Cognitive-behavioural treatment of depressive disorder in child psychiatric patients - rationale and description of a treatment package.

A cognitive-behavioural programme for the treatment of depressive disorders in child and adolescent psychiatric patients is described. The treatment is based on research findings from studies on cognitive abnormalities in adult depression and on similar abnormalities which have been described in child populations. Similar treatment programmes for adult depressed patients and children from non-clinical populations are also discussed. The aims of this treatment package are, the recognition and labelling of emotions, the change of negative cognitive attributions, and the enhancement of social skills. Each of the nine treatment sessions includes a review of previous homework, an introduction to the theme of the session, practice of tasks with the therapist, and homework assignments. The implications for future research are also discussed.