Effects of Mindfulness-Based Cognitive Therapy on the experience of positive emotions in daily life: A randomized controlled trial

Size: px
Start display at page:

Download "Effects of Mindfulness-Based Cognitive Therapy on the experience of positive emotions in daily life: A randomized controlled trial"

Transcription

1 Effects of Mindfulness-Based Cognitive Therapy on the experience of positive emotions in daily life: A randomized controlled trial Nicole Geschwind Centre for Psychology of Learning and Psychopathology; Research Group on Health Psychology

2 Overview Positive emotions, why bother? Experience Sampling Method Mindfulness-Based Cognitive Therapy MindMaastricht trial Results Conclusion

3 MHeNS School for Mental Health and Neuroscience Introduction: Positive Emotions Associated with longevity and health Positive and negative emotions = different subsystems (Cohn & Fredrickson, 2009; Geschwind, 2011)

4 intensity Emotions Negative emotions Positive Emotions time

5 Experience Sampling Method At random 10 times per day 6 days Emotions Situation / activity Right now, I feel not at all moderately very Cheerful Anxious

6 beep beep beep beep beep beep beep beep beep beep Daily life person-context interaction Experience sampling procedure Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 one ESM day Positive emotions Activity Pleasantness Dailylife context

7 Positive emotions Daily-Life Reward Experience Daily life

8 How to increase positive emotions? Positive emotions Reward a t t e n t i o n a l b r o a d e n i n g

9 Mindfulness-Based Cognitive Therapy 8 week training, participants In touch with and aware of the present moment Non-evaluative and non-judgmental Daily homework: attention exercises

10 MindMaastricht RCT Sample: 130 participants with residual symptoms of depression, not currently depressed 6 days Experience Sampling Mindfulness Training (MBCT) Control 6 days Experience Sampling

11 Positive emotions Happy Satisfied Strong Enthusiastic Curious Animated Inspired [Relaxed] alpha = 0.89

12 Pleasantness of current activity Factor analysis: I enjoy this activity I am skilled at doing this This activity requires effort I would prefer to do s.th. else [I feel I m being active] [This is a challenge] Activity Pleasantness

13 Results Total Entries Invalid Participants Entries per participant (4 %) 130; 1 excluded 49 (SD 7.6)

14 After mindfulness training More positive emotions Activities appraised as more pleasant

15 Positive emotions Also: Increased reward experience after before Daily life

16 PA change *** pre post CONTROL MBCT

17 Activity pleasantness change pre post CONTROL MBCT

18 Reward Experience change pre post CONTROL MBCT

19 Increases in positive emotions

20 Related to reduction in residual symptoms? *** pre post low medium high Reduction in residual symptoms

21 Related to reduction in residual symptoms? pre post low medium high Reduction in residual symptoms

22 Related to reduction in residual symptoms? pre post Reduction in residual symptoms

23 But Original idea behind MBCT: learn to disengage from automatic negative thinking patterns that arise during dysphoric mood and facilitate relapse (Teasdale, 2000) So: Rumination, worry, NA PA etc.? Independent of changes in rumination, worry, NA, and stress sensitivity

24 Conclusions Reward experience can be learned Living in the moment more receptive higher experience of positive emotions during pleasant activities More research necessary underlying mechanisms! into

25 Conclusions MBCT has another, less often studied face: it facilitates the experience of positive emotions. Changes in PA-related variables possibly contribute to the protective effects of MBCT against future relapse

26 MHeNS School for Mental Health and Neuroscience Thanks to: Jim van Os Frenk Peeters Marieke Wichers (VENI grant nr to Dr Wichers)

27 MHeNS School for Mental Health and Neuroscience Geschwind, N., Peeters, F., Drukker, M., van Os, J., & Wichers, M. (2011). Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 79(5),

28 MHeNS School for Mental Health and Neuroscience References Geschwind et al. (2010). Meeting risk with resilience: high daily life reward experience preserves mental health. Acta Psychiatrica Scandinavica. Geschwind et al. (2009). The role of affective processing in vulnerability to and resilience against depression. In C. M. Pariante, R. M. Nesse, D. Nutt & L. Wolpert (Eds.), Understanding Depression: A translational approach (pp ). NY: New York: Oxford University Press Inc. Wichers et al. (2007). Evidence that moment-to-moment variation in positive emotions buffer genetic risk for depression: a momentary assessment twin study. Acta Psychiatrica Scandinavica, 115, Wichers et al. (2009). Reduced stress-sensitivity or increased reward experience: The psychological mechanism of response to antidepressant medication. Neuropsychopharmacology, 34, Wichers et al. (2007). Genetic risk of depression and stress-induced negative affect in daily life. British Journal of Psychiatry, 191, Wichers, Schrijvers, Geschwind et al. (2009). Mechanisms of gene-environment interactions in depression: Evidence that genes potentiate multiple sources of adversity. Psychological Medicine, 39, Wichers et al. (2008). The psychology of psychiatric genetics: Evidence that positive emotions in females moderate genetic sensitivity to social stress associated with the BDNF Val(66)Met polymorphism. Journal of Abnormal Psychology, 117, Wichers, et al. (2008). Susceptibility to depression expressed as alterations in cortisol day curve: a cross-twin, cross-trait study. Psychosomatic Medicine, 70, Wichers, Geschwind et al. (2009). Transition from stress sensitivity to a depressive state: longitudinal twin study. The British Journal of Psychiatry, 195(6), Wichers, et al. (2008). The catechol-o-methyl transferase Val(158)Met polymorphism and experience of reward in the flow of daily life. Neuropsychopharmacology, 33, Wichers, Geschwind et al. (2010). Scars in depression: is a conceptual shift necessary to solve the puzzle? Psychological Medicine, 40(3),

29 Introduction: Positive Affect (PA) MHeNS School for Mental Health and Neuroscience PA reduces stress-induced psychiatric and physiological symptoms PA also reduces the expression of genetic vulnerability for affective disorders Effects PA > NA on resilience & well-being (Cohn & Fredrickson, 2009) PA preserves, and possibly improves, mental health.

