DYNAMICS OF DEPRESSION

(COGNITIVE MODEL)

1. COGNITION, BEHAVIOR, & BIOCHEMISTRY ARE ALL COMPONENTS OF DEPRESSIVE DISORDERS.

1. DEPRESSED INDIVIDUALS DISTORT INTERPRETATIONS IN A NEGATIVE MANNER.

1. Overgeneralization beyond logical consequences.

2. Early “schema’s” create predisposition
   1. Schema’s are early themes of what to expect of self, others, and life; usually unconsciously

1. These are experienced as “truths”

FOCUS OF THERAPY

I.      CHANGE DEPRESSIVE THINKING

1. Demonstrate “non-specific” counselor skills

1. Empathy
2. Warmth
3. Genuineness
4. Openness
5. Suspend judgment

II.      GENERAL APPROACH

1. Obtain collaboration with clients
2. Joint determination of goals
3. Provide relevant feedback

III.      STRATEGIES FOR SYMPTOM RELIEF

1. Cognitive Techniques
   1. Automatic thoughts
   2. Daily record
   3. Testing automatic thoughts

2. Behavioral Techniques
   1. Schedule activities
   2. Mastery and pleasure activities
   3. Role playing
   4. Diversion (into physical activity)
   5. Homework