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PSY 415

Hofstra University

Department of Psychology

PhD Program in Clinical Psychology

 

Clinical Seminar in Cognitive Behavior Therapy
for Anxiety Disorders and Depression

William C. Sanderson, PhD

Professor of Psychology                                    

Hofstra University
Hempstead NY  11549
Email:  William.C.Sanderson@Hofstra.edu

Website: www.sanderson.bz

 

 

COURSE DESCRIPTION (Prerequisite: Psychology 229):

 Approximately 25% of the general population suffers from an anxiety disorder at some point in their life. 20% suffer from depression.  This two-semester course will focus on the clinical application of specific treatment strategies that have been shown to be effective in controlled research studies to address these prevalent emotional disorders.  Students will learn how to: (1) conduct a thorough assessment, (2) implement specific cognitive behavioral treatment strategies targeting the diagnosed symptoms and problems, (3) evaluate the effectiveness of treatment as it progresses utilizing relevant patient self-report questionnaires.  By the end of the two-semester course, students will have a thorough exposure to information regarding the psychopathology, assessment, and treatment of anxiety and depression.

 

Students will provide treatment for two ongoing cases as part of the CBT Program for Anxiety and Depression.  Each class will involve group supervision of ongoing cases by the instructor.  Specific readings will be assigned by the instructor to match the cases being treated.

 

Grading:

50% of grade will be based upon write up of case, including assessment, treatment planning, and response to treatment in a case report format (cf: Kazdin, A.E. (1998)).   One paper, no more than 20 pages APA style, due at the last class each semester.  The remaining 50% of grade will be based upon class attendance and participation.


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MISCELLANEOUS INFORMATION:

 

SUPERVISION OF CASES

I will conduct all supervision in a group format.  You will have approximately 20 minutes for supervision of your ongoing case(s).  Therefore, it is important to be as efficient as possible.  Rather than just summarizing what went on each week in session, I think presenting in the following SOAP format is best. For example:

 

Subjective: pt reports feeling more anxious this week, had two panic attacks

Objective: Beck Anxiety Inventory score increased from 17 to 26, other measures remained the same

Assessment:  Patient had an interpersonal conflict with spouse and is not compliant with relaxation strategies perhaps leading to an increase in anxiety.

Plan:   a. cognitive restructuring to address noncompliance with relaxation procedure

         b. assertiveness training for interpersonal conflict

         c. cognitive restructuring of anxiety provoking situations related to panic attacks

         d. assess depression level  

         e. introduce breathing retraining

 

 

This is a brief example, but thinking in this format and using this structure will facilitate supervision, which should be problem-oriented, focused on where to go next with the pt, as well as problems that arise in using the various strategies.

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CASE CONFERENCE PRESENTATIONS

Everyone will have a chance to present their case in detail during their assigned case conference (sometime during the last five weeks of each semester).  The presentation is informal.  The only requirement is to distribute summaries of your patient's self-report questionnaire scores pre- and during treatment (use a table or figure to do so).   Limit your presentation to approximately 10-15 minutes covering the info below, so that approximately 30 minutes is left for group discussion of the case.

 

Please cover the following during your 10-15 minute presentation:

1. DSM Diagnosis and other assessment results (e.g., self-report questionnaires)

2. Specific symptoms/problems addressed in treatment (e.g., panic attacks, assertiveness, schemas)

3. Interventions employed to address problems/symptoms.

4. What went well?  What did not?

This info will facilitate group discussion regarding the assessment and treatment of the case.

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INSTRUCTIONS FOR PAPER

20 pages maximum. The paper should include the following:

 

1. Introduction (discuss treatment outcome literature for the problem/diagnoses you are treating -- no more than 4 pages).

 

2. Assessment section describing your evaluation of the case, including results of the SCID and any self-report questionnaires used. Differential diagnosis and decisions about principal diagnosis can be discussed as well.

 

3. A table summarizing your session by session treatment.

 

4. A discussion of the application of specific treatment strategies and the patient's response to treatment employed, including a discussion of difficulties if any (this section should be the bulk of the paper).

 

5. A figure or table depicting the self-report questionnaire scores over time.

 

6. Discussion of future directions with the case (no more than 2 pgs).

 

The Kazdin (1998) article, listed on the syllabus, is a good overview for writing up a case study.


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COURSE OBJECTIVES (PhD Program in Clinical Psychology): Intervention Skills

1) Students will interpret and explain the principles and techniques of applied behavior analysis and cognitive-behavioral 

    therapy, in both oral and written form.

2) Students will demonstrate competence in the use of interventions based on applied behavior analysis and cognitive 

    behavior therapy.

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UNIVERSITY POLICIES:

 Academic Honesty: • Hofstra University Honor Code: “As a member of the Hofstra community I pledge to demonstrate integrity and ethical behavior in all aspects of my life, both inside and out of the classroom. I understand that I am accountable for everything I say and write. I will not misrepresent my academic work, nor will I give or receive unauthorized assistance for academic work. I agree to respect the rights of all members of the Hofstra community. I will be guided by the values expressed in the P.R.I.D.E Principles. I accept the responsibility to follow this Honor Code at all times.” • Honor Code Short Form: “I pledge on my honor that I have done this work with honesty and integrity, without giving or receiving unauthorized assistance.” • Academic Honesty: Plagiarism and other forms of academic dishonesty are serious ethical and professional infractions. For information regarding Hofstra’s statement of principles with respect to academic honesty, examples of violations, procedures for handling violations, as well as a student’s right to appeal a charge, see Faculty Policy Series #11 for undergraduate students (http://www.hofstra.edu/pdf/Faculty/Senate/senate_FPS_11.pdf) and Faculty Policy Series #11G for graduate students (http://www.hofstra.edu/pdf/Faculty/Senate/senate_FPS_11G.pdf). Students With Disabilities: If you believe you need accommodations for a disability, please contact Services for Students with Disabilities (SSD). In accordance with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, qualified individuals with disabilities will not be discriminated against in any programs, or services available at Hofstra University. Individuals with disabilities are entitled to accommodations designed to facilitate full access to all programs and services. SSD is responsible for coordinating disability-related accommodations and will provide students with documented disabilities accommodation letters, as appropriate. Please note that accommodations may require early planning and are not retroactive; please contact SSD as soon as possible. All students are responsible for providing accommodation letters to each instructor and for discussing with him or her the specific accommodations needed and how they can be best implemented in each course. For more information on services provided by the university and for submission of documentation, please contact the Services for Students with Disabilities, 040 Memorial Hall, 516-463-7075. Deadlines: Please be mindful of University deadlines. See www.hofstra.edu/deadlines. Incomplete Policy:
Hofstra’s policies regarding Incomplete grades, default grades, and associated deadlines can be found in the Undergraduate and Graduate Studies Bulletins (http://bulletin.hofstra.edu/). Notice On Campus Sexual Assault And Discriminatory Harassment University policy and federal laws such as Title IX, Title VI and the ADA make it clear that sexual violence and harassment based on any protected characteristic are strictly prohibited and are subject to standards of accountability at the University. If you or someone you know has been sexually assaulted or subjected to discriminatory harassment, the University offers multiple resources to support you and has policies and procedures to address these offenses. For more information, contact the University Title IX Coordinator, Jean Peden-Christodolou, at 516-463-6815, Jean.C.PedenChristodoulou@hofstra.edu; the University Equal Rights & Opportunity Officer, Jennifer Mone, at 516-463-1800, eroo@hofstra.edu; or refer to the applicable University policy atwww.hofstra.edu/eoe.   

                                      

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