30 Increase in Positive Affect MHeNS School for Mental Health and Neuroscience 0,4 Activity-related reward experience 0,35 0,3 0,25 0,2 0,15 0,1 pre post 0,05 0 Responders Nonresponders Responders Nonresponders Mindfulness Control

31 Increase in Negative Affect MHeNS School for Mental Health and Neuroscience 0,4 Activity-related stress sensitivity 0,35 0,3 0,25 0,2 0,15 0,1 pre post 0,05 0 Responders Nonresponders Responders Nonresponders Mindfulness Control

32 NA MHeNS School for Mental Health and Neuroscience NA change pre/post: Mindfulness vs. Controls 2,20 2,00 1,80 1,60 1,40 Mindful Control 1,20 1,00 pre post

33 MHeNS School for Mental Health and Neuroscience Maastricht

34 intensity Measuring emotions in daily life? NA and PA fluctuate time NA PA

35 MHeNS School for Mental Health and Neuroscience Method 49 depressed patients (randomized to Imipramine or placebo) Week 1 HAM early improvement PA early change NA early change Week 6: HAM score Remission Recovery

36 MHeNS School for Mental Health and Neuroscience Reward Experience & Resilience High reward experience should contribute to the preservation of mental health Especially when at risk for low mood Childhood trauma Recent Stressful Life Events Genetic Risk

37 MHeNS School for Mental Health and Neuroscience Differential relapse prevention effect Finding: MBCT reduces relapse only in 3+ patients, not in 2- (Teasdale et al., 2000; Ma & Teasdale, 2004) Assumptions: 1) MBCT works mainly via cognitive processes (Rumination, meta-cognition ) 2) Automatic negative thinking patterns stronger and more related to relapse in 3+ Consequence: Most studies exclude 2-

38 MHeNS School for Mental Health and Neuroscience Differential relapse prevention effect (Teasdale et al., 2000; Ma & Teasdale, 2004)

39 MHeNS School for Mental Health and Neuroscience Assumptions 1) MBCT works mainly via cognitive processes (rumination, meta-cognition ) 2) Automatic negative thinking patterns stronger and more related to relapse in 3+

40 MHeNS School for Mental Health and Neuroscience Consequence 2- Most later studies excluded 2- patients: Bondolfi, et al., 2010; Godfrin & van Heeringen, 2010; Kuyken, et al., 2008; Kuyken, et al., 2010; Segal, et al., 2010 Even when not directly examining risk for relapse: Barnhofer, et al., 2009; Hargus et al., 2010; Kingston et al., 2007

41 MHeNS School for Mental Health and Neuroscience Exclusion justified? Arguments against exclusion: Subpopulation overlap argument Diversity argument Continuity argument Confounder argument

42 MHeNS School for Mental Health and Neuroscience Subpopulation overlap argument

43 MHeNS School for Mental Health and Neuroscience Diversity Argument (1) Diverse effects: Changes in emotion regulation: Positive emotions increase (Geschwind et al, submitted; Fredrickson et al., 2008) Upward spiral (Garland et al, 2010) Related to reduction of dep. symptoms Various other reported effects works on more basal level

44 effectiveness MHeNS School for Mental Health and Neuroscience Diversity Argument (2) Beneficial for diverse populations not suffering from major depression working people, cancer, pregnancy, anxiety, No dep 2-3+

45 MHeNS School for Mental Health and Neuroscience Continuity Argument (1) Relapse = dichotomous Evidence for continuity of symptoms Problems with dichotomous classifications Useful to examine continuous measures

46 MHeNS School for Mental Health and Neuroscience Continuity Argument (2) Residual depressive symptoms Continuous Predict risk for relapse (Judd et al., 1999; Nierenberg, et al., 2010) MBCT associated with reduction residual symptoms (Kenny & Williams, 2007; Kingston, et al., 2007; Mathew et al., 2010) No comparison yet between 2- and 3+

47 MHeNS School for Mental Health and Neuroscience Confounder argument MBCT vs TAU trial in 3+ patients only (Segal et al., 2010) MBCT only effective among unstable remitters = with intermittent residual symptoms No effect in stable remitters = residual symptoms <7 Patients with residual symptoms were actually excluded in original studies! MBCT in 2- with residual symptoms???

48 MHeNS School for Mental Health and Neuroscience Hypotheses MBCT residual symptoms Independent of 2- or 3+ subgroup = no interaction treatment*subgroup Explore whether MBCT works via diff. mechanisms in the 2- and 3+ subgroups (rumination, worry, mindfulness positive and negative emotions)

49 No evidence for interaction MHeNS School for Mental Health and Neuroscience Treatment*Subgroup Measure β p HDRS IDS Rumination Worry KIMS observe KIMS describe KIMS act aware KIMS accept PA NA

50 HDRS MHeNS School for Mental Health and Neuroscience By subgroup: Hamilton Depression Rating Scale TAU 3+ TAU MBCT MBCT 3+ MBCT pre post

51 IDS-SR MHeNS School for Mental Health and Neuroscience Same for self-report TAU 3+ TAU 2- MBCT 3+ MBCT pre post

52 MHeNS School for Mental Health and Neuroscience Effect Size of Treatment per Subgroup 0 HDRS IDS-SR Rumination Worry -0,1-0,2-0,3-0, ,5-0,6-0,7-0,8

53 MHeNS School for Mental Health and Neuroscience Conclusions Need to re-examine and reconsider: MBCT just as effective in 2- as in 3+ At least when looking at participants with residual symptoms

Mindfulness-based Cognitive Therapy for Recurrent Depression

Mindfulness-based Cognitive Therapy for Recurrent Depression Mindfulness-based Cognitive Therapy for Recurrent Depression Willem Kuyken Norwegian National Congress of Psychology Oslo, Norway 29 th August, 2013 Outline Background Does MBCT work? How does MBCT work?

