Group Workbook for Treatment of Persistent Depression

Cognitive Behavioral Analysis System of Psychotherapy-(CBASP) Patient’s Guide

Liliane Sayegh, J. Kim Penberthy

• Publisher: Routledge
• Year: 2016
• Topic: Psychology
• eBook ISBN:
  9781317379485
• Subtopic: Abnormal Psychology
• Index: Psychology

The Group Workbook for Treatment of Persistent Depression is a guide for patients suffering from persistent depression who participate in group therapy. The workbook provides handouts and skills training that require the help of a trained professional to teach and animate in a group format. Patients will be able to maximize their acquisition of emotion coping skills by using this book in conjunction with Group-CBASP sessions.

GROUP-CBASP SESSIONS 1–20

GROUP-CBASP: SESSION 1

Session outline:

• Presentation of group members

• Group-CBASP therapy sessions outline

• Group agreements

• Assessing your current depressive symptoms

• Persistent versus major depression?

• 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

• What has been the cost of your depression?

• The Mood Chart

• General Guidelines about medication for depression

• Homework: Activity Log

We will begin today with an informal discussion about depression, the symptoms you experience now, the ways that you cope, and the course that your depression has taken from the beginning to the present. We will look at various ways that each one of you may have arrived at a diagnosis of persistent depression or perhaps of major depression. We will discuss medication and we may decide to invite a nurse clinician to answer some of your questions about various medications and their side effects. We will also answer any questions you may have about what we will be doing together for the following 20 weeks of group therapy.

Welcome!

Homework: For next week, please fill out the Activity Log (see Appendix, Handout 4) showing how you typically spend your time during one entire week. Include meals, getting up, showering, naps, and even short walks. Include of course any social contacts and activities. Also, monitor your mood with the Mood Chart.

GROUP-CBASP THERAPY FOR DEPRESSION

Duration:

Time:

Therapists:

SESSIONS OUTLINE

• Depression

• Introduction of members

• What is group therapy? Set up of the sessions and group agreements, Homeworrrrrrrrk!

• What are your objectives, your fears, your apprehensions… ?

• What is Persistent vs Major Depression?

• Symptoms of depression

• The course of depression

• What about medication?

• The Mood Chart

• What is your Interpersonal Domain of difficulty that was identified at the start?

• Intimacy

• Disclosing feelings and needs to others

• Making mistakes in front of someone

• Expressing negative emotions

• Your lifestyle

• The cycle of depression

• Diet, sleep, drugs, and alcohol

• Physical activities

• Daily Activity Log for pleasure and mastery

• Pick up the challenge!

• Anxiety

• Little homework: Choose a pleasant activity for the week

• The cycle of hopelessness and powerlessness in persistent depression

• What is Cognitive Behavioral Analysis System of Psychotherapy

• Using a Situational Analysis to break the cycle of powerlessness.

• Remediation of problematic or unpleasant interpersonal situations.

• What social skills do you need to learn to get your Desired Outcome?

• Role-plays for assertiveness, for better communication skills

• What problem-solving strategies have you learned?

• What are your interpersonal interactions?

• The Interpersonal Circumplex

• What are your interpersonal problems?

• What are complementary interactions?

• Your visible and hidden interpersonal goals and behaviors

• Developing your interpersonal profile

• Apprehensions or fears about group therapy?

• Discussion of group agreement

• Assessment of current depressive symptoms

The following are some agreements and guidelines that we would like to give ourselves in our work together for the next 20 weeks. Please read them and sign the form for your own personal commitment.

We accept the following Group Agreements:

1. Group members agree to be present each week, to be on time, and to remain throughout the entire meeting.

2. Members who drop out of group therapy are not accepted back in the same group for the entire duration of this group and need to wait until another group begins.

3. Group members who miss three group sessions without calling to cancel or without a valid reason for doing so will not be permitted to continue in the same group.

4. Group members agree not to come to sessions under the influence of drugs and/or alcohol.

5. Information obtained during sessions, as well as the names of participants, must remain confidential.

6. Group members are not to form private intimate relationships outside of group sessions with other members in the group, although it is possible to exchange telephone numbers and to speak outside the group about your progress. Anything discussed outside the group is a subject of discussion within the group afterwards.

7. Group members agree to work actively on the goals established during the initial assessment period. This involves bringing Situational Analyses to the sessions, as will be explained during group therapy. These exercises are essential for learning to take place, regardless of how well you understand the actual exercise.

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Client’s signature / Date

ASSESSM...

Table of contents

• Cover
• Half Title
• Title Page
• Copyright Page
• Table of Contents
• Foreword
• Preface
• Acknowledgments
• Introduction
• Group-CBASP Sessions 1–20
• Appendices
• References
• Index