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| CBT The Center for Brief Therapy, PC, 10319 Dawson's Creek Blvd, Suite H, Fort Wayne, Indiana, USA 46825 260-969-5583; fax 260-969-5584; email: CBT@FREEMANINST.ORG |
| Sharon Morgillo Freeman, PhD, APRN-CS Cognitive Behavior Therapy: Introduction and Overview CBT in Individuals with Personality Disorders (see below) Compulsive Pathological Behavioral Disorders: Addiction or Not Addiction? (Dr. Sharon Freeman) The Difficult and Complex Patient (see below for detail) Prescriptive Executive Coaching (click for information) Couples Therapy Cognitive Behavior Therapy in Patients with Anxiety Disorders (see example of CBT with OCD below) CBT with Mood Disorders (see sample below) Basic Principles of Cognitive Therapy CBT with Children and Adolescents Clinical Supervision (see detailed information below) Sharon Morgillo Freeman will present either one or two day conferences or workshops . |
BECOMING THE REALLY EFFECTIVE SUPERVISOR:
Developing and Refining Supervision Skills
with
Sharon Morgillo Freeman, PhD, APRN-CS.
Many clinicians are extending their roles beyond assessment and treatment to include supervision, mentorship, and consultation with peers.
Training is increasingly being provided outside of traditional health care settings such as independent practice, community-based clinics and in organizations. In these settings there is
often a requirement to provide supervision to students or trainees, those completing higher-level training prior to licensure or registration with professional regulatory bodies, or
personnel with limited professional training doing front-line work. Clinicians are also often asked by colleagues for consultation on challenging cases, and for both supervision and
consulation in order for the development of additional areas of professional competence.
Supervision areas include ethics and professional standards, the diagnosis, delivery of evidence-based treatments, and quality assurance. In addition, the supervisor must be prepared
to be a "team-builder" who can work within an organizational structure to improve the influence of their services unit and the functioning and cooperation of multi-disciplinary staff.
Typically, supervisees rely on training experiences and the supervisory relationships that occur outside of their formal education to develop their professional identity, and learn, refine
and consolidate skills. However, few clinicians have received formal training in supervision and consultation.
Objectives:
This practical and applied workshop will provide participants with the essentials of clinical supervision and consultation. It addresses principles and models of effective supervision,
ethical issues, specific supervision and consultation skills, and maintenance of supervisory competence. The workshop will help participants develop new and enhance existing skills
and increase their confidence in providing supervision and consultation in a wide range of contexts and areas of clinical service delivery. It will cover such themes as: the process of
supervision, preparing for supervision, assessing the supervisee skills, setting performance objectives, communicating performance evaluations,
use of the Therapist Rating Scale.
This workshop is relevant to clinicians from diverse areas of practice including psychologists, social workers, psychiatrists, counselors, and pastoral care therapists who currently offer
or anticipate offering supervision or consultation. It is relevant to those working in institutional, organizational, community, and independent practice settings who may be providing
supervision to interns or practicum students, postgraduate trainees preparing for licensure or registration, and front-line staff.
The Agenda
DAY ONE,
8:30 Registration
9:00 The therapist in the real world: Introduction to clinical supervision; Diverse models of training and supervision
10:15 Coffee Break
10:30 Calibrating the supervision relationship: Identifying supervisee needs: meeting the needs of trainees and supervisees
11:30 Building Therapy Skills: Didactic presentation, role modeling, observation, demonstration, role-playing
12:00 Lunch (on your own)
1:15 Building treatment conceptualization skills with others; Building treatment planning skills
2:15 Structuring supervision, use of audio and videotaping. Evaluating supervisee performance developing and using outcome measures
3:00 Coffee Break
3:15 Implementing the treatment plan; maintaining structure in therapy and supervision
3:45 Preparing for supervision, therapist and supervisor perspectives; The clinician as consultant; Distinguishing between supervision and consultation
4:30 Questions and wrap-up
4:45 Adjournment
DAY TWO,
9:00 Assisting the trainee to elicit and use patient feedback for training and enhanced treatment
10:15 Coffee Break
10:30 Ethical and legal issues in supervision and responsibility
11:00 Supervision on the interdisciplinary team; Turf battle training and supervising the comprehensive, interdisciplinary treatment team
11:30 Transference and countertransference in therapy and in supervision
12:00 Lunch (on your own)
1:15 Overcoming roadblocks to change: Dealing with personal problems the impaired therapist
2:15 Helping supervisees deal with boundary issues and sexual material in supervision
3:00 Coffee Break
3:15 Practice in supervision using a series of structured exercises in the context of small group work, the process of supervision will be practiced.