More information

Diagnosis 2.0 Towards a new paradigm for personalized mental health care. Marieke Wichers, Psychiatry & Psychology, Maastricht

Diagnosis 2.0 Towards a new paradigm for personalized mental health care. Marieke Wichers, Psychiatry & Psychology, Maastricht Diagnosis 2.0 Towards a new paradigm for personalized mental health care Marieke Wichers, Psychiatry & Psychology, Maastricht Tijd voor een nieuw paradigma in de psychiatrie 1. Van focus op het negatieve

More information

Mindfulness for Anxiety, Depression & Wellness

Mindfulness for Anxiety, Depression & Wellness Mindfulness for Anxiety, Depression & Wellness Carl Fulwiler Center for Mental Health Services Research Department of Psychiatry UMass Medical School Public Sector Conference June 16, 2011 Meta-analysis:

More information

There is a growing focus on moving upstream to protect mental health and reduce the incidence of mental illness.

There is a growing focus on moving upstream to protect mental health and reduce the incidence of mental illness. An Upstream Approach to Improving Psychological Wellbeing Dr Brian Marien Founder and Director of Positive Health Strategies brian.marien@positivegroup.org www.positivegroup.org Prevention or cure? Zola,

More information

Pilot Study of Mindfulness-Based Cognitive Therapy for Trainee Clinical Psychologists

Pilot Study of Mindfulness-Based Cognitive Therapy for Trainee Clinical Psychologists Behavioural and Cognitive Psychotherapy, 2011, 39, 235 241 First published online 13 December 2010 doi:10.1017/s1352465810000731 Pilot Study of Mindfulness-Based Cognitive Therapy for Trainee Clinical

More information

Depression The Mindful Way Out How to pay attention to change your mood

Depression The Mindful Way Out How to pay attention to change your mood Depression The Mindful Way Out How to pay attention to change your mood Richard W. Sears, PsyD, PhD, MBA, ABPP Clinical/Research Faculty, UC Center for Integrative Health & Wellness Vol Assoc Prof, UC

More information

BILD Good Autism Practice Conference, 14 November, Birmingham Autism and happiness Peter Vermeulen, PhD Autisme Centraal

BILD Good Autism Practice Conference, 14 November, Birmingham Autism and happiness Peter Vermeulen, PhD Autisme Centraal Autism and happiness Peter Vermeulen, PhD Autisme Centraal www.autisme.be peter_autisme Outcome studies in autism Try to assess if and how people with autism succeed in adult life For recent review of

More information

Professor Per- Einar Binder, Ph. D. Department of Clinical Psychology University of Bergen

Professor Per- Einar Binder, Ph. D. Department of Clinical Psychology University of Bergen Professor Per- Einar Binder, Ph. D. Department of Clinical Psychology University of Bergen Mindfulness paying attention in a particular way: on purpose, in the present moment, and nonjudgmentally (Kabat-Zinn,

More information

Mechanisms of change in cognitive therapy and interpersonal therapy for depression: preliminary results from an ongoing trial

Mechanisms of change in cognitive therapy and interpersonal therapy for depression: preliminary results from an ongoing trial Mechanisms of change in cognitive therapy and interpersonal therapy for depression: preliminary results from an ongoing trial Marcus Huibers and Lotte Lemmens Department of Clinical Psychological Science,

More information

Professional Reference Series Depression and Anxiety, Volume 1. Depression and Anxiety Prevention for Older Adults

Professional Reference Series Depression and Anxiety, Volume 1. Depression and Anxiety Prevention for Older Adults Professional Reference Series Depression and Anxiety, Volume 1 Depression and Anxiety Prevention for Older Adults TA C M I S S I O N The mission of the Older Americans Substance Abuse and Mental Health

More information

M.A. DEGREE EXAMINATION, DECEMBER 2009. First Year. Psychology. Answer any FIVE of the following questions. Each question carries 15 marks.

M.A. DEGREE EXAMINATION, DECEMBER 2009. First Year. Psychology. Answer any FIVE of the following questions. Each question carries 15 marks. (DPSY 01) First Year Paper I GENERAL PSYCHOLOGY 1. Explain the definition and scope of psychology. 2. Explain the patterns of brain and behavior in human psychology? 3. Write about perceptual constancy

More information

Mindfulness Interventions for Adolescents

Mindfulness Interventions for Adolescents Research Module Assignment 1: A critical appraisal of research studies into mindfulness-based interventions in an area of your choice; if appropriate, contextualise this within the wider evidence base

More information

Top Peer Reviewed Journals Psychiatry & Psychology

Top Peer Reviewed Journals Psychiatry & Psychology Top Peer Reviewed Journals Psychiatry & Psychology Presented to Iowa State University Presented by Thomson Reuters Psychiatry & Psychology The subject discipline for Psychiatry & Psychology is made of

More information

Psychosocial treatment of late-life depression with comorbid anxiety

Psychosocial treatment of late-life depression with comorbid anxiety Psychosocial treatment of late-life depression with comorbid anxiety Viviana Wuthrich Centre for Emotional Health Macquarie University, Sydney, Australia Why Comorbidity? Comorbidity is Common Common disorders,

More information

Applying ACT to Cases of Complex Depression: New Clinical and Research Perspectives

Applying ACT to Cases of Complex Depression: New Clinical and Research Perspectives Applying ACT to Cases of Complex Depression: New Clinical and Research Perspectives Part I: Depression with Psychosis and Suicidality Brandon Gaudiano, Ph.D. Assistant Professor of Psychiatry Grant Support:

More information

See also www.thiswayup.org.au/clinic for an online treatment course.

