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Dr. Reinecke reviews the CBT treatment program developed for the landmark Treatment for Adolescents With Depression Study (TADS) and discuss how it can be used in clinical practice. He beginx with a brief review of the etiology, clinical presentation, and diagnosis of adolescent depression. This includes a discussion of practical, evidence-based assessment instruments.
Next, he presents the TADS CBT case formulation and treatment program, the integrative ìsocio-cognitiveî model for depression, and ìmodularî CBT strategies for treating specific components of adolescent depression. He concludes with a discussion of findings from the TADS project. This workshop provides practical, evidence-based strategies for working with some of the most challenging patients in clinical practice.
Participants will be able to describe:
- Recent research on cognitive, social, and biological risk factors for depression
- Diagnosis and assessment of major depression
- Alternative cognitive-behavioral models of depression and how they can guide case formulation
- The results of recent outcome studies of CBT for depression among adolescents and how they inform treatment planning
- An integrative ìsocio-cognitiveî model
- Flexible, ìModular CBTî techniques and strategies;
- Strategies for fostering a cooperative relationship with challenging, unmotivated teens and for encouraging treatment participation
- How to apply findings from the TADS project and their clinical implications
Adolescent Depression: A Primer
- Clinical presentation: How does it appear? Epidemiology: How common is it? Consequences of depression: Why we need to intervene early Vulnerability: What are its causes?
- 12 cognitive models of depression, Identifying cognitive and behavioral risk factors, Cognitive-behavioral case formulation
CBT in Practice
- Key ingredients of effective CBT, Structuring sessions for maximum effectiveness
Building a Better Relationship
- Clinical scaffolds and how they guide treatment
- The therapeutic relationship in CBT
- Setting appropriate goals; Mood monitoring: Mastery & pleasurable events scheduling; Working with families, Social problem-solving, Thinking flexibly and adaptively, Cognitive distortions, Positive attributions
Advanced Strategies and Techniques
- Affect regulation, New approaches for relaxation training, Building a secure attachment
What the data says
- Short and long-term effectiveness, Predictors of treatment response, Functional improvement: Maintenance of gains, Using CBT and medications together
Working with Suicidal Youth
- Motivation for suicide: Why do they do it?, Suicide and medications: What can be done?