Cognitive strategies

Cognitive procedures for handling depression involve both verbal and behavioral exercises. The patient is first taught how to be aware of the connection between one's cognitions, mood, and behavior. By means of written homework, the patient monitors the negative thought patterns, examines the evidence for or against the distorted conclusions, and learns how to substitute more reality-oriented beliefs. The procedure has the patient keep a log of daily activities and mood. The patient is also encouraged to complete a series of challenging tasks, starting with very easy ones, and working up to more difficult ones. Structured programs tend to last on the order of 16 sessions.

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