Road Map within CCT

Patients start and progress through C-CT with different levels of skills development, durations of symptom remission, and composites of risks. Behavioral assessment of patients' skills aids therapists in knowing when to modify the focus or content ofthe therapy, its homework, or its schedule. To determine where to focus C-CT, therapists consider (1) syndromal status (i.e., the presence or absence of a mood and other psychiatric disorder, noting that all patients begin C-CT without MDD); (2) severity of residual depressive symptoms; (3) the degree to which patients have mastered, are using, and can generalize compensatory skills; and (4) the continuation or emergence of risk factors that might necessitate a change in the treatment schedule or homework recommended. Below we describe some typical combinations and describe the associated therapeutic focus or goal.

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