This clinical case study investigates the response of cognitive-behavioral therapy (CBT) to depression in Puerto Rican adolescents, emphasizing the complexities and problems of treating juveniles with major depressive disorder (MDD). The 15-year-old female patient appeared with significant depression symptoms, suicide ideation, low self-esteem, and dysfunctional attitudes. The CBT treatment included 12 standard individual therapy sessions, four additional sessions, and a family intervention. The study used qualitative and quantitative data from self-report surveys, clinician notes, and therapy session recordings to measure treatment response. The patient demonstrated features linked to a partial or no response to therapy, such as increasing severity of depressive symptoms, prior MDD episodes, comorbid mental diseases, and substantial parental conflict. At the conclusion of treatment, the patient demonstrated improvements in symptoms of depression, dysfunctional attitudes, suicidal thoughts, and self-concept were sustained for one year after therapy.
Cultural elements, including family conflict, were identified as contributing to the patient's depressive symptoms. The study emphasizes the importance of personalized interventions and flexibility in CBT in addressing the unique challenges and …show more content…
Beck created Cognitive-Behavioral Therapy (CBT) in the 1960s as a systematic, brief psychotherapy strategy. CBT is based on the cognitive model of psychopathology, which holds that dysfunctional thought patterns and beliefs contribute to emotional suffering and maladaptive actions. The core tenet of CBT is that modifying maladaptive thoughts and actions can lead to better mood and functioning. CBT is a collaborative and goal-oriented approach that focuses on identifying and changing specific cognitive distortions and behavioral