In this chapter we have presented a model for the assessment and case conceptualization of depression that focuses on different manifestations of depression. Specifically in assessing depressed patients, cognitive therapists are encouraged to consider depression parameters (e.g., severity, persistence), comorbid conditions (Axis I and II disorders, medical conditions, social functioning), and aspects associated with different demographic variables. Information gathered from this assessment can then be integrated by the clinician in formulating his/her case conceptualization.

We have also discussed how case conceptualization can be used in treatment planning, including ways to adapt standard CT in working with various presentations of depression. We have provided a general discussion of the parameters that might be modified or adapted in working with depressed patients in clinical practice; specific recommendations for specific presentations of depression are covered in the remaining chapters of this book. We hope that the assessment-driven case conceptualization described in this chapter aids in treatment planning and results in improved outcomes for treating depression in everyday practice.


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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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