Customer Reviews

Overcoming Depression: A Cognitive Therapy Approach for Taming the Depression BEAST

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Taming the Depression BEAST is a remarkably fine workbook for almost anyone suffering from sporadic or chronic depression. It succinctly and clearly provides many cognitive-behavioral methods and people experiencing depression can promptly put to good use. I highly recommend it.

Review by Kenneth B. Matheny, Ph.D., ABPP, Regents Professor and Co-director, Counseling Psychology Program, Georgia State University. Phone (404) 651-2550, FAX (404) 651-1160

Overcoming Depression is an expertly fashioned manual for clients suffering from depression, dysphoria, or sub-clinical mood disorders. Mark Gilson, founder and director of the Atlanta Center for Cognitive Therapy, and Arthur Freeman, chair of the Department of Psychology at the Philadelphia College of Osteopathic Medicine, bring their considerable expertise to bear on the treatment of depression. Both authors have made major contributions to the cognitive therapy literature in the past, and their current volume promises to give hope to clients who have had the sunlight in their lives dimmed by the heavy clouds of depression. Readers are taught that there are specific reasons for their low mood states that can be identified and changed through concerted effort.

This volume, like David Burns' Feeling Good Handbook, guides the reader through a series of self-examinations that are critical to the understanding and treatment of mood disorders. Although the clear conceptualization and the highly readable nature of the writing allow the work to be used as a stand-alone self-help manual, the authors encourage readers to seek the professional assistance of therapists. In addition to championing the use of cognitive therapy for the treatment of depression, the authors also present responsibly the merit of psychopharmacology as an adjunctive treatment. The book is replete with practical examples that clearly demonstrate the recommended treatments are simply and elegantly offered. To audit the reader's mastery of the content, brief review quizzes are presented at the end of each chapter.

The theoretical background for the volume is drawn from the cognitive therapies of Aaron T. Beck and Albert Ellis. Gilson and Freeman acknowledge the multifaceted nature of the causes of mood disorders and suggest a holistic approach to its treatment. The acronym BEAST, is used to explain the components of the approach: B is for body; E is for emotion; A is for action to be taken; S is for stressful situations; and T is for thoughts. The primary focus is placed on aspects of wellness such as nutrition and exercise (the B for body) and thinking (the T for thoughts).

The authors discuss three factors involved in creating and sustaining depression: The Cognitive Triad, cognitive distortions, and self-sabotaging schemas and assumptions. The cognitive triad refers to negative views about oneself, the world, and the future. Cognitive distortions refer to the self-defeating response sets or perceptual sieves that are not validated by others. And schemas are described as hierarchically arranged, coordinated sets of abstract ideas about self, the world, and relationships. These schemas are said to underlie and maintain one's belief system and automatic thoughts. The meaning of schemas is decidedly less distinct than the meaning of cognitive distortions or cognitive triad, but the concept seems to be used in a manner similar to the way in which Piaget used the term, to the manner in which Bandura used the concept of "rule governed behavior," and to the manner in which social psychologists use the term, attributional style. Such schemas are said to be formed in early life and can be up-dated through the process of accommodation, Piaget's concept for the learning, through experience, of new mental templates of the world. This concept of schemas appears to interface nicely with the use of unconscious dynamics by analytic therapists.

This volume should prove especially helpful to cognitive therapists in their efforts to correct the irrational beliefs and distorted perceptual processes of clients. The reading of selected portions of the volume from week to week would likely prepare the client to profit more fully from the content of therapy sessions. Clients who dutifully complete the thought monitoring exercises will greatly assist their therapists in understanding the faulty beliefs, cognitive distortions, and underlying schemas that are responsible for their depression. Moreover, it seems to me that these exercises, so appropriately prescribed for uncovering the hurtful content of the client's thinking, could be complemented by the mindfulness exercises of the consciousness disciplines and the use of awareness continuum by Gestalt therapists.

I salute Drs. Gilson and Freeman for adding another powerful tool to our repertoire of aids for clients suffering from depression, dysphoria, or undiagnosed mood disorders. I plan to own multiple copies for use in prescribing home expansion exercises for my clients.

This new patient treatment manual sets a high mark for presenting therapy in a clear and accessible manner to patients. It contatins the fundementals of treatment and self-help for the depressed individual in a readable and engaging format. The concept of BEAST (Biology, Emotion, Affect, Situation, and Thinking) allows for an easy conceptualization of the components of mood and at the same time is whimiscal and intriguing. It strikes just the right balance, and I believe it is a refined contribution to the psychotherapist's tool kit for providing empirically supported treatment that helps people improve their mood and function better in their lives.

