This paper presents a literature review of the cognitive behavioral therapy based approaches to mental health nursing and their application to depression. The most remarkable finding published thus far on the treatment of depression has been in a major research, conducted by Keller and colleagues (2000), weighing the outcomes of one of the more recent treatments, nefazodone, against a new treatment, the Cognitive Behavioral Analysis System of Psychotherapy (CBASP). The CBASP approach suggests that the mindset of individuals with chronic depression has become retarded or regressed to the most elementary developmental stage. The nature of this mindset makes patient indifferent to forces from the social environment, leading to the belief that they are not able to affect any of the circumstances in their lives. This kind of mindset leads to the submissiveness and vulnerability usual of patients with chronic depression. The technique underlying the therapy is to demonstrate to patients that their decisions and behavior do in fact have significant effects, so that they will be encouraged to adopt behaviors that will yield positive outcomes. These positive outcomes, which stem mostly from social support, work to bring back motivation and enhance mood. Several techniques are implemented in adopting this approach such as the following (Keller et al., 2000, p. 1465): Provision of consistent feedback from the therapist on the interpersonal effects of the patient’s actions. Teaching patients to discriminate between aversive or abusive past interpersonal situations where they could not affect outcomes and current situations where they can. Teaching patients to evaluate systematically whether their actions are assisting them in achieving desired outcomes. The study of Keller and colleagues (2000) presented credible proof that CBASP is very useful in treating chronic depression. The speed of total remission with the combination of medication and CBASP in the study of Keller and colleagues (2000) was almost double the speed of total remission of patients who received medication and cognitive therapy. It is somewhat likely that CBASP will become the most successful therapy for chronic depression. However, this is not yet definite, since the speed of response to medication was significantly greater than in studies using cognitive therapy. Even though the research subjects used in the study of Kelly and colleagues (2000) seem to have higher levels of chronic depression than those in cognitive therapy studies, it is also probable that they were more responsive to treatment. Relapse preventive outcomes have also been reported applying other newer treatment approaches of cognitive therapy. Galante and colleagues (2013) formulated Mindfulness-Based Cognitive Therapy (MBCT) which incorporates several typical cognitive therapy policies into mindfulness approaches. MBCT is given in a group setting with individuals who have experienced severe depression. This treatment was developed particularly with the purpose of enhancing meta-cognitive consciousness in patients who have recovered from depression and who are highly vulnerable to more episodes. By means of mindfulness exercise, MBCT seeks to build a mental ‘group’ of meta-cognitive consciousness that is broader than the meta-awareness associated only with a damaging
A Review of Related Literature Cognitive Behavioral Therapy Based Approaches to Mental Health Nursing and their Application to Depression Name of Student Cognitive-behavioral therapy (CBT) is a widely, thoroughly studied type of psychotherapy…
Even though theories of nursing generally are introduced with the claim that they are focused on identifying and explaining issues of nursing, each is derived from scope, frameworks, ideas, principles, and knowledge that are unique (Wheeler, 2008). Although theories of nursing generally are not introduced with consistency among the theories’ process, structure, and parts, it is not very difficult to identify the principles and ideologies of the theories that reveal how nursing practices and behaviors are addressed theoretically.
Moreover, this sets up a basis for an even deeper relationship with the patient which is imperative in terms of trust. Trust in this field plays an important role in problem resolution in that when the patient opens up, the psychologist has the upper hand in that he can get a view of the issue from the patient’s end.
The current increase in the use of CBT reflects its efficacy in treating mental disorders. The findings of previous studies showed that CBT is effective in treating mental disorders compared to other approaches (Leichsenring, et al., 2006). CBT pertains to the family of treatment approaches driven to influence dysfunctional emotions, and cognition trough systematic, time-limited, and goal oriented behaviours (Gilboa-Schechtman & Marom, 2009).
Townsend (2005, p. 113) writes that emotional well-being, referring to how one thinks, behaves and how one feels, are all components of mental health. Further, Townsend (2008, p. 17) writes that mental health nursing is a nursing specialty that offers care to people of all ages who are suffering from mental illnesses, distress; among them psychosis, schizophrenia, depression and dementia.
The case is based upon a story of a 25 years old young adult girl named Sandra, who is currently having psychological disorder and depression that eventually led her to experience Mental Health (MH) services. With reference to the case, it can be viewed that various situations have been faced by Sandra from her childhood to adult age.
Nurses are responsible for a wide range of health services in the community as well as rehabilitation and hospital environments working as part of multidisciplinary team. In particular, mental health nurses often need to work collaboratively with service users to provide them focused, high quality, continuous service and for the multidisciplinary teams to be effective, an understanding is needed between all functioning members of the team.
Depression, anxiety, panic and phobias can cause disability of the patients and sometimes patients in this cognitive behavior problem commit suicide.
Cognitive behavior problems occurred when patient is thinking about distorted thing around him and the connection between troublesome situations and the reactions to them.
Negative automatic thoughts not only make us feel bad or depressed, but they can also stop us from doing right things. We may find ourselves thinking "I'll not be able to do it, what's the point in trying" and finally we get depressed. Depression is a chronic illness that requires long-term treatment but most of the antidepressant drugs possess severe adverse.
In particular, this paper gives a reflective account of learning in relation to application of the principles of evidence-based CBT. To achieve this, the paper incorporates critical analysis of how various techniques are linked to