Is cognitive behavioural therapy (CBT), which requires complex cognitive processes, appropriate for depressed patients with severe cognitive dysfunction?

Answered by Hans-Ulrich Wittchen

Currently, according to the results of randomised controlled trials, there is no significant difference regarding the efficacy of various forms of CBT for severe and less severe forms of depression. However, as a general rule of CBT as a personalised intervention tool, the speed and range of therapeutic interventions need to be adapted to the patient’s state. This may include tailoring the amount of psychoeducation and the length of sessions to ‘meet the patient where he/she is’.


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