CBT for depression

Cognitive Behavior Therapy CBT for Depression

It’s crucial to recognize that depression is a treatable condition, and seeking professional help is important. It’s okay to seek help when needed. Speak with Danielle at Cognitive Behavioural Therapy CBT for depression to discuss an effective approach of CBT for overcoming depression.


Symptoms of Depressive Mood Disorder

Depression is a mental health condition characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities. While everyone may experience occasional periods of sadness, depression involves a cluster of symptoms that last for an extended period and significantly impact daily functioning. However, It’s important to note that individuals with depression may not experience all of these symptoms, and generally the severity can vary.


Common symptoms of depression include:

  1. Persistent Sadness or Low Mood:
    • Feeling sad, down, or hopeless most of the time.
    • A pervasive sense of emptiness or worthlessness.
  2. Loss of Interest or Pleasure:
    • Diminished interest in activities that were once enjoyable.
    • Loss of motivation and decreased participation in hobbies or social activities.
  3. Changes in Sleep Patterns:
    • Insomnia or difficulty staying asleep.
    • Excessive sleep or feeling constantly fatigued.
  4. Changes in Appetite or Weight:
    • Significant weight loss or gain without intentional changes in diet.
    • Changes in appetite, leading to overeating or loss of interest in food.
  5. Fatigue and Low Energy:
    • Feeling physically drained, even after adequate rest.
    • Difficulty concentrating or making decisions.
  6. Feelings of Guilt or Worthlessness:
    • Persistent feelings of guilt or excessive self-blame.
    • A sense of worthlessness or inadequacy.
  7. Irritability or Restlessness:
    • Increased irritability or frustration, even over minor issues.
    • Restlessness and difficulty sitting still.
  8. Physical Symptoms:
    • Unexplained aches and pains, often without a clear physical cause.
    • Digestive issues, headaches, or other physical complaints.
  9. Cognitive Impairment:
    • Difficulty concentrating, making decisions, or remembering things.
    • Slowed thinking or impaired cognitive function.
  10. Isolation and Withdrawal:
    • Withdrawal from friends, family, and social activities.
    • A preference for solitude and avoidance of social interactions.
  11. Suicidal Thoughts or Behaviors:
    • Thoughts of death or suicide.
    • Engaging in self-harming behaviors.

Do You Need Urgent Crisis Care?

If you or someone you know is experiencing symptoms of depression or having suicidal thoughts, it’s essential to seek help immediately by reaching out to a crisis helpline like Beyond Blue.

The Benefits of Combining CBT with Acceptance & Commitment Therapy ACT for Treating Depression

Two of the most effective therapeutic approaches are Cognitive Behaviour Therapy (CBT) and Acceptance and Commitment Therapy (ACT). While each therapy has its own strengths, combining CBT and ACT can offer even more profound benefits. This blog explores the advantages of integrating these two therapies to create a comprehensive treatment plan for depression.

Understanding Cognitive Behaviour Therapy (CBT)

Cognitive Behaviour Therapy is a structured, time-limited therapy that focuses on the relationship between thoughts, feelings, and behaviors. Developed by Aaron Beck in the 1960s, CBT is based on the premise that negative thought patterns contribute to emotional distress and maladaptive behaviors. By identifying and challenging these negative thoughts, individuals can alter their emotional responses and behaviors, leading to improved mental health.

Key Components of CBT:

  • Cognitive Restructuring: Identifying and challenging distorted or unhelpful thoughts.
  • Behavioral Activation: Encouraging engagement in rewarding activities.
  • Problem-Solving: Developing strategies to address specific problems.
  • Skills Training: Developing coping strategies and improving social skills.

Understanding Acceptance and Commitment Therapy (ACT)

Acceptance and Commitment Therapy, developed by Steven C. Hayes in the 1980s, is a mindfulness-based approach that encourages individuals to accept their thoughts and feelings rather than fighting or avoiding them. ACT emphasizes living in accordance with one’s values and taking committed action toward meaningful goals, even in the presence of uncomfortable emotions or thoughts.

Key Components of ACT:

  • Acceptance: Embracing thoughts and feelings without judgment.
  • Cognitive Defusion: Changing the way individuals relate to their thoughts.
  • Mindfulness: Focusing on the present moment.
  • Values Clarification: Identifying and committing to personal values.
  • Committed Action: Taking action in line with one’s values.