4:30 Questions and wrap-up
4:45 Adjournment
ENHANCING TREATMENT EFFECTIVENESS:
Problem Formulation and Treatment Planning With
Difficult and Complex Patients
Workshop Leaders:Sharon Morgillo Freeman, PhD, APRN-CS
Case conceptualization and treatment planning for patients with the more typical and uncomplicated diagnoses of depression and anxiety are relatively uncomplicated. In fact, some
authorities believe that they are likely to get well regardless of the therapeutic maneuvers employed or the therapist. These patients respond well to medication, self-help and traditional
Cognitive Behavioral strategies.
However, an increasing proportion of patients have more complex problems that so interfere with their functioning that they pose significant therapeutic challenges and can be difficult
to help. They often require more time in therapy, require more energy and time from the therapist, may have great difficulty making progress in treatment, or make no progress at all.
Their progress may be blocked by low levels of motivation, limited coping resources, and multiple, interacting symptoms (they may well have diagnoses on all four DSM axes). These
patients may come to therapy at the request or demand of others, and they see their problems to be externally caused and outside of their control or responsibility. Such patients will
have diagnoses that include all the personality disorders (especially Cluster B - Borderline, Narcissistic, Histrionic and Antisocial), dual diagnoses, schizophrenia, bipolar disorder, and
refractory depression and anxiety.
Through the use of videotapes, role playing, experiential techniques, didactic presentations, discussion, case presentations and readings, this workshop will focus on a practical
approach to conceptualizing patients problems and needs, and a systematic approach to planning treatment. The material to be covered is relevant to a variety of applications of
Cognitive Behavioral Therapy with difficult clinical problems and complex patients.
Workshop Objectives
Participants will be able to:
Identify and describe the steps required to develop a Cognitive Behavioral treatment conceptualization for treating patients with personality disorders and other complex problems.
Use the Diagnostic Profiling System (DPS) to gather data and direct the therapy plan.
Describe the differences between therapeutic strategies and technical interventions.
Define four areas of impediment to therapeutic progress.
Describe the rationale for using cognitive and/or behavioural interventions.
Identify ten cognitive interventions for treating difficult patients.
Identify ten behavioural interventions for treating difficult patients.
Intended Audience:
This workshop is relevant to the needs of mental health professionals such as: psychologists, psychological associates, clinical social workers, psychiatric nurses, psychiatrists,
physicians practicing psychotherapy, counselors, and advanced graduate students in these disciplines.
The Agenda
DAY ONE,
8:30 Registration
9:00 Understanding the complex patient: An integrative approach.
10:15 Coffee Break
10:30 Developing conceptual models for treatment, data collection, assessment, and treatment planning.
12:00 Lunch (on your own)
1:30 Clinical illustration
2:45 Coffee Break
3:00 Small group work in conceptualization and treatment planning.
4:15 Clinical illustrations, questions and discussions.
5:00 Adjournment
DAY TWO,
9:00 Dealing with resistance and impediments to change. Countertransference.
10:15 Coffee Break
10:30 Cognitive, affective and behavioural interventions.
12:00 Lunch (on your own)
1:30 Clinical illustration.
2:45 Coffee Break
3:00 Clinical illustration.
4:15 Wrap-up, discussion, questions and evaluation.
5:00 Adjournment
TREATING DEPRESSION
Assessment and Treatment of Complex, Resistant Depression
with
Sharon Morgillo Freeman, PhD, APRN-CS
Depression can have severe consequences on interpersonal relations, personal action, affect, cognition, success, and productivity. With the concomitant experience of hopelessness, it
can be a major factor in suicidal thoughts and actions. Depression can be expressed directly or be masked and appear in many forms.
