Cognitive-Behavioral Treatment of Depression

This is a clear and thorough how-to book on short-term cognitive-behavioral treatment of depression. Following a complete assessment of the patient's suicidal risk, the authors outline an eight-session plan that includes both cognitive and behavioral components.

Acknowledgments

xi

I General Principles

Treatment Rationale

3

(3)

The Cognitive-Behavioral Model of Depression

3

(1)

Cognitive-Behavioral Treatment

4

(2)

Qualities of the Therapeutic Relationship

6

(9)

General Considerations

6

(3)

Collaborative Empiricism

9

(3)

Guided Discovery

12

(3)

Overcoming Obstacles to Treatment

15

(8)

Noncompliance

15

(2)

Inability to Grasp the Cognitive Model

17

(1)

Persistence of Depressive Symptoms Despite Use of the Model

18

(5)

II Eight Cognitive-Behavioral Treatment Sessions

An Overview

23

(4)

Who Is an Appropriate Candidate for Short-Term, Cognitive-Behavioral Treatment?

23

(1)

The Timing of Sessions

24

(1)

Standard Cognitive-Behavioral Treatment Components

24

(1)

Behavioral Treatments

25

(1)

Outline of Treatment

25

(2)

Education about depression

27

(17)

Suicide assessment and contract

Scheduling pleasurable activities

Establishing a basic structure for each day

The cognitive model of depression

44

(8)

Self-monitoring of automatic thoughts

Examining the evidence

52

(7)

Generating alternatives

Cognitive distortions

59

(4)

Introduction of appropriate behavioral treatment

Hypothesis testing

63

(8)

Problem solving

Continuing appropriate behavioral treatment

Identifying and evaluating underlying assumptions and schemas

71

(9)

Continuing appropriate behavioral treatment

Summary of the steps of cognitive therapy

80

(6)

Relapse prevention (for treatment responders)

Continuing appropriate behavioral treatment

(for treatment responders): Plan for maintenance and generalization

86

(131)

Termination

III Behavioral Treatments

Assertiveness Training

91

(15)

Anger Management

106

(10)

Relaxation Techniques

116

(19)

Improving Productivity

135

(8)

Managing Panic Attacks

143

(14)

Managing Worry

157

(10)

Appendix I: Handouts

Sample Items from the Beck Depression Inventory

167

(1)

Education about Depression

168

(4)

Suggested Pleasurable Activities

172

(7)

Pleasurable Activities Self-Monitoring Form

179

(1)

Thought Record

180

(1)

Common Cognitive Distortions of Depression

181

(2)

The Steps to Constructing a Rational Response

183

(1)

Early Maladaptive Schemas

184

(9)

The Principles of Assertiveness

193

(3)

Self-Monitoring for Assertiveness

196

(1)

Education about Stress Symptoms

197

(2)

Education about Panic Attacks

199

(8)

Managing Worry

207

(8)

APPENDIX II: Supporting Studies: Selected References of Controlled Studies

References

215

(2)

Index

217

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Cognitive-Behavioral Treatment of Depression

Summary

Table of Contents

Supplemental Materials