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Cognitive BehavioralTherapy October9 2007 CBTviewofdepression DepressionisrelatedtothewayindividualsperceiveandthinkabouteventsintheirenvironmentContributetoanegativeviewoftheself theworld andthefutureFeelingsofself blame failure andhopelessnessImpactmoodandotherbehaviorsPeoplewithdepressionhavecognitivedistortionsintheirviewsofthemselves theworld andthefuture EVENT THOUGHT FEELING BEHAVIOR TreatmentofDepressiveDisorders PsychosocialInterventionsCognitivetherapyIdentify challenge andmodifynegativethoughtprocessesMisattributionsNegativeself monitoringShort termfocusExcessivelyhighperformancestandardsFailuretoself reinforce CognitiveDistortions All or nothingthinkingOvergeneralizationMentalfilterDisqualifyingthepositive CognitiveDistortions JumpingtoconclusionsMindreadingTheFortuneTellererror CognitiveDistortions MagnificationorminimizationEmotionalreasoning Should statements CognitiveDistortions Labeling mislabelingPersonalization LearnedHelplessnessandDepression Seligman Seligman 1974 1975 1978 DepressionisdescribedintermsoflearnedhelplessnessDepressiondevelopsinindividualswhoperceivethemselvesashavinglittleornocontroloverrewardsandpunishmentsintheirenvironment LearnedHelplessness Depressionresultsfromtheindividual spropensitytoviewnegativeeventsintheirlifeasdueto theirowncharacteristics internalattributions it sallmyfault I mjustnotgoodwithpeople that sjustwhoIam factorsthatareunlikelytochange attributionsofstability IkeepgettingfiredbecauseI mdumb sowhybothertryingtogetanotherjob factorsthatarelikelytohaveaninfluenceontheindividualacrosssituations globalattributions BehavioralViews Ferster 1974 andLewinsohn 1974 DepressionmayresultfromalackofsufficientpositivereinforcementintheenvironmentLackofreinforcementcanbecausedby changeinresidencefailuretodisplayappropriatesocialskillsEtc TreatmentofDepressiveDisorders PsychosocialInterventions cont Behaviortherapyfocusesonincreasingpleasurableactivitiesandevents andprovidingtheyoungsterwiththeskillsnecessarytoobtainmorereinforcement ComponentsofCBT Integrationofcognitiveandbehavioraltherapies andhasshownthemostsuccessintreatingdepressioninyoungpeopleCognitiverestructuringActivityPlanningProblem solvingtrainingRelaxationtrainingAutogenicsDeepBreathingProgressiveMuscleRelaxation PMR Homeworkassignments CognitiveBehaviorTherapy CBTisdesignedtochangebothnegativethoughts cognitions andbehaviorsDepressedchildren adolescentlearnaboutthenatureofdepressionandhowtheirmoodislinkedtoboththeirthoughtsandactionsThefocusisondevelopingbettercommunication problem solving anger management relaxation andsocialskillsCBT
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