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Cognitive Behavioural
Therapy (CBT)
The goal of CBT is to help patients correct cognitive distortions and
negative beliefs regarding the self, other people, situations and events.
This is done by employing logical analysis of the patient's automatic
tenets. CBT is standardized and short-term. The skills required to perform
CBT can be acquired through CME workshops or by collaborating with a psychiatrist.
Interview:
Cognitive Behavioural Therapy Text
Cognitive Behavioural
Therapy
Zindel Segal, MD
Head, Cognitive Behavioural Therapy Unit
Centre for Addiction and Mental Health, Clark Division, and
Head, Psychotherapy Research
Department of Psychiatry
University of Toronto Psychotherapy Program
Interpersonal Therapy
(IPT)
IPT is a focused, short-term, time-limited therapy that focuses on current
interpersonal relations of the depressed patient while recognizing the
role of genetic, biochemical, developmental and personality factors in
the causation of and vulnerability to depression. Clinical experience
and research evidence indicate that psychotherapeutic interventions directed
at an interpersonal context will facilitate recovery from an episode of
depression and possibly have preventive effects against relapse and recurrence.
IPT has been used
as a single modality of treatment and also in combination with antidepressant
medication. The first goal of IPT, namely to reduce depressive symptoms,
is achieved by helping patients understand that their vague and confusing
experiences are part of a depressive syndrome which is well understood
and quite common. Practitioners emphasize that depression responds to
a variety of treatments and the prognosis if good - between 70 to 80%
of patients respond. As one of treatments, IPT encourages patients to
explore factors that may be contributing to their depression.
Practitioners also
help patients develop more successful patterns for dealing with social
and interpersonal problems associated with onset of depression. Major
problem areas here include delayed or distorted grief reactions; interpersonal
role disputes; role transitions and interpersonal deficits. By determining
which of the four common problem areas are present and by focusing IPT
around one or two of these problem areas, patients learn to master current
social roles and resolve interpersonal conflicts.
Diagnosing
Depressive Disorders Menu
Treating
Depressive Disorders Menu
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