The Adaptation of Cognitive Behavioural Therapy for Adult Maori Clients with Depression: A pilot study

A semi­structured cognitive behavioural therapy (CBT) programme for depression was adapted for use with Maori adult clients with depression. Adaptations were developed in consultation with an advisory group consisting of Maori clinical psychologists and kaumatua with experience working in mental health services. The programme was piloted with 2 participants who were clients of a Maori mental health service. The programme builds on a more traditional CBT treatment programme by integrating concepts such as whakatauki, whanaungatanga, whanau involvement, and whakapapa into the therapeutic context. Despite limitations the results demonstrate considerable promise. Depressive symptoms increased substantially in both cases and both clients reflected positively on the adaptations incorporated into therapy.