Potentially severe when appearing alone, there may be a synergistic or cumulative effect when co-morbid with medical problems, anxiety, personality disorders, family or relationship
conflict, or with generalized life stress. Using the basic tenet of Gestalt psychology that the whole is equal to more than the sum of its parts, this workshop will focus on the treatment of
depression as it frequently appears, comorbid with various other disorders. Probably the most confusing clinical presentation is double depression, where depression is
superimposed upon dysthymia.
Specific workshop goals will be how to select targets for treatment from among the various disorders, selecting specific techniques for the greatest treatment impact, the combination
of psychotherapy and pharmacotherapy, and evaluating the progress and outcome of treatment
Workshop Objectives
At the conclusion of this workshop, participants will be able to:
Differentiate between various aspects of the depressive experience.
Learn cognitive-behavioural treatment strategies and techniques for treating depression.
Use the Freeman Diagnostic Profiling System (FDPS) to select targets for treatment.
Identify the vegetative, cognitive, motivational, and situational aspects of depression.
Describe the various problems encountered in treating depression that appears refractory to treatment.
Describe the rationale for combined psychotherapy and pharmacotherapy.
Evaluate the progress and outcome of treatment.
Learn about current relapse prevention approaches for depression.
Intended Audience
This workshop is relevant to clinicians from diverse areas of practice including psychologists, social workers, psychiatrists, counselors, and pastoral care therapists who currently or
anticipate offering supervision or consultation. It is relevant to those working in institutional, organizational, community, and independent practice settings who may be providing
supervision to interns or practicum students, postgraduate trainees preparing for licensure or registration, and front-line staff.
The Agenda
A.M.
8:00 Registration
8:30 Assessment of depression both formal and informal tools.The BDI-II, MMPI, FDPS, clinical interview, and critical incident techniques.
9:30 Depression and medical disorders evaluating medical concomitants of depression and depressive concomitants of medical disorders.
10:15 Break
10:30 Depression and anxiety should we treating each disorder individually or single treatment for both?
11:15 Clinical skills demonstration and case examples of typical depression .
11:45 Lunch (On your own)
P.M.
1:00 Treatment of depression; cognitive-behaviour therapy, psychopharmacology, etc.
2:00 Depression and personality disorders: the implications of treatment when the depression exacerbates the personality disorder and the personality disorder fuels the depression.
3:00 Clinical skills demonstration and case examples of dysthimia.
3:30 Break
3:45 Depression and family system problems.
4:30 Clinical skills demonstration and case examples of depression with co-morbid personality disorder.
5:00 Relapse prevention
5:30 Adjourn
ADVANCES IN COGNITIVE-BEHAVIORAL TREATMENT OF OBSESSIVE COMPULSIVE DISORDER
Current Theory and Practice
with
Sharon Morgillo Freeman, PhD, APRN-CS
his workshop will provide an overview of the latest developments in the cognitive-behavioral conceptualizations and treatment of obsessive compulsive disorder.
Cognitive-behavioral treatment will be described for compulsions and for obsessions with and without compulsions.
The following treatment strategies will be described in detail: psychoeducation; exposure therapy and response prevention for compulsion; cognitive restructuring for obsessions;
imaginal and invivo exposure and response prevention for obsessions.
Workshop Objectives
Learn about role of appraisals of intrusive thoughts in obsessive compulsive disorder.
Learn how to provide psychoeducation for obsessive compulsive disorder.
Learn how to structure and implement exposure therapy and response prevention for obsessive behavior.
Learn how to cognitively restructure misappraisals of intrusive thoughts.
Learn how to structure and implement exposure therapy and response prevision for obsessives.
Intended Audience
This workshop is relevant to the needs of mental health professionals such as: psychologists, psychological associates, clinical social workers, psychiatric nurses, psychiatrists,
physicians practicing psycho therapy, counselors, and advanced graduate students in these disciplines.
The Agenda
A.M.
