By Richard G. Moore, Anne Garland

‘This quantity offers the main entire presentation thus far of the phenomenology, scientific features and cognitive treatment of continual melancholy. The textual content is very readable, replete with illustrative case fabric, and highlighted through concise summaries on the finish of every bankruptcy. The remedy method, already proven within the famed Cambridge–Newcastle scientific trial, is a useful contribution.’Aaron T. Beck, M.D.Drawing on wide medical event, Richard G. Moore and Anne Garland current a cognitive version of continual melancholy that locations specific significance at the function of pondering kinds, underlying ideals, sophisticated types of avoidance and environmental factors.For the practitioner, this ebook bargains assistance on how one can deal with specific matters that usually come up at each one degree of treatment, such as:the sufferer is reluctant to interact in therapythe patient’s unfavourable considering doesn't reply to general healing techniquesthe patient’s damaging ideals have a lot foundation of their experiencethe therapist turns into demoralised via the obvious loss of development in therapyThrough vast medical fabric, Cognitive treatment for power and protracted melancholy demonstrates how entrenched unfavourable pondering styles and ongoing avoidance might be addressed to accomplish major switch in lots of people’s lives.This booklet is vital interpreting for any therapist operating with those demanding to aid sufferers, corresponding to medical psychologists, psychiatric nurses, psychiatrists, social staff and counsellors.

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20 COGNITIVE THERAPY FOR PERSISTENT DEPRESSION r A range of options exists for treatment with medication, which are of r r r r modest benefit and require longer duration of treatment than in acute depression. Psychological therapies may help to address the psychosocial symptoms and consequences of persistent depression. Cognitive therapy holds particular promise because of its structured approach and its enduring benefits following treatment of acute depression. Existing evidence for the efficacy of standard cognitive therapy in persistent depression is highly variable, but suggests that a significant proportion of patients may benefit.

G. , 1990). , 1988). This reinforces the importance of identifying effective options for active treatment. Given the possibility that lack of improvement may have been due to lack of adequate treatment, there is a need to ensure that patients presenting with persistent depressive symptoms have had an adequate trial of some standard treatment of established efficacy, whether biological or psychosocial. Even where the chronic course of symptoms to date may be in part attributable to not having received adequate treatment, response to standard treatments in patients with depressive symptoms of long duration is compromised (Scott, 1988).

Safran & Segal, 1990). Much of this book concerns the attempt to incorporate these practical developments into therapy with patients with persistent depression. One further relevant trend in the field of cognitive therapy has been an interest in how patients experience their negative thoughts, rather than simply the content of their thinking. g. g. Teasdale & Barnard, 1993). Practically, this has been reflected in the incorporation of techniques such as mindfulness into cognitive therapy programmes, particularly those aimed at relapse prevention.

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