CBT Depression Treatment Applications 4

Question 1

In the CBT model, which maintenance factor MOST directly perpetuates depressive episodes between sessions?

Accepted Answer

Behavioral avoidance and withdrawal

Answer

Behavioral avoidance and withdrawal reduce access to positive reinforcement and perpetuate the depressive cycle between sessions.

Question 2

A therapist presents a 'thought record' to a depressed client for the first time. The client should complete the first column by recording:

Accepted Answer

The situation or triggering event

Answer

Thought records begin with documenting the objective situation or trigger before identifying emotions, automatic thoughts, and alternatives.

Question 3

Which element distinguishes Major Depressive Disorder treatment in CBT from treating subclinical low mood?

Accepted Answer

MDD treatment requires more structured session frequency and crisis planning

Answer

MDD warrants more structured protocols, higher session frequency, safety planning, and sometimes coordination with pharmacotherapy compared to subclinical presentations.

Question 4

A client with depression repeatedly says 'I should be happy — I have a good life.' This statement reflects which cognitive distortion?

Accepted Answer

'Should' statements / moral imperatives

Answer

'Should' statements impose rigid rules that generate guilt and shame, a common cognitive distortion in depression.

Question 5

Socratic questioning in CBT for depression is BEST described as:

Accepted Answer

Guided discovery through collaborative questioning

Answer

Socratic questioning uses targeted questions to guide clients to discover discrepancies and alternative perspectives on their own.

(CBT) Cognitive Behavioral Therapy Certification Practice Test

(CBT) Cognitive Behavioral Therapy Certification Practice Test

CBT Depression Treatment Applications 4