Winter 2008 Ann Arbor, MI Office: (734) Home: (734)

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1 SW Daniel Fischer, LMSW Cognitive Behavioral Treatment for UMHHS C.S. Mott Children s Hospital Children and Adolescents with Anxiety Problems 1500 E. Medical Center Dr. F8419 Winter 2008 Ann Arbor, MI Office: (734) Home: (734) dfischer@umich.edu Course Description The focus of this course is on the concepts, theory, principles and procedures appropriate to the assessment and effective cognitive behavioral therapy of children and adolescents with anxiety problems. The course content reflects advanced material of current relevance for effective clinical social work practice. Specifically, this course will provide updated training in the cognitive-behavioral treatment of anxiety disorders in children and youth. This course will review current diagnostic information on pediatric anxiety disorders such as separation anxiety, social anxiety, panic disorder and obsessive-compulsive disorder, and provide practical training in incorporating cognitive-behavioral therapy into practice with anxious children and adolescents. Course Objectives Upon completion of the course, students will be able to: Assess and diagnose children and adolescents with anxiety disorders Understand the impact of various diversity dimensions (e.g., age, gender, race, culture) during the assessment, diagnosis and intervention phases of work. Design, develop, implement and evaluate evidence-based cognitive behavioral therapy interventions with children and youth with anxiety disorders. Plan and implement evidence-based cognitive behavioral interventions that are based on identifiable goals and priorities in a culturally sensitive and culturally competent manner. Incorporate social work values and ethical principals in planning and implementing cognitive behavioral therapy for children and youth. Course Design and Format Class format will include lectures, demonstrations, case studies and vignettes, videotapes, roleplays and interactive discussion. Course Requirements and Grading Regular attendance and class participation Quiz on cognitive behavioral interventions with pediatric anxiety disorders Grading: Grade will be satisfactory or unsatisfactory for the course. Course Relationship to Social Work Ethics and Values

2 Social work ethics and values will be addressed within the course as they pertain to issues related to working with children, youth and their families. The NASW Code of Ethics will be used to give students direction about these ethical issues. Issues specific to cognitive behavioral interventions will be given special attention, such as variations in treatment planning based on individual s needs and dysfunction, therapist ethical decision making, as well as the impact of the therapist's values and reactions to anxious behavior and family interactions. This course will emphasize cognitive behavioral therapy with children and adolescents with anxiety problems within the context of evidenced based practice and Social Work ethics and values. Topics and Required Reading Assignments 2/6/08: Pediatric anxiety disorders and cognitive behavioral therapy procedures 2/13/08: CBT with pediatric separation anxiety and generalized anxiety disorder 2/20/08: CBT with pediatric social anxiety disorder and panic disorder 3/5/08: CBT with pediatric obsessive-compulsive disorder 3/12/08: Direct Practice of CBT interventions and quiz Kendall, PC, Aschenbrand, SG, & Hudson, JL. (2003). Child-focused treatment of anxiety. In AE Kazdin & JR Weisz, (Eds.). Evidenced-Based Psychotherapies for Children and Adolescents. New York: Guilford Press (pp ). Barrett, PM & Shortt, AL. (2003). Parental involvement in the treatment of anxious children. In AE Kazdin & JR Weisz, (Eds.). Evidenced-Based Psychotherapies for Children and Adolescents. New York: Guilford Press (pp ). Hanna, G.L., Fischer, D.J., & Fluent, T.E. (2006). Separation anxiety disorder in children and adolescents. Pediatrics in Review, 27, Himle, J.A., Fischer, D.J., Van Etten, M.L., & Muroff, J. (2006). Childhood anxiety disorders. In R.J. Waller (Ed.), Fostering Child & Adolescent Mental Health in the Classroom. New York: Sage (pp ). The Pediatric OCD Treatment Study Team. (2004). Cognitive-Behavior Therapy, Sertraline, and Their Combination for Children and Adolescents With Obsessive-Compulsive Disorder: The Pediatric OCD Treatment Study (POTS) Randomized Controlled Trail. Journal of the American Medical Association, 292, Piacentini, J. & Langley, A.K. (2004). Cognitive-behavioral therapy for children who have obsessive-compulsive disorder. Journal of Clinical Psychology, 60 (11), Additional References for CBT for Pediatric Anxiety Disorders

