Table Of Contentebook
THE GUILFORD PRESS
CBT for Depression
in ChilDren anD aDolesCenTs
CBT for Depression
in Children and Adolescents
A Guide to Relapse Prevention
Betsy D. Kennard
Jennifer l. hughes
aleksandra a. foxwell
THE GUILFORD PRESS
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Library of Congress Cataloging-in-Publication Data
Names: Kennard, Betsy D., author. | Hughes, Jennifer L., 1981– , author. |
Foxwell, Aleksandra A., author.
Title: CBT for depression in children and adolescents : a guide to relapse
prevention / by Betsy D. Kennard, Jennifer L. Hughes, and Aleksandra A.
Foxwell.
Description: New York: The Guilford Press, [2016]. | Includes
bibliographical references and index.
Identifiers: LCCN 2015041065 | ISBN 9781462525256 (paper : alk. paper)
Subjects: | MESH: Child. | Cognitive Therapy—methods. | Adolescent. |
Evidence-Based Medicine. | Secondary Prevention—methods.
Classification: LCC RJ505.C63 | NLM WS 350.2 | DDC 618.92/891425—dc23
LC record available at http://lccn.loc.gov/2015041065
About the Authors
Betsy D. Kennard, PsyD, ABPP, a clinical psychologist, is Professor in Psychiatry
and Director of Cognitive-Behavioral Therapy (CBT) in the Pediatric Psychiatry
Research Program at the University of Texas Southwestern Medical Center at Dallas
(UT Southwestern) and Children’s Health System of Texas. She also serves as Pro-
gram Director of the Doctoral Program in Clinical Psychology at UT Southwestern
and Clinical Director of the Suicide Prevention and Resilience Program at Children’s
Health. Dr. Kennard has been a site co-investigator on three multisite treatment
studies of adolescent depression and suicide funded by the National Institute of
Mental Health (NIMH) and has coauthored CBT treatment manuals for these stud-
ies. She developed this CBT sequential treatment strategy to prevent relapse in youth
with depression and is currently Principal Investigator on an NIMH-funded treat-
ment development study to treat suicidal adolescents.
Jennifer L. Hughes, PhD, is a clinical psychologist at Children’s Health and Assis-
tant Professor in Psychiatry at UT Southwestern. She has received funding from the
American Foundation for Suicide Prevention to study an intervention designed to
prevent future suicide attempts in youth, and she has served as a therapist, treat-
ment developer, and co-investigator on several multisite studies of depressed and/or
self-harming children and adolescents. Broadly, Dr. Hughes’s research explores the
efficacy and effectiveness of psychosocial approaches to the prevention and treat-
ment of depression and suicide in youth and the dissemination of evidence-based
treatments to the community.
v
vi About the Authors
Aleksandra A. Foxwell, PhD, is a clinical psychologist at the Student Wellness and
Counseling Services and Assistant Professor in Psychiatry at UT Southwestern. She
has served as a therapist and a co-investigator on several studies of suicidal chil-
dren and adolescents with major depressive disorder. Dr. Foxwell’s clinical interests
focus on using evidence-based treatments for depression, anxiety, and other mood
disorders in children, adolescents, and young adults. She also trains and supervises
students and interns in using CBT for the treatment of depression.
Acknowledgments
First, we would like to thank the children and families who participated in the
treatment studies of relapse prevention cognitive-behavioral therapy (RP-CBT). This
work would not have been possible without their time, energy, effort, and input.
Our work with them inspired many of the examples, as well as the fine-tuning of
skills included in this book.
In addition, we are grateful to the National Institute of Mental Health (NIMH),
who provided the funding for the clinical trials that led to the development of this
treatment approach (NIMH R34 MH072737, principal investigator: B. Kennard;
NIMH R01 MH39188, principal investigators: G. Emslie and B. Kennard).
