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Tag: Depression

Value-Focused Treatment in CBT for Depression

By Dr. Robert Hindman, PhD Laura, one of my clients diagnosed with depression, started treatment by saying, “I just don’t feel good enough to do anything.” Laura had decided to start cognitive behavior therapy (CBT) with me after seeing a traditional supportive therapist for about two years without experiencing the improvement she desired. I asked Laura what her previous therapy focused on. She said, “We were trying to figure out…

Therapeutic Alliance in Face-to-Face and Telephone-Administered Cognitive Behavioral Therapy

Abstract OBJECTIVE: Telephone-administered therapies have emerged as an alternative method of delivery for the treatment of depression, yet concerns persist that the use of the telephone may have a deleterious effect on therapeutic alliance. The purpose of this study was to compare therapeutic alliance in clients receiving cognitive behavioral therapy (CBT) for depression by telephone (T-CBT) or face-to-face (FtF-CBT). METHOD: We randomized 325 participants to receive 18 sessions of T-CBT…

Resting-state connectivity predictors of response to psychotherapy in major depressive disorder.

Abstract Despite the heterogeneous symptom presentation and complex etiology of major depressive disorder (MDD), functional neuroimaging studies have shown with remarkable consistency that dysfunction in mesocorticolimbic brain systems are central to the disorder. Relatively less research has focused on the identification of biological markers of response to antidepressant treatment that would serve to improve the personalized delivery of empirically supported antidepressant interventions. In the present study, we investigated whether resting-state…

Telephone-administered CBT Versus Face-to-Face CBT for Depressed Patients with Co-occurring Problematic Alcohol Use in Primary Care

This secondary analysis of a larger study compared adherence to telephone-administered cognitive-behavioral therapy (T-CBT) vs. face-to-face CBT and depression outcomes in depressed primary care patients with co-occurring problematic alcohol use. To our knowledge, T-CBT has never been directly compared to face-to-face CBT in such a sample of primary care patients. Participants were randomized in a 1:1 ratio to face-to-face CBT or T-CBT for depression. Participants receiving T-CBT (n = 50)…

Mental Imagery in Bipolar Affective Disorder versus Unipolar Depression during Times of ‘Positive’ Mood

OBJECTIVE: Compared to unipolar depression (UD), depressed mood in bipolar disorder (BD) has been associated with amplified negative mental imagery of the future ('flashforwards'). However, imagery characteristics during positive mood remain poorly explored. We hypothesise first, that unlike UD patients, the most significant positive images of BD patients will be 'flashforwards' (rather than past memories). Second, that BD patients will experience more frequent (and more 'powerful') positive imagery as compared…