Treatment for Depression

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University of Eldoret *

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Psychology

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Nov 24, 2024

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Running head: EVIDENCE-BASED TREATMENT FOR DEPRESSION 1 Etiology and Evidence-Based Treatment of Depression Student Name Affiliation Course Professor Name Date
EVIDENCE-BASED TREATMENT FOR DEPRESSION 2 Depression is defined as a persistent mental health problem that is faced by millions of people worldwide. People with this condition usually have insistent sadness, bleakness, and a loss of interest in once-relished events. Depression’s effects extend beyond individual suffering since it could strain relationships, interfere with daily functioning, and cause serious consequences if left untreated. WHO has described depression as the foremost factor that causes incapacity globally. Indeed, the intricacies of depression can be explored by developing a comprehensive case study of someone with this diagnosis. Through the identity of this client's history, identifying diagnostic criteria, as well as assessing the theoretical underpinnings of their condition, we can gain a deeper understanding of the multifaceted nature of depression. Comprehending the different features of depression, its etiology, and the treatment approaches is essential in mitigating the pervasive and incapacitating effects of this mental health condition, illustrated through the in-depth case study of Alex and the evidence-based examination of Cognitive-Behavioral Theory. Case Presentation Alex, our subject, provides a case for studying depression. The subject hails from a tiny suburban town and is subject to the challenges of a broken family that marked her childhood. With her divorced parents, Alex grew up in a setting rife with emotional tension as well as instability. This familial estrangement left deep emotional scars and a sense of insecurity, which affected Alex's mental well-being. Furthermore, the case of Alex emphasizes the presence of biological factors in depression. An early case of mood disorders, that is, depression, underscores the potential genetic tendency to this condition. Exploring Alex's journey, one can closely examine how these familial and genetic influences interplay with their emotional and psychological state, contributing to the development of depressing symptoms.
EVIDENCE-BASED TREATMENT FOR DEPRESSION 3 Diagnostic Criteria To analyze Alex's case with full comprehension, we will present and evaluate the official diagnostic values for depression as well-defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). By dissecting these criteria, we will illustrate how Alex aligns with each element, facilitating a clear consideration of the diagnosis. The DSM-5 outlines a range of criteria for diagnosing depression, comprising persistent feelings of hopelessness, sadness, or a loss of attentiveness in previously enjoyable activities. Alex parades these symptoms, reporting a consistent state of emotional distress and disinterest in activities they once cherished. Sleep disturbances, weight fluctuations, and feelings of worthlessness further corroborate their condition. Moreover, we observe symptoms such as trouble concentrating, fatigue, and recurring suicide ideation in Alex's case. These experiences align with the diagnostic criteria and significantly impact their daily functioning. As we dive deeper into Alex's backgrounds, we will elucidate how these symptoms apparent in their life, underlining the severity of their depression. Theoretical Explanation : Cognitive Theory of Depression In understanding Alex's case, the cognitive theory of depression, as outlined by Aaron T. Beck, seems particularly relevant. This theory posits that individuals who suffer from depression exhibit distorted and negative thought patterns, which lead to their emotional and behavioral symptoms. Beck's cognitive theory highlights three primary components: the cognitive triad, cognitive distortions, and automatic thoughts. The cognitive triad consists of negative views about oneself, the world, and the future. Cognitive distortions are irrational thought patterns that fuel negativity, and automatic thoughts are spontaneous, often subconscious, cognitive responses to situations that further exacerbate depressive feelings.
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EVIDENCE-BASED TREATMENT FOR DEPRESSION 4 I have chosen this theory for Alex's case because his reported symptoms align closely with the core principles of cognitive theory. His persistent feelings of worthlessness, hopelessness, and guilt indicate a negative view of self, a key component of the cognitive triad. Moreover, his comments about seeing the world as a hostile and unwelcoming place reflect the negative views about the world component. His fear of losing his job and the associated thoughts about a bleak future represent the third facet of the triad. The cognitive distortions described by Beck, such as catastrophizing, black-and-white thinking, and overgeneralization, appear to be at play in Alex's thought processes (Elenezi et al., 2023). He mentions assuming that he will inevitably lose his job, which is a form of catastrophizing. His statements about never being good enough and thinking in absolute terms indicate black-and-white thinking, leading to his depressive symptoms and reinforcing the harmful triad. Application of Theory: When we apply the cognitive theory to Alex's scenario, it helps in highlighting the progression of her depression. Her distorted patterns of thinking, ruminations, as well as negative self-assessment, generate a feedback loop, increasing her depressive symptoms. For example, her thinking of "I'm worthless" as well as "I'll never succeed" are the main causes of sadness, despair, and guilt. Such feelings, in turn, help to augment these automatic thoughts, leading to a vicious cycle. The cognitive theory significantly presents the role of cognitive distortions in intensifying depression. Alex's propensity to interpret events using a mainly negative manner, especially regarding her job situation, fuels her anxiety or depressive symptoms. Appreciating these distortions lets people see how mediations targeting these thought designs, such as cognitive
