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1 Because cognitive therapy addresses many of these issues, family physicians should be familiar with its nature and uses.Ĭognitive therapy was developed as a departure from traditional therapeutic approaches to mental illness.
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4 Many patients may prefer a nonpharmacologic therapy or one that is consistent with their model of depression. Good evidence has shown that cognitive therapy reduces relapse rates in patients with depression, and some evidence has shown that cognitive therapy is effective for adolescents with depression.Īlthough approximately two thirds of patients with depression are treated successfully with medication alone, 1 many patients do not respond to medication, 2 have residual symptoms, 3 or frequently relapse. Cognitive therapy also has proved beneficial in treating patients who have only a partial response to adequate antidepressant therapy. The combination of cognitive therapy and antidepressants has been shown to effectively manage severe or chronic depression. Studies have shown that cognitive therapy is an effective treatment for depression and is comparable in effectiveness to antidepressants and interpersonal or psychodynamic therapy. The fundamental assumption is that a thought precedes a mood therefore, learning to substitute healthy thoughts for negative thoughts will improve a person’s mood, self-concept, behavior, and physical state. Cognitive therapy is a treatment process that enables patients to correct false self-beliefs that can lead to negative moods and behaviors.