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Grounded in decades of research and the clinical care of thousands of depressed and suicidal teens, this highly accessible book will enhance the skills of any therapist who works with this challenging population. The authors describe the nuts and bolts of assessing clients and crafting individualized treatment plans that combine cognitive and behavioral techniques, emotion regulation interventions, family involvement, and antidepressant medication. Illustrated with many clinical examples, each chapter includes a concise overview and key points. Reproducible treatment planning forms and client handouts can also be downloaded and printed by purchasers in a convenient full-page size.

Tabla de contenidos provista por Syndetics

• Introduction(p. 1)
• Chapter 1 Adolescent Depression: An Overview of Assessment and Treatment(p. 13)
• Why Is Adolescent Depression an Important Problem?(p. 14)
• Common Questions Families Ask about Depression (and Some Brief Answers)(p. 14)
• Classification(p. 15)
• Guidelines for Assessment of Mood Disorders(p. 18)
• Differential Diagnosis and Assessment of Comorbidity(p. 26)
• An Overview of Evidence-Based Treatment Options for Adolescent Depression(p. 31)
• Chapter 2 Assessment and Treatment of Suicidal Ideation and Behavior(p. 43)
• Significance of Suicidal Behavior and Some Important Definitions(p. 44)
• General Principles for Assessment(p. 46)
• Five Key Domains of Inquiry(p. 47)
• Assessing Imminent Suicidal Risk(p. 79)
• Disposition(p. 82)
• Chapter 3 Important Components of Effective Treatment(p. 85)
• The Organizational Environment(p. 86)
• The Individual as Therapist(p. 91)
• The Therapeutic Relationship(p. 97)
• Chapter 4 Getting Started(p. 99)
• How to Structure a Session(p. 100)
• Negotiating the Safety Plan(p. 101)
• Determining Appropriate Level of Care(p. 109)
• Building Rapport during the First Session(p. 110)
• Confidentiality(p. 111)
• Getting the Teen's Buy-In(p. 113)
• Building the Therapeutic Relationship(p. 115)
• Patient and Family Psychoeducation(p. 122)
• Goal Setting(p. 123)
• Chapter 5 Chain Analysis and Treatment Planning(p. 126)
• What Is a Chain Analysis?(p. 127)
• When Would a Therapist Use a Chain Analysis?(p. 128)
• How to Handle Obstacles When Conducting a Chain Analysis(p. 129)
• How to Conduct a Chain Analysis(p. 130)
• Conducting a Chain Analysis with Parents(p. 131)
• Addressing Vulnerability and Protective Factors(p. 133)
• Treatment Planning(p. 137)
• Integrated Case Example(p. 142)
• Chapter 6 Behavioral Activation and Emotion Regulation(p. 148)
• Behavioral Activation(p. 149)
• Emotion Regulation(p. 157)
• The Emotions Thermometer(p. 164)
• Distraction(p. 167)
• Self-Soothing(p. 167)
• Deep Breathing(p. 167)
• Progressive Muscle Relaxation(p. 168)
• Pleasant Imagery(p. 169)
• Emotion Regulation Skills with the Family(p. 170)
• Chapter 7 Cognitive Restructuring, Problem Solving, and Interpersonal Effectiveness(p. 172)
• Ways of Change(p. 173)
• Cognition and Emotional Disorders(p. 173)
• Links between Thinking, Feeling, and Acting(p. 174)
• Catching the Link in Real Time(p. 175)
• Cognitive Distortions(p. 179)
• Automatic Thoughts, Assumptions, and Core Beliefs(p. 180)
• Suicidal Thinking(p. 186)
• Cognitive Restructuring(p. 187)
• Problem Solving(p. 193)
• Enhancing Interpersonal Skills(p. 196)
• Chapter 8 Treatment-Resistant Depression(p. 207)
• What Is Treatment-Resistant Depression?(p. 208)
• Why Is Treatment-Resistant Depression Important?(p. 208)
• Seven Key Questions(p. 209)
• Treatment of a Patient Who Has Not Responded to a First Antidepressant(p. 221)
• Prevention of Treatment-Resistant Depression(p. 222)
• Chapter 9 Getting Well and Staying Well: Consolidation and Maintenance Treatment(p. 224)
• Why Are Additional Phases of Treatment after Acute Treatment Necessary?(p. 225)
• Consolidation Treatment(p. 226)
• Maintenance Treatment(p. 252)
• Chapter 10 Forward!(p. 259)
• What Can We Do Now?(p. 260)
• Other Approaches That Might Be Available in the Near Future(p. 261)
• Novel Approaches to the Assessment of Suicidal Risk(p. 261)
• Annotated Bibliography(p. 264)
• Index(p. 269)

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CHOICE Review

This clearly written, well-referenced book is designed for those treating this difficult population of at-risk adolescents. To craft this volume, Brent, Poling, and Goldstein (all, Univ. of Pittsburgh) reviewed the scientific literature to establish an evidence-based framework and treatment modality. In addition, the authors include rich case study contributions from their own evidence-based clinical practices, providing an impressively strong basis for the work. A well-presented refreshingly clear framework for evaluating suicidal risk emerges from the evidence. The authors guide clinicians from the completion of a comprehensive assessment, through treatment planning and interventions, to the evaluation and revision of effective treatment plans. They discuss current treatments, including forms of psychotherapy and psychopharmacology, in terms of the relevant evidence. Vivid case examples help the reader to comprehend the described interventions. This edition seems poised to be the first of many. The authors describe their own continuing research and encourage others to engage in the clinical research needed to improve the framework and treatment model. This book can be a valuable resource for today's psychiatrists, clinical psychologists, clinical social workers, advanced practice psychiatric nurses, counselors, and others who care for these depressed, at-risk adolescents. Summing Up: Highly recommended. Upper-division undergraduates through professionals. M. M. Slusser DeSales University

Notas de autor provistas por Syndetics

David A. Brent, MD, is Academic Chief of Child and Adolescent Psychiatry at the University of Pittsburgh School of Medicine and holds an Endowed Chair in Suicide Studies. He is Director of Services for Teens at Risk (STAR-Center), a clinical service for depressed and suicidal teens. Dr. Brent has conducted some of the most important work on the risk factors for depression and suicidal behavior in adolescents, and has successfully translated that work into the development and testing of effective pharmacological and psychotherapeutic interventions. He has received research awards from the American Foundation for Suicide Prevention, the American Association of Suicidology, the National Alliance for Research on Schizophrenia and Depression, the American Academy of Child and Adolescent Psychiatry, and the American Psychiatric Association. Kimberly D. Poling, LCSW, is Clinical Program Manager at the STAR-Center. She has been involved in developing and implementing treatment protocols, training, and supervising cognitive therapists, both in Pittsburgh and throughout the country, and is an expert in the areas of cognitive therapy, diagnostic assessment, and suicide risk assessment. She has also served as a faculty member at the Center for Cognitive Therapy at the University of Pittsburgh Medical Center and in the Department of Psychology and Education of the University of Pittsburgh. Tina R. Goldstein, PhD, a clinical psychologist, is Assistant Professor in the Department of Child and Adolescent Psychiatry at the University of Pittsburgh School of Medicine. Her clinical and research interests focus on the development and testing of psychosocial interventions for children and adolescents with and at risk for mood disorders, as well as the prevention and treatment of suicidal behavior in youth. She has expertise in cognitive-behavioral therapy and dialectical behavior therapy.