Group Workbook for Treatment of Persistent Depression

Liliane Sayegh, Ph.D., is a clinical psychologist specialized in mood disorders at the Douglas Mental Health University Institute, Montreal, Quebec, Canada. She is also an assistant professor in the Department of Psychology at McGill University.J. Kim Penberthy, Ph.D., ABPP, is a board certified clinical psychologist and professor of psychiatry and neurobehavioral sciences at the University of Virginia School of Medicine. She is the Director for Research at the UVA Contemplative Sciences Center as well as the Co-Director of the Effective Communication and Coping Skills for Physicians and Physician Clinical Evaluation Programs at UVA.

“Drs. Sayegh and Penberthy's Group Workbook is the essential resource for patients engaging in Group-CBASP—an effective treatment for persistent depression. Skillfully synthesizing the interpersonal circumplex approach with classic exercises, the Workbook offers patients a structured and accessible way to understand their interpersonal dynamics and to practice goals, attitudes, and actions that can create more reliably rewarding social relationships.”—Kenneth D. Locke, PhD, Professor, Department of Psychology and Communication Studies, University of Idaho“With the Group Workbook for Treatment of Persistent Depression: Cognitive Behavioral Analysis System of Psychotherapy (CBASP) Patient's Guide, Drs. Sayegh and Penberthy have developed an important tool to help people with persistent depression overcome their many years of suffering. This workbook, used in group therapy, distills CBASP, typically a complex treatment for individuals with persistent depression, into a hands-on, accessible, user-friendly treatment.”—Eric Levander, M.D., M.P.H., D.F.A.P.A., Assistant Clinical Professor, David Geffen School of Medicine at UCLA, Distinguished Fellow, American Psychiatric Association“Drs. Sayegh and Penberthy have masterfully undertaken the task of treating individuals struggling with persistent or chronic depression utilizing Cognitive Behavioral Analysis System of Psychotherapy (CBASP) in a group format. This thoughtful, comprehensive, and creative treatment manual is beautifully written in this easy-to-use workbook. CBASP is the only evidence-based psychotherapy model developed specifically for persistent depressive disorder, and now there is an innovative approach to administering CBASP in a group format!”—Sarah Meshberg-Cohen, PhD, Yale School of Medicine, VA Connecticut Health Care System“This Patients’ workbook for the treatment of Persistent Depression is a unique point of reference for the adaptation of CBASP to a group modality. It provides a clear step-by-step description of the group therapy process and it is presented with remarkable understanding, empathy, and motivational energy! I highly recommend this book as a comprehensive and systematic guide for patients and clinicians alike.”—Massimo Tarsia, PhD, DClinPsychol., Clinical Psychologist, NHS Lothian, Scotland, U.K.

• Forward Preface Acknowledgements Introduction 1. Group-CBASP Session 1:• Presentation of Group Members • CBASP Group Therapy Sessions Outline • Group Agreements • Assessing your Current Depressive Symptoms• Persistent versus Major Depression• Major Depression Diagnostic Criteria• Do you have Major Depressive Disorder?• Do you have Persistent Depressive Disorder (Dysthymia)?• Course Profiles for Persistent Depressive Disorders• Two Types of Persistent Depression• What has been the Course of your Depression?• Depression Timeline Worksheet – Handout 1• What has been the Cost of your Depression?• Mood Chart – Handout 2• Medications for Depression• General Guidelines about Medication for Depression2. Group-CBASP Session 2:• The Interpersonal Domain – Handout 3• Your Activity Log – Handout 4• The Cycle of Depression and Inactivity• Activities – Handout 5 • Deal with Anxiety that is Linked to Depression3. Group-CBASP Session 3:• How Maladaptive Thinking can Lead to Maladaptive Coping• The Cycle of Hopelessness and Powerlessness Leads to Persistent Depression – Handouts 6 & 7• How can we Break the Cycle? – Handout 8• Situational Analysis (SA) (Coping Survey Questionnaire)• Understanding Steps of the SA Within a Group Setting – Handout 9• Example of a Situational Analysis4. Group-CBASP Session 4:• Remediation Phase of the Situational Analysis – Handout 10• What is a Future Situational Analysis – Handout 115. Group-CBASP Session 5:• Practicing the Situational Analysis with Elicitation and Remediation Phases6. Group-CBASP Session 6:• Your Interpersonal Domain – Handout 127. Group-CBASP Sessions 7 & 8:• Practicing the Situational Analysis with Elicitation and Remediation Phases 8. Group-CBASP Session 9 & 10:• Understanding our Interpersonal Interactions • Your Interpersonal Circumplex - Values/Motives – Handout 13• Your Interpersonal Circumplex – Efficacy – Handout 14• Eight Styles of Interpersonal Relating – Handout 199. Group-CBASP Session 11 & 12:• Your Interpersonal Circumplex –Inventory of Interpersonal Problems – Handout 15• Understanding Extreme Scores of Interpersonal Conflict 10. Group-CBASP Session 13 & 14:• Complementary and Non-Complementary Interactions• Hidden Motives 11. Group-CBASP Session 15 & 16:• Putting it all Together• Your Interpersonal Profile – Handout 16 12. Group-CBASP Session 17 to 20:• Prepare for Termination1. Assess your Learning 2. Addressing Termination, Reviewing your Goals and Saying Good-Bye 13. Appendices References Index