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Family Therapy for Depressed and Suicidal Adolescents

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Training Options Duration: 60 Minutes
Monday, August 27, 2018 | 10:00 AM PDT | 01:00 PM EDT

Overview: Attachment-based family therapy (ABFT) is a manualized, empirically informed and
supported, family therapy model specifically designed to target family and individual processes
associated with adolescent suicide and/or depression. ABFT emerges from interpersonal theories
that suggest adolescent depression and suicide can be precipitated, exacerbated, or buffered
against by the quality of interpersonal relationships in families. It is a trust-based, emotion-
focused psychotherapy model that aims to repair interpersonal ruptures and rebuild an emotionally
protective, secure-based parent-child relationship.

Treatment is characterized by five treatment tasks:

Reframing the therapy to focus on interpersonal development
Building alliance with the adolescent
Building alliance with the parents
Facilitating conversations to resolve attachment ruptures
Promoting autonomy and competency in the adolescent

The ABFT model grows out of the Structural Family Therapy tradition (Minuchin, 1974) but is
informed by more contemporary systemic approaches such as Multidimensional Family Therapy
(Liddle, 1999) and Emotionally-focused therapy (Greenberg and Johnson, 1988). Attachment theory
(Bowlby, 1969) provides the over-arching framework for understanding and intervening in the
clinical process. Without ignoring biological factors, ABFT therapists presume that family
conflict, detachment, harsh criticism or more insidious family traumas (e.g., abandonment,
neglect abuse) can cause, maintain and/or exacerbate depression in adolescents.

The impact of these family processes is compounded when parents fail to comfort, support and help
their adolescent identify, discuss and work through these disturbing experiences. Conversely,
when adolescents perceive their parents as caring, protective and autonomy-granting, the family
provides a secure base helping the adolescent to withstand and grow from life's stressors.

ABFT aims to repair ruptures in the attachment relationship, and establish or resuscitate the
secure base so important for adolescent development. "Repairing attachment" occurs by first
helping family members to access their longing for greater closeness and adopt the idea of
rebuilding trust. Then adolescents, in individual sessions, are helped to identify and articulate
their perceived experiences of attachment failures, and commit to a discussion of these
experiences with their parents. Then parents, also in individual sessions, are encouraged to
consider how their own intergenerational legacies affect their parenting style - which typically
leads to their developing greater empathy for their adolescent's experiences. When adolescents
and parents are ready, the therapist brings them back together to discuss the adolescent's
concerns.

As adolescents get these thoughts, feelings and memories "off their chests" and receive
acknowledgement and empathy from their parents, they become more willing to consider their own
contributions to family conflict. Although not all issues are necessarily addressed or resolved,
this mutually respectful and often emotionally-laden dialogue serves as a "corrective attachment
experience" that can set in motion a renewed sense of trust and commitment. As tension and
conflict diffuse at home, therapists encourage adolescents to pursue pro-social activities
outside the home that will promote competency and autonomy. Parents serve as the secure base from
which adolescents seek comfort, advice, support and encouragement in exploring these new
opportunities.

ABFT is a flexible yet programmatic approach to facilitating these processes. Although not
prescriptive, the treatment manual provides a clear 'road map' of how to accomplish this "shuttle
diplomacy" thereby allowing these profound and reparative conversations to occur quickly in
therapy. Therapists are taught to rapidly focus on core family conflicts, relational failure,
vulnerable emotions and the instinctual desire for giving and receiving attachment security.

Why should you Attend: High rates of adolescent depression and suicide present as major
international public health problems.Suicidal adolescents are often a daunting population for
clinicians to work with given their high-risk. Of the few effective treatments for this
population, many are often multi-modal involving individual and group therapy, medication, etc.

In this workshop, Dr Levy will use lecture and case studies to provide an overview of the
theoretical principles, research support, and clinical strategies for ABFT. She will review the
goals and structure of the five treatment tasks that provide a roadmap for delivering this
interpersonally focused psychotherapy effectively and rapidly in community mental health.

Areas Covered in the Session:
Overview
Depression and Suicide Statistics
Theory of Normative Functioning
Theory of Pathology
The Solution
Empirical Support
Clinical Model

Learning Objectives:
Explain the theoretical foundation of ABFT
Discuss the purpose of the five treatment tasks
Describe the strategies used in the five treatment tasks

Who Will Benefit:
Counselors
Couple and Family Therapists
ER Physicians (Day One)
Health Care Administrators (Day One)
Mental Health Professionals
Psychiatrists
Psychologists
Psychotherapists
Primary Care Physicians (Day One)
Social Workers


Speaker Profile
Dr. Suzanne Levy is a licensed clinical psychologist and training director of the ABFT Training
Program at Drexel University’s College of Nursing and Health Professions. Previously, she was the
training director and a clinical child psychologist at the Center for Family Intervention Science
at The Children's Hospital of Philadelphia. Dr. Levy is a co-developer of Attachment-Based Family
Therapy (ABFT).

ABFT is the only manualized, empirically informed and supported, family therapy model
specifically designed to target family and individual processes associated with adolescent
suicide and/or depression. Since 2007, Dr. Levy has been conducting ABFT training workshops and
supervision for therapists nationally and internationally. She also over sees ABFT treatment in
Drexel's Center for Family Intervention Science’s clinical trials. She has presented regionally,
nationally, and internationally on ABFT, emotion coaching, child and adolescent therapies,
resilience, adolescent depression, adolescent development, and adolescent substance use.

Dr. Levy has presented at 100’s of workshops, conferences, and invited lectures, as well as in
college classrooms. Along with her colleagues, Drs. Guy and Gary Diamond, Dr. Levy has written
the ABFT manual, "Attachment-Based Family Therapy for Depressed Adolescents" published by the
American Psychological Association.

Price - $139

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Netzealous LLC - MentorHealth
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