The Synergy of CBT and ACT

Combining CBT and ACT can create a more robust and comprehensive treatment approach for depression. Here are some key benefits of integrating these two therapies:

1. Comprehensive Treatment Approach

CBT focuses on changing negative thought patterns and behaviors, while ACT emphasizes acceptance and mindfulness. Integrating these approaches addresses both the cognitive and emotional aspects of depression, providing a more holistic treatment plan. This dual approach helps individuals understand and manage their depression from multiple perspectives.

2. Balanced Focus on Change and Acceptance

One of the main strengths of combining CBT and ACT is the balanced focus on change and acceptance. CBT aims to change unhelpful thoughts and behaviors, while ACT promotes acceptance of thoughts and feelings. This balance reduces the pressure to change immediately and encourages individuals to accept themselves and their experiences, which can be particularly helpful for those with severe or chronic depression.

3. Enhanced Emotional Regulation

Both CBT and ACT offer effective strategies for managing emotions, but they do so in different ways. CBT helps individuals reframe negative thoughts that contribute to emotional distress, while ACT teaches acceptance and mindfulness techniques to observe and experience emotions without becoming overwhelmed. Together, these approaches can enhance emotional regulation and resilience.

4. Greater Emphasis on Values and Meaning

ACT places a strong emphasis on living in alignment with personal values, which can provide a sense of purpose and direction in life. While CBT primarily focuses on symptom reduction, integrating ACT encourages individuals to consider what is truly important to them and take meaningful actions toward those values. This can lead to a more fulfilling and purpose-driven life, even in the presence of depression.

5. Versatility in Treating Various Types of Depression

CBT and ACT have both been proven effective in treating various forms of depression, including major depressive disorder, persistent depressive disorder (dysthymia), and depression associated with other conditions like anxiety. Combining these therapies can enhance their effectiveness across different types of depression, providing a versatile and robust treatment approach.

6. Encouraging Long-Term Change

Sustainable mental health improvement often requires more than just symptom relief; it involves ongoing personal growth and development. The integration of CBT and ACT promotes long-term change by helping individuals develop a deeper understanding of themselves, their values, and their thought patterns. This comprehensive approach fosters lasting transformation and prevents relapse.

Practical Applications of Combined CBT and ACT for Depression

Therapists can integrate CBT and ACT in various ways to maximize the benefits for their clients. Here are some practical applications:

1. Mindfulness-Based Cognitive Therapy (MBCT)

MBCT combines elements of CBT with mindfulness practices from ACT. This approach is particularly effective for preventing relapse in individuals with recurrent depression. By incorporating mindfulness, clients learn to observe their thoughts without judgment, reducing the impact of negative thinking patterns.

2. Acceptance and Behavioral Activation

Combining ACT’s acceptance strategies with CBT’s behavioral activation can help clients manage depression more effectively. For example, clients can practice accepting their depressive thoughts and feelings while engaging in activities that align with their values, increasing motivation and reducing avoidance behaviors.

3. Values-Driven Goal Setting

Integrating CBT’s goal-setting techniques with ACT’s values clarification can enhance motivation and engagement in meaningful activities. Clients can identify goals that align with their values and use CBT strategies to develop actionable plans for achieving these goals.

4. Cognitive Defusion and Thought Challenging

Integrating ACT’s cognitive defusion techniques with CBT’s cognitive restructuring can help clients develop a healthier relationship with their thoughts. By learning to defuse from unhelpful thoughts and challenge their validity, clients can reduce the impact of negative thinking on their emotions and behaviors.


The integration of Cognitive Behaviour Therapy and Acceptance and Commitment Therapy offers a powerful and holistic approach to treating depression. By combining the strengths of both therapies, individuals can benefit from a comprehensive, flexible, and personalized treatment plan that addresses their unique needs. This synergy promotes lasting change, enhances emotional regulation, and encourages a values-driven life, ultimately leading to improved mental health and well-being.

For those struggling with depression, this integrated approach not only alleviates depressive symptoms but also fosters personal growth and resilience, paving the way for long-term mental health and happiness.

Get Started with CBT Counselling Today

Sessions are offered in-person for those living in the Adelaide Area or Online if preferred. Therapy includes Cognitive Behavioural Therapy CBT, Counselling and Hypnotherapy helping important messages hit home within the subconscious mind, allowing for positive shifts to take place.


Danielle is dedicated to empowering clients to restore a natural state of calm, balance and wellness within themselves.

By adopting a person centred approach Danielle guides each client on their own highly personal healing journey.


  • In her comfortable and calming treatment room conveniently located in Payneham, South Australia with access to off-street parking.

  • Alternatively clients can choose to have sessions on Zoom in the comfort of their own home.