6 mins

CBT for depression – how does it work?

Cognitive Behavioural Therapy (CBT) is one of the most widely used and effective treatments for depression. If you’re struggling with persistent sadness, lack of motivation, or feelings of hopelessness, CBT might be the key to reclaiming your life. This evidence-based therapy approach focuses on changing the negative thought patterns and behaviours that contribute to depression. Coming up, we’ll explore the effectiveness of CBT for depression, how many sessions you might need, and introduce you to a powerful tool used in CBT: the thought record.

Effectiveness of CBT for Depression

CBT has been extensively researched and proven to be highly effective in treating depression. CBT addresses the underlying thought patterns that fuel depressive feelings. Here’s why CBT stands out as a powerful treatment option:

It has a strong evidence-base – numerous studies have shown that CBT is effective in reducing the symptoms of depression. Research has shown that people who have undergone CBT have experienced significant improvements in their mood and overall functioning. This therapy is backed by scientific evidence, making it a reliable choice for those seeking treatment for depression. According to a meta-review published in BMJ Open, CBT has demonstrated efficacy across various populations and settings, improving health-related quality of life and specific functional outcomes​ (Cambridge University Press & Assessment)​​ (BMJ Open)​.

Long-term benefits – one of the key advantages of CBT is its lasting impact. By equipping people with the tools to identify and challenge negative thought patterns, CBT helps create lasting changes. These skills empower people to manage their symptoms independently, reducing the likelihood of relapse.

It’s a holistic treatment CBT addresses both the cognitive and behavioural aspects of depression. It helps you understand how your thoughts influence your feelings and behaviours, and then guides you in developing healthier ways of thinking and acting. This holistic approach ensures that all facets of depression are addressed.

It’s empowering – CBT empowers you by giving you an active role in your treatment. Instead of being a passive recipient of therapy, you become an active participant, learning and applying strategies to manage your depression. This sense of control can be incredibly empowering and motivating.

How Many Sessions of CBT for Depression Will I Need?

The number of CBT sessions required for treating depression can vary based on individual needs and the severity of the condition. However, there are some general guidelines that can help you understand what to expect.

An initial assessment – the first step in any CBT treatment plan is an initial assessment. During this session, your psychologist will gather information about your symptoms, medical history, and any other relevant details. This assessment helps in creating a tailored treatment plan that addresses your specific needs.

Typical course of treatment – most people begin to see improvements after 5 to 20 sessions of CBT. A typical course of treatment for depression might involve weekly sessions for about 3 to 4 months. However, the exact number of sessions can vary. Some people may benefit from a shorter course, while others might need more extended treatment.

Ongoing support – after the initial course of treatment, some people opt for booster sessions to maintain their progress. These sessions might be less frequent, such as once a month, and provide continued support and reinforcement of the skills learned during therapy.

Flexibility – CBT is a flexible therapy that can be adjusted based on your progress. If you’re making rapid improvements, the number of sessions might be reduced. Conversely, if more time is needed to address specific issues, additional sessions can be scheduled. The goal is to ensure that you receive the support you need to manage your depression effectively.

CBT Thought Record – What is it and How Can it Help?

A central component of CBT is the use of thought records. This tool helps you track and analyse your negative thoughts, providing a clear picture of how these thoughts impact your mood and behaviour. Here’s how it works and why it’s so effective:

Identifying negative thoughts – the first step in using a thought record is to identify the negative thoughts that contribute to your depression. These thoughts often occur automatically and can be difficult to pinpoint without focused attention. A thought record helps you become aware of these thoughts as they happen.

Recording situations and emotions – in a thought record, you’ll note the situations in which negative thoughts arise and the emotions you experience. For example, if you felt sad after a conversation with a colleague, you would record the details of the interaction and your emotional response.

