CBT is seen by these researchers as complementing but not replacing pharmacotherapy for the relief of symptoms of PTSD. Like other anxiety disorders, PTSD and major depression can be treated by integrating the cognitive model with the principles of learning theory to help the chain of events that creates or maintains an anxiety or depressive response.
Logical analysis of automatic thoughts and thought stopping, along with relaxation training, coping skills training, and graded exposure to feared stimuli are all recommended by these researchers. Patients should be educated as to the source of their symptoms before any course of treatment is embarked upon.
It is also important, according to Shorter and Tyrer (2003), to differentiate between anxiety and depression in developing a course of CBT. However, when a patient presents with both depression and PTSD it is generally recommended that some use of antidepressants and/or other pharmaceuticals be included in the treatment regimen. This point was affirmed by Furman and Bender (2003) who suggested that a failure to properly medicate and thereby reduce symptomology may make it difficult for the patient to respond affirmatively to any CBT intervention.
St. John (2003) argued that among depressed patients, about 70 percent respond to the first antidepressant drug that is prescribed. In a first episode of depression, antidepressants should be continued for 9 to 12 months to prevent relapse. Because the rate of recurrence is greater than 90 percent, patients who have had more than two major depressive episodes should be considered for long-term maintenance antidepressant therapy. However, St. John (2003) also calls for careful use of CBT and other therapeutic interventions in cases where the patient is being treated after a first depressive episode.
Hollon, Thase, and Markowitz (2002) also call for CBT and maintain that it is effective in treating even severe depression...
Major Clinical Depression Plan. (2000, January 01). In LotsofEssays.com. Retrieved 13:07, October 31, 2014, from http://www.collegetermpapers.com/viewpaper/1304046457.html