1. CBT and Depression
Denise Hashempour

2. Altered behaviour in depression
Reduced activity
The vicious circle of reduced activity
Unhelpful Behaviour
Reduced helpful behaviour

3. Physical changes Weight changes Reduced energy/Fatigue
Reduced sex drive
Constipation
Pain
Physical agitation

4. Altered mood Reduced activity The vicious circle of reduced activity
Unhelpful Behaviour
Reduced helpful behaviour

5. Altered thinking A bias against yourself
Putting a negative slant on things
Having a gloomy view of the future
Negative view about how others see you
Bearing all responsibility
Making extreme statements or rules

6. Unhelpful thoughts Situation observation by supervisor Thoughts
I’ll make a mistake, be fired, and wont be able to get another job (catastrophising)
Mood
Nervous 80%
Scared 90%

7. Questions to identify unhelpful N.A.T.S.
What was going through my mind just before I started to feel like this ?
What does this say about me if true ?
What am I afraid might happen ?
What is the worst that could happen ?
What images or memories do I have ?
Use a thought Record

8. Patient’s Daily Record of Dysfunctional Automatic Thoughts
H:\CBT RESOURCES\FORM27.PDF

9. Case conceptualisation
How is it that the person came to develop this problem?
What were the significant life events, experiences, interactions?
What are their most basic beliefs about their self, their world, others?
What are their assumptions, expectations, rules, attitudes?
What strategies have they used to cope with these beliefs?
Which automatic thoughts, images, and behaviours help to maintain the problem?
What is happening in the persons life right now and how do they perceive it?

10. Conceptualisation
Baseline Assessment is an important part of the process, and may include:
Anxiety inventories.
Depression inventories.
Many other assessment tools

11. Patient’s Weekly Planning Schedule: Predicting Pleasure and Mastery
H:\CBT RESOURCES\FORM26.PDF

12. Patient’s Weekly Activity Schedule
H:\CBT RESOURCES\FORM25.PDF

13. Summary of techniques Normalising Socratic questioning
Assessment Guided Discovery
SMART Goals Thought Diaries
Identifiying and modifying Core Belief where possible Daily Activity Diary
Alternative helpful beliefs Increase helpful behaviour
Recognising Negative Automatic Thoughts Reduce unhelpful behaviour
Behavioural Activation
Psycho Education
Altered behaviour in depression
Identifiying and challenging unhelpful thoughts