In this chapter, we have described how to reduce the likelihood of relapse using C-CT for adults with recurrent MDD. We have outlined the theoretical model that serves as the foundation of C-CT and discussed assessment for and implementation of C-CT. Finally, we have provided a review of the empirical support for C-CT in preventing relapse.

Although we have no data on the concurrent use of C-CT plus pharmacotherapy, we think it is a reasonable treatment option for patients who do not achieve complete remission and/or recovery with C-CT alone. We look forward to promoting opportunities to apply and adapt what we have learned in working with adults with recurrent depression to preventing relapse and recurrence effectively and to promoting remission and recovery in other at-risk groups, including adolescents and children (see Kennard, Stewart, Hughes, Jarrett, & Emslie, in press, for initial efforts).


We are grateful to Robin Jarrett's patients and team at The University of Texas Southwestern Medical Center (Psychosocial Research and Depression Clinic in the Department of Psychiatry), where the data we detail were collected. Our thanks to Amy McSpadden, BS, for her careful manuscript preparation. We appreciate the support provided by the National Institute of Mental Health that made this work and writing possible (Grant Nos. R01-MH-38238, R01-MH-58397, and K24-01571 [to Robin B. Jarrett, PhD]).


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