EVIDENCE-BASED TREATMENT FOR DEPRESSION 5 restructuring and cognitive-behavioral treatment, could be effective in helping him manage and assuage his depression. Evidence-Based Treatment Approach Operative treatment for depression is important, as it not only lessens the individual's suffering but also diminishes the social and economic burden associated with the disorder. Evidence-based therapies, which rely on scientific studies, ensure that individuals can access the most effective care. With depression, evidence-based therapies have shown impactful success in improving signs, protecting the quality of life, and decreasing the risk of relapse. Therefore, a comprehension of such treatments is of principal importance. One instance of evidence-based therapy for depression is in a peer-reviewed journal article "A comparison of transdiagnostic behavior therapy (TBT) and behavioral activation treatment for depression (BATD) in veterans with major depressive disorder" by Daniel F. Gros and Alice E. Coyne. It is aimed at exploring the usefulness of transdiagnostic behavior therapy (TBT) among patients with a primary diagnosis of main depressive disorder. This randomized clinical sample associates the efficiency of psychotherapy, Transdiagnostic Behavior Therapy (TBT) as well as Behavioral Activation Treatment for Depression (BATD), among veterans that battle depression. 40 veterans with a identification of major depressive disorder were surveyed (Gros & Coyne, 2022). They then were randomized into both twelve gatherings of separate TBT or BATD. Several trials were collected at starting point as well as post-treatment, such as depression, anhedonia, anxiety, stress, and impairment. This study also studied process variables, including treatment engagement and completion. The treatments were prepared by therapists with skills in TBT and BATD, and session fidelity was monitored.
EVIDENCE-BASED TREATMENT FOR DEPRESSION 6 The results of the study were that both TBT and BATD led to significant improvements in depression, stress, anhedonia, as well as impairment. While TBT participants had improvements in anxiety symptoms, BATD participants lacked it. Nevertheless, the between- group disparity in anxiety change was not statistically important. Participants getting TBT attended more sessions, with fewer cancellations as well as missed appointments, and finished therapy at a higher rate. Clinician-rated treatment gains were in favor of TBT. Discussion The results back TBT as an effective management for major depressive disorders, and it showed potential benefits in addressing comorbid anxiety symptomatology. TBT also demonstrated improved treatment adherence, with higher attendance, fewer cancellations, and better treatment completion rates compared to BATD. This exploration analyzes transdiagnostic psychotherapies, including TBT, can simplify the dissemination of evidence-based psychotherapies and increase coverage for comorbid conditions. This study has limitations, such as small sample size, dependence on pre- and post- treatment measures, and the lack of replication in larger samples. This research is valuable in the efficacy of transdiagnostic psychotherapy (TBT) as a therapy for major depressive disorder and highlights its likely advantages in addressing comorbidity as well as improving treatment adherence. In conclusion, our in-depth case study and treatment analysis of Alex's depression have illuminated the intricate layers of this mental health challenge. We explored her history, met the diagnostic criteria, and applied the cognitive theory to understand her condition comprehensively. By examining an evidence-based treatment approach, we learned how Cognitive-Behavioral Therapy (CBT) can effectively address depression. Understanding and
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EVIDENCE-BASED TREATMENT FOR DEPRESSION 7 treating depression effectively is of utmost significance. The significance of comprehending and effectively treating depression cannot be overstated. It is a prevalent and debilitating mental health issue that affects countless lives. By combining insights into its origins and proven therapeutic methods like CBT, we hold the power to make a profound difference, offering individuals like Alex the means to surmount the trials of depression and embark on a journey toward recovery and improved well-being.
EVIDENCE-BASED TREATMENT FOR DEPRESSION 8 References Alenezi, F. N., Hashim, S. B., Saibon, J. B., & Alanezy, M. (2023). What Is the Missing? Cognitive Distortions and Adolescent Cyber Delinquency Behaviour: Pls-Sem Analysis. Journal of Theoretical and Applied Information Technology, 101(13). http://www.jatit.org/volumes/Vol101No13/29Vol101No13.pdf Gros, D. F., & Coyne, A. E. (2022). A comparison of transdiagnostic behavior therapy (TBT) and behavioral activation treatment for depression (BATD) in veterans with major depressive disorder.  Journal of clinical psychology 78 (6), 1009-1019.