Rumination is a core process in the onset and maintenance of depression. It is a trans-diagnostic mechanism that contributes to co-morbidity (Watkins, 2008). Rumination is a common, difficult-to-treat symptom that interferes with therapeutic benefit, and contributes to poorer outcomes. As such, targeting the process of rumination can help “stuck” patients improve treatment outcomes, and help therapists address complex, co-morbid cases.
This workshop will illustrate innovative adaptations to the CBT approach for rumination. It will illustrate how targeting rumination can improve outcomes for chronic, recurrent and residual depression, as well as co-morbid anxiety. The workshop will review the theoretical background, key principles, and core techniques of rumination-focused CBT. It will include functional analysis of thinking style, behavioural activation, imagery, concreteness, experiential exercises and behavioural experiments.
First morning period: Background and evidence for RFCBT
Second morning period: Core principles of the therapy
First afternoon period: Functional analysis of rumination – assessment, formulation, intervention
Second afternoon period: Functional analysis – role-play and practice
First morning period: Shifting thinking style: Concreteness –overview, role-play, practice
Second morning period: Shifting thinking style: Absorption - overview, role-play, practice
First afternoon period: Shifting thinking style: Self-compassion - overview, role-play, practice
Second afternoon period: Dealing with problems
**must attend both days for CE credit
Attendees be able to
- Describe theory and research relevant to depressive rumination
- Describe the key principles and formulation approach of Rumination-focused CBT treatment.
- Describe the application of functional analysis to treat rumination and worry to change habitual thinking styles.
- Describe the key experiential approaches to treating rumination including concreteness, absorption and self-compassion
Topper, M., Emmelkamp, P.M.G., Watkins, E.R., & Ehring, T. (2017). Prevention of anxiety disorders and depression by targeting excessive worry and rumination in adolescents and young adults: a randomized controlled trial. Behaviour Research and Therapy, 90, 123-126
Watkins, E. (2008). Constructive and Unconstructive Repetitive Thought. Psychological Bulletin, 134, 163-206.
Watkins, E.R. (2016). Rumination-focused Cognitive Behavioural Therapy for Depression. Guilford Press
Watkins, E.R., Mullan, E.G., Wingrove, J., Rimes, K., Steiner, H., Bathurst, N., Eastman, E., & Scott, J. (2011). Rumination-focused cognitive behaviour therapy for residual depression: phase II randomized controlled trial. British Journal of Psychiatry, 199, 317- 322.
Watkins, E.R. & Nolen-Hoeksema, S. (2014). A habit-goal framework of depressive rumination. Journal of Abnormal Psychology, 123, 24-34.
Dr. Edward R. Watkins is a pre-eminent international expert in the field of experimental psychopathology and psychological treatments for depression, with a particular emphasis on understanding and treating rumination and worry. He is the co-founder of the Mood Disorders Centre, University of Exeter., and director of the Study of Maladaptive to Adaptive Repetitive Thought (SMART) Lab. His research focuses on the experimental understanding of psychopathology in depression, with particular focus on repetitive negative thought and rumination and the development of new psychological treatments for mood disorders. He has specialized clinical training and expertise in cognitive therapy for depression. He has worked as a therapist and researcher for over 20 years including in tertiary care settings for depression, in primary care, and on a number of large-scale treatment trials including RFCBT, MBCT (PREVENT), and BA (COBRA). He is the Principal Investigator whose research has been supported by major competitive grant funding from the Wellcome Trust, UK Medical Research Council (MRC), a NARSAD Young Investigators Award, European Commission Horizon 2020 and US NIMH. Professor Watkins was awarded the British Psychological Society's May Davidson Award2004 for outstanding early-career contributions to the development of clinical psychology. He is a current member of the UK NICE Guidelines for Adult Depression Committee.
Cost (for 2 day conference, including lunch on both days), Refund, & Cancellation Policy
Non-Members: $205 after 10/11/18, if space is available
Interns, Students, Psychological Assistants: $75
Onsite registration is available, if space available. Check-in begins at 9:30 am.
A box lunch will be provided on both days (included in the price).
There will be an hour lunch and two 15-minute breaks on each day.
IMPORTANT -- To be eligible for a refund, the San Francisco Bay Area Center of Cognitive Therapy must receive notice of cancellation 14 days prior to the date of the workshop. Cancellations are subject to a $35.00 processing fee per workshop.
Continuing Education (CE) Credit
The San Francisco Bay Area Center for Cognitive Therapy is approved to offer 12 hours of continuing education. No partial CE units granted.
Those who attend this workshop in full and complete the appropriate evaluation form will receive continuing education (CE) credits. Please note that the San Francisco Bay Area Center for Cognitive Therapy will issue credit only to those who attend the entire workshop. Those who arrive more than 15 minutes after the start time or leave before the workshop ends will not receive CE credit.
The San Francisco Bay Area Center for Cognitive Therapy (Provider Approval No.: CEN034) is approved by the California Psychological Association to provide continuing professional education for psychologists. The San Francisco Bay Area Center for Cognitive Therapy maintains responsibility for this program and its content.
The San Francisco Bay Area Center for Cognitive Therapy (Provider Approval No.: PCE288) is approved by California Board of Behavioral Sciences to provide continuing professional education for Marriage and Family Therapists and Licensed Clinical Social Workers. The San Francisco Bay Area Center for Cognitive Therapy maintains responsibility for this program and its content.
The California Psychological Association and the American Psychological Association require that continuing education providers inform participants as to the source, amount, nature, and disposition of any funding used to support the continuing education activity, whether in the form of educational grants, cash contributions, or in-kind contributions. Individuals in a position to influence course content must also disclose whether they have one or more relevant financial relationships with individuals and companies who have a financial interest in activity content. These individuals include the CE Advisory Committee of the San Francisco Bay Area Center for Cognitive Therapy (SFBACCT) and the Steering Committee of the Northern California Cognitive Behavior Therapy Network (NCCBTN).
Institutional Conflict of Interest Disclosure
The San Francisco Bay Area Center for Cognitive Therapy does not receive commercial support for any of the continuing education activities it provides.
Individual Conflict of Interest Disclosure
Joan Davidson, Ph.D., SFBACCT CE Advisory Committee, has no relevant financial relationships or conflicts.
Janie J. Hong, Ph.D., NCCBTN Steering Committee, has no relevant financial relationships or conflicts.
Lynn Martin, N.P., NCCBTN Steering Committee, has no relevant financial relationships or conflicts.
Jacqueline B. Persons, Ph.D., NCCBTN Steering Committee, has no relevant financial relationships or conflicts.
Daniela J. Owen, Ph.D., SFBACCT CE Advisory Committee, has no relevant financial relationships or conflicts.
Sharon Smith, M.F.T., M.S.W., NCCBTN Steering Committee, has no relevant financial relationships or conflicts.
Michael A. Tompkins, Ph.D., SFBACCT CE Advisory Committee, has no relevant financial relationships or conflicts.
Melinda White, M.F.T., NCCBTN Steering Committee, has no relevant financial relationships or conflicts.
Robin Yeganeh, Ph.D., NCCBTN Steering Committee, has no relevant financial relationships or conflicts.
Speaker Conflict of Interest Disclosure:
Edward Watkins PhD, Workshop Leader, has no relevant financial relationships or conflicts.