Abstract :
This article describes a three-stage model that can be used to guide the cognitive-behavioral treatment of depression. During the first stage, the therapist establishes a sound therapeutic alliance, conducts a thorough assessment of depression, and uses differential diagnosis to guide the preliminary treatment plan. During the second stage, a series of modules are used to match the treatment plan with the particular needs of each client. The modules target different areas that are often related to depression: reduced activity, social impairment, ineffective coping, cognitive biases, problem-solving deficits, and inadequate self-esteem. During the third stage, depressed clients can learn specific strategies to reduce the risk of relapse and manage the possible recurrence of depressive feelings. The three-stage model promotes an integration of treatment strategies and allows the therapist to provide a structured treatment plan that remains responsive to the needs of each particular client.
