Depression and its Treatment with Cognitive Behavioral Therapy

A still dead bird in the museums of the world,

Motionless with its aromatic wings attached to concrete…

The Turkish equivalent of the word depression is “Çökkünlük”. Just as we, physically, can carry a certain weight at the maximum, but if we become weak and collapse in excess, we also experience depression in the face of heavy loads in our emotional world. Depression is characterized by the person being uninterested in the things they enjoy for a long time, avoiding activities, looking hopeless at the future, experiencing sleep problems or appetite changes, feeling tired, lacking in energy, forgetfulness or distraction, intense feelings of worthlessness, guilt, and suicide. It is a mood disorder in which it even causes thoughts. It is not necessary to have all of these symptoms together in order to be diagnosed with depression; however, if the person has a depressed mood or intense apathy towards people or activities and meets a few of the other symptoms, he or she may need to see a specialist.

Depressed people tend to view negative events in their lives as personal and permanent. They think that they are inadequate, worthless and guilty in many aspects, and that nobody around them cares about them and that this situation will continue to be the case in the future.

A significant loss is at the center of the thought content of depressed people. He perceives that he has lost something that he considers very necessary for his happiness or peace, and he sees himself as lacking the qualities necessary to achieve important goals. Their thoughts on the events they experienced are generally as follows:

“It’s all my fault”

“I am inadequate”

“I am guilty”

“My life is in a mess”

“Everything is so bad”

“No one can help me”

“This will never work”

Just having an unmanageable problem in life is not enough to be depressed. Depression can have many causes. The first of these is related to our personality structures, and the accompanying chemical changes in our brain can cause us to be diagnosed with depression. Again, these alone do not cause depression, we have to be involved in negative life events that can trigger depression, and finally, the absence of a supportive environment prepares the necessary environment for depression.

Cognitive Behavioral Treatment of Depression

According to the cognitive theory, rather than the negative life events we are in; Our perceptions about life events, the meanings they create in us and our thoughts actually determine our mood. In depression, we work using cognitive therapy with feelings such as inadequacy, lack, guilt, worthlessness, and pessimistic thoughts about the future caused by negative thoughts or already existing in our base.

Depression treatment is completed in 5 stages by applying cognitive behavioral therapy. The first step of treatment is to educate the client about depression. In Stage 2, the aim is to increase the effectiveness of the client through behavioral interventions. In the 3rd stage, how negative thoughts and the negative emotions they cause occur within the scope of cognitive theory, how to change unrealistic negative thoughts? This is handled. In Stage 4, more fundamental depressive schemas are studied for clients with chronic depression, and finally, in Stage 5, preventive work is undertaken to prevent future recurrence of depression.

If you have been observing that you have been showing depressive features for a while and this has started to affect your quality of life, you can get help from an expert psychologist.

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