NEWS Mental Health News CBT Can Help With Depression—and Your Job Search By Lo Styx Lo Styx Lo is a freelance journalist focused on mental health, sexual wellness and patient advocacy. She is based in Brooklyn and can be found on the internet @laurenstyx. Learn about our editorial process Updated on March 04, 2021 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Emily Swaim Fact checked by Emily Swaim LinkedIn Emily is a board-certified science editor who has worked with top digital publishing brands like Voices for Biodiversity, Study.com, GoodTherapy, Vox, and Verywell. Learn about our editorial process Share Tweet Email Print SDI Productions / Getty Images Key Takeaways A recent study examined the impact cognitive behavioral therapy (CBT) can have on occupational outcomes for individuals struggling with depression.The results showed CBT helped participants to land jobs as well as improve performance at work. Depression has a way of seeping into every facet of life and can greatly affect job performance or the ability to achieve employment at all. For this reason, depression is one of the leading causes of disability around the world. Counseling options are available to individuals struggling with depression, but can you gauge effectiveness? A recent study published in the journal Cognitive Behaviour Therapy looked into the impact that cognitive behavioral therapy (CBT) can have on occupational outcomes for individuals struggling with depression. What Is Cognitive Behavioral Therapy? Cognitive behavioral therapy is one of the most researched types of therapy and is often used as a short-term, effective treatment for a wide range of conditions like anxiety, depression, addiction, eating disorders, and phobias. Recently, CBT has seen a rise in popularity as a treatment with specific, tangible goals that can be measured relatively easily. More people are turning to this type of therapy as an affordable treatment path for a variety of maladaptive behaviors. Daniel Strunk, PhD The single most important skill that we try to help people acquire in CBT is to identify their thoughts and take a step back and reevaluate them. — Daniel Strunk, PhD Individuals that undergo CBT are typically seeking to identify and change destructive thought patterns through a wide range of strategies, such as mental distractions or journaling. How CBT Works The goal of this type of therapeutic treatment is to change the automatic negative thought response that contributes to the individual's feelings of psychological distress. These thoughts are then replaced with more realistic, objective ones. “The single most important skill that we try to help people acquire in CBT is to identify their thoughts and take a step back and reevaluate them,” says lead study author Daniel Strunk, PhD. Because thoughts and emotions can have a strong influence on an individual's behavior, CBT aims to teach a person that, while they can't control everything that happens around them, they can control their interpretations and reactions. This helps the individual to develop useful coping skills. Efficacy of CBT As a CBT therapist, Jolie Weingeroff, co-founder and director of PVD Psychological Associates, has found this method to be effective for patients struggling with presenteeism, which is another way of describing an individual's lack of focus at work or inability to accomplish tasks. Presenteeism can manifest as a result of injury, illness, or mental state. "Often, the very things we do to avoid negative emotions are the behaviors we would seek treatment to address, such as substance use or problems in relationships or as it relates to employment, procrastination, being late, difficulty concentrating, [and] problems with time management," Weingeroff says. 7 Facts Everyone Should Know About Depression The Research The study looked at employment status, presenteeism, depressive symptoms, cognitive style, and CBT skills of 126 participants taking part in a 16-week course of CBT for depression. Participants fell into two groups: those seeking to improve their employment status and those consistently employed during treatment. Participants were assessed both before and after treatment. For patients seeking to improve their employment status, researchers found significant improvement from pre- to post-treatment, with 41% of patients achieving this goal and landing a new position. For patients who were consistently employed and looking to improve performance, presenteeism decreased significantly over the course of treatment. Mary Gay, PhD CBT increases concentration and efficiency in the workplace by helping move away from the negative frame of mind that consumes depression sufferers. — Mary Gay, PhD These findings suggest patients can improve occupational outcomes with the help of CBT, partly as a result of changes in negative cognitive styles. But for individuals who have depression and are struggling to find employment, the resolution is not just in necessarily alleviating the symptoms, but in building a strong mental foundation with the help of CBT. Strunk points to negative self-views as a key characteristic of depression that can also exacerbate the stress of looking for work. "When you’re in the job search process, a lot of people have to face rejection repeatedly and keep persisting in the face of that rejection," he says. "So, If you take each of those rejections as an indication of your potential as an employee or your value to society, it makes it harder to persist.” In the same way, treating depression can treat the root cause of poor job performance. "Depression as a cause of presenteeism is not a widely accepted reason for non-productivity at work," says Mary Gay, PhD, who specializes in helping professionals work through addiction and developmental trauma. "CBT increases concentration and efficiency in the workplace by helping move away from the negative frame of mind that consumes depression sufferers." It's important to note that depression is not always the only influence at play when it comes to presenteeism. Weingeroff presents the example of someone who struggles with people-pleasing or overcommitting themselves because they have trouble saying no. These behaviors will almost certainly lead to burnout and, as a result, poor performance at work. "Once we identify the thought patterns leading to and perpetuating presenteeism, we can work to address fears of failure, perfectionism, people-pleasing, imposter syndrome, among other things that essentially make it so that people cannot get out of their own way," she says. Working Through It While this study was conducted prior to the COVID-19 pandemic, these findings are perhaps even more relevant today. Millions of jobs have been lost as a result of the pandemic, and countless others are navigating this time as either essential workers or working from home. For many people with a history of depression, this immense stress has only exacerbated symptoms. Jolie Weingeroff, PhD We can work to address fears of failure, perfectionism, people-pleasing, imposter syndrome, among other things that essentially make it so that people cannot get out of their own way. — Jolie Weingeroff, PhD “The more you have people facing this uncontrollable stressor with a lot of uncertainty, the more they're going to be pulled into overly negative views," Strunk says. "And it's hard not to succumb to that.” For this reason, it's imperative to find healthy ways of coping if you're struggling through this time. Cognitive restructuring is a major focus in CBT, but there are other coping skills that can have just as big an impact. Cultivating practices of mindfulness and self-care, developing time management and interpersonal skills, and performing exercises like progressive muscle relaxation and diaphragmatic breathing can all decrease anxiety and help you better protect yourself against external stressors. Whether you're seeking employment or trying to keep up with the daily grind of working from home, CBT and its array of coping skills has proven effective in managing stress and depression. What This Means For You Work-related or not, if you are experiencing symptoms of anxiety or depression, professional help is available to you. However, if therapy is not a viable option for financial reasons or otherwise, implementing one or more CBT coping strategies into daily life could provide some relief. Cognitive-Behavioral Coping Strategies The information in this article is current as of the date listed, which means newer information may be available when you read this. For the most recent updates on COVID-19, visit our coronavirus news page. 7 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. James SL, Abate D, Abate KH, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789-1858. doi:10.1016/S0140-6736(18)32279-7 Ezawa ID, Bartels GC, Strunk DR. Getting down to business: an examination of occupational outcomes in cognitive behavioral therapy for depression. Cogn Behav Ther. 2021;50(6):479-491. doi:10.1080/16506073.2021.1875039 Hofmann SG, Asnaani A, Vonk IJ, Sawyer AT, Fang A. 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A pilot evaluation on a stress management programme using a combined approach of cognitive behavioural therapy (CBT) and complementary and alternative medicine (CAM) for elementary school teachers. Stress Health. 2015;31(1):35-43. doi:10.1002/smi.2522 See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.