Using Behavioral Activation To Overcome Depression
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Introduction & Theoretical Background
Depression is characterized by an extended period of low mood, or a loss of interest in life activities. Although often conceptualized cognitively in terms of negative thoughts and beliefs, depression can also be effectively conceptualized and treated using a behavioural model. Early behavioral theory (e.g. Ferster, 1973) proposed that depression is developed and maintained in response to insufficiently rewarding environments. Kanter and colleagues (2009) describe the behavioral processes which can lead to depression: environments with too few positive reinforcers, environments with too many negative reinforcers, environments characterised by inescapable punishments, and other people can positively and negatively reinforce depressive behavior.
“According to BA, a meaningful life is a life filled with diverse and stable sources of positive reinforcement” (Kanter, Busch, Rusch, 2009)
The goal of Behavioral Activation (BA) is to help clients to develop routines and patterns of behavior that place them in contact with stable sources of positive
Therapist Guidance
“One of the most effective treatments for depression is called Behavioral Activation. At its core, this treatment says that by changing what we do, we can change the way we feel. The goal is to work out how to make your life feel meaningful and pleasurable. To do that we need to help you to become more active and living the life that you want to live, or working out what kind of life that might be. This guide will walk us through the steps we need to help you overcome your depression.”
References And Further Reading
- Cuijpers, P., Van Straten, A., & Warmerdam, L. (2007). Behavioral activation treatments of depression: A meta-analysis. Clinical psychology review, 27(3), 318-326.
- Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28(10), 857.
- Hopko, D. R., Lejuez, C. W., Lepage, J. P., Hopko, S. D., & McNeil, D. W. (2003). A brief behavioral activation treatment for depression: A randomized pilot trial within an inpatient psychiatric hospital. Behavior Modification, 27(4), 458-469.
- Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K., Gollan, J. K., ... & Prince, S. E. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64(2), 295.
- Kanter, J. W., Busch, A. M., & Rusch, L. C. (2009). Behavioral activation: Distinctive features. Routledge.
- Nyström, M. B., Stenling, A., Sjöström, E., Neely, G., Lindner, P., Hassmén, P., ... & Carlbring, P. (2017). Behavioral activation versus physical activity