Gilson & Freeman's "Taming the Depression BEAST," a client workbook, will be an important addition to the field. Easily readable, it communicates complex concepts in an understandable manner, and the take-home message- that depression is a treatable illness- comes through clearly. It provides accurate information to clients about both cognitive therapy and antidepressant medications. There is no doubt that this manual will be helpful to many clients and their families.

Review by Kenneth B. Matheny, Ph.D., ABPP, Regents Professor and Co-director, Counseling Psychology Program, Georgia State University. Phone (404) 651-2550, FAX (404) 651-1160 Overcoming Depression is an expertly fashioned manual for clients suffering from depression, dysphoria, or sub-clinical mood disorders. Mark Gilson, founder and director of the Atlanta Center for Cognitive Therapy, and Arthur Freeman, chair of the Department of Psychology at the Philadelphia College of Osteopathic Medicine, bring their considerable expertise to bear on the treatment of depression. Both authors have made major contributions to the cognitive therapy literature in the past, and their current volume promises to give hope to clients who have had the sunlight in their lives dimmed by the heavy clouds of depression. Readers are taught that there are specific reasons for their low mood states that can be identified and changed through concerted effort. This volume, like David Burns' Feeling Good Handbook, guides the reader through a series of self-examinations that are critical to the understanding and treatment of mood disorders. Although the clear conceptualization and the highly readable nature of the writing allow the work to be used as a stand-alone self-help manual, the authors encourage readers to seek the professional assistance of therapists. In addition to championing the use of cognitive therapy for the treatment of depression, the authors also present responsibly the merit of psychopharmacology as an adjunctive treatment. The book is replete with practical examples that clearly demonstrate the recommended treatments are simply and elegantly offered. To audit the reader's mastery of the content, brief review quizzes are presented at the end of each chapter. The theoretical background for the volume is drawn from the cognitive therapies of Aaron T. Beck and Albert Ellis. Gilson and Freeman acknowledge the multifaceted nature of the causes of mood disorders and suggest a holistic approach to its treatment. The acronym BEAST, is used to explain the components of the approach: B is for body; E is for emotion; A is for action to be taken; S is for stressful situations; and T is for thoughts. The primary focus is placed on aspects of wellness such as nutrition and exercise (the B for body) and thinking (the T for thoughts). The authors discuss three factors involved in creating and sustaining depression: The Cognitive Triad, cognitive distortions, and self-sabotaging schemas and assumptions. The cognitive triad refers to negative views about oneself, the world, and the future. Cognitive distortions refer to the self-defeating response sets or perceptual sieves that are not validated by others. And schemas are described as hierarchically arranged, coordinated sets of abstract ideas about self, the world, and relationships. These schemas are said to underlie and maintain one's belief system and automatic thoughts. The meaning of schemas is decidedly less distinct than the meaning of cognitive distortions or cognitive triad, but the concept seems to be used in a manner similar to the way in which Piaget used the term, to the manner in which Bandura used the concept of "rule governed behavior," and to the manner in which social psychologists use the term, attributional style. Such schemas are said to be formed in early life and can be up-dated through the process of accommodation, Piaget's concept for the learning, through experience, of new mental templates of the world. This concept of schemas appears to interface nicely with the use of unconscious dynamics by analytic therapists. This volume should prove especially helpful to cognitive therapists in their efforts to correct the irrational beliefs and distorted perceptual processes of clients. The reading of selected portions of the volume from week to week would likely prepare the client to profit more fully from the content of therapy sessions. Clients who dutifully complete the thought monitoring exercises will greatly assist their therapists in understanding the faulty beliefs, cognitive distortions, and underlying schemas that are responsible for their depression. Moreover, it seems to me that these exercises, so appropriately prescribed for uncovering the hurtful content of the client's thinking, could be complemented by the mindfulness exercises of the consciousness disciplines and the use of awareness continuum by Gestalt therapists. I salute Drs. Gilson and Freeman for adding another powerful tool to our repertoire of aids for clients suffering from depression, dysphoria, or undiagnosed mood disorders. I plan to own multiple copies for use in prescribing home expansion exercises for my clients.

I am a licensed MFT and I use information from this book with my clients. I have several other depression workbooks, but I really like the "BEAST" approach that is presented in this workbook. I also love that it has many specific CBT ideas for managing depression. Great all around. I would highly recommend it, even if you already have other depression workbooks.