April 5 9:00am - April 8, 2018 4:30pm

ADAA Annual Anxiety and Depression Conference

Washington, DC

Changing the Anxious Mind — Rapidly (All-day Preconference Workshop) 

This advanced workshop will outline and demonstrate a rapid-gain treatment model for panic disorder, social anxiety, phobias, and OCD. Cognitive-behavioral therapy, or CBT, is a first-line treatment for the anxiety disorders and OCD. Yet despite its efficacy, it can require a substantial amount of time, discomfort, and cost for the client, which can lead to treatment refusal, dropouts, and lack of engagement. Preliminary studies are now exploring the efficacy of briefer treatments for both anxiety disorders and OCD.

We will start with a short review of these results and those on rapid gain, including published data on this model (Wilson, Neziroglu, Feinstein & Ginsberg, “A New Model for the Initiation of Treatment for Obsessive-Compulsive Disorder: An Exploratory Study,” Journal of Obsessive-Compulsive and Related Disorders, in press).

Then we will explore a method of initiating treatment that is engagement-oriented versus compliance-oriented and that encourages clients to adopt a simple yet paradoxical mindset that is manifest through provocative strategies after session 1, leading to positive change before session 2. We will outline the treatment strategy, step-by-step, and illustrate each stage with brief  professionally videotaped segments of therapist-client interaction in the first two sessions of treatment with two different clients: a woman with claustrophobia, panic attacks, and fear of flying and a man with severe OCD. The treatment protocol — made up out of whole cloth within the first session — directs the entire therapy process.

The principal goal is to induce clients to voluntarily, purposely, and aggressively seek out and embrace uncertainty and anxiety moment-by-moment as their ticket out of suffering. Once they receive feedback from successful behavioral experiments, the second goal is for clients to adopt a long-term self-help protocol to respond to moment-by-moment doubt and distress. Attention will focus on how the clinician presents the paradigm in a manner persuasive enough to counter the dread of symptoms and their feared consequences.

Becoming a Published Author (Roundtable)

Clinicians have the unique privilege of wearing many hats and using their skills in a variety of settings. Publishing gives individuals an opportunity to share their psychological knowledge and skills outside of the therapy room as well as create an invaluable marketing tool for their practice. But many people consider publishing out of reach or do not know where to start.

Five panelists – Andrea Umbach, PsyD; Kimberly Morrow, LCSW; Reid Wilson, PhD; David Carbonell, PhD; and Sally Winston, PsyD – will discuss their experience publishing psychology based books. Each author will share their unique journey through the publishing process ranging from early to later career publishing, from traditional to self-publishing, and working with a variety of different publishers.

The panelists will discuss the early phase of content development and describe how to look for gaps in the current market in hopes of helping the audience create a solid idea and/or proposal. They will also help the audience be aware of the steps and timeline typical in publishing in order to set realistic goals and expectations. The authors will share their experiences writing with a co-author. This discussion will also include the pros and cons of working with traditional publishers (big and small) as well as self-publishing. Panelists will discuss their successes and challenges along the way in hopes of giving the audience a better idea of what to expect when embarking on this journey. 

The intended audience for this roundtable would be individuals interested in publishing, whether they are an early, middle, or late career clinician. The audience will be encouraged to ask questions and share their own experiences when thinking about or going through the publishing process.

 The Anxious Moment and How to Handle It (Workshop)

A client's willingness to embrace doubt and discomfort while feeling afraid requires them to elevate above their immediate fear and apply a new response based on a new and provocative therapeutic frame of reference. This workshop will present how to persuade clients to engage in such a therapeutic protocol to respond to an anxious moment in a manner that promotes healing. Participants will learn how to present four concepts to justify this approach. First, the limbic system's amygdala needs to learn over time that an alarm response is not required in moments similar to this one. Second, the working memory is a powerful asset whose tasks include pushing away irrelevant information and distractions and then directing the attention to where you want it in the next few moments by calling up assets from long-term memory. Third, the work of Barb Fredrickson supports the strategy of generating a positive meaning for purposely producing those feelings of threat and then stepping forward, voluntarily, because in that moment you can see your action in the broader context of your life's goals. Fredrickson believes that positive intentions can transform negative experiences. Fourth, Les Greenberg's lifetime of research leads him to rationalize that you can replace the emotions of withdrawal with the emotions of approach. He believes that you do not accomplish this by thinking, reasoning, allowing, letting go of, or facing your fear, nor do you accomplish this by exposure, extinction, or habituation. You can learn to approach instead of withdraw during a threatening moment by activating a competing emotion that expresses a competing point of view.

Anxiety and Depression Association of America
8701 Georgia Ave., Suite 412
Silver Spring, MD 20910