8:15 Registration
9:00 Description of obsessive compulsive disorder phenomenology, overview of the most recent conceptualizations of the role of cognitive misappraisals, and inhibition of cognitive
input.
10:00 Presentation of the treatment model and functional analysis of the role of thoughts and behaviors in the maintenance of obsessive compulsive disorders.
10:30 Break.
10:45 Logical empiricism and behavioral experiments to cognitively restructure misappraisals of intrusive thoughts and the difficulties associated with cognitive restructuring in
obsessive compulsive disorder.
11:30 Exposure and response prevention for obsessions
and the role of prolonged exposure (based on
principals of thought suppressions).
12:00 Lunch (supplied or on your own)
P.M.
1:15 Dealing with obsessional patients who do not have compulsive behaviors.
1:45 Cognitive therapy regarding maintenance of compulsive behaviors.
2:00 Hierarchy generational and exposure and response prevention for compulsive behaviors.
3:00 Break.
3:15 Extension of treatment into the home setting; issues surrounding medication; treatment outcome data.
4:00 Wrap up and questions.
Cognitive Behavior Therapy with Personality Disorders
Sharon Morgillo Freeman, PhD, APRN-CS
The patients whose clinical syndromes are coded on Axis II, according to DSM-IV, are often the most difficult in the therapist’s caseload. They may require more time in therapy and
greater therapist energy without much progress or change. They usually enter therapy for issues other than the personality disorder, notably Axis I depression and anxiety. Progress in
these clients may be slow or stopped by the Axis II problems.
You will learn:
•About the relevant theory, assessment techniques (including the newly developed Diagnostic Profiling System), and general treatment considerations;
•About the conceptualisation and treatment strategies for each of the three clusters of personality disorders described by DSM-IV;
•How to differentiate between Personality Disorders and Substance Misuse Disorders
•About issues of noncompliance or impediments to the therapeutic regimen, along with techniques for increasing compliance and collaboration; and
•About therapeutic alliance, which will be highlighted as essential for the treatment of this patient group.
Modification of the basic cognitive therapy format will be discussed and illustrated through the use of clinical vignettes and videotape. The therapeutic goals of schematic
reconstruction, schematic modification, schematic reinterpretation, and schematic camouflage will be discussed.
Recommended Readings: Beck, A.T., Freeman, A., Davis, D. & Associates (2005). Cognitive therapy of personality disorders, 2nd Ed. New York: Guildford Press. Layden, M.A.,
Newman, C.F., Freeman, A., & Byers-Morse, S. (1993) Cognitive therapy for borderline personality disorder: Needham, MA:Allyn and Bacon. (1995)
Developing and Refining Supervision Skills
with
Sharon Morgillo Freeman, PhD, APRN-CS.
Many clinicians are extending their roles beyond assessment and treatment to include supervision, mentorship, and consultation with peers.
Training is increasingly being provided outside of traditional health care settings such as independent practice, community-based clinics and in organizations. In these settings there is
often a requirement to provide supervision to students or trainees, those completing higher-level training prior to licensure or registration with professional regulatory bodies, or
personnel with limited professional training doing front-line work. Clinicians are also often asked by colleagues for consultation on challenging cases, and for both supervision and
consulation in order for the development of additional areas of professional competence.
Supervision areas include ethics and professional standards, the diagnosis, delivery of evidence-based treatments, and quality assurance. In addition, the supervisor must be prepared
to be a "team-builder" who can work within an organizational structure to improve the influence of their services unit and the functioning and cooperation of multi-disciplinary staff.
Typically, supervisees rely on training experiences and the supervisory relationships that occur outside of their formal education to develop their professional identity, and learn, refine
and consolidate skills. However, few clinicians have received formal training in supervision and consultation.
Objectives:
This practical and applied workshop will provide participants with the essentials of clinical supervision and consultation. It addresses principles and models of effective supervision,
ethical issues, specific supervision and consultation skills, and maintenance of supervisory competence. The workshop will help participants develop new and enhance existing skills
and increase their confidence in providing supervision and consultation in a wide range of contexts and areas of clinical service delivery. It will cover such themes as: the process of
supervision, preparing for supervision, assessing the supervisee skills, setting performance objectives, communicating performance evaluations,
use of the Therapist Rating Scale.