See also www.thiswayup.org.au/clinic for an online treatment course. Depression What is depression? Depression is one of the common human emotional states. It is common to experience feelings of sadness and tiredness in response to life events, such as losses or disappointments.

More information

Adolescent Depression and Attachment Ima G. Student Purdue University

Adolescent Depression and Attachment Ima G. Student Purdue University Heading (on all pages): running head plus page number Adolescent Depression 1 Running Head: ADOLESCENT DEPRESSION Running head (a shortened version of the title is defined on the title page and used in

More information

Journal of Consulting and Clinical Psychology

Journal of Consulting and Clinical Psychology Journal of Consulting and Clinical Psychology Mindfulness-Based Cognitive Therapy for Preventing Relapse in Recurrent Depression: A Randomized Dismantling Trial J. Mark G. Williams, Catherine Crane, Thorsten

More information

Child & Adolescent Anxiety: Psychopathology and Neuroscience

Child & Adolescent Anxiety: Psychopathology and Neuroscience bbrfoundation.org Child & Adolescent Anxiety: Psychopathology and Neuroscience Daniel S. Pine, M.D. Chief, Child & Adolescent Research Mood & Anxiety Disorders Program National Institute of Mental Health

More information

The Counselling and Wellness Centre at MDABC

The Counselling and Wellness Centre at MDABC The Counselling and Wellness Centre at MDABC Winter 2016 Program Guide Learn to improve your MOOD and live a more BALANCED LIFE. The non-profit Counselling and Wellness Centre at MDABC offers private counselling

More information

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and

More information

Managing depression after stroke. Presented by Maree Hackett

Managing depression after stroke. Presented by Maree Hackett Managing depression after stroke Presented by Maree Hackett After stroke Physical changes We can see these Depression Emotionalism Anxiety Confusion Communication problems What is depression? Category

More information

Effectiveness of positive psychology training in the increase of hardiness of female headed households

Effectiveness of positive psychology training in the increase of hardiness of female headed households Effectiveness of positive psychology training in the increase of hardiness of female headed households 1,2, Ghodsi Ahghar* 3 1.Department of counseling, Khozestan Science and Research Branch, Islamic Azad

More information

Contents. Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started How to Find Us

Contents. Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started How to Find Us Lakeside Clinic Contents Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started How to Find Us Overview At some point in their lives, as many as one-in-five

More information

Meditation as Viable

Meditation as Viable "Treatment of the Relapse Process using Mindfulness and Meditation as Viable Techniques" Christopher Shea, MA, CRAT, CAC-AD, LCC Adjunct Professor, Towson University Dir. Campus Ministry, St. Mary's Ryken

More information

Pharmacotherapy/Psychotherapy Research: Psychotherapy Research T O P C O N F E R E N C E S H A N G H A I, C H I N A A L L A N T A S M A N, M. D.

Pharmacotherapy/Psychotherapy Research: Psychotherapy Research T O P C O N F E R E N C E S H A N G H A I, C H I N A A L L A N T A S M A N, M. D. Pharmacotherapy/Psychotherapy Research: Psychotherapy Research T O P C O N F E R E N C E S H A N G H A I, C H I N A A L L A N T A S M A N, M. D. Psychotherapy Research Research in psychiatry has expanded

More information

Martin Harrow s Long-Term Study of. Psychotic Patients

Martin Harrow s Long-Term Study of. Psychotic Patients Martin Harrow s Long-Term Study of Patient Enrollment Psychotic Patients 64 schizophrenia patients 81 patients with other psychotic disorders 37 psychotic bipolar patients 28 unipolar psychotic patients

More information

Mindfulness for Mental Health and Well-being

Mindfulness for Mental Health and Well-being Mindfulness for Mental Health and Well-being Dr Paramabandhu Groves Consultant Psychiatrist Islington Specialist Alcohol Treatment Service Clinical Director, Breathing Space London Buddhist Centre What

More information

Noga Zerubavel, PhD 10/26/2015

Noga Zerubavel, PhD 10/26/2015 UNC School of Social Work s Clinical Lecture Series University of North Carolina at Chapel Hill School of Social Work October 26, 2015 Noga Zerubavel, Ph.D. Psychiatry & Behavioral Sciences Duke University

More information

SEMINAR VINDEREN 23 JANUAR NEVROPSYKOLOGISKE OG NEVROBIOLOGISKE ASPEKTER VED DEPRESJON: FRA LABORATORIET TIL KLINIKKEN.

SEMINAR VINDEREN 23 JANUAR NEVROPSYKOLOGISKE OG NEVROBIOLOGISKE ASPEKTER VED DEPRESJON: FRA LABORATORIET TIL KLINIKKEN. SEMINAR VINDEREN 23 JANUAR NEVROPSYKOLOGISKE OG NEVROBIOLOGISKE ASPEKTER VED DEPRESJON: FRA LABORATORIET TIL KLINIKKEN. Nils Inge Landrø SENTRALE NEVROPSYKOLOGISKE/KOGNITIVE FUNKSJONSOMRÅDER. -KONSENTRASJON/OPPMERKSOMHET

More information

CPD sample profile. 1.1 Full name: Counselling Psychologist early career 1.2 Profession: Counselling Psychologist 1.3 Registration number: PYLxxxxx

CPD sample profile. 1.1 Full name: Counselling Psychologist early career 1.2 Profession: Counselling Psychologist 1.3 Registration number: PYLxxxxx CPD sample profile 1.1 Full name: Counselling Psychologist early career 1.2 Profession: Counselling Psychologist 1.3 Registration number: PYLxxxxx 2. Summary of recent work experience/practice. I have

More information

Non-replication of interaction between cannabis use and trauma in predicting psychosis. & Jim van Os

