In this assignment I will introduce my research project and examine some of the issues surrounding my topic, take an initial look at the research papers I have chosen for my literature review and consider the wider context that the research took place in.
I have chosen to look into the effectiveness of Cognitive Behavioural Therapy(CBT) on treating depression in primary care. I am interested in this particular area of counselling as my impression is that it is currently the favoured form of counselling that is offered when people approach their GP for help. Currently the National Health Service (NHS) in the United Kingdom recommend CBT as the best talking therapy for treating a wide range of conditions (Barret, 2009). As part of the UK government’s Improving Access to Pyschological Therapies (IAPT) scheme there is an emphasis on using CBT to help(Barrett, 2009).
As I am interested in pursuing a career in counselling I want to find out more about CBT to see if this is a career path I wish to follow. There seems to be a logic in training in a field of counselling with good employment prospects but I would only want to do this if I also believed in it’s effectiveness. Therefore I would like to see if CBT is the best therapy for the NHS to use to help people, specifically those with depression.
I have chosen depression as focus as I am aware of how many people are affected by depression and think that it is important that the NHS provides the best kind of help to these people. Through my job as debt counsellor and experiences of volunteering for the Samaritans I have spoken to many people with depression and am curious about what is the best way to help them.
I want to look at how CBT compares to other alternatives available within the primary care setting. By primary care I mean the first point of contact that people have when engaging with health services.
I have selected six different research papers to consider the role CBT has and how it compares to alternative treatments and also tried to look at the wider context of counselling in primary care setting. Throughout this paper I will refer to primary care, when I do this I mean the environment were people first go to with health problems within their community (Garrett, 2010). Generally this will be within the GP surgery setting but could also be community centre, drop in centre or a nurse (Garrett, 2010).
The IAPT programme pledged an investment of £170million pounds in psychological therapies (Department of Health 2007) with an ambition to treat 900,000 people for anxiety and depression (Barrett, 2009). This huge investment has led to a change in the landscape of how therapy is provided in primary care. While the programme promotes the use of various different approaches there is an emphasis on CBT, suggesting it is the most effective form of treatment to meet the goals of the IAPT programme (Barrett, 2009).
Throughout this literature review I hope to look at whether CBT...