ABSTRACT

The cognitive behavioural treatment of depression has changed little since the cognitive model was originally developed (Beck, Rush, Shaw, & Emery, 1979). Cognitive behavioural therapy (CBT) has been shown to be as effective as antidepressants in the short term, but has the advantage of helping to prevent relapse. However, only around 25% of patients treated with CBT recover and remain well for 1 year, leaving many patients at risk of further relapse (Roth & Fonagy, 2005). There is often a chronic relapsing course, with a 50% probability of relapse after just one depressive episode (Paykel et al., 1995), rising to 70-80% after two episodes (Judd, 1997).