strengths based cbt for depression - brief therapy...

BRIEF THERAPY CONFERENCE 2014: SB‐CBT FOR DEPRESSION

© Copyright 2014 Christine A. Padesky, PhD • All rights reservedFor personal use only. No other distribution or copying is permitted.

Strengths‐Based CBT for DepressionDemo & Practice



Workshop presented by

Christine A. Padesky, PhDCenter for Cognitive TherapyHuntington Beach, California

www.Padesky.com

Brief Therapy Conference December 12, 2014 (2:00 pm ‐ 4:00 pm)

Garden Grove, California




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© Copyright Advisement

• This program and the handout materials are copyrighted material. The handout materials are provided for personal use only by attendees of this workshop. No other use, distribution, duplication, or copying is permitted.

• We appreciate your adherence to these copyright standards and rely on your professional conduct to comply with these terms. Thank you.

• The materials contained herein are the property of the Center for Cognitive Therapy with the exception of material duplicated from referenced published sources.

© 2014 Center for Cognitive Therapy • www.padesky.com • All rights reserved

Workshop Description

• When people are depressed, they often deny having any strengths or positive areas of enjoyment in their life. This workshop demonstrates how to help depressed clients become more aware of their own strengths so these can be incorporated into CBT treatment.

• Participants are guided through exercises that help clients notice and capture small positive experiences, even when depressed




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Bring Strengthsto Client

Awareness

Search forHidden

Strengths

Bring Strengths to Client Awareness



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S EA RCH

Search for strengths & skillswithin a positive area

S

Search Tips (look outside of problem areas)

Search for Strengths

Express interest

Be confident



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Bring Strengths to Client Awareness

You have been struggling with this for a long time. What helps

you manage?

• Some people say difficult timessometimes have a good side.

• Have these experiences had any positive effects on you?

• Any positive effects on your life?



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Given the difficulties you described, I’m impressed you manage to

−work

− look after children

− still play music

What makes this possible?

Client Language

Metaphors

Symbols

Stories

Attend to Culture



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Tell me about your …family / friends / social network community

How do these things affect your [presenting issues]?

Is there anything you haven’t told because you think I wouldn’t understand?

Role Play

CLIENT• Choose a client you know well

•With hidden strengths

• Give 2 minute summary of presenting issues

THERAPIST

• Interview to identify strengths

Ask Q’s to guide client awareness

• Identify metaphor, image or story of strength

From client, not therapist

Debrief

• What did your therapist do well?

• What did you learn?

• How can you use these strengths in therapy?



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IncorporateStrengths

into Treatment

Bring Strengthsto Client

Awareness

Search forHidden

Strengths

Behavioral Activation Therapy

Get clients moving again

Photo credit: Ed

Yourdon / Flikr

What is naturally rewarding for your client?



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Accomplishment

Pleasurable

Overcoming Avoidance

Ugh! I don’t enjoy anything.

Experiments to

Notice and Capture Pleasure



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ReferencesCBT

• Bennett‐Levy, J., Butler, G., Fennell, M., Hackmann, A., Mueller, M., & Westbrook, D. (2004). Oxford guide to behavioural experiments in cognitive therapy. New York: Oxford University Press.

• Bennett‐Levy, J., & Padesky, C.A. (2014). Use it or lose it: Post‐workshop reflection enhances learning and utilization of CBT skills. Cognitive and Behavioral Practice, Cognitive and Behavioral Practice, 21, 12‐19.

Strengths‐Based CBT & Related Ideas

• Bennett‐Levy, J., Thwaites, R., Haarhoff, B., & Perry, H. (In press). Experiencing CBT from the Inside Out: A self‐practice/self‐reflection workbook for therapists. New York: Guilford Press.

• Cheavens, J.S., Strunk, D.R., Lazaus, S.A,. & Goldstein, L.A. (2012). The compensation and capitalization models: A test of two approaches to individualizing the treatment of depression. Behaviour Research and Therapy, 50, 699‐706.

• Davis, N. J. (1999). Resilience: Status of the Research and Research‐Based Programs. Working paper. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services. Available online from: http://resilnet.uiuc.edu/library.html

(Cont’d on next page)



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REFERENCES (cont’d)

• Fredrickson, B. L. (2001). The role of positive emotions in positive psychology ‐ The broaden‐and‐build theory of positive emotions. American Psychologist, 56, 218‐226.

• Kuyken, W., Padesky, C.A., & Dudley, R. (2009). Collaborative case conceptualization: Working effectively with clients in cognitive‐behavioral therapy. New York: Guilford.

• Lyubomirskky, S. (2007). The how of happiness: A scientific approach to getting the life you want. New York: Penguin Press.

• Lyubomirsky, S., & Layous, K. (2013). How do simple positive activities increase well‐being? Current Directions in Psychological Science, 22, 57‐62.

• Mooney, K.A. & Padesky, C.A. (2000). Applying client creativity to recurrent problems: Constructing possibilities and tolerating doubt. Journal of Cognitive Psychotherapy: An International Quarterly, 14(2), 149‐161.

• Mühlberger, A., Wieser, M.J., Gerdes, A.B.M., Frey, M.C.M., Weyers, P., & Pauli, P. (2010). Stop looking angry and smile, please: Start and stop of the very same facial expression differentially activate threat‐and reward‐related brain networks. Social Cognitive and Affective Neuroscience, doi: 10.1093/scan/nsq039

(Cont’d on next page)



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REFERENCES (cont’d)

• Padesky, C.A., Kuyken, W., & Dudley, R. (2011). Collaborative case conceptualization rating scale & coding manual. Manuscript available from: http://padesky.com/cbt‐resources/

• Padesky, C. A. & Mooney, K.A. (2012). Strengths‐based Cognitive‐ BehaviouralTherapy: A four‐step model to build resilience. Clinical Psychology & Psychotherapy, 19(4), 283‐90.

• Peterson, C., & Seligman, M.E.P. (2004) Character strengths and virtues: A handbook and classification. Washington, DC: American Psychological Association.

• Schueller, S., & Parks, A.C. (2014) The Wiley‐Blackwell handbook of positive psychological interventions. Chichester, UK: John Wiley & Sons.

• Snyder, C.R. & Lopez, S.J. (Eds.) (2005). Handbook of positive psychology. New York: Oxford University Press.

• Tsukiura, T., & Cabeza, R. (2008). Orbitofrontal and hippocampal contributions to memory for face‐name associations: The rewarding power of a smile. Neuropsychologia, 46(9), 2310–2319.



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Information

Websiteswww.Padesky.comwww.Store.Padesky.comwww.MindOverMood.com

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CBT Training Workshopswww.padesky.com/cbt‐workshops/

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