This workshop is relevant to clinicians from diverse areas of practice including psychologists, social workers, psychiatrists, counselors, and pastoral care therapists who currently offer
or anticipate offering supervision or consultation. It is relevant to those working in institutional, organizational, community, and independent practice settings who may be providing
supervision to interns or practicum students, postgraduate trainees preparing for licensure or registration, and front-line staff.
The Agenda
DAY ONE,
8:30 Registration
9:00 The therapist in the real world: Introduction to clinical supervision; Diverse models of training and supervision
10:15 Coffee Break
10:30 Calibrating the supervision relationship: Identifying supervisee needs: meeting the needs of trainees and supervisees
11:30 Building Therapy Skills: Didactic presentation, role modeling, observation, demonstration, role-playing
12:00 Lunch (on your own)
1:15 Building treatment conceptualization skills with others; Building treatment planning skills
2:15 Structuring supervision, use of audio and videotaping. Evaluating supervisee performance developing and using outcome measures
3:00 Coffee Break
3:15 Implementing the treatment plan; maintaining structure in therapy and supervision
3:45 Preparing for supervision, therapist and supervisor perspectives; The clinician as consultant; Distinguishing between supervision and consultation
4:30 Questions and wrap-up
4:45 Adjournment
DAY TWO,
9:00 Assisting the trainee to elicit and use patient feedback for training and enhanced treatment
10:15 Coffee Break
10:30 Ethical and legal issues in supervision and responsibility
11:00 Supervision on the interdisciplinary team; Turf battle training and supervising the comprehensive, interdisciplinary treatment team
11:30 Transference and countertransference in therapy and in supervision
12:00 Lunch (on your own)
1:15 Overcoming roadblocks to change: Dealing with personal problems the impaired therapist
2:15 Helping supervisees deal with boundary issues and sexual material in supervision
3:00 Coffee Break
3:15 Practice in supervision using a series of structured exercises in the context of small group work, the process of supervision will be practiced.
4:30 Questions and wrap-up
4:45 Adjournment
ENHANCING TREATMENT EFFECTIVENESS:
Problem Formulation and Treatment Planning With
Difficult and Complex Patients
Workshop Leaders:Sharon Morgillo Freeman, PhD, APRN-CS
Case conceptualization and treatment planning for patients with the more typical and uncomplicated diagnoses of depression and anxiety are relatively uncomplicated. In fact, some
authorities believe that they are likely to get well regardless of the therapeutic maneuvers employed or the therapist. These patients respond well to medication, self-help and traditional
Cognitive Behavioral strategies.
However, an increasing proportion of patients have more complex problems that so interfere with their functioning that they pose significant therapeutic challenges and can be difficult
to help. They often require more time in therapy, require more energy and time from the therapist, may have great difficulty making progress in treatment, or make no progress at all.
Their progress may be blocked by low levels of motivation, limited coping resources, and multiple, interacting symptoms (they may well have diagnoses on all four DSM axes). These
patients may come to therapy at the request or demand of others, and they see their problems to be externally caused and outside of their control or responsibility. Such patients will
have diagnoses that include all the personality disorders (especially Cluster B - Borderline, Narcissistic, Histrionic and Antisocial), dual diagnoses, schizophrenia, bipolar disorder, and
refractory depression and anxiety.
Through the use of videotapes, role playing, experiential techniques, didactic presentations, discussion, case presentations and readings, this workshop will focus on a practical
approach to conceptualizing patients problems and needs, and a systematic approach to planning treatment. The material to be covered is relevant to a variety of applications of
Cognitive Behavioral Therapy with difficult clinical problems and complex patients.
Workshop Objectives
Participants will be able to:
Identify and describe the steps required to develop a Cognitive Behavioral treatment conceptualization for treating patients with personality disorders and other complex problems.
Use the Diagnostic Profiling System (DPS) to gather data and direct the therapy plan.
Describe the differences between therapeutic strategies and technical interventions.
Define four areas of impediment to therapeutic progress.
