TREATING DEPRESSION
Assessment and Treatment of Complex, Resistant Depression
with
Arthur Freeman, Ed.D.and 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
CBT The Center for Brief Therapy, PC, 10319 Dawson's Creek Blvd, Suite J, Fort Wayne, Indiana, USA 46825
260-969-5583; fax 260-969-5584; email: freemancbt@aol.com