3 Barrett, P.M., Dadds, M.R., & Rapee, R.M. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64, Barrett, P.M., Duffy, A.L., Dadds, M.R., & Rapee, R.M. (2001). Cognitive-behavioral treatment of anxiety disorders in children: Long-term (6 year) follow-up. Journal of Consulting and Clinical Psychology, 69, Barrett, P.M., Healy-Farrell, L., & March, J.S. (2004). Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: A controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 43, Barrett, P.M., & Shortt, A.L. (2003). Parental involvement in the treatment of anxious children. In A.E. Kazdin & J.R. Weisz (Eds.), Evidenced-based psychotherapies for children and adolescents. New York:Guilford. Chansky, T.E. (2000). Freeing your Child from Obsessive-Compulsive Disorder. New York: Three Rivers Press. Chaplin, E.W., & Levine, B.A. (1981). The effects of total exposure duration and interrupted versus continuous exposure in flooding therapy. Behavior Therapy, 12, DeHaan, E., Hoogduin, K.A.L., Buitelaar, J.K., & Keijsers, G.P.J. (1998). Behavior therapy versus clomipramine in the treatment of obsessive-compulsive disorder in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, Fischer, D.J., Himle J.A., & Hanna, G.L. (1998). Group behavioral therapy for adolescents with obsessive-compulsive disorder: Preliminary outcomes. Research on Social Work Practice, 8, Fischer, D.J., Himle, J., & Thyer, B.A. (1999). Separation anxiety disorder. In R.T. Ammerman, M. Hersen, & C.G. Last, (Eds.). Handbook of Prescriptive Treatments for Children and Adolescents: Second Edition, Needham Heights, Mass.: Allyn and Bacon, (pp ). Fischer, D.J., Himle, J.A., & Thyer, B.A. (2005). Using multiple evaluation methods to assess client progress: A female adolescent with obsessive-compulsive disorder. In C.W. LeCroy and J. Daley, Eds., Case Studies in child, adolescent, and family treatment. Belmont, CA: Brooks/Cole, pp Flannery-Schroeder, E.C., & Kendall, P.C. (2000). Group and individual cognitive-behavioral treatments for youth with anxiety disorders: A randomized clinical trial. Cognitive Therapy and Research, 24, Franklin, M.E. & Foa, E.B. (1998). A guide to treatments that work. In: Cognitive-Behavioral Treatments for Obsessive Compulsive Disorder, pp New York, NY: Oxford University Press. Franklin, M.E., Kozak, M.J., Cashman,L.A., Coles, M.E., Rheingold, A.A. & Foa, E.B. (1998). Cognitive-behavioral treatment of pediatric obsessive-compulsive disorder: An open clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 37,

