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Home » Major Depressive Disorder

Psychiatric Times. Vol. 29 No. 11
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MINE YOUR MIND 

Treating Adolescent Depression With Psychotherapy: The Three T’s

By Sanno E. Zack, PhD, Jenine Saekow, and Anneliese Radke, MSW | November 6, 2012
Dr Zack is Clinical Assistant Professor in the departments of child and adolescent psychiatry and psychosocial medicine at the Stanford University Medical Center in California. Ms Saekow and Ms Radke are Doctoral Candidates at the PGSP-Stanford PsyD Consortium in Palo Alto, Calif. The authors report no conflicts of interest concerning the subject matter of this article.

1. Depression in adolescence is a strong predictor of recurrent depression in adulthood and long-term functional impairment, and it confers a 20-fold increase in risk for suicidal behavior.

A. True
B. False

2. Which of the following components is a core element of cognitive-behavioral therapy (CBT)?

A. Mindfulness
B. Mood monitoring
C. Closeness circle to define interpersonal relationships
D. Assigning a limited sick role

3. Which of the following is considered to be the gold standard in treating childhood and adolescent depression?

A. Psychodynamic therapy
B. Family therapy
C. CBT
D. Dialectical behavior therapy (DBT)

4. In the Treatment of Adolescent Depression Study, which of the following interventions was most efficacious?

A. A combination of fluoxetine(Drug information on fluoxetine) and CBT
B. Fluoxetine alone
C. A combination of placebo and CBT
D. CBT alone

5. The primary focus of DBT is addressing problem areas in the adolescent’s current relationships and immediate social environments in order to reduce symptoms that contribute to depression.

A. True
B. False

6. Which of the following is a problem area that might become the focus of interpersonal psychotherapy (IPT)?

A. Grief
B. Role dispute
C. Role transition
D. Interpersonal deficits
E. All of the above

7. There are ___ phases in IPT?

A. 3
B. 5
C. 6

8. DBT for adolescents is targeted specifically to borderline personality disorder.

A. True
B. False

9. The primary “dialectic” in DBT is the integration of:

A. Psychotherapy and psychopharmacology
B. Interpersonal and individual difficulties
C. Acceptance and change
D. Skills training and individual sessions

10. Individual DBT sessions are protocol-driven.

A. True
B. False

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