Cognitive-Behavioral Therapy (CBT):
Cognitive-Behavioral Therapy (CBT) groups are a core component of the program to help patients address the symptoms and cognitive distortions related to their diagnosis. CBT groups and concepts are the main components of the Depression treatment program and occur daily with reinforcement throughout the therapeutic program. Rational Emotive Behavioral Therapy, by Albert Ellis, is the foundation for basic CBT techniques to help patients recognize the connection between their thoughts, feelings and behaviors, to dispute/replace irrational or distorted thinking and to choose healthier, more adaptive behaviors. At Valenta, CBT will help patients learn and understand how emotions, thoughts, and behaviors work together. With the help of program, patients will also learn how to manage difficult emotions, challenge distorted thinking, and use healthier coping skills. While CBT is an important therapeutic tool, the skills and concepts will be used in conjunction with a variety of other modalities, to provide a well rounded approach to treating the whole person, not just the depression or diagnosis.
Dialectical Behavioral Therapy (DBT):
Dialectical Behavioral Therapy (DBT) is a methodology developed by Marsha Linehan in which standard cognitive-behavioral techniques for emotion regulation and rational thinking are combined with more Eastern principles, such as mindfulness, distress tolerance, and acceptance of self. Valenta uses DBT to help patients become more aware of their own thinking as well as conceptualize how others think. Valenta also uses DBT to help patients connect with their body, work through grief and shame, and gain insight into how to better tolerate emotions.
At Valenta, DBT is incorporated into CBT groups and is used by therapists with patients individually.
Anger Management & Coping Skills:
Anger management and coping skills are commonly used to help decrease symptoms that arise when stress is present. At Valenta, we go beyond simply teaching healthy coping skills to a deeper understanding of why the patient is stressed, the sources of that stress and how to incorporate their new skills into tolerating and resolving the stress. We help them understand their thought processes related to stress and help them change their ways of dealing with stressors when they arise.
Valenta’s Depression treatment program uses the following methods to help patients manage stress:
- Yoga and movement therapy, therapeutic breathing techniques and progressive muscle relaxation (PMR)
- CBT skills to challenge distortions that coincide with increased stress.
- Anger management skills, such as deep breathing, taking a break, using reflective listening skills, and using assertive communication skills to appropriately express anger
- CBT groups and Anger Management groups the purpose of emotions and how they benefit us and how they can be misused. Patients practice appropriate expression of emotions and specific use of coping skills to tolerate and assert themselves in obtaining relief and resolution.
- Stress/ Anger management skills are taught throughout the week in CBT, anger management, and self-care groups as well as group topic process.
Self-care is often an extremely difficult task for each of us. Life becomes so busy with work, school, family, and friends that we often forget about taking care of ourselves. For those suffering with Depression, it can be even more difficult to find the energy and desire to take care of yourself in the midst of your daily struggle. At Valenta, we work towards finding a balance of taking care of yourself and taking care of others. We want to help patients find a place for themselves when they are busy, stressed, or tired. We help them do this in various aspects of treatment, but Self-Care is explicitly designed to help patients learn how to better care for themselves.
Goals and coping skills:
Goals Group is a structured way of helping patients set smaller goals within the larger goal of recovery. It allows patients to recognize steps they are taking to achieve health/power in their lives. It also provides for a sense of accomplishment as they start to recognize how they achieve their weekly goals.
At the beginning of each week, patients set goals for the week, identifying everything from initiation, to small steps, to ways of overcoming roadblocks. Goals are concise and attainable within the week, with the long term goal of health. On the last day of the week, patients review how their weekly goals went and set weekend goals meant to be attainable over the weekend. Group members will review weekend goals when they return to Depression treatment.
At Valenta we believe it is important to understand and give attention to the relationship between physical and mental health. Having balanced nutrition, understanding the importance and purpose of nutrients in the body as well as things like exercise and balanced sleep are vital aspects of an individual’s well being and are incorporated into the Depression treatment program. Our Registered Dietitian will lead various groups addressing important aspects of health and nutrition that impact one’s overall functioning and quality of life.
This group combines traditional process group structure with practical application of concepts learned in skills based groups as a means to explore and address current issues contributing to patients’ depression. This will allow participants to examine and process situations and patterns that feel overwhelming or difficult in their daily lives, apply concepts learned, and receive feedback from peers and staff. Each week the group will have an emphasis and participants will be offered the opportunity to bring current relevant issues into group that relate to the identified topic.
One of the main goals of Valenta’s IOP Depression treatment program is to work in conjunction with and/or aid in establishing an outpatient treatment team. Upon assessment, the individuals’ outpatient treatment team needs will be assessed and appropriate referrals and follow-up will be provided. The Depression treatment program is a short-term skills based program, and is designed to work alongside an outpatient treatment team, not replace it. All participants in the program will also be required to attend a community based support group of their choosing to expand their support network and improve prognosis. Discharge planning is a collaborative process and will be addressed on an ongoing basis upon assessment and throughout treatment.