4 Freeman, J.B., Choate-Summers, M.L., Moore, P.S., Garcia, A.M., Sapyta, J.J., Leonard, H.L., & Franklin, M.E. (2007). Cognitive behavioral treatment for young children with obsessivecompulsive disorder. Biological Psychiatry, 61, Himle, J.A., Fischer, D.J., Van Etten, M.L., Janeck, A.S., & Hanna, G.L. (2003). Group behavioral therapy for adolescents with tic-related and non-tic-related obsessive-compulsive disorder. Depression and Anxiety, 17, Hudson, J.L., & Rapee, R.M. (2001). Parent-child interaction and the anxiety disorders: An observational analysis. Behaviour Research & Therapy, 39, Kamphuis, J.H., & Telch, M.J. (2000). Effects of distraction and guided threat reappraisal on fear reduction during exposure-based treatments for specific fears. Behaviour Research and Therapy, 38, Kendall, P.C. (1992). Coping Cat Workbook. Ardmore PA: Workbook publishing Kendall, P.C. (1994). Treating anxiety disorders in children: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, Kendall, P.C., Aschenbrand, S.G., & Hudson, J.L. (2003). Child focused treatment of anxiety. In A.E. Kazdin & J.R. Weisz (Eds.), Evidenced-based psychotherapies for children and adolescents. New York:Guilford. King, R.A., Leonard, H., & March, J.S. (1998). Practice parameters for the assessment and treatment of children and adolescents with obessive-compulsive disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 27S-45S. March, J.S. (1995). Cognitive-behavioral psychotherapy for children and adolescents with OCD: A review and recommendations for treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 34, March, J.S. & Benton, C.M. (2007). Talking Back to OCD: A Program that helps Kids and teens Say No Way - and Parents Say Way to Go. New York: Guilford. March, J.S., Franklin, M.E., Leonard, H., Garcia, A., Moore, P., Freeman, J., & Foa, E. (2007). Tics moderate treatment outcome with sertraline but not cognitive-behavior therapy in pediatric obsessive-compulsive disorder. Biological Psychiatry, 61, March, J.S., Mulle, K., & Herbel, B. (1994). Behavioral psychotherapy for children and adolescents with obsessive-compulsive disorder: A open trial of a new protocol-driven treatment package. Journal of the American Academy of Child and Adolescent Psychiatry, 33, March, J.S. & Mulle, K. (1998). OCD in Children and Adolescents: A Cognitive-Behavioral Treatment Manual. New York: Guilford. Mendlowitz, S.L., Manissis, K., Bradley, S., Scapillato, D., Miezitis, S., & Shaw, B.F. (1999). Cognitive-behavioral group treatments in childhood anxiety disorders: The role of parental involvement. Journal of the American Academy of Child & Adolescent Psychiatry, 38,

5 Morris, T.L. & March, J.S. (2004). Anxiety Disorders in Children and Adolescents. New York: Guilford. Piacentini, J. (1999). Cognitive behavioral therapy of childhood OCD. Child and Adolescent Psychiatric Clinics of North America, 8, Piacentini, J., Bergman, R.L., Jacobs, C., McCracken, J.T., & Kretchman, J. (2002). Open trial of cognitive behavior therapy for childhood obsessive-compulsive disorder. Journal of Anxiety Disorders, 16, Piacentini, J. & Langley, A.K. (2004). Cognitive-behavioral therapy for children who have obsessive-compulsive disorder. Journal of Clinical Psychology, 60 (11), Pediatric OCD Treatment Study (POTS) Team. (2004). Cognitive-Behavior Therapy, Sertraline, and Their Combination for Children and Adolescents With Obsessive-Compulsive Disorder: The Pediatric OCD Treatment Study (POTS) Randomized Controlled Trail. Journal of the American Medical Association, 292, Rapoport, J.L. (1989). The Boy Who Couldn't Stop Washing. New York: Dutton. Scahill, L., Vitulano, L.A., Brenner, E.M., et al. (1996). Behavioral therapy in children and adolescents with obsessive-compulsive disorder: A pilot study. Journal of Child and Adolescent Psychopharmocology, 6, Siqueland, L., Kendall, P.C. & Steinberg, L. (1996). Anxiety in children: Perceived family environments and observed family interaction style. Journal of Clinical Child Psychology, 25, Theinemann, M., Martin, J., Cregger, B., Thompson, H.B., & Dyer-Friedman, J. (2001). Manualdriven group cognitive-behavioral therapy for adolescents with obsessive-compulsive disorder: A pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 40, Wagner, A.P. (2000). Up and Down the Worry Hill: A Children s Book about Obsessive- Compulsive Disorder and its Treatment. USA: Lighthouse Press. Wagner, A.P. (2002). Worried No More: Help and Hope for Anxious Children. Rochester NY: Lighthouse Press. Wagner, A.P., (2002). What to do when your Child has Obsessive-Compulsive Disorder: Strategies and Solutions. USA: Lighthouse Press. Wever, C. & Rey, J.M. (1997). Juvenile OCD. Australian and New Zealand Journal of Psychiatry, 31,

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