
- Psychiatric Times Vol 25 No 7
- Volume 25
- Issue 7
Cognitive Therapy Research in Depression Treatment: Not Just STAR*D
As psychiatrists we need to clarify within our profession and with our patients what therapies actually treat an illness and what therapies help one learn to function better.
"
Another study that should be given more attention in relation to the cognitive distortions that are the focus of CT is by Fava and associates,2 who showed that antidepressant medication can reverse the cognitive distortions of patients with major depression. My clinical experience as well as that of others supports Fava's findings that distortions are more likely the result of biological factors in major depression, while distortions that result from one's personality style may be more of a cause of disturbed mood in milder depression and transient dysphoric mood states. I have seen many patients with major depression conclude that the problem results from a situation in their lives rather than a disorder in mood-regulating neurotransmitters because their life situations are easier to see and because the prospect of having a brain-chemical disorder is a personal weakness that is not easy for one to accept. This can itself become a "cognitive distortion" that impairs their ability to seek important medical help.
To me, it still makes clinical sense to use CT to give patients an idea of how their cognitive distortions may be contributing to their emotional trouble; however, as psychiatrists we need to clarify within our profession and with our patients what therapies actually treat an illness and what therapies help one learn to function better. As Parker and Fletcher have found, the process of learning to function better itself may alleviate symptoms of depression.
References:
References
1. Parker G, Fletcher K. Treating depression with the evidence-based psychotherapies: a critique of the evidence. Acta Psychiatr Scand. 2007;115: 352-359.
2. Fava M, Davidson K, Alpert JE, et al. Hostility changes following antidepressant treatment: relationship to stress and negative thinking. J Psychiatr Res. 1996;30:459-467.
Articles in this issue
over 17 years ago
Psychosurgery-Old and Newover 17 years ago
Reframing ADHD in the Genomic Eraover 17 years ago
The Concept of Recovery in Major Depressionover 17 years ago
Racial Encounters in Medicineover 17 years ago
Losing Your Spitover 17 years ago
At the Residential School Team Conferenceover 17 years ago
Antipsychotic Use Questioned for Developmentally Disabledover 17 years ago
Aristotle, Augustine, and Addictionover 17 years ago
New Research on InsomniaNewsletter
Receive trusted psychiatric news, expert analysis, and clinical insights — subscribe today to support your practice and your patients.