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    I would really appreciate it! I'm unsure whether or not I'm writing a logical essay or repeating myself too much. I don't mind an overly harsh marker!
    I'm fine on the evaluation of it, just unsure of the way I write out the first half of the question.

    Q - Outline the cognitive approach to treating depression. (12 marks)

    CBT is usually used alongside drugs to help with mental health problems such as depression and OCD. Firstly, the therapist and the patient will work out the patient's main problems, and they will both work out various goals and plans that the patient can aim to achieve.

    The therapist and patient will also work on changing and challenging negative and irrational thoughts. Some techniques will be drawn from Beck's CBT Theory and some from Ellis's REBT model.

    Beck believes that identifying irrational thoughts regarding the self, the world and future (the negative triad) and challenging them is a central component of CBT. Challenging thoughts using Beck's CBT usually stems from the therapist setting the patient homework, such as recording when they enjoyed an event or when someone was nice to them. This is the patient as scientist technique, and it allows the patient to be an active agent when challenging their own thoughts, as they will see from what the write down that the negative views they hold of the world, the self, and the future aren't as negative as they appear to be. The therapist can also use this evidence that the patient has written down when they next fall back into believing in the negative triad. As this is the patient's own words, this is very effective at challenging negative thoughts.

    Ellis' ABC model can extended to ABCDE – the D stands for dispute and the E stands for effect. The main components of Ellis' model is to challenge and dispute irrational thoughts. For example, an REBT therapist may challenge thoughts as irrational belief, which can sometimes lead to heated argument. The therapist could use empirical arguments, where the therapist forces the patient to consider whether or not negative thoughts are based on logic or warped and distorted person views. This is effective as this debate can lead to powerful points being brought up and the patient will learn to separate logic from unideal mental views they hold of the world.

    Behavioural activation is also useful, as this encourages a person to become involved in external activities and meet new people. This will also provide more evidence against their view of the negative triad, as this involves them personally experiencing enjoyable activities which can be used as evidence against their opinions in disputes.
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    Hi,
    I'd outline what is a cognitive approach, put full words in for your acronyms (CBT etc - sometimes this will remind you of other points to discuss - eg behavioural therapy, besides which it shows you know what they mean - at uni you have to put them in full first before resorting to acronyms for the remainder) and make sure you are explaining each topic as if to an idiot - Behavioural activation...what is this (give example) and how does it work? Might it combat loneliness or is it about being part of a group...peers or other?
    Hope that helps :-)
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    OP - this is very good. In regards to the above post, I agree that you should spell out acronyms and explain what the cognitive approach is in basic terms but I wouldn't mention behavioural therapy as that has nothing to do with the cognitive approach.
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    But there's no evaluation? You've only max achieved 6 marks.

    What's good/bad with CBT/cognitive treatment?

    • Well, the cognitive approach ignores biology....
    • You've already mentioned that CBT is paired with drug therapy. If that's effective, then how do we know which is the most effective for Depression? We can't.
    • Therapist experience will impact the effectiveness of sessions. NHS has long waiting lists and it's time-consuming. so drug therapy is a quicker alternative.
    • Clients need to be willing to engage in the treatment otherwise it won't be effective. This is why drug therapy is often prescribed because it allows clients to engage.
    • Ellis (1957) claimed a 90% success rate after 27 sessions with 10% failing to action their new beliefs. Cujipers (2013) conducted a meta-analysis of 75 studies and found that CBT was superior to no treatment but there are problems with meta-analysis...
    • you CAN compare it to other forms of treatment (behavioural) but you need to explain what this means for cognitive treatments.
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    (Original post by Findlay6)
    But there's no evaluation? You've only max achieved 6 marks.

    What's good/bad with CBT/cognitive treatment?

    • Well, the cognitive approach ignores biology....
    • You've already mentioned that CBT is paired with drug therapy. If that's effective, then how do we know which is the most effective for Depression? We can't.
    • Therapist experience will impact the effectiveness of sessions. NHS has long waiting lists and it's time-consuming. so drug therapy is a quicker alternative.
    • Clients need to be willing to engage in the treatment otherwise it won't be effective. This is why drug therapy is often prescribed because it allows clients to engage.
    • Ellis (1957) claimed a 90% success rate after 27 sessions with 10% failing to action their new beliefs. Cujipers (2013) conducted a meta-analysis of 75 studies and found that CBT was superior to no treatment but there are problems with meta-analysis...
    • you CAN compare it to other forms of treatment (behavioural) but you need to explain what this means for cognitive treatments.
    I may be wrong as I haven't done A-levels for a long time, but doesn't outline mean just describe not evaluate?
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    (Original post by Noodlzzz)
    I may be wrong as I haven't done A-levels for a long time, but doesn't outline mean just describe not evaluate?
    Outline is just AO1 but there would never be a 12 mark Q for just 'outline'
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    (Original post by Findlay6)
    Outline is just AO1 but there would never be a 12 mark Q for just 'outline'
    Totally agree. I was just following OPs post about just mentioning outline.
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    (Original post by Findlay6)
    Outline is just AO1 but there would never be a 12 mark Q for just 'outline'
    Even if it is impractical to get a 12 mark on an 'outline' question; that does not mean it can never come up. I'd actually applaud the OP for good exam technique, previous examiner reports have noted that evaluation is unnecessary for 'outline' questions and does not gain any marks. Since the OP was only answering the question asked; I'd give it at least more than 6 for good AO1 points and terminology.

    Edit: I also agree with Noodlz about the relevance of behaviourism.

    Attachment 746834

    http://filestore.aqa.org.uk/sample-p...-WRE-JUN17.PDF
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    (Original post by Findlay6)
    But there's no evaluation? You've only max achieved 6 marks.

    What's good/bad with CBT/cognitive treatment?

    • Well, the cognitive approach ignores biology....
    • You've already mentioned that CBT is paired with drug therapy. If that's effective, then how do we know which is the most effective for Depression? We can't.
    • Therapist experience will impact the effectiveness of sessions. NHS has long waiting lists and it's time-consuming. so drug therapy is a quicker alternative.
    • Clients need to be willing to engage in the treatment otherwise it won't be effective. This is why drug therapy is often prescribed because it allows clients to engage.
    • Ellis (1957) claimed a 90% success rate after 27 sessions with 10% failing to action their new beliefs. Cujipers (2013) conducted a meta-analysis of 75 studies and found that CBT was superior to no treatment but there are problems with meta-analysis...
    • you CAN compare it to other forms of treatment (behavioural) but you need to explain what this means for cognitive treatments.
    Thank you for leaving these points! I should've been clearer - I left out the evaluation as I am fine with it, but it was everything else I was struggling with, I just wanted to make sure I wasn't spouting waffle.

    Thank you for helping!
 
 
 
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