Evaluating the evidence – once you’ve identified a negative thought, the next step is to evaluate the evidence for and against it. This involves critically examining whether the thought is based on facts or if it’s an irrational belief. For instance, if you think, “I’m a failure because I made a mistake,” you would list evidence supporting and contradicting this thought.

Developing balanced thoughts – after evaluating the evidence, you can develop more balanced and realistic thoughts. Instead of thinking, “I’m a failure,” you might conclude, “Everyone makes mistakes, and this one mistake doesn’t define my abilities.” This shift in thinking can significantly impact your mood and behaviour.

Practising regularly – the effectiveness of thought records comes from regular practice. By consistently using this tool, you can train your mind to identify and challenge negative thoughts more naturally. Over time, this can lead to a more positive and balanced outlook on life.

Thought records work because they interrupt the cycle of negative thinking that fuels depression. By examining and challenging your thoughts, you can break free from the patterns that keep you stuck in a depressive state. This process not only improves your mood but also enhances your ability to cope with future challenges.

Starting Therapy

While CBT and thought records are powerful tools, it’s essential to have the guidance of a trained professional. A therapist can provide the support and expertise needed to navigate the complexities of depression and ensure that you’re using these tools effectively.

If you’re struggling with depression, our psychology and psychiatry clinic is here to help. We offer comprehensive assessments to understand your unique needs and develop a personalised treatment plan. Our experienced therapists use evidence-based approaches, including CBT, to help you manage your depression and improve your quality of life.

Don’t wait to take the first step towards feeling better. Contact us today to book an assessment and start your journey towards recovery. Our team is dedicated to supporting you every step of the way.

Understanding and addressing depression is important for leading a fulfilling life. CBT offers an effective, evidence-based approach to managing depression, and tools like thought records can make a significant difference in how you cope with negative thoughts. By seeking the right support and committing to your treatment plan, you can achieve lasting changes in your mental health. Reach out to our clinic today, and let us help you on your path to recovery.

Dr Elena Touroni

Dr Elena Touroni

5 August 2024

"Dr. Elena Touroni is a skilled and experienced Consultant Psychologist with a track record of delivering high-quality services for individuals with all common emotional difficulties and those with a diagnosis of personality disorder. She is experienced in service design and delivery, the management of multi-disciplinary teams, organisational consultancy, and development and delivery of both national and bespoke training to providers in the statutory and non-statutory sector."

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Dr Elena Touroni

Dr Elena Touroni is a skilled and experienced consultant psychologist with a track record of delivering high-quality services for individuals with all common emotional difficulties and those with a diagnosis of personality disorder. She is experienced in service design and delivery, the management of multi-disciplinary teams, organisational consultancy, and development and delivery of both national and bespoke training to providers in the statutory and non-statutory sector.

Having obtained a first degree in Psychology (BSc) at the American College of Greece, she completed her doctoral training at the University of Surrey. Dr Touroni is highly experienced in the assessment and treatment of depression, anxiety, substance misuse, personality disorder, eating disorders, obsessive compulsive disorder, adjustment disorder and relationship difficulties. She works with both individuals and couples and can offer therapy in English and Greek.

She is trained in several specialist therapeutic approaches such as Schema Therapy for individuals and couples, Dialectical Behaviour Therapy (DBT), Cognitive Behavioural Therapy (CBT), Mindfulness-based approaches and Cognitive Analytic Therapy (CAT).

Dr Touroni has held a variety of clinical and managerial positions including as Head of Service in the NHS. Further she has held academic positions for the University of Surrey and the Institute of Mental Health lecturing on specialist postgraduate Masters and Doctorate programmes. As well as holding a variety of NHS positions, Dr Touroni is the co-founder of a private practice in Central London that has been a provider of psychological therapy for all common emotional difficulties including personality disorder since 2002.

Dr Touroni has a keen interest in developing preventative approaches for psychological well-being and has been involved in the co-creation of bespoke wellness retreats for transformative change for the past 5 years. She is the founder and one of two directors of The Chelsea Psychology Clinic.