Author(s): Betsy D. Kennard
Despite the availability of effective treatments for child and adolescent depression, relapse rates in this population remain high. This innovative manual presents an evidence-based brief therapy for 8- to 18-year-olds who have responded to acute treatment but still have residual symptoms. Each session of relapse prevention cognitive-behavioral therapy (RP-CBT) is illustrated in step-by-step detail, including focused techniques for promoting and sustaining well-being, supplemental strategies for tailoring treatment to each individual's needs, and ways to involve parents. In a convenient large-size format, the book features 50 reproducible handouts and forms. Purchasers get access to a Web page where they can download and print the reproducible materials.
"This book provides a clear, comprehensive description of RP-CBT, the only evidence-based intervention currently available for relapse/recurrence prevention in formerly depressed children and adolescents. This intervention is shorter, simpler, and more personalized than standard CBT; it really represents the state of the art in child and adolescent depression treatment. The book reflects the expertise of the authors, who are highly qualified researchers and clinicians."--Paul Rohde, PhD, Senior Research Scientist, Oregon Research Institute "Kennard, Hughes, and Foxwell have created and tested a novel intervention that finally takes us beyond focusing only on initial treatment of depression in young people. Their treatment model builds on the leading CBT approaches developed over the past two decades. The result is a practical, user-friendly, and innovative approach with a core set of procedures and a rich array of additional components that facilitate development of a personalized treatment plan. This book will be extremely helpful to practicing psychologists, social workers, and other mental health providers, and will be a valuable text for graduate students learning how to become effective therapists."--John F. Curry, PhD, ABPP, Department of Psychiatry and Behavioral Sciences, and Department of Psychology and Neuroscience, Duke University "This book is a milestone and major innovation in youth depression treatment and relapse prevention. CBT is honed and expanded to better serve youth. Well-being, positive psychology, and the latest in youth relapse prevention are added to the CBT mix with terrific results. Much-needed tips for pitching and presenting techniques to the age and developmental level of clients are presented in every chapter. This manual is a model of clarity--with a treasure trove of ideas and handouts--that deserves a place next to classic works in CBT."--Michael B. Frisch, PhD, Department of Psychology and Neuroscience, Baylor University "Creative and wise, this book offers helpful tools for clinicians working with children and adolescents struggling with depression. Offering a long-term perspective on wellness promotion and depression prevention, the manual guides clinicians to implement an engaging approach that addresses the continuing risk for depressive episodes. It exemplifies a number of important new directions in CBT, as shown in the modular format with supplemental treatment strategies, the focus on strengths and promoting wellness, the strategies for partnering with families to enhance recovery, and the inventive use of a timeline to help youths develop a strong and healthy self-concept. This is an essential, readable, and practical clinical resource."--Joan Rosenbaum Asarnow, PhD, Department of Psychiatry, David Geffen School of Medicine, University of California, Los Angeles
Betsy D. Kennard, PsyD, ABPP, a clinical psychologist, is Professor in Psychiatry and Director of Cognitive-Behavioral Therapy (CBT) at the Pediatric Psychiatry Research Program at the University of Texas Southwestern Medical Center at Dallas (UT Southwestern) and Children's Health System of Texas. Dr. Kennard also serves as Program Director of the Doctoral Program in Clinical Psychology at UT Southwestern and Clinical Director of the Suicide Prevention and Resilience Program at Children's Health. Her research focuses on developing and testing effective treatments for depression and suicidal behavior in adolescents. Jennifer L. Hughes, PhD, a clinical psychologist at Children's Health, is Assistant Professor in Psychiatry at UT Southwestern. Dr. Hughes has worked as a therapist and treatment developer. Her research focuses on the efficacy and effectiveness of psychosocial treatments for prevention and treatment of depression and suicide in youth, and the dissemination of evidence-based treatments to the community. Aleksandra A. Foxwell, PhD, a clinical psychologist, is Assistant Professor in Psychiatry at UT Southwestern. Her research and clinical interests focus on using evidence-based treatments for depression, anxiety, and other disorders in children, adolescents, and young adults. Dr. Foxwell also trains and supervises students and interns in using CBT for the treatment of depression.
1. Introduction 2. Overview and Rationale 3. Assessing Clients and Planning Treatment 4. How to Use This Treatment Manual 5. Session 1: CBT and Relapse Prevention Program Overview/Rationale, and Establishing Timeline and Goals 6. Session 2: Behavioral Coping Skills and Family Expressed Emotion 7. Session 3: Cognitive Restructuring and Identifying Unhelpful Thoughts 8. Session 4: Problem Solving 9. Session 5: Identifying Skills for Maintaining Wellness and Building the Wellness Plan 10. Sessions 6 and 7: Practice and Application of Core Skills 11. Session 8: Relapse Prevention Plan and Wellness Plan 12. Graduation Session and Booster Sessions 13. Future Directions Appendix. Supplemental Materials Handouts for Parents