One strength of cognitive behaviour therapy comes form research evidence which demonstrates its effectiveness in treating depression. Research by March et al (2007) found that CBT was as effective as antidepressants in treating depression. The researchers examined 327 adolescents with a diagnosis of depression and looked at the effectiveness of CBT, antidepressants and a combination of both. After 36 weeks 81% of the antidepressant group and 81% of the CBT group had significantly improved, demonstrating the effectiveness of CBT in treating depression. Therefore showing that CBT is just as effective but a combination of both is most effective.
\
However, a weakness of CBT is that it requires motivation. Patients with severe depression might not engage with CBT, or even attend the sessions so treatment isn’t effective to patients such as these. Alternative treatments such as antidepressants, do not require the same level of motivation and may be more effective in cases such as these. Therefore CBT cannot be used as the sole treatment for severely depressed patients.
\
Furthermore CBT has been criticised for its overemphasis on the role of cognition. Some psychologists have criticised CBT as it suggests that a person’s irrational thinking is the primary cause of their depression and CBT doesn’t take into account other factors. CBT therefore ignores other factors or circumstances that might contribute to someone’s depression. For example, a patient who is suffering from domestic violence or abuse, does not need to change their negative/irrational beliefs, but in fact needs to change their circumstances. Therefore, CBT would be ineffective in treating these patients until their circumstances have changed.
\
A weakness of CBT is that the success of the therapy may be due to the therapist - patient relationship. Rosenzweig (1936) suggested that the different methods of psychotherapy such as CBT and systematic desensitisation might actually be quite small. All psychotherapists share one essential ingredient, the therapist patient relationship. It may be the quality of the relationship that determines success rather than any particular technique that is used. Many comparative reviews find very small differences which supports the view that having an opportunity to talk to someone who will listen could be what matters most.