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Cognitive Behavioral Therapy for Depression
[1] Evidence Base for Cognitive Behavioral Therapy in Depression Cognitive behavioral therapy (CBT) is one of the most evidence-based psychological interventions for the treatment of several psychiatric disorders such as depression, anxiety disorders, somatoform disorder, and substance use disorder....
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Published in: | Indian journal of psychiatry 2020-01, Vol.62 (8), p.223-229 |
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Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | [1] Evidence Base for Cognitive Behavioral Therapy in Depression Cognitive behavioral therapy (CBT) is one of the most evidence-based psychological interventions for the treatment of several psychiatric disorders such as depression, anxiety disorders, somatoform disorder, and substance use disorder. Beck Depression Inventory (A. T. Beck, Steer, and Brown, 1996), the Depression Anxiety Stress Scales (Lovibond and Lovibond, 1995), Montgomery-Asberg Depression Rating Scale, Hamilton Rating Scale for Depression are useful rating scales for this purpose. {Figure 1} Schema - stable internal structure of information usually formed during early life, also include core belief about selfinformation processing and intermediate belief are usually interpreted as rules of living and usually expressed in terms of “if and then” sentencesAutomatic thoughts - proximally related to everyday events and in depression, often reflects cognitive triad, i.e., negative view of oneself, world, and future. After initial assessment of the patient those who prefer psychological treatment can be offered CBT alone or in combination depending on type of depressionThose with mild to moderate depression CBT can be recommended as a first line of treatmentPatients with severe depression might need combination of both CBT and medications (and or other treatments)Special situations such as children and adolescents, pregnancy, lactation, female in fertile age group planning for pregnancy, medical comorbiditiesInability to tolerate psychopharmacological treatmentThe presence of significant psychosocial factors, intrapsychic conflicts, and interpersonal difficulties. |
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ISSN: | 0019-5545 1998-3794 |
DOI: | 10.4103/psychiatry.IndianJPsychiatry_772_19 |