Counselor Preparation Comprehensive Practice Examination

What does being “worthless” in the Cognitive Triad of Depression refer to?

1. A healthy self-esteem

2. Feeling inadequate and having low self-worth

3. A belief in one's abilities

4. Confidence in one's personal achievements

The correct answer is: Feeling inadequate and having low self-worth

In the context of the Cognitive Triad of Depression, which includes negative thoughts about oneself, the world, and the future, the notion of being “worthless” specifically pertains to feelings of inadequacy and low self-worth. This negative self-perception is a central feature of depression, where individuals may view themselves as fundamentally flawed or unworthy, leading to emotional distress and exacerbating depressive symptoms. The Cognitive Triad, as proposed by Aaron Beck, emphasizes that how individuals think about themselves directly influences their mental health. Therefore, the idea of feeling worthless aligns directly with a negative self-assessment that characterizes many individuals suffering from depressive disorders. Healthy self-esteem, beliefs in one's abilities, and confidence in achievements represent positive self-views that contrast with the feelings of worthlessness experienced in depression. Understanding this concept is crucial for recognizing how distorted thought patterns contribute to depressive symptoms and for effective therapeutic interventions.