CBT is proved to be very efficient in treatment of depression with or without pharmacotherapy. In this paper case study of a patient with clinical manifested severe depressive episode will be presented. This patient was treated only with CBT without pharmacotherapy.

Is to demonstrate efficiency of CBT in treatment of depression based on case study.

History of the problem: Patient J., 41 years old female was referred for CBT treatment on recommendation of a friend. When she started treatment she was diagnosed as Severe Depressive episode without psychotic symptoms. Before she was referred for CBT treatment, her symptoms lasted about 4 months and she was treated with pharmacotherapy without improvement. On initial assessment she showed high scores on BDI (33) and BAI (21) scales.

She was complaining on depressive mood, anhedonia, loss of interest, social isolation and frequent anger outbursts.

CBT treatment for this patient lasted 14 sessions. CBT techniques used were: behavior activation, self monitoring of activities and level of achieved satisfaction, cognitive restructuring and problem solving. Patient was motivated to accept her part of work according CBT principles. Rapid improvement of her condition that patient subjectively recognized contributed to final therapy outcome. Objectively on BDI her depressiveness had tendency to decrease from BDI 33 on BDI 7 and level of her anxiety decreased from BAI 21 on BAI 5. General functioning of the patient significantly increased.

This case study suggests that CBT can be effective in the treatment of depression without applied pharmacotherapy.