The depressed patient is trapped under a pile of troubles that consume him. Many factors such as past experiences, physiological problems, environmental stressors and personal characteristics affect psychological processes. In this process, we can see that the person either has a little hope to get rid of the depression he is in, or he cannot find the strength to fight because his confidence in his own resources has decreased, and perhaps he avoids possible changes.
If we briefly evaluate the situation in terms of Cognitive Behavioral Treatment, it is a depression. The patient's way of thinking contains cognitive distortions about three separate areas called the 'cognitive triad'. These areas can be listed as negative thoughts about oneself, negative thoughts about the environment and one's own experiences, and negative thoughts about the future. Negative thoughts are so intense that the person's mood and motivation are greatly affected.
During the depressive process, the underlying hidden cognitive schemas such as feeling worthless, helpless, and inadequate are extremely activated. When evaluating events, the person uses a mental filter to select the negative. The person's symptoms of depression begin to become increasingly evident. The person's strong belief that he is doomed to failure causes him to think that even if he takes an action that will benefit him, it will not work and his actions gradually decrease. An individual who cannot get rid of the intensity of his negative thoughts, on the one hand, reduces the actions in his life, and on the other hand, withdraws further because he cannot get the necessary pleasure from the actions he continues. Since taking action causes unhappiness, the patient goes into an economic mode in order to use his life energy more economically and remains inactive and continues to experience his unhappiness.
Cognitive Behavioral Therapy is an investigative psychotherapy model. In depression treatment, how the patient enters the depressive process is discussed by working collaboratively. The aim is to intervene in the patient's inertia and gradually reintegrate him into life with simple activities to the extent that he can adapt to it. During psychotherapy, the patient gradually loses the negative thoughts about the event that caused him depression. He becomes aware of the extent to which he occupies himself. Issues such as how the meanings attributed to the event are distorted by thinking over and over about distressing events, keeping distance from negative thoughts that occupy one's life, and thought defusion are important points of psychotherapy. The most important goal is for the patient to be able to recognize when depression symptoms recur after therapy and to avoid repeating depressive cycles by acting as his own therapist with the techniques he has learned.
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