Topical Panel- Depression. With Erv Polster and Michele Weiner-Davis Friday, December 15, 2017

Transcription

1 Topical Panel- Depression With Erv Polster and Michele Weiner-Davis Friday, December 15,

2 Key Points About Depression diagnosis symptom combinacons yield a correct diagnosis; highly co-morbid High response rate to placebo-based intervencons (disorder of perspeccve) Predominant form of treatment is medicacon; unfortunatenot nearly as safe or effeccve as we ve been led to believe; highest relapse rate Growing in prevalence and severity 2

3 Key Points About Depression Depression is a product of many risk factors, especially in the areas of cognicve style, coping style, problem solving style, and interpersonal style Inability to make key discriminacons (e.g., controllability, expectacons) The therapies with the highest success rates focus on skill building; not just solving a problem solving but teaching problem solving on whatever dimensions are indicated; patern interrupcon and patern building No single encty called depression, no single best treatment 3

4 Key Points About Depression Common denominator of effeccve treatments is behavioral accvacon ExperienCal treatments, especially hypnosis and structured homework, require accve parccipacon; pure discovery vs. guided discovery The merits of hypnosis in treatment, especially to help people detach from depressogenic paterns and to help create automacc responses The potencal for prevencon 4

5 The more we learn about the biology of depression, the more we discover the power of human rela?onships to either increase or decrease one s vulnerability to depression 5

6 No Amount of MedicaCon Can Teach Your Client: More effeccve coping skills More realiscc explanatory styles Healthier relaconship styles More flexible and discriminacve cognicve skills SophisCcated problem-solving skills More effeccve decision-making strategies How to build and maintain a support network How to transcend an adverse personal history How to build a realiscc and mocvacng future 6

7 Helping people develop key skills in these areas in order to empower them to live effec?vely is what therapists can do that medica?ons can t 7

8 Let s Focus on Global (Over-general) Thinking and its Relationship to Depression 8

9 Examples of Global Style in Client Self- Reports I just want to be happy I just want to feel normal I am my depression (anxiety, history,or diagnosis) I m just so overwhelmed I get so bad I just can t think The symptom just happens to me 9

10 Hypnosis and Re-direc?ng Focus Focusing globally on what s wrong, not noccing what s right Focusing globally on past hurts, not specific future possibilices Focusing globally on helpless feelings, not specific proaccve solucons Focusing globally on the subjeccve, missing specific chances to reality-test 10

11 Experien?al Learning Drives Flexibility and Skill Acquisi?on People learn best through experience; therapists provide guided discovery opportunices as well as pure discovery opportunices Two key forms of experiencal learning are focusing strategies (such as hypnosis and mindfulness) and skill-building homework (task) assignments 11

12 Good Psychotherapy Teaches: Greater self-awareness and self-acceptance Skills in reality tescng, using informacon instead of subjeccve percepcons Skills in building and maintaining posicve relaconships with others Skills in coping with life s inevitable adversices Skills in decision-making Skills in thinking prevencvely 12

13 Characteris?cs of Empowering Interven?ons o Outcome Oriented o AcCve intervencons o Future-oriented o Change-oriented o Specific, defined targets of patern interrupcon o ExperienCal methods (e.g., hypnosis, mindfulness) o Individualized approaches 13

14 Please visit my website ( and sign up to receive my free electronic newsleter! 14

15 Michael D. Yapko, Ph.D. website: P.O. Box 487 Fallbrook, CA USA 15