Describe the rationale for using cognitive and/or behavioural interventions.
Identify ten cognitive interventions for treating difficult patients.
Identify ten behavioural interventions for treating difficult patients.
Intended Audience:
This workshop is relevant to the needs of mental health professionals such as: psychologists, psychological associates, clinical social workers, psychiatric nurses, psychiatrists,
physicians practicing psychotherapy, counselors, and advanced graduate students in these disciplines.
The Agenda
DAY ONE,
8:30 Registration
9:00 Understanding the complex patient: An integrative approach.
10:15 Coffee Break
10:30 Developing conceptual models for treatment, data collection, assessment, and treatment planning.
12:00 Lunch (on your own)
1:30 Clinical illustration
2:45 Coffee Break
3:00 Small group work in conceptualization and treatment planning.
4:15 Clinical illustrations, questions and discussions.
5:00 Adjournment
DAY TWO,
9:00 Dealing with resistance and impediments to change. Countertransference.
10:15 Coffee Break
10:30 Cognitive, affective and behavioural interventions.
12:00 Lunch (on your own)
1:30 Clinical illustration.
2:45 Coffee Break
3:00 Clinical illustration.
4:15 Wrap-up, discussion, questions and evaluation.
5:00 Adjournment
TREATING DEPRESSION
Assessment and Treatment of Complex, Resistant Depression
with
Sharon Morgillo Freeman, PhD, APRN-CS
Depression can have severe consequences on interpersonal relations, personal action, affect, cognition, success, and productivity. With the concomitant experience of hopelessness, it
can be a major factor in suicidal thoughts and actions. Depression can be expressed directly or be masked and appear in many forms.
Potentially severe when appearing alone, there may be a synergistic or cumulative effect when co-morbid with medical problems, anxiety, personality disorders, family or relationship
conflict, or with generalized life stress. Using the basic tenet of Gestalt psychology that the whole is equal to more than the sum of its parts, this workshop will focus on the treatment of
depression as it frequently appears, comorbid with various other disorders. Probably the most confusing clinical presentation is double depression, where depression is
superimposed upon dysthymia.
Specific workshop goals will be how to select targets for treatment from among the various disorders, selecting specific techniques for the greatest treatment impact, the combination
of psychotherapy and pharmacotherapy, and evaluating the progress and outcome of treatment
Workshop Objectives
At the conclusion of this workshop, participants will be able to:
Differentiate between various aspects of the depressive experience.
Learn cognitive-behavioural treatment strategies and techniques for treating depression.
Use the Freeman Diagnostic Profiling System (FDPS) to select targets for treatment.
Identify the vegetative, cognitive, motivational, and situational aspects of depression.
Describe the various problems encountered in treating depression that appears refractory to treatment.
Describe the rationale for combined psychotherapy and pharmacotherapy.
Evaluate the progress and outcome of treatment.
Learn about current relapse prevention approaches for depression.
Intended Audience
This workshop is relevant to clinicians from diverse areas of practice including psychologists, social workers, psychiatrists, counselors, and pastoral care therapists who currently or
anticipate offering supervision or consultation. It is relevant to those working in institutional, organizational, community, and independent practice settings who may be providing
supervision to interns or practicum students, postgraduate trainees preparing for licensure or registration, and front-line staff.
The Agenda
A.M.
8:00 Registration
8:30 Assessment of depression both formal and informal tools.The BDI-II, MMPI, FDPS, clinical interview, and critical incident techniques.
9:30 Depression and medical disorders evaluating medical concomitants of depression and depressive concomitants of medical disorders.
10:15 Break
10:30 Depression and anxiety should we treating each disorder individually or single treatment for both?
11:15 Clinical skills demonstration and case examples of typical depression .
11:45 Lunch (On your own)
P.M.
1:00 Treatment of depression; cognitive-behaviour therapy, psychopharmacology, etc.
2:00 Depression and personality disorders: the implications of treatment when the depression exacerbates the personality disorder and the personality disorder fuels the depression.
3:00 Clinical skills demonstration and case examples of dysthimia.
3:30 Break
3:45 Depression and family system problems.
