Full Description
This compact guide is packed with the latest knowledge on the assessment and treatment of persistent depressive disorder (PDD) - the new DSM-5 diagnosis that amalgamates the categories dysthymic disorder (DD), chronic major depression (MDD), and DD with major depressive episode (MDE).
Written by a leading expert, the book guides us through the complexities of assessing PDD and the models for understanding how this difficult to identify and potentially life-threatening disorder develops and is maintained over long periods. It then outlines those therapies that have the strongest evidence base. The author goes on to explore in detail the cognitive behavioral analysis system of psychotherapy (CBASP), a treatment specifically developed for PDD. This compelling integrated approach incorporates components of learning, developmental, interpersonal, and cognitive theory with aspects of interpersonal mindfulness. We are led expertly through the therapeutic process using clinical vignettes and practical tips, with particular attention paid to identifying the assessment and therapy methods most valuable in CBASP. Printable tools in the appendices can be used in daily practice.
This book is of interest to clinical psychologists, psychotherapists, psychiatrists, counsellors, and students.
Contents
1 Description of Persistent Depressive Disorders 1.1 Terminology 1.2 Definition 1.3 Epidemiology 1.3.1 Sex Differences 1.3.2 Age 1.3.3 Ethnicity and Cultural and Socioeconomic Differences 1.4 Course and Prognosis 1.4.1 Dysthymic Disorder: Course 1.4.2 Major Depressive Disorder: Course 1.4.3 Onset Age 1.4.4 Impact of Treatment on Clinical Course 1.5 Differential Diagnosis 1.6 Comorbidities 1.7 Diagnostic Procedures and Documentation 1.7.1 Diagnostic Interviews 1.7.2 Clinician Rating Scales 1.7.3 Self-Report Scales 2 Theories and Models of Persistent Depressive Disorders 2.1 Biological Models 2.1.1 Genetics 2.1.2 Monoamine Hypothesis 2.1.3 Serotonin 2.1.4 Dopamine 2.1.5 Brain-Derived Neurotrophic Factor 2.1.6 Neuroendocrine Models 2.1.7 Glutamate 2.1.8 Brain Structure 2.2 Psychological Models 2.2.1 Interpersonal Models 2.2.2 Learning and Behavioral Models 2.2.3 Cognitive and Integrative Models 2.2.4 Mindfulness-Based Models
3 Diagnosis and Treatment Indications 3.1 Motivation or Readiness to Change 3.2 Longitudinal Life Course 3.3 Symptom Severity and Suicide Risk 3.4 Onset Age 3.5 Trauma History 3.6 Co-occurring Disorders or Medical Comorbidities
4 Treatment 4.1 Methods of Treatment 4.1.1 Interpersonal Psychotherapy 4.1.2 Cognitive Behavior Therapy 4.1.3 Cognitive Behavioral Analysis System of Psychotherapy 4.1.4 Mindfulness-Based Cognitive Therapy 4.1.5 Pharmacotherapy 4.2 Variations and Combinations of Methods 4.3 Problems in Carrying Out Treatments 4.4 Multicultural Issues
5 Further Reading 6 References 8 Appendix: Tools and Resources
