Cognitive Behavioural Therapy Explained by Graeme Whitfield, Alan Davidson

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By Graeme Whitfield, Alan Davidson

Panacea or revolution? 'Evidence-based medication' and 'cost-effectiveness' became buzz-phrases for a wide selection of tasks and making plans tactics which target to offer sufferers remedies that might profit them. at the floor this turns out an inexpensive thought, yet there are underlying currents which solid doubt at the strategy and demonstrate methodological difficulties, which needs to be understood if the recommendations are to be competently used. Assuming no earlier wisdom of the sphere, and written within the transparent, simple demeanour the writer makes use of within the hugely winning health and wellbeing Economics for the Uninitiated, this publication is a brief functional advisor on how you can use those innovations, and the way to prevent their pitfalls. it is going to attract medical professionals, nurses, well-being carrier managers, sufferer enterprises, teachers and scholars of wellbeing and fitness care. it's going to offer crucial help to these operating in wellbeing and fitness care businesses, and within the pharmaceutical and scientific gear undefined.

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This would also fit with the evidence base in that couples therapy is 28 Cognitive behavioural therapy explained mentioned as an evidence-based treatment for depression in the NICE guidelines (National Institute for Health and Clinical Excellence, 2004a) • patients and their families often have a view on the model of psychological therapy with which they would like to work. Choice is now an important part of the delivery of services within the health sector. Some will have had one form of therapy and worked well with it in the past.

A large trial (650 participants) has also shown significant benefit from a form of CBT-based therapy as a treatment of chronic depression (Keller et al, 2000). This trial found that those who had both an antidepressant medication and psychological therapy did better than those who had received only one or the other. However, for depression in general, the issue of whether a combination of CBT and medication results in outcomes that are superior to either treatment alone is controversial (Roth and Fonagy, 2005).

The self-help should progress over 6 to 9 weeks. Short-term psychological treatment in both mild and moderate depression • The recommended psychological approach is the use of 6 to 8 sessions over 10 to 12 weeks of therapies with a specific focus on the depression, such as brief CBT, counselling and problem-solving therapy (B). Which model is chosen will depend on a number of factors such as personal preference. The guidelines elaborate that staff providing the therapy need to be competent and experienced (GPP), and need to develop and maintain a therapeutic alliance in order to achieve good outcomes (C).

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