4:30 Clinical skills demonstration and case examples of depression with co-morbid personality disorder.
5:00 Relapse prevention
5:30 Adjourn
ADVANCES IN COGNITIVE-BEHAVIORAL TREATMENT OF OBSESSIVE COMPULSIVE DISORDER
Current Theory and Practice
with
Sharon Morgillo Freeman, PhD, APRN-CS
his workshop will provide an overview of the latest developments in the cognitive-behavioral conceptualizations and treatment of obsessive compulsive disorder.
Cognitive-behavioral treatment will be described for compulsions and for obsessions with and without compulsions.
The following treatment strategies will be described in detail: psychoeducation; exposure therapy and response prevention for compulsion; cognitive restructuring for obsessions;
imaginal and invivo exposure and response prevention for obsessions.
Workshop Objectives
Learn about role of appraisals of intrusive thoughts in obsessive compulsive disorder.
Learn how to provide psychoeducation for obsessive compulsive disorder.
Learn how to structure and implement exposure therapy and response prevention for obsessive behavior.
Learn how to cognitively restructure misappraisals of intrusive thoughts.
Learn how to structure and implement exposure therapy and response prevision for obsessives.
Intended Audience
This workshop is relevant to the needs of mental health professionals such as: psychologists, psychological associates, clinical social workers, psychiatric nurses, psychiatrists,
physicians practicing psycho therapy, counselors, and advanced graduate students in these disciplines.
The Agenda
A.M.
8:15 Registration
9:00 Description of obsessive compulsive disorder phenomenology, overview of the most recent conceptualizations of the role of cognitive misappraisals, and inhibition of cognitive
input.
10:00 Presentation of the treatment model and functional analysis of the role of thoughts and behaviors in the maintenance of obsessive compulsive disorders.
10:30 Break.
10:45 Logical empiricism and behavioral experiments to cognitively restructure misappraisals of intrusive thoughts and the difficulties associated with cognitive restructuring in
obsessive compulsive disorder.
11:30 Exposure and response prevention for obsessions
and the role of prolonged exposure (based on
principals of thought suppressions).
12:00 Lunch (supplied or on your own)
P.M.
1:15 Dealing with obsessional patients who do not have compulsive behaviors.
1:45 Cognitive therapy regarding maintenance of compulsive behaviors.
2:00 Hierarchy generational and exposure and response prevention for compulsive behaviors.
3:00 Break.
3:15 Extension of treatment into the home setting; issues surrounding medication; treatment outcome data.
4:00 Wrap up and questions.
Cognitive Behavior Therapy with Personality Disorders
Sharon Morgillo Freeman, PhD, APRN-CS
The patients whose clinical syndromes are coded on Axis II, according to DSM-IV, are often the most difficult in the therapist’s caseload. They may require more time in therapy and
greater therapist energy without much progress or change. They usually enter therapy for issues other than the personality disorder, notably Axis I depression and anxiety. Progress in
these clients may be slow or stopped by the Axis II problems.
You will learn:
•About the relevant theory, assessment techniques (including the newly developed Diagnostic Profiling System), and general treatment considerations;
•About the conceptualisation and treatment strategies for each of the three clusters of personality disorders described by DSM-IV;
•How to differentiate between Personality Disorders and Substance Misuse Disorders
•About issues of noncompliance or impediments to the therapeutic regimen, along with techniques for increasing compliance and collaboration; and
•About therapeutic alliance, which will be highlighted as essential for the treatment of this patient group.
Modification of the basic cognitive therapy format will be discussed and illustrated through the use of clinical vignettes and videotape. The therapeutic goals of schematic
reconstruction, schematic modification, schematic reinterpretation, and schematic camouflage will be discussed.
Recommended Readings: Beck, A.T., Freeman, A., Davis, D. & Associates (2005). Cognitive therapy of personality disorders, 2nd Ed. New York: Guildford Press. Layden, M.A.,
Newman, C.F., Freeman, A., & Byers-Morse, S. (1993) Cognitive therapy for borderline personality disorder: Needham, MA:Allyn and Bacon. (1995)