Non-replication of interaction between cannabis use and trauma in predicting psychosis. & Jim van Os Non-replication of interaction between cannabis use and trauma in predicting psychosis Rebecca Kuepper 1, Cécile Henquet 1, 3, Roselind Lieb 4, 5, Hans-Ulrich Wittchen 4, 6 1, 2* & Jim van Os 1 Department

More information

Unit 4: Personality, Psychological Disorders, and Treatment

Unit 4: Personality, Psychological Disorders, and Treatment Unit 4: Personality, Psychological Disorders, and Treatment Learning Objective 1 (pp. 131-132): Personality, The Trait Approach 1. How do psychologists generally view personality? 2. What is the focus

More information

An Initial Evaluation of the Clinical and Fitness for Work Outcomes of a Military Group Behavioural Activation Programme

An Initial Evaluation of the Clinical and Fitness for Work Outcomes of a Military Group Behavioural Activation Programme Behavioural and Cognitive Psychotherapy: page1of5 doi:10.1017/s135246581300043x An Initial Evaluation of the Clinical and Fitness for Work Outcomes of a Military Group Behavioural Activation Programme

More information

Excellence in Prevention descriptions of the prevention programs and strategies with the greatest evidence of success

Excellence in Prevention descriptions of the prevention programs and strategies with the greatest evidence of success Name of Program/Strategy: Coping With Work and Family Stress Report Contents 1. Overview and description 2. Implementation considerations (if available) 3. Descriptive information 4. Outcomes 5. Cost effectiveness

More information

Seminar/Talk Calendar

Seminar/Talk Calendar Seminar/Talk Calendar Tuesday, February 3rd Dr. John Neumaier, Professor of Psychiatry and Pharmacology, University of Washington DREADDing Addiction Dr. Neumaier s laboratory is studying stress and addiction

More information

Borderline personality disorder

Borderline personality disorder Understanding NICE guidance Information for people who use NHS services Borderline personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases

More information

DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource

DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource E-Resource March, 2015 DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource Depression affects approximately 20% of the general population

More information

Table of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression

Table of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 16,000 topics and the volumes in which they are covered. Preface...xv

More information

Depression and Activities of Daily Living

Depression and Activities of Daily Living Depression and Activities of Daily Living Jane R. Mort, Pharm.D. April 2004 Depression and activities of daily living (ADLs) are addressed separately in the Measures. 1 However, these two issues do not

More information

Curriculum Vitae Lara Fielding, Psy.D., Ed.M. Clinical Psychologist (CA PSY 24351) Lara@doctorfielding.com

Curriculum Vitae Lara Fielding, Psy.D., Ed.M. Clinical Psychologist (CA PSY 24351) Lara@doctorfielding.com 1 Curriculum Vitae Lara Fielding, Psy.D., Ed.M. Clinical Psychologist (CA PSY 24351) Lara@doctorfielding.com EDUCATIONAL HISTORY: Doctorate in Clinical Psychology (Psy.D.) Pepperdine University, APA accredited

More information

Psychotherapy Treatment of Bipolar Disorders

Psychotherapy Treatment of Bipolar Disorders Psychotherapy Treatment of Bipolar Disorders Jenifer L. Culver, Ph.D. Clinical Assistant Professor Bipolar Disorders Clinic Stanford University School of Medicine Overview Overview of research-based psychotherapies

More information

EMOTIONAL CASCADES AND UNDERSTANDING THE CHAOS AND COMPLEXITY OF BORDERLINE PERSONALITY DISORDER

EMOTIONAL CASCADES AND UNDERSTANDING THE CHAOS AND COMPLEXITY OF BORDERLINE PERSONALITY DISORDER EMOTIONAL CASCADES AND UNDERSTANDING THE CHAOS AND COMPLEXITY OF BORDERLINE PERSONALITY DISORDER Edward A. Selby, Ph.D. Assistant Professor Department of Psychology Rutgers, The State University of New

More information

Risk Factors in the Development of Anxiety Disorders: Negative Affectivity. Peter J. Norton, Ph.D.

Risk Factors in the Development of Anxiety Disorders: Negative Affectivity. Peter J. Norton, Ph.D. Negative Affectivity 1 Running Head: NEGATIVE AFFECTIVITY Risk Factors in the Development of Anxiety Disorders: Negative Affectivity Peter J. Norton, Ph.D. University of Houston and UH Anxiety Disorder

More information

Psychotropic Medications: Their Role in Trauma Treatment

Psychotropic Medications: Their Role in Trauma Treatment Psychotropic Medications: Their Role in Trauma Treatment Robert Foltz, Psy.D. Associate Professor Child & Adolescent Track Chicago School of Professional Psychology Overview Scope of the Problem Trauma

More information

Too Tired To Keep Juggling

Too Tired To Keep Juggling Too Tired To Keep Juggling A Treatment for Teachers April 29, 2004 Dr. Wesley Buch, BHC 1 Summary Teachers have always been jugglers. Many juggle too much for too long and get too tired. Some may eventually

More information

What happens to depressed adolescents? A beyondblue funded 3 9 year follow up study

What happens to depressed adolescents? A beyondblue funded 3 9 year follow up study What happens to depressed adolescents? A beyondblue funded 3 9 year follow up study Amanda Dudley, Bruce Tonge, Sarah Ford, Glenn Melvin, & Michael Gordon Centre for Developmental Psychiatry & Psychology

More information

Let s talk about Eating Disorders

Let s talk about Eating Disorders Let s talk about Eating Disorders Dr. Jane McKay Dr. Ric Arseneau Dr. Debbie Rosenbaum Dr. Samantha Kelleher Dr. Julia Raudzus Role of the Psychiatrist Assessment and diagnosis of patients with eating

