Richard G. Moore & Anne Garland 
Cognitive Therapy for Chronic and Persistent Depression 

‘This volume provides the most comprehensive presentation
to date of the phenomenology, clinical aspects and cognitive
therapy of persistent depression. The text is highly readable,
replete with illustrative case material, and highlighted by concise
summaries at the end of each chapter. The treatment approach,
already validated in the famed Cambridge-Newcastle clinical
trial, is an invaluable contribution.’

Aaron T. Beck, M.D.

Drawing on extensive clinical experience, Richard G. Moore and
Anne Garland present a cognitive model of persistent depression
that places particular importance on the role of thinking styles,
underlying beliefs, subtle forms of avoidance and environmental
factors.

For the practitioner, this book offers guidance on how to
address particular issues that commonly arise at each stage of
therapy, such as:

* the patient is reluctant to engage in therapy

* the patient’s negative thinking does not respond to
standard therapeutic techniques

* the patient’s negative beliefs have much basis in their
experience

* the therapist becomes demoralised by the apparent lack of
progress in therapy

Through extensive clinical material, Cognitive Therapy for
Chronic and Persistent Depression demonstrates how entrenched
negative thinking patterns and ongoing avoidance can be addressed
to achieve significant change in many people’s lives.

This book is essential reading for any therapist working with
these hard to help patients, such as clinical psychologists,
psychiatric nurses, psychiatrists, social workers and
counsellors.

Table of Content

About the Authors vii

Preface ix

Acknowledgements xv

Introduction The Challenge of Persistent Depression 1

Chapter 1 The Cognitive Model of Persistent Depression 21

Chapter 2 The Foundations of Therapy: Therapeutic Relationship, Style and Structure 69

Chapter 3 Initial Assessment and Formulation 94

Chapter 4 Initiating Therapy: Socialisation and Setting Goals 137

Chapter 5 Using Standard Behavioural Techniques 171

Chapter 6 Working with Automatic Thoughts 198

Chapter 7 Recognising Underlying Beliefs and Their Effects 231

Chapter 8 Modifying Underlying Beliefs 257

Chapter 9 Working with Some Typical Themes in Persistent Depression 291

Chapter 10 Beyond Therapy: Preventing Relapse and Furthering Progress 319

Chapter 11 Delivering Treatment 341

Chapter 12 Outcomes and Processes of Therapy 354

Appendix 1 Meet the Patients 372

Appendix 2 Handouts for Patients 381

References 397

Index 407

About the author

Dr Richard Moore is a qualified clinical psychologist and cognitive therapist working at the

Department of Psychiatry, University of Cambridge at Addenbrooke Hospital. He is highly involved in clinical work and research on cognitive therapy for depression and trained with Aaron Beck in the US.

Anne Garland is a specialist psychiatric nurse at the Nottingham Psychotherapy Unit.