The staff of the Capital Institute is pleased to offer the following presentations as part of our commitment to community outreach and dissemination. Presentations can be adapted in length depending on the needs of your organization. If your organization is interested in one or more of these presentations, please contact Noura Khayat at 202-234-0903, extension 15.
Cognitive-Behavioral Therapy for Depression: Core Techniques, Recent Advances, and Clinical Applications — Stephen J.F. Holland, Psy.D.
Cognitive-behavioral therapy (CBT) has been shown in repeated studies to be an effective treatment for depression, including severe depression. This talk will provide an overview of essential CBT techniques, including behavioral activation, cognitive restructuring and schema change strategies. Recent innovations in CBT for depression will be reviewed, including Metacognitive Therapy, Emotional Schema Therapy, and Third Wave models such as Mindfulness-Based Cognitive Therapy and Acceptance and Commitment Therapy. Clinical examples will be used to illustrate application of specific techniques. We will also discuss how CBT techniques may be incorporated within a psychoanalytically informed treatment model.
Cognitive-Behavioral Therapy for Insomnia — Kevin J. Crowley, Ph.D.
CBT-I is considered the gold-standard psychosocial intervention for sleep difficulties, and it has been shown to be effective regardless of whether it is used as a primary treatment or as an adjunct to other treatment modalities (e.g., medication; psychotherapy for comorbid disorders). During this talk, we will review the evidence supporting CBT-I and highlight sleep disorders for which it is particularly indicated. Then we will provide a detailed description about the rationale for the treatment and psychoeducation domains to emphasize with patients (including sleep drive, the sleep cycle, and autonomic nervous system arousal). Finally, CBT-I’s core cognitive and behavioral strategies will be introduced, and participants will receive recommendations for how to apply the following techniques as necessary: sleep hygiene, stimulus control, sleep restriction, relaxation, and cognitive restructuring for maladaptive sleep-related beliefs.
Eating Disorders: Assessment and Treatment — Lillian A. De Petrillo, Ph.D.
Eating disorders are complex to identify and treat. This training will discuss specific assessment considerations and integrative intervention techniques, including motivational interviewing, family involvement, and the importance of working in a treatment team. Poor body image is a hallmark characteristic of individuals with eating disorders. It is also one of the least understood barriers to recovery. This training will suggest ways to talk about body image and help your client challenge their distortions and learn to accept his/her body. The training will also address self-esteem and the process of teaching your client self-compassion. Eating disorders are often thought of as predominately a female issue, when in fact roughly 20 to 25 percent of eating disorder cases are male. This training will also address the assessment and treatment considerations of men struggling with eating disorders and will highlight the differences and similarities between genders. Case examples will be used throughout.
Exposure-Based Treatments for Anxiety: Fundamentals and Recent Advances — Stephen J.F. Holland, Psy.D.
Exposure to feared stimuli is at the core of all empirically supported cognitive behavioral treatments for anxiety disorders. However, exposure can be a demanding treatment, both for patients and therapists. This talk will review fundamentals of successful exposure treatment including: building patient motivation, identifying targets for exposure, dealing with safety behaviors, applications to specific anxiety disorders, and common problems in exposure. Recent research has pointed to important changes in how exposure is conducted that can improve long-term outcome. Case examples will be used to illustrate techniques. We will also discuss ways that exposure treatments can be conceptualized and implemented in psychoanalytically informed treatments.
Finding Common Ground Across ACT, CBT, and DBT: Sugggestions for Increasing Psychological Flexibility and Cultivating a Life Worth Living — Kevin J. Crowley, Ph.D.
Despite the fact that Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) have been described as parts of different “waves” of psychotherapy, they overlap significantly in their emphases on increasing psychological flexibility and helping patients create personally meaningful lives. During this presentation, core treatment goals of ACT, CBT, and DBT will be reviewed. Then we will highlight commonalities across these treatment packages, specifically emphasizing their shared recommendations for increasing “mindfulness” of internal experiences, overcoming rigid thinking, increasing personal vulnerability, and reducing behavioral avoidance. Finally, we will provide recommendations for how to “sell” these common goals to patients and explain how they connect to lives worth living.
Helping Clients Coping with Chronic Illness, Pain or Unexplained Medical Symptoms — Jessica Nemeth, Psy.D.
Clients who are coping with chronic illness, pain, or ongoing medical symptoms without known origin present a special concern to therapists, who must integrate pain and stress management techniques into a comprehensive treatment plan. Often, co-morbidity with mood disorders complicates the clinical picture. In addition, clients may be challenged by the tasks of communicating effectively with medical providers and coping with ongoing uncertainty as they undergo diagnoses and treatments. This talk will cover an integrative approach to helping these clients, utilizing cognitive-behavioral techniques and mindfulness-training within a holistic, supportive, and flexible framework of healing.
Implementing a mindfulness meditation program within the context of a college counseling group program — Tracy L. Thomas, Psy.D.
