Christine A. Padesky,Ph.D.

Many therapists familiar with cognitive behavioral therapy (CBT) still face difficulties getting depressed clients to participate actively in treatment, complete homework assignments, and test out strongly held beliefs. In this workshop, Christine A. Padesky, demonstrates how to individualize CBT in pace, content and interpersonal style to match client needs and personality. Discussion with the audience will address these issues in relation to Japanese culture. To make discussion easier, this workshop presented in English will be translated on-site into Japanese.

Depression is marked by passivity and hopelessness. Thus, a key theme of the workshop is how to engage
clients in therapy, especially when clients are pessimistic or hopeless about the positive value of therapy tasks. Dr. Padesky models language, attitudes and metaphors that encourage client engagement and engender hope.

In addition to video and live demonstrations of treatment methods, the workshop includes structured participant exercises and role-plays. Participants who own the client manual co-authored by Dr. Padesky, Mind Over Mood(Greenberger & Padesky, 1995,)are advised to bring it to the workshop since several workshop exercises will use worksheets from this book. Dr. Padesky will autograph books for workshop attendees.

Depression is one of the most prevalent mental health problems. Cognitive behavioral therapy is an evidence-based practice shown to effectively treat depression and prevent relapse. Donft miss this opportunity for an intensive 2-day workshop that teaches you how to provide both hope and effective help for your most challenging depressed clients.

By the end of this workshop, participants will be able to:
‡@Use language and the therapy relationship to enhance client engagement in therapy
‡AHelp clients increase the three types of activity empirically linked to positive therapy outcomes
‡BEmploy guided discovery to help clients effectively test out thoughts on a 7-column thought record
‡CDebrief homework assignments with an emphasis on client learning

DAY 1 -

Day ‚P

Introduction & Workshop Overview

CBT for Depression: Anti-depressant Skills
Why emphasize client engagement?
What is the role of medication?

KEY Treatment Processes: Collaboration and Guided Discovery
Importance of therapy alliance for client engagement
Demonstration: gOn the spoth collaborative case conceptualization: 5-part model

Participant Practice: 5 part Model

Day ‚P

Goal Setting: Link to 5 part Model

Book Overview: How Mind Over Mood helps Engagement

Behavioral Activation
@@@@@@Clinical demonstration: Use of activity schedule

Improving Adherence to Learning Tasks

Small Group Exercise: Debriefing Learning Tasks to Maximize Learning

Activity Planning as an Anti-depressant Skill

DAY ‚Q -

Day ‚Q

Wherefs the Evidence?
@@@@Video: Stages of guided discovery

Thought Record Demonstration
@@@@Identifying & rating moods (link to Activity Schedule)
@@@@Identifying automatic thoughts & hot thoughts
@@@@Evidence for and against hot thoughts
@@@@What do you do when depressed clients donft feel better using
@@ @@thought records?

Group Practice: 1st Three Columns of Thought Record
@@@@Identify and rate moods
@@@@Identify automatic thoughts & hot thoughts

@@@Q & A: Hot thoughts

Day ‚Q

Group Practice: Testing the Hot Thought
@@@@ Evidence for & against the hot thought
@@@@Alternative / Balanced Thoughts
@@@@Q & A: Evidence and balanced thoughts
@@@@Reminder: Action plans and behavioral experiments as needed

Relapse Prevention
@@@@Role of underlying assumptions (UAfs)
@@@@Use of behavioral experiments to test UAfs

Suicide: Key Interventions

Workshop Summary: Harnessing Hope & Reducing Relapse

Cognitive therapy^Cognitive behavioral therapy