Reseach Ssd

A. The problematic situation addressed at the micro level was depression. Lisa Drummer was the 32 year old Caucasian female suffering from depression as well as a breast cancer diagnosis. The intervention used was Cognitive Behavioral Therapy. * The developed hypothesis was that depression would decrease with the treatment of Cognitive Behavioral Therapy. The expected outcome was for CBT to reduce Lisa’s depression. * The independent variable was Cognitive Behavioral Therapy. The dependent variable was depression. * Cognitive Behavioral Therapy, the independent variable, was defined as the therapist teaching the client to work towards goals with a new behavioral approach. Depression, the dependent variable, was defined as decreased quality of life including “recreational activities, family relationships, self-care, and sleep” (Hopko 2010). * CBT was composed of nine 1 hour weekly sessions between the client and the therapist. Hopko (2010) stated, “Initial sessions consisted of assessing the function of depressed behavior, establishment of patient rapport, and introduction of the treatment rationale.” Afterwards focus shifted to identifying the client’s values and goals concerning his or her goals with family, education, health, and spirituality (Hopko 2010). In this comprehensive Cognitive Behavior Therapy for Depression approach, “additional treatment components included relaxation training, cognitive therapy, behavioral exposure, problem-solving skills training, and sleep management skills” (Hopko 2010). Specifically the behavioral exposure was composed of three written exercises “that were designed to expose cancer patients to the experience of being diagnosed and living with cancer (Hopko 2010)” Clients also had to complete 15 activities over the course of treatment and report to the therapist when the activity was completed and how long it took for the activity to be completed. Activities could be such as “exercising, organizing and filing