When depressed young people come to your office it’s often not by choice. Worried parents, unsure if this is just a phase or something more, come to you with kids who feel they’ve been brought against their will. They are frequently angry, alienated, and reject the idea of depression. Fear of treatment related stigma, hopelessness about the future, and distrust can cause clients to withdraw from their therapist, giving you very little to work with and leaving you frustrated and looking for ways to engage them. And even the most seasoned clinician knows the challenges of explaining complicated treatment concepts in a way young people can comfortably understand and willingly incorporate into their lives. It all adds up to a situation in which many depressed youth fail to fully participate in the therapy they so desperately need. And the consequences are real. Left untreated, depressed adolescents are at major risk of engaging in self-harming and suicidal behaviours.
They need your help.
But how do you break down resistance to treatment, build the therapeutic alliance, and instil hope in depressed kids? How do you overcome apathy and lack of motivation to engage them, letting you get down to the crucial work that needs to be done? How do you bring complicated treatment concepts to youth in ways they can easily understand and make them feel normal, in control, and part of the process?
Widely researched, Cognitive Behavioural Therapy (CBT) has been confirmed to be an effective approach for treating depression in adolescents.
Key benefits of watching:
- Learn how to motivate and engage your most challenging young clients!
- Translate complex CBT concepts into practical and easy-to-understand skills that can be readily integrated into the lives of adolescents.
- Teach your clients essential coping skills and employ the art of “Socratic Questioning” to help them examine and modify their cognitive distortions.
- Discover how to effectively involve parents in their child’s treatment with real-world methods to enhance family communications, improve problem solving, and find “win-win” solutions to common parent-youth conflicts.
- Master fundamental “Second Wave” evidence-based CBT skills and more recent “Third Wave” advances like Mindfulness Based Cognitive Therapy (MBCT) and Acceptance and Commitment Therapy (ACT) to help clients relax their minds, practice acceptance and manage stress.
- Structured exercises make what you’ve learned immediately applicable to your practice and instantly useable upon your return to the office.
Transform the lives of your depressed young clients with the power of a proven, skills-based CBT approach!
Western New York Psychotherapy Services
David M. Pratt, Ph.D., MSW, is a New York State Licensed Psychologist with 40+ years’ experience working with children, adolescents and families. Dr. Pratt is in private practice at the Western New York Psychotherapy Services in Amherst, NY. He is presently on faculty with the University at Buffalo, School of Social Work, Office of Continuing Education and a member of New York State, Office of Mental Health Advisory Board on Evidence-Based Treatments for Youth. He was the Principal Psychologist at the Western New York Children’s Psychiatric Center, Clinical Assistant Professor of Psychiatry at the University at Buffalo and Adjunct Professor/Lecturer, University at Buffalo Counseling, School and Educational Psychology department. Dr. Pratt has conducted numerous trainings in Cognitive Behavioral Therapy at local, state, national and international forums. He is the author of CBT Toolkit for Depressed, Anxious and Suicidal Children and Adolescents (PESI Publishing, Inc., 2019) and Advanced CBT Toolbox for Children and Adolescents: Promoting Resilience, Positive Emotions and Personal Growth (in press, PESI, Publishing, Inc.).
Financial: David Pratt is in private practice. He receives a speaking honorarium from PESI, Inc.
Non-financial: David Pratt has no relevant non-financial relationship to disclose.
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- Employ fundamental and advanced evidence-based CBT skills to help your young clients manage depression, suicidal thoughts, and self-harm behaviours.
- Combine practical skill building worksheets and structured therapeutic activities to clarify and teach complex CBT skills to depressed youth.
- Apply effective methods to motivate your most apathetic adolescent clients to engage in their treatment.
- Develop a CBT oriented case conceptualization and understand how to effectively collaborate with teens and parents toward targeted, mutually defined treatment goals.
- Master the art of “Socratic Questioning” to help young people examine and modify their cognitive distortions.
- Engage parents and enhance parent-youth communication and cooperation with problem solving skills and “win-win” solutions to common disputes.
Get Client Buy-In: Engagement and Motivational Enhancement Strategies
- Build a therapeutic alliance with young people
- Collaborative evaluation, treatment planning and case conceptualization
- Identify and build upon strengths
- Motivational counselling with youth
- Identify and work towards goals
The CBT Paradigm: Making it Simple to Understand and Use
- Modify cognitive distortions and build social confidence
- Self-Monitoring: feelings, behaviours and thoughts
- Behavioural activation: get active again
- Cognitive restructuring: learn to be a good “thought detective”
- The art of “Socratic Questioning”
- Problem solving: overcome “learned helplessness”
- Social skills training: build social competence and confidence
- Effective use of CBT homework assignments
- On-office therapeutic structured activities
- Learning CBT skills via hypothetical situations
Advanced CBT Techniques: Mindfulness Based Cognitive Therapy (MBCT) and Acceptance and Commitment Therapy (ACT)
- Mindful meditation practices for youth: relax your mind
- Cognitive processing therapy
- Decipher and manage “ambiguous situations”
- Collaborative empiricism: conducting real-life experiments
- Exposure therapy for behavioural activation and social skill development
- ”Acceptance & Commitment Therapy”: know and be yourself
- Coping plans for stressful situations
Parent Involvement Strategies: Build a Therapeutic Alliance with Families
- Don’t jeopardize your relationship with the client
- Involve parents in:
- Initial evaluation
- Treatment planning
- Case conceptualization
- Treatment sessions
- Homework assignments
- Enhance family communication and problem solving skills
- ”Win-Win” solutions for parents and teens
How to Handle Crisis Situations: Self-Harm and Suicide Prevention
- Conduct a behavioural chain analysis
- Self-harm trigger situations
- Validate reasons for self-harm and suicide
- Use distress tolerance and “Third Wave” CBT skills to manage a crisis
- Coping cards for crisis situations
- Develop a CBT skills based suicide prevention safety plan
Social Workers, Counselors, Marriage and Family Therapists, Psychologists, School Psychologists, School Counselors, School Social Workers, Psychotherapists, Case Managers, Addiction Counselors, Other Mental Health Professionals