We would like to acknowledge the original RP-CBT Development Team—Betsy
D. Kennard, PsyD, Sunita Stewart, PhD, Jennifer L. Hughes, PhD, Puja Patel, PhD,
Avery Hoenig, PhD, and Jessica Jones, MA—who were instrumental in developing
the initial intervention. Additionally, we would like to thank Graham J. Emslie,
MD, who was the co-principal investigator for the NIMH R01 randomized con-
trolled trial to test RP-CBT. Given his experience in testing and developing continu-
ation-phase treatments for youth depression, his input was invaluable in developing
our approach to the clinical care of these children and their families.
We are also grateful to the many therapists, co-investigators, study coordina-
tors, and graduate students who contributed to the success of this work: Taryn
Mayes, MS, Jeanne Nightingale-Teresi, RN, MS, Carroll Hughes, PhD, RongRong
Tao, MD, Kristi Baker, PhD, Mikah Smith, MA, LPC, Charlotte Haley, PhD, Kate
Kennard, BA, Jessica King, BA, Alyssa Parker, PhD, Ashley Melson, MSW, Krystle
Joyner, MS, Kristin Wolfe, MRC, Jarrette Moore, MA, Hayley Fournier, PhD,
vii
viii Acknowledgments
Heather Lindburg, MS, Jeanne Rintelmann, BA, Lauren Smith, BA, Annie Walley,
LCSW, Shauna Barnes, BA, and Tabatha Hines, PhD.
Thank you to Kevin Stark, PhD, and his graduate students, Kim Poling, MSW,
John Curry, PhD, and Greg Clarke, PhD, for their careful review of the manual and
helpful suggestions. In addition, we are grateful to those who served as consultants
on the clinical trials of this manual, including David A. Brent, MD, A. John Rush,
MD, Greg Clarke, PhD, Michael Frisch, PhD, Robin Jarrett, PhD, and Kevin Stark,
PhD.
We would also like to acknowledge the influence of several important works
that have shaped the development of RP-CBT. These individuals and their work
have affected the care of depressed children and have had a major impact on our
field.
1. Treating depressed youth: Therapist manual for “ACTION.” (2007b). K. D.
Stark, S. Schnoebelen, J. Simpson, J. Hargrave, J. Molnar, and R. Glen.
2. Cognitive behavior therapy manual for TADS (2000). J. Curry, K. Wells,
D. Brent, G. Clarke, P. Rohde, A. M. Albano, M. Reinecke, N. Benazon, and
J. March, with contributions by G. Ginsburg, A. Simons, B. D. Kennard,
R. LaGrone, M. Sweeney, N. Feeny, and J. Kolker.
3. Cognitive behavior therapy manual for TORDIA (2000). D. Brent,
M. Bridge, and C. Bonner.
4. Cognitive therapy treatment manual for depressed and suicidal youth (1997).
D. Brent and K. Poling.
5. Continuation therapy for major depressive disorder (2001). R. B. Jarrett.
6. Cognitive behavior therapy for suicide prevention (CBT-SP) teen manual,
version 3 (2006). D. A. Brent, G. Brown, J. F. Curry, T. Goldstein, J. L.
Hughes, B. D. Kennard, K. Poling, M. Scholossberg, B. Stanley, K. C. Wells,
and the TASA CBT Team.
7. The SAFETY Program: Ecological cognitive-behavioral intervention for
adolescent suicide attempters (2015). J. R. Asarnow, M. Berk, J. L. Hughes,
and N. L. Anderson.
8. Stress and your mood: Teen and young adult workbook (1999). J. Asarnow ,
L. Jaycox, G. Clarke, P. Lewinsohn, H. Hops, and P. Rohde.
9. Stress and your mood: A manual for individuals (2010). J. Asarnow,
L. Jaycox, G. Clarke, P. Lewinsohn, H. Hops, P. Rohde, and M. Rea.
For additional work related to RP-CBT, readers are referred to Kennard, Emslie,
et al. (2008a); Kennard, Stewart, et al. (2008b); and Kennard et al. (2014).
