Cognitive Behaviour Therapy Essay

2480 words - 10 pages

This assignment will discuss the application of the Cognitive Behaviour Therapy (CBT) in mental health nursing with reference to its principles and those of the Recovery Model. A brief discussion of CBT’s historical and developmental background in the management of mental health problems relating to the principles of recovery model will first be outlined. Subsequently, the range of treatment modalities used for depression preceding the start of CBT will be discussed with reference to the recovery model. The principles of CBT will then be evaluated and two CBT approaches used with depression will be explored giving a rationale for choosing them. Within the context of mental health care ...view middle of the document...

Recovery model refers to the patients building a meaningful life for themselves with or without the continuing presence of mental health problems (Shepherd et al, 2008). CBT is goal orientated agreed between the client and the therapist with the intent to improve the client’s stressful emotions, cognitive errors and change their behaviour (Kinsella & Garland, 2009). CBT is problem focussed and it encourages a therapeutic alliance and collaboration between the client and the therapist. It has become the primary psychotherapy in the Western world and has been developed for a wide range of disorders (Leahy, 2003).

Aaron Beck and Albert Ellis are believed to be the founders of CBT which originated in the 1960s from the behavioural and cognitive therapy (Padesky, 2003). The ABC model which later developed into ABCDE model was developed by Ellis in order to understand how emotions have influence on behaviours. The ABCDE means (A-Activating Event, B-Believing, C-Consequences, D-Disputing irrational beliefs and E-Effective new philosophy of life). He renamed this model as Rational Emotive Behaviour Therapy (REBT). The reaction against the Freudian psychodynamic theory in the 19th century brought about the development of the Behaviour Therapy (BT) which was developed with the aim to treat phobias such as anxiety and obsessive compulsive disorders (OCD) (Clark & Fairburn, 2002). Despite its success, it has not succeeded in the treatment of depression as considerations were not given to the thoughts, beliefs and understanding of this treatment modality (Westbrook et al, 2011).CBT was then developed by Aaron Beck after inventing the term ‘automatic thought’ in the 1970s to describe emotion filled thoughts that might come in the mind. He called it cognitive behavioural therapy due to its considerations of the thought processes and how it adapts to behaviour pattern. CBT is now used across the western world due to its effectiveness and has undergone scientific trials by different groups resulting in its wide range of use in mental health problems (Evans, 2007).

Clients view CBT teaching strategies as part of their personal journey which will empower them to discover their problems and focus on developing coping strategies, instil hope, have supportive relationships, have a secure sense of self and encourage social inclusion (Wallcraft, 2009). The Recovery model states that health care professionals must support their clients by collaboratively formulating interventions that maximise the level of the client’s functioning abilities (Deegan, 1999).

Depression is defined as a common mental disorder that presents with low mood, suicidal thoughts, anhedonia, feelings of guilt, low self worth, insomnia, hypersomnia and poor concentration (World Health Organisation, 2012). The International Classification of Diagnosis (ICD 10) and the American psychiatric association (2000) states that five of the symptoms have to be present over 2 weeks in order to...

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