changeways clinic
evidence-based psychologicalservices
 
     
changeways clinic
clients services
info for professionals
about us
links





The Depression Map:
Individualized Treatment, Evidence Based Strategies


Introduction

Major Depression. It's one of the most difficult challenges a person can confront. And in the face of the apathy and lack of energy that it brings, therapists often feel inadequate and powerless to help.

Yet there ARE remarkably effective treatments for depression. The challenge for the clinician is not to invent a whole new therapy, but to take the lines of evidence-based treatment and create an integrated program tailored to the needs of the individual client.

Where should you start, and which components are important? Behavioural activation? Lifestyle modification? Dietary management? Social life enhancement? Situational problem-solving? Cognitive restructuring? Emotional strength-building? Exploring the role of meaning?

This two-day workshop provides a rationale and strategy for integrating all of these approaches into a sequence tailored to the individual client. We travel step-by-step through the process, all the way from intake assessment to relapse prevention.

Along the way, participants are introduced to over 70 print resources designed to enhance therapy and support change. All of them are provided in Adobe Acrobat pdf format on CD-ROM, ready to be printed and supplied to clients to augment therapy.

Program Contents

  • Three principles in therapy for depression
  • Two models of depression
  • The causes of depression
  • A brief discussion of the biology of depression
  • Assessment strategies
  • Use of the Depression Map Questionnaire (DMQ)
  • Engaging the client in therapy
  • Goal setting and behavioural activation
  • Lifestyle/behavioural strategies
  • Cognitive strategies
  • Emotion-based strategies
  • Situation-based strategies
  • Socially-based strategies
  • Meaning-based strategies
  • Relapse prevention

Along the way we consider:

  • Why treating the symptoms (as well as the causes) of depression is essential.
  • How to turn negative emotions into allies.
  • Why hope is not the goal of treatment.
  • How to uncover destructive core beliefs.
  • Why feelings of being overwhelmed are tremendously valuable.
  • How to open up to emotion without getting swept away by it.

The Materials

Workshop participants receive:

  • A CD-ROM with documents for reproduction and distribution to clients (see box at right).
  • A manual to assist in guiding the use of these materials.
  • Notes pages of the presentation audiovisuals.

The Training Workshop

The Depression Map is a two day workshop. The workshop content is presented via lecture, discussion, and clinical exercises.

Who should attend the workshop?

The workshop is intended for professional therapists, including:

  • Psychologists
  • Psychiatrists
  • Clinical counselors
  • Social workers
  • Occupational therapists
  • Psychiatric nurses
  • and other trained psychotherapists.

If you plan to attend...

Workshop participants will conduct clinical simulations with colleagues at various points during the workshop, often by splitting into groups of two or three. Please come prepared to participate in these nonthreatening exercises. As well, we recommend wearing casual, comfortable clothing.

How to register

  1. Check the Calendar for information on upcoming workshop dates, locations, and prices.
  2. Print a copy of the workshop flyer for the program you wish to attend.
  3. If there is an indication that the workshop is nearing capacity, or if the registration deadline is approaching, call us at 604 871 0490 or fax the registration form to us at 604 871 0495.
  4. Mail a copy of the form and your cheque (made out to "Changeways Clinic") to us at Changeways Clinic, Suite 509, 2525 Willow Street, Vancouver BC, V5Z 3N8.

If you have any questions about the program or about registration, call us at 604 871 0490.

If you know of additional staff members who might be interested in the program, let us know. We can send out brochures to your agency via email, fax, or regular mail.

Space is limited for all workshops, so register early!

Interested in Hosting a Workshop in Your Region?

Back to Changeways Programs




Self-Care Manual for Clients
Self-Care Manual for Clinicians

Client Demographic Info Sheet
Depression Diagnostic Sheet
Medication List
24 Hour Activity Log
Daily Symptom Record
Event Record
Depression Map Questionnaire (DMQ)
DMQ Scoring Key

Diamond Model Diagram
Depression Map Diagram

Medication Information

Goal Setting Exercise

Diet Recommendations
Exercise Recommendations
Sleep Hygiene Recommendations
Caffeine Recommendations
Drugs & Alcohol Recommendations
Ambient Light Recommendations
Having Fun Recommendations

Intro to Cognitive Work
Thought Monitoring
The Downward Arrow
Negative Self Talk
Distorted Beliefs
Cognitive Biases
Overcoming Shoulds
Internal & External Attributions
Perfectionism
Challenging Negative Thoughts
Overcoming Worry
Coping with Cognitive Impairment
3 Column Form
5 Column Form

Intro to Emotional Work
Negative Beliefs about Emotion
Working with Stress
Working with Fear
Working with Anger
Feeling Overwhelmed
Working with Guilt & Shame
The Bad Side of Hope
Avoiding Mood Checking
Working with Mood Dips

The 168 Hour Question
The Speed of Life
Keeping Work in its Place
Coping with Personal Finances
Simplifying Life
The Hassles Pile
Create a Media Buffer
Contact with Nature

Introduction to Social Support
Deepening Current Relationships
Reviving Old Friendships
Starting New Friendships
Personal Support Team
Social Balancing
Assertiveness
Managing Childcare During Depression
Coping with Romance

The Meaning Inventory
Separating from your Culture
Welcoming the Crisis
The Courage to Backtrack
Finding Meaning in Depression
Developing a Spiritual Path
Align with a Larger Cause
The Headstone Exercise

Relapse Prevention
Plan Ahead for Stress
The Sign in the Road
Mood Emergency Action Plan
Two Letters, Waiting
Ulysses Agreements