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For decades scientists have tried to improve the effectiveness of depression therapy. Until recently only with limited access.

New evidence suggests that things could change due to Metacognitive Therapy which was developed by the clinical psychologist Adrian Wells (2011).

The treatment approach in Metacognitive Therapy is fundamentally different from other treatments. Whereas in cognitive behavioral therapy (CBT) a lot of effort goes into reframing negative thoughts in Metacognitive Therapy you don’t have to change the content of your thoughts. Instead you have to change what you belief about your thoughts (metacognitive = beliefs concerning your thoughts). This will help you to detach your attention from negative thoughts and will finally stop your rumination.

Studies & Books:

Callesen, P., Reeves, D., Heal, C., & Wells, A. (2020). Metacognitive therapy versus cognitive behaviour therapy in adults with major depression: a parallel single-blind randomised trial. Scientific reports, 10(1), 1-10.

Fisher, P., & Wells, A. (2014). Metakognitive Therapie (Vol. 8). Junfermann Verlag GmbH.

Wells, A., Fisher, P., Myers, S., Wheatley, J., Patel, T., & Brewin, C. R. (2009). Metacognitive therapy in recurrent and persistent depression: A multiple-baseline study of a new treatment. Cognitive therapy and research, 33(3), 291-300.

Wells, A., Fisher, P., Myers, S., Wheatley, J., Patel, T., & Brewin, C. R. (2012). Metacognitive therapy in treatment-resistant depression: A platform trial. Behaviour research and therapy, 50(6), 367-373.

Wells, A., & Papageorgiou, C. (2004). 13 Metacognitive Therapy for Depressive Rumination. Depressive rumination, 259.

Wells, A. (2011). Metacognitive therapy for anxiety and depression. Guilford press.

Wells, A. (2013). Advances in metacognitive therapy. International Journal of Cognitive Therapy, 6(2), 186-201.