Abstract
Hopelessness depression is a subtype of depression. Due to hopelessness, this subtype of depression has distinctive symptoms of retarded initiation of voluntary responses, apathy, and mood-exacerbated negative cognition. Hence, hopelessness depression patients have motivational defects and strong dysfunctional thinking. These are unfavorable factors for cognitive therapy because cognitive therapy requires patients’ participation in identifying and modifying their dysfunctional thinking and it has limitation for modifying strong dysfunctional thinking. This article shows that undermining hopelessness is a necessary preliminary step before cognitive work on their dysfunctional thinking when treating hopelessness depression patients, and it can be done by cognitive treatment focusing on self-esteem enhancement. A successful case experience of applying cognitive therapy to hopelessness depression is illustrated.
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