More information

Mindfulness-based approaches in substance abuse: a meta-analysis - preliminary results

Mindfulness-based approaches in substance abuse: a meta-analysis - preliminary results This work was supported by a grant of the Romanian National Authority for Scientific Research, CNCS UEFISCDI, project number PN-II-ID-PCE-2012-4-0621. Mindfulness-based approaches in substance abuse: a

More information

Mindfulness, Mental Health, and the Brain Richard W. Sears, PsyD, PhD, MBA, ABPP

Mindfulness, Mental Health, and the Brain Richard W. Sears, PsyD, PhD, MBA, ABPP Mindfulness, Mental Health, and the Brain Richard W. Sears, PsyD, PhD, MBA, ABPP Clinical Psychologist, Private Practice Alliance Institute for Integrative Medicine UC Center for Integrative Medicine Stress

More information

Depression in Adults

Depression in Adults Depression in Adults A chapter of Croydon s mental health Joint Strategic Needs Assessment 2012/13 Health and Wellbeing Board 5 December 2012 Bernadette Alves, Locum Consultant in Public Health Croydon

More information

Update on guidelines on biological treatment of depressive disorder. Dr. Henry CHEUNG Psychiatrist in private practice

Update on guidelines on biological treatment of depressive disorder. Dr. Henry CHEUNG Psychiatrist in private practice Update on guidelines on biological treatment of depressive disorder Dr. Henry CHEUNG Psychiatrist in private practice 2013 update International Task Force of World Federation of Societies of Biological

More information

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that can occur following the experience or witnessing of a

More information

Mindfulness-based interventions for co-occurring mental health and addictive disorders

Mindfulness-based interventions for co-occurring mental health and addictive disorders Mindfulness-based interventions for co-occurring mental health and addictive disorders Carl Fulwiler, MD, PhD Director, Systems and Psychosocial Advances Research Center Department of Psychiatry University

More information

Acceptance and Commitment Therapy (ACT) and Chronic Pain

Acceptance and Commitment Therapy (ACT) and Chronic Pain Acceptance and Commitment Therapy (ACT) and Chronic Pain Lance M. McCracken, PhD Centre for Pain Services Royal National Hospital for Rheumatic Diseases Centre for Pain Research University of Bath Bath

More information

in young people Management of depression in primary care Key recommendations: 1 Management

in young people Management of depression in primary care Key recommendations: 1 Management Management of depression in young people in primary care Key recommendations: 1 Management A young person with mild or moderate depression should typically be managed within primary care services A strength-based

More information

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1 What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated

More information

TITLE: Cannabinoids for the Treatment of Post-Traumatic Stress Disorder: A Review of the Clinical Effectiveness and Guidelines

TITLE: Cannabinoids for the Treatment of Post-Traumatic Stress Disorder: A Review of the Clinical Effectiveness and Guidelines TITLE: Cannabinoids for the Treatment of Post-Traumatic Stress Disorder: A Review of the Clinical Effectiveness and Guidelines DATE: 01 December 2009 CONTEXT AND POLICY ISSUES: Post-traumatic stress disorder

More information

Treatment-resistant depressed patients show a good response to Mindfulness-based Cognitive Therapy

Treatment-resistant depressed patients show a good response to Mindfulness-based Cognitive Therapy Behaviour Research and Therapy ] (]]]]) ]]] ]]] Shorter communication Treatment-resistant depressed patients show a good response to Mindfulness-based Cognitive Therapy M.A. Kenny a,, J.M.G. Williams b

More information

Borderline Personality Disorder NEA-BPD Meet and Greet New York, NY October 21, 2011

Borderline Personality Disorder NEA-BPD Meet and Greet New York, NY October 21, 2011 Borderline Personality Disorder NEA-BPD Meet and Greet New York, NY October 21, 2011 John M. Oldham, M.D. Senior Vice President and Chief of Staff The Menninger Clinic; Professor and Executive Vice Chair

More information

Child Behavior Checklist/4-18 Achenbach, T. M. 1991

Child Behavior Checklist/4-18 Achenbach, T. M. 1991 Description of Measure Child Behavior Checklist/4-18 Achenbach, T. M. 1991 Purpose To obtain caregiver report of children's competencies and behavior problems in a standardized format. Conceptual Organization

More information

Seniors and. Depression. What You Need to Know. Behavioral Healthcare Options, Inc.

Seniors and. Depression. What You Need to Know. Behavioral Healthcare Options, Inc. Seniors and Depression What You Need to Know Behavioral Healthcare Options, Inc. Depression More Than Just The Blues ou may not know exactly what is wrong with you, but you do know that you just don t

More information

Psychopathology. Stages of research. Interventions

Psychopathology. Stages of research. Interventions Psychopathology Change in the way look at problems. Similar to change in biology. Also look over life cycle. Look at how they adapt to change. 1 Burden Stages of research Diagnosable symptomatology Positive

More information

THE ROLE OF PERFORMANCE IN THE STRESS RE-APPRAISAL PROCESS

THE ROLE OF PERFORMANCE IN THE STRESS RE-APPRAISAL PROCESS Indiana University Undergraduate Journal of Cognitive Science 6 (2011) Copyright 2011 IUCJS. All rights reserved. THE ROLE OF PERFORMANCE IN THE STRESS RE-APPRAISAL PROCESS Leslie Rith-Najarian Department

More information

Making sense of cognitive behaviour therapy (CBT)

Making sense of cognitive behaviour therapy (CBT) Making sense of cognitive behaviour therapy (CBT) Making sense of cognitive behaviour therapy What is cognitive behaviour therapy? 4 How does negative thinking start? 6 What type of problems can CBT help

