Evidence Based Practice Essay

Dysthymia is a disorder that is usually brought about by problems relating to both physical and cognitive factors such as depression with that are less severe than chronic depression but symptoms which are long-lasting. Over the years great emphasis has been put on this disorder. Different causes, signs, and symptoms have been looked upon by various researchers. This disease is a severe state of chronic depression, and it persists for at least two years. Sufferers of this disorder tend to think depression is part of their character so times they might not discuss the situation with anyone. This research will look at evidence-based therapeutic intervention best suited for a Latina diagnosed with dysthymia while looking at various therapies involved and clinical expertise.

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Dysthymia has been in existence for many, but its exact cause is not known. A young Latina coming from Hispanic background may suffer from this disorder because of; Firstly, Biological differences of the different races which mean this lasting depressive disorder may have physical changes on the brains of Latinos (Schaakxs & Penninx, 2018). Secondly, Latinos are known to portray certain traits which are associated with the disorder. The disorder is common among blood relatives with the same condition. Financial constraints is another effect of the disorder among the Latinos. Lastly is chemistry in the brain. This means that chemicals in the brain can play a role in the depression of a young Latino (Melrose, 2017).

Cognitive-Behavioral Therapy (CBT)
This is a psychotherapeutic treatment which helps patients understand the feelings and thoughts that influence their behaviors (Dobson & Dozois, 2019). Phobias, depression, anxiety, and addictions are usually treated by CBT. This therapy is short term and aids a client in dealing with the disorder. Latinos can change and identify various disruptive activities that might have an influence that is negative on their emotions and behavior (Trauer et al., 2015).

The concept which is underlying this therapy is that it plays a significant role in the behavior of the affected. The research behind this therapy shows that its treatment is usually shorter and it is more affordable by Latino’s compared to other therapies (Trauer et al., 2015). The clients are encouraged to look at evidence that refutes the negative issues that influence their thoughts (Kuppili & Nabhinani, 2018). CBT has helped overcome a variety of automotive negative thoughts. By application, I would be able to change the beliefs of the Latinas by coming up with various ways which help them look at things positively rather than negatively. Through what has been provided in the research it is useful because it allows the Latinos to get rid of negative thoughts, which as well requires one to go for the treatment (Kuppili & Nabhinani, 2018).

Interpersonal Therapy
This is psychotherapy that is usually concerned with resolves problems that are interpersonal and providing Symptomatic recovery. This treatment is provided and completed within 12-16 weeks (Hetrick et al., 2016). This therapy in a young Latino is based on the premise that depression occurs in the context of relationships between individuals not putting regard on their origins. It postulates the areas which may cause the depression which include; loss of a loved one, difficulty caused by isolation socially and challenges in adapting to a change in the relationship. The therapists help to identify the needs of a Latinos that brings about depression to help improve their relations and decrease the symptoms. With time this therapy helps them to communicate feelings, link the moods to events occurring and also to solve problems as a result of relationships without bringing about bad attitudes. (Schienle et al., 2018). The idea behind this therapy is that improvement of communication patterns and relationship between people can help treat the disorder. For instance when a Latino loses their parent the change of moods can be dealt with by explaining to them that death is the only way to get rid of the stress of life thus helping them overcome such moods (Epskamp & Marsman, 2017). The therapy is useful as well because it helps correct various depression issues in Latinos that can make them handle issues with full understanding through taking care of their moods.

Rational Emotive Behavioral Therapy
REBT is a Psychotherapy that aims at handling both emotional and behavioral problems and disturbances that affect everyone thus helping them live happily (Turner, 2016). It is a form of CBT. This therapy works on the premise that humans do not get disturbed by unfortunate circumstances but by how they think and view those circumstances themselves, their philosophies and language. The framework of this therapy assumes that human beings construct their difficulties in emotions such as self-pity, anxiety, and depression.

REBT applies the educational approach to help them defeat irrational philosophies by disputing them and doing a replacement with rational and self-helping ones. This is also done by giving out home works exercises to enhance a more sensible way of behaving and thinking. Through this therapy, Latinos can live in more healthier and deserving ways. For example, REBT can be conducted in such a manner whereby you give out assignments to the Latinos in the form of questions which they are expected to look at which helps them change emotionally. It is as well effective because shame, anxiety, self-blame, and depression are addressed fully (Wood et al., 2018)

The best therapy model that fits the client’s needs is REBT. This is because it takes care of both thoughts and emotions. Thinking and emotions are the significant controls of depression. Since it is performed in every aspect of life, then the probability of healing is high compared to other therapies. If the mind of a client is at peace, it inevitably means chances of a depression are minimal because they can understand different circumstances. A client with a poor relationship with the father can always seek this kind of therapy. They will be easily taught on how to counter such feelings, and with some time, they will be able to know how to relate with the father.

Looking at the pros and cons of each therapy is that; CBT helps patients to break the vicious cycle of altered thinking, feeling, and behavior. The problem with it is that due to its structured nature, it may not be suitable for people with more complex health needs. IPT helps to improve the patterns of communication as well as social interactions. It is as well expensive in terms of the amount of money paid to be treated. Lastly, REBT helps to teach client on how to overcome negative emotion and thoughts. The disadvantage is that it can be challenging because often students lack the emotional levels needed for it to be successful is not cheap to get treated (Ellis, 2017). Moreover, clinical expertise is required for the patients to be well attended to.

As discussed above, REBT according to my opinion is the best therapy to treat depression among the Latinos because it provides an opportunity for them to get taught on how to deal with negative thoughts. The research has exhaustively looked at various interventions on dysthymia while citing the advantages and disadvantages of each therapy.

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