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In this episode of Let's Talk About CBT: Practice Matters, Rachel Handley speaks with Professor Shirley Reynolds about behavioural activation for depression in children and young people.
Shirley reflects on what we know about depression in adolescence, the challenges of access to effective treatment, and why brief, values-based approaches may be particularly well suited to this developmental stage. Drawing on findings from large clinical trials, she explains how young people often attend fewer sessions than are offered, prompting important questions about engagement and the design of therapy.
The conversation explores how behavioural activation helps young people identify what matters to them and gradually increase meaningful activity. Shirley outlines what a course of BA looks like in practice, from early psychoeducation and activity monitoring through to parent contracting and relapse prevention, and discusses the importance of supervision, system support and therapist wellbeing.
Further resources:
Find out more about Shirley and her work: https://www.drshirleyreynolds.com/about
More information about the online training with Shirley and Laura Pass can be found here: https://www.cbtreach.org/pass-reynolds
The IMPACT trial:
Goodyer, I. M., Reynolds, S., Barrett, B., Byford, S., Dubicka, B., Hill, J., Holland, F., Kelvin, R., Midgley, N., Roberts, C., Senior, R., Target, M., Widmer, B., Wilkinson, P., & Fonagy, P. (2017). Cognitive behavioural therapy and short-term psychoanalytical psychotherapy versus a brief psychosocial intervention in adolescents with unipolar major depressive disorder (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled superiority trial. The Lancet Psychiatry, 4(2), 109–119. https://doi.org/10.1016/s2215-0366(16)30378-9
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Credits:
Music is Autmn Coffee by Bosnow from Uppbeat
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This podcast was edited by Steph Curnow