More information

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING

More information

Psy 239 Chapter 9 Wayne Hooke. Chapter 9: Mood Disorders. Learning Objectives

Psy 239 Chapter 9 Wayne Hooke. Chapter 9: Mood Disorders. Learning Objectives : Mood Disorders Learning Objectives Distinguish between unipolar and bipolar depression, and know the diagnostic criteria for the disorders that fall under each category. Explain how depression affects

More information

PSYCHOLOGY PROGRAM LEARNING GOALS AND OUTCOMES BY COURSE LISTING

PSYCHOLOGY PROGRAM LEARNING GOALS AND OUTCOMES BY COURSE LISTING PSYCHOLOGY PROGRAM LEARNING GOALS AND OUTCOMES BY COURSE LISTING Psychology 1010: General Psychology Learning Goals and Outcomes LEARNING GOAL 1: KNOWLEDGE BASE OF PSYCHOLOGY Demonstrate familiarity with

More information

Northside Cremorne Clinic

Northside Cremorne Clinic Northside Cremorne Clinic Contents Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started The Northside Group of Clinics How to Find Us Overview At some point

More information

Introduction to Abnormal Psychology PSY 3604, section 001 University of Minnesota, Fall 2011

Introduction to Abnormal Psychology PSY 3604, section 001 University of Minnesota, Fall 2011 Introduction to Abnormal Psychology PSY 3604, section 001 University of Minnesota, Fall 2011 Instructor: Jim Porter, M.A., porterj@umn.edu Class Location: 133 Tate (Physics Building) Time: Monday and Wednesday,

More information

PARTICIPANT INFORMATION. The Oxford Access for Students Improving Sleep (OASIS) Study

PARTICIPANT INFORMATION. The Oxford Access for Students Improving Sleep (OASIS) Study PARTICIPANT INFORMATION The Oxford Access for Students Improving Sleep (OASIS) Study We would like to invite you to take part in a research study. This webpage should provide you with all the information

More information

EFFICACY OF EYE MOVEMENT DESENSITIZATION TREATMENT THROUGH THE INTERNET ABSTRACT

EFFICACY OF EYE MOVEMENT DESENSITIZATION TREATMENT THROUGH THE INTERNET ABSTRACT EFFICACY OF EYE MOVEMENT DESENSITIZATION TREATMENT THROUGH THE INTERNET Keiko Nakano Department of Clinical Psychology/Atomi University JAPAN ABSTRACT The effectiveness of an internet based eye movement

More information

Positive Coping with Rheumatoid Arthritis a skills workshop

Positive Coping with Rheumatoid Arthritis a skills workshop Positive Coping with Rheumatoid Arthritis a skills workshop About this workshop Created by: Dan Bilsker PhD Centre for Applied Research in Mental Health & Addiction Faculty of Health Sciences, Simon Fraser

More information

Psychological outcomes for women following abortion. Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK

Psychological outcomes for women following abortion. Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK Psychological outcomes for women following abortion Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK Abortion Difficult decision Different reasons for abortion Different

More information

Positive psychology in practice

Positive psychology in practice http://www.health.harvard.edu/newsweek/positive-psychology-in-practice.htm Positive psychology in practice (This article was first printed in the May 2008 issue of the Harvard Mental Health Letter.) Positive

More information

information for service providers Schizophrenia & Substance Use

information for service providers Schizophrenia & Substance Use information for service providers Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 2 3 5 6 7 8 9 How prevalent are substance use disorders among people with schizophrenia? How prevalent

More information

Psychological Well-being of Women With Metastatic Breast. Innovative a Community Supportive-Expressive Group in a Community Setting

Psychological Well-being of Women With Metastatic Breast. Innovative a Community Supportive-Expressive Group in a Community Setting Psychological Well-being of Women With Metastatic Breast Psychological Cancer in Well-being an Innovative of Women with Supportive-expressive Metastatic Breast Cancer Group in in an Innovative a Community

More information

Post-Traumatic Stress Disorder - PTSD

Post-Traumatic Stress Disorder - PTSD Post-Traumatic Stress Disorder - PTSD Introduction Post-Traumatic Stress Disorder, or PTSD, is a common disorder in which a person experiences disabling anxiety after a traumatic event. People with PTSD

More information

Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects

Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects Journal of Consulting and Clinical Psychology Copyright 2004 by the American Psychological Association, Inc. 2004, Vol. 72, No. 1, 31 40 0022-006X/04/$12.00 DOI: 10.1037/0022-006X.72.1.31 Mindfulness-Based

More information

Best Practice Intervention Strategies for Depression 2014

Best Practice Intervention Strategies for Depression 2014 Best Practice Intervention Strategies for Depression 2014 Abstract Depression is a crippling mental health issue which affects millions of people worldwide. It can interfere with a young person s social

More information

Northside West Clinic

Northside West Clinic Northside West Clinic Contents Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started The Northside Group of Clinics How to Find Us Overview At some point

More information

Care Manager Resources: Common Questions & Answers about Treatments for Depression

Care Manager Resources: Common Questions & Answers about Treatments for Depression Care Manager Resources: Common Questions & Answers about Treatments for Depression Questions about Medications 1. How do antidepressants work? Antidepressants help restore the correct balance of certain

More information

Cures for Everything. a discovery to cure borderline personality disorder. As the years have progressed scientists have

Cures for Everything. a discovery to cure borderline personality disorder. As the years have progressed scientists have Student 4M 1 Student 4M ENGL 1007.001 Mr. McCarty February 12, 2014 Cures for Everything With all the new technology that we have come across in these past years has there been a discovery to cure borderline

More information

Tinnitus: a brief overview

Tinnitus: a brief overview : a brief overview sufferers experience sound in the absence of an external source. Sounds heard in tinnitus tend to be buzzing, hissing or ringing rather than fully-formed sounds such as speech or music.

