Behavioral Activation for Depression: A Clinician's Guide by Christopher R. Martell PhD ABPP, Sona Dimidjian PhD, Ruth

By Christopher R. Martell PhD ABPP, Sona Dimidjian PhD, Ruth Herman-Dunn PhD, Peter M. Lewinsohn Phd

From best specialists in behavioral activation study and scientific perform, this quantity provides an empirically established technique for assisting consumers triumph over melancholy by means of changing into lively and engaged of their personal lives. Behavioral activation is a stand-alone remedy whose rules may be built-in simply with different ways that therapists already use. Guidelines are awarded for picking individualized remedy goals, tracking and scheduling “antidepressant” activities--experiences which are prone to be worthwhile and pleasurable--and lowering avoidance and ruminative considering. wealthy scientific illustrations comprise a longer case instance that runs through the e-book. greater than 20 task making plans types, worksheets, and different reproducible fabrics are featured, which e-book dealers may also obtain and print. (20110201)

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We also describe the data supporting BA, highlighting research studies such as the Seattle study we discussed in Chapter 1, which found that BA works as well as medication and yet avoids the unfavorable side effects common to antidepressant medications. Unlike medication, BA also teaches skills that may offer more enduring protection from depression. Other clients may be curious about the similarities and differences between BA and cognitive therapy. We generally explain to clients that the two approaches share a similar structure but that they emphasize different methods of changing depression.

BA is a structured treatment, and during early sessions it is important to explain some of the key elements of the structure. In this chapter, we will review these key elements, including the BA model of depression and change that sets the context for the overall course of treatment. We also will address how to explain the roles of the therapist and client and the importance of homework. Finally, we will discuss the structure of each BA session, including the importance of reviewing progress since the last contact, setting an agenda, orienting to new procedures used, and maintaining a focus on activation throughout the session.

When she vehemently refused to take “crazy drugs,” her doctor asked her to at least have a few visits with a psychotherapist. Without health insurance, the cost of any treatment seemed prohibitive. Alicia agreed to meet a therapist, but only for a few visits. The doctor referred her to someone known for her skill at brief interventions. Alicia was surprised by the way the therapist interacted with her in the first session. She had expected the woman to sit back quietly and nod as she poured out her life story.

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