Depression cognitive behavioural therapy

In 1976, Aaron Beck, a psychiatrist at the University of Pennsylvania, proposed a cognitive theory of emotions and emotional disorders - a theory that was to become the foundation for cognitive behavioural therapy for depression. According to Beck, fear is produced by the anticipation of harm, joy by the expectancy of positive events, and sadness by the sense that something important has for ever been lost. As a consequence, overcoming fear and depression requires changing the beliefs that have produced them. 

Thase ME, Fasiczka AL, Berman SR, Simons AD, Reynolds CF 3rd (1998) Electroen-cephalographic sleep profiles before and after cognitive behaviour therapy of depression. Arch Gen Psychiatry 55 138-144... 

A trial of low dose amitryptiline (10-25 mg at night) is worthwhile in patients who do not respond to antispasmodics, and associated depression will be helped by conventional doses of this or other antidepressants. Relaxation therapy, hypnotherapy and cognitive behaviour therapy have a place in selected cases. 

I Psychotherapeutic interventions, particularly cognitive behavioural therapy (CBT) and interpersonal therapy (IPT) are effective in the treatment of many children and adolescents with depressive symptoms and mild-to-moderate depressive episodes and should probably be considered first-line treatment. 

Cognitive behavioural therapy for work-related depression and other occupational stress syndromes... 

Fennell, M. J. V. (1989). Depression. In K. Hawton et al (eds) Cognitive Behaviour Therapy for Psychiatric Problems A Practical Guide. Oxford, UK Oxford Medical Publications. 

Not all therapies are available locally, so check local provision, waiting times, and referral routes/practicalities of referral. Cognitive Behaviour Therapy (CBT) is most widely available, and some of your teammates may have specialist training, enabling them to offer therapy to CMHT/ward patients. The Improving Access to Psychological Therapies (lAPT) service is a national initiative, providing swift access to CBT for depression and anxiety (self or GP referral). 

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