More information

NESDA ANALYSIS PLAN 1

NESDA ANALYSIS PLAN 1 NESDA ANALYSIS PLAN 1 Please fax, send or e-mail completed form to Marissa Kok, NESDA study, A.J. Ernststraat 887, 1081 HL Amsterdam. Fax: 020-5736664. E-mail: ma.kok@ggzingeest.nl NESDA is supported by

More information

Laura Havstad, PhD Clinical & Family Psychologist

Laura Havstad, PhD Clinical & Family Psychologist Laura Havstad, PhD Clinical & Family Psychologist CURRICULUM VITAE & PROFESSIONAL RESUME Laura Havstad, PhD Licensed Psychologist California License, PSY 6690 PERSONAL Born: June 3, 1951, Los Angeles,

More information

The Effect of Physical Exercise on Depression; Case study: Professional and Nonprofessional

The Effect of Physical Exercise on Depression; Case study: Professional and Nonprofessional Available online athttp://www.ijashss.com International Journal of Advanced Studies in Humanities and Social Science Volume 1, Issue 8, 2013: 1161-1165 The Effect of Physical Exercise on Depression; Case

More information

FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment

FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment Background Studies show that more than 50% of patients who have been diagnosed with substance abuse

More information

What? Me Worry!?! Module 1. Overview of Generalised Anxiety

What? Me Worry!?! Module 1. Overview of Generalised Anxiety Module 1 Overview of Generalised Anxiety ntroduction 2 Understanding Anxiety 2 Understanding Generalised Anxiety 3 What Causes Generalised Anxiety? 5 Module Summary 6 Page 1 ntroduction What? Me worry?

More information

INVESTIGATING THE EFFECTIVENESS OF POSITIVE PSYCHOLOGY TRAINING ON INCREASED HARDINESS AND PSYCHOLOGICAL WELL-BEING

INVESTIGATING THE EFFECTIVENESS OF POSITIVE PSYCHOLOGY TRAINING ON INCREASED HARDINESS AND PSYCHOLOGICAL WELL-BEING INVESTIGATING THE EFFECTIVENESS OF POSITIVE PSYCHOLOGY TRAINING ON INCREASED HARDINESS AND PSYCHOLOGICAL WELL-BEING *Zahra Gholami Ghareh Shiran 1, Ghodsi Ahghar 2, Afshin Ahramiyan 3, Afsaneh Boostan

More information

Psychological reaction to brain tumour. Dr Orazio Giuffrida Consultant Clinical Neuropsychologist

Psychological reaction to brain tumour. Dr Orazio Giuffrida Consultant Clinical Neuropsychologist Psychological reaction to brain tumour Dr Orazio Giuffrida Consultant Clinical Neuropsychologist Psychological Reaction To Brain Tumour Diagnosis A Key word to understand is Adjustment Adjustment refers

More information

Canines and Childhood Cancer

Canines and Childhood Cancer Canines and Childhood Cancer Examining the Effects of Therapy Dogs with Childhood Cancer Patients and their Families Updated Executive Summary I n 2010, American Humane Association and Zoetis (formerly

More information

California Society of Addiction Medicine (CSAM) Consumer Q&As

California Society of Addiction Medicine (CSAM) Consumer Q&As C o n s u m e r Q & A 1 California Society of Addiction Medicine (CSAM) Consumer Q&As Q: Is addiction a disease? A: Addiction is a chronic disorder, like heart disease or diabetes. A chronic disorder is

More information

DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D.

DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D. DSM 5 AND DISRUPTIVE MOOD DYSREGULATION DISORDER Gail Fernandez, M.D. GOALS Learn DSM 5 criteria for DMDD Understand the theoretical background of DMDD Discuss background, pathophysiology and treatment

More information

ABNORMAL PSYCHOLOGY V89.0051 - Fall, 2009 Mon. & Wed., 11:00 12:15 Cantor, 101

ABNORMAL PSYCHOLOGY V89.0051 - Fall, 2009 Mon. & Wed., 11:00 12:15 Cantor, 101 DEPARTMENT OF PSYCHOLOGY ABNORMAL PSYCHOLOGY V89.0051 - Fall, 2009 Mon. & Wed., 11:00 12:15 Cantor, 101 NEW YORK UNIVERSITY 1 Course Instructor Professor David L. Wolitzky TA: Sophia Nargonaya 212 998-7905

More information

LESSON 5.7 WORKBOOK Is addiction a chronic disease?

LESSON 5.7 WORKBOOK Is addiction a chronic disease? DEFINITIONS OF TERMS Addiction is a disease idea that states drug addiction is no different from other chronic diseases, like diabetes and heart disease, and thus needs to be treated as a distinct medical

More information

Pennsylvania Depression Quality Improvement Collaborative

Pennsylvania Depression Quality Improvement Collaborative Pennsylvania Depression Quality Improvement Collaborative Carol Hann, RN, MSN, CPHQ, Collaborative Manager Southeastern Pennsylvania Association for Healthcare Quality (SPAHQ) David Payne, Psy.D., Senior

More information

Assessment of depression in adults in primary care

Assessment of depression in adults in primary care Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and

More information

Did raising the drinking age reduce veterans later alcohol treatment episodes?

Did raising the drinking age reduce veterans later alcohol treatment episodes? Did raising the drinking age reduce veterans later alcohol treatment episodes? The U.S. military as a natural experiment Amy Wallace, MD, MPH Atticus Wallace Edward Sheehan, MD Yinong Young-Xu, ScD William

More information

Metacognitive Awareness and Prevention of Relapse in Depression: Empirical Evidence

Metacognitive Awareness and Prevention of Relapse in Depression: Empirical Evidence Journal of Consulting and Clinical Psychology Copyright 2002 by the American Psychological Association, Inc. 2002, Vol. 70, No. 2, 275 287 0022-006X/02/$5.00 DOI: 10.1037//0022-006X.70.2.275 Metacognitive

More information