Overcoming Depression: A Cognitive Therapy Approach for Taming the Depression Beast, Client Workbook

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This cognitive-behavioral family intervention addresses obsessive compulsive disorder (OCD) in young children (ages 5-8). Both parents and children are taught "tools" to help them understand, manage, and reduce OCD symptoms. Exposure with response prevention (E/RP) is the main component of treatment. In E/RP, the patient is exposed to the feared situation, and the usual response (i.e. the ritual or avoidance behavior) is prevented until anxiety decreases. The workbook is for families to use to review the skills learned in therapy and carry out home practice. It includes forms for parents and children to complete.

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Product Details

  • ISBN-13: 9780195183818
  • Publisher: Oxford University Press, USA
  • Publication date: 1/28/2000
  • Series: Treatments That Work
  • Edition description: Workbook
  • Pages: 128
  • Product dimensions: 10.80 (w) x 8.30 (h) x 0.40 (d)

Meet the Author

Mark Gilson received his Ph.D. from Georgia State University. He is a fellow of the Academy of Clinical Psychology, American Board of Professional Psychology. Dr. Gilson was a postdoctoral fellow at the world-renowned Center for Cognitive Therapy at the University of Pennsylvania, where he studied with Aaron T. Beck, MD. He was later a faculty member in the Department of Psychiatry at the University of Pennsylvania. Dr. Gilson then moved to Atlanta and founded the Atlanta Center for Cognitive Therapy (ACCT). He has directed the training and certification program at ACCT for the past 14 years. Dr. Gilson is an adjunct faculty member with both the Emory University Department of Psychiatry and the Georgia State University Department of Psychology. In November 1996, he was appointed coordinator of academic and professional issues for the Association for Advancement of Behavior Therapy. He continues to be active in contributing to the professional literature and publishing professional journal articles and book chapters.

Arthur Freeman, Ed.D., is professor and chair of the Department of Psychology and director of the doctoral program in clinical psychology at the Philadelphia College of Osteopathic Medicine. He is also professor in the core doctoral faculty and director of the cognitive therapy program at the Adler School of Professional Psychology in Chicago. In addition to many book chapters, reviews, and journal articles, Dr. Freeman has published 16 professional books, including Cognitive Therapy of Personality Disorders (with Aaron T. Beck), Clinical Applications of Cognitive Therapy, and Comprehensive Casebook of Cognitive Therapy (with Frank Dattilio). Dr. Freeman has alsopublished two self-help books, Woulda, Coulda, Shoulda: Overcoming Regrets, Mistakes and Missed Opportunities (with Rose DeWolf) and The Ten Dumbest Mistakes Smart People Make and How to Avoid Them: Simple & Sure Techniques for Gaining Greater Control of Your Life (with Rose DeWolf). His published works have been translated into Chinese, Dutch, German, Italian, Japanese, Portuguese, Spanish, and Swedish. Dr. Freeman serves on the editorial boards of several U.S. and international journals. He continues to be one of the most in-demand lecturers and public presenters on the national and international training circuit.

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Table of Contents

Chapter 1 Beginning Questions and Answers 1
A General Overview of Depression 1
What Makes This Program Different? 2
How Does the Program Work? 2
What Is Depression? 3
Case Examples 4
James 4
Betty 5
Ellen 5
Identifying Symptoms 5
Naming the Problem 7
Major Depressive Disorder 7
Dysthymic Disorder 7
Adjustment Disorder with Depressed Mood 7
Mood Disorder Due to a General Medical Condition, with Depressive Features 7
Substance-Induced Mood Disorder, with Depressive Features 7
Bipolar Disorder 8
Other Mood Problems 8
Telling Thoughts of Self-Harm 8
Depression When It Is Most Dangerous: Suicidal Thoughts 9
Stories of Hope 10
What Influences Your Experiences: The Primacy and Recency Effects 10
How Can I Fight What I Can't See? The BEAST Metaphor 11
Understanding the BEAST of Depression 11
Self-Enhancement Assignments 12
What If I'm Too Depressed to Do This? 13
Will Medication Help Me? 13
Keeping Track: How Can I Tell If I Am Improving? 13
How Long Will This Program Take? 14
How Do I Get Started? 15
Motivation for Change 17
Chapter 1 Review 19
Chapter 2 The Theory and Practice of Cognitive Therapy 21
The Theory of Cognitive Therapy 21
Elements of Depression 23
The Cognitive Triad 23
Cognitive Distortions 25
Schemas 26
Chapter 2 Review 30
Chapter 3 Understanding Your Body: The B of the BEAST 31
The Biology of Depression 31
Mood and Diet 32
Mood and Sleep 35
Mood and Energy Loss 36
Mood and Loss of Sexual Interest 36
How Health Problems Affect Depression 37
How Genetics Affect Mood 38
Bodies, Chemistry, Medication, and Depression 39
Treating Depression with Medication 40
How Fast Does It Work? 40
Side Effects 41
Alcohol and Antidepressants 41
Deciding About Medication 42
Chapter 3 Review 43
Chapter 4 Understanding the Impact of Emotion: The E of the BEAST 45
Differences between Thoughts and Feelings 45
The Importance of Feelings 48
The ABCs of Emotion 48
Self-Compassion as an Aid to Emotion 49
Chapter 4 Review 54
Chapter 5 Taking Action: The A of the BEAST 55
Why Make the Effort? 55
Using the Activity Schedule 56
Recording Your Sense of Mastery and Pleasure in Activities 59
Testing Theory with Observation 61
Identifying Patterns Associated with Low Mood 62
Making the Effort to Change: Why Do Today What I Can Put Off Until Tomorrow? 63
Recovering Lost Activity 67
Risk Taking 68
Graded Tasks 68
Behavioral Rehearsal 68
Social Skills Training 69
Relaxation Breathing Exercises 69
Chapter 5 Review 70
Chapter 6 Life Situations and Vulnerability: The S of the BEAST 71
Understanding Life Events 71
The Unspoken Part of Life Situations 72
Identifying Stressors 73
Vulnerability Factors 74
Evaluating Situation-Specific Vulnerability 78
Coping with Difficult Life Situations 80
Prioritizing Stressors 82
Chapter 6 Review 84
Chapter 7 Thoughts and Depression: The T of the BEAST 85
Negative View of Self 86
Negative View of the World 86
Negative View of the Future 87
Cognitive Distortions 87
Changing Your Cognitive Patterns: Some Techniques 91
The Automatic Thought Record 107
Situation 107
Emotions 107
Automatic Thoughts 108
Adaptive Thoughts 108
Examples of Adaptive Thoughts 108
Outcome 109
Chapter 7 Review 113
Chapter 8 Final Words of Hope 115
Will Depression Come Back? 115
Am I Finished? 115
Case Examples 116
Sara 116
John 117
One Last Story About the Future 117
When It Comes Back 118
Appendix Examples of Cognitive Therapy Techniques 119
References 127
Figure 5.1 Activity Schedule 57
Figure 5.2 Example Activity Schedule 58
Figure 5.3 Planning Schedule 66
Figure 6.1 Coping with Stressors Worksheet 82
Figure 7.1 Thought Record 110
Figure 7.2 Example Thought Record 111
Figure 7.3 Cognitive Therapy Techniques Practice Chart 112
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