Research indicates that mindfulness training can help reduce symptoms of anxiety and depression, reduce stress, alleviate chronic pain, improve attention and concentration, as well as increase enjoyment. Due to these benefits, a mindfulness meditation program is a valuable asset for university counseling centers. This talk will present an example of a mindfulness meditation program, the benefits to students and counseling centers, and address logistical issues of developing and implementing a program such as staff buy in, training, marketing, and interdepartmental collaboration.
Mental Health Treatment with the Veteran Population — Jeffrey C. Mann, Psy.D.
With the draw-down of military personnel from Iraq and Afghanistan as well as the length of U.S. involvement in the conflicts, there is a growing number of veterans and their families seeking mental health services. Many clinicians feel unprepared to effectively treat these individuals and their families because the clinicians lack cultural knowledge or experience. Most clinicians possess the skills needed but require some additional cultural knowledge. Based on the presenter’s experience as a psychologist in the Air Force, this talk is designed to give a brief introduction to military culture, issues common to veterans and their families, and resources to develop competency in working with the veteran population.
Obsessive Compulsive Spectrum Disorders: Conceptualization and Treatment — Stephen J.F. Holland, Psy.D.
This presentation will begin with a review of the brain-imaging studies showing functional differences in the brains of people suffering from OCD. We will link this to cognitive-behavioral conceptualizations of OCD and then describe in detail the empirically supported treatment for OCD, including socializing patients to the model, building motivation, the role and limits of cognitive interventions, and how to conduct exposure and response prevention. Finally we will consider ways that subclinical obsessive-compulsive thought patterns may express themselves in other presenting problems and how an understanding of CBT for OCD may be helpful for these patients.
Practicing Empirically Supported Cognitive-Behavioral Therapy within a Psychodynamically Informed Integrative Model — Stephen J.F. Holland, Psy.D.
Cognitive-behavioral therapy (CBT) is well established as an empirically supported treatment for depression, anxiety disorders, and a number of other conditions. However, standard CBT has been criticized for taking a too narrow view of emotion, personality, and the psychotherapeutic process. This workshop will review a theoretical model that allows for integration of cognitive-behavioral techniques with psychodynamic, humanistic and mindfulness-based approaches. The model is grounded in an expanded conceptualization of the structure and function of schemas. Guidelines will be provided for when to integrate techniques based on a commitment to empirically supported treatments and a simultaneous recognition that CBT protocols do not provide adequate guidance for many clinical situations. Particular attention will be paid to the importance of emotion and the therapeutic relationship. Recent theoretical and technical innovations in CBT will be discussed, including ways that they contribute to construction of an integrative model. Discussion of cases from the presenter and participants will be used to help illustrate the approach. NOTE: This talk is based on a workshop presented at the international meeting of the Society for the Exploration of Psychotherapy Integration, Montreal, Canada, May 2014.
The Quest for Process in University Counseling Center Groups — Tracy L. Thomas, Psy.D.
Research has repeatedly demonstrated that group therapy is an effective, efficient, and empirically supported form of psychotherapy (Toseland, & Siporin, 1986; McRoberts et al.,1998; Burlingame et al., 2004). Due to the students’ developmental stage, groups are a natural way for late adolescents to relate to one another, to illuminate interpersonal schemas and behavioral patterns, and to grow personally. This talk will propose a working definition of “process,” review the challenges and advantages of running process-oriented groups within the unique context of the counseling centers, and finally explore ways to facilitate process-oriented groups. Examples will be used to illustrate techniques. NOTE: This talk is based on a workshop presented at the annual meeting of the American Group Psychotherapy Association, New Orleans, LA, March 2013.
Therapeutic Risk Assessment for Suicidal Patients — Kevin J. Crowley, Ph.D.
Although practitioners frequently and consistently acknowledge concerns about working with suicidal patients, they can significantly reduce their fears by ensuring that their risk assessment practices are consistent with evidence-based guidelines and recommendations. In this talk, we will provide an overview of necessary domains to assess when gauging suicide risk (e.g., ideation, intent, plans, attempt history, risk factors, protective factors) and specific questions to use when exploring each domain. Then we will suggest a two-fold system for stratifying patients’ risk levels and determining whether hospitalization is necessary. Finally, we will give concrete recommendations for how to approach suicide-focused risk assessment in such a way that patients are more likely to find the process useful and “therapeutic.” These recommendations will include suggestions about how to incorporate motivational interviewing, “shame healing,” and trust-building techniques.
Treatment of Trichotillomania, An Integrative Approach — Jessica Nemeth, Psy.D.
Hair-pulling, skin-picking, and other body-focused repetitive behaviors are a common therapeutic concern for counselors working with college populations. Co-morbidity with mood disorders and/or other problems with impulse control is frequent, complicating the formulation of a comprehensive treatment plan. This talk will cover treatment planning and the effective utilization of empirically supported cognitive-behavioral habit-reversal training within an integrative approach.