, the therapist can reinforce this reaction. Patient reactions to sessions may also be used to gauge whether any therapy relationship issues need to be addressed in future sessions. For example, a recent patient of mine indicated that she was “a control freak” and wanted to be in charge of most relationships.