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19 - CBT for Persistent Depressive Disorder

from Part Four - Cognitive Behavioral Therapy for Depression

Published online by Cambridge University Press:  06 January 2022

By
Anne Garland
Edited by
Gillian Todd  and
Rhena Branch
Gillian Todd
Affiliation:
University of East Anglia
Rhena Branch
Affiliation:
University of East Anglia
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Summary

This chapter describes evidence-based cognitive behavioral therapy (CBT) for the treatment of persistent depressive disorder (PDD) based on an randomized controlled trial conducted in the Nottingham Mood Disorders Service in collaboration with the University of Nottingham, UK. The chapter identifies three key challenges in the context of persistent depression. A case example is used to illustrate the treatment model and the implementation of a collaboratively derived psycho-bio-social formulation and its associated cognitive behavioral interventions.

Keywords

resistant depressionpersistent depressive disorderchildhood adversitycomplex griefcompassion-focused therapy
Type
Chapter
Information
Evidence-Based Treatment for Anxiety Disorders and Depression
A Cognitive Behavioral Therapy Compendium
 , pp. 383 - 401
Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Recommended Reading

Duffy, M., & Wild, J. (2017). A cognitive approach to persistent complex bereavement disorder (PCBD). The Cognitive Behaviour Therapist, e 16 (special issue – invited paper), 1–19. https://doi.org/10.1017/S1754470X17000034Google Scholar
Gilbert, P. (2007). The evolution of shame as a marker for relationship security: A biopsychosocial approach. In Tracy, Jessica L., Robins, Richard W., & Tangney, June Price (Eds.), The self-conscious emotions: Theory and research. Guilford Press.Google Scholar
Garland, A. (2016). Cognitive behavioural case formulation for complex and recurrent depression. In Tarrier, N. & Johnson, J. (Eds.), Case formulation in cognitive behaviour therapy: The treatment of challenging and complex cases. Routledge.Google Scholar
McAllister-Williams, R. H., Christmas, D. M. B., Cleare, J. A., Currie, A., Gledhill, J., Insole, L., Malizia, A. L., McGeever, M., Morriss, R., Robinson, L. J., Scott, M., Stokes, P. R. A., Talbot, P. S., & Young, A. H. (2018). Multiple-therapy-resistant major depressive disorder: A clinically important concept. British Journal of Psychiatry, 212, 274–278. doi:10.1192/bjp.2017.33CrossRefGoogle ScholarPubMed
Moore, R. G., & Garland, A. (2003). Cognitive therapy for chronic and persistent depression. Wiley.Google Scholar
Morriss, R., Garland, A., Nixon, N., Boliang, Guo., James, M., Kaylor-Hughes, C., Moore, R., Ramana, A., Sampson, C., Sweeney, T., & Dalgleish, T. (2016). Efficacy and cost effectiveness of a specialist depression service versus specialist mental healthcare to manage persistent depression: A randomised controlled trial. The Lancet Psychiatry, 9, 821–831.Google Scholar

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