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Digital Recording

Advanced CBT Strategies for Chronic or Recurrent Depression & Anxiety

Average Rating:
John Ludgate, PhD
1 Hour 52 Minutes
Audio and Video
Jan 08, 2016
Product Code:
Media Type:
Digital Recording
Never expires.


  • Effective strategies for relapsing clients
  • Advanced & cutting-edge CBT techniques
  • Case examples

Join CBT expert and author, John Ludgate, Ph.D., and learn advanced CBT techniques to treat chronic or recurring depression and anxiety. Clients with a high relapse potential or chronic depression and anxiety are very complex and challenging to treat, and Dr. Ludgate will teach you special augmented CBT strategies which can easily be incorporated into your everyday practice.

This program will address state-of-art interventions and adaptations in CBT for complex cases and will focus on client, therapist and therapy factors which can interfere with therapy’s effectiveness. Specifically, a model will be offered which helps to formulate from a cognitive behavioral perspective the factors involved in chronicity or in the process of relapse. Assessment and conceptualization skills which can aid treatment planning will be examined. Interventions which target chronic and recurrent problems will be described in detail with case examples.



This online program is worth 1.75 hours CPD.



John Ludgate, PhD's Profile

John Ludgate, PhD Related seminars and products

John Ludgate, PhD, is a licensed clinical psychologist who has worked as a psychotherapist for almost 30 years. He trained at the Center for Cognitive Therapy in Philadelphia under Dr. Aaron Beck, the founder of Cognitive Therapy, and is a Founding Fellow of the Academy of Cognitive Therapy. He subsequently became assistant director of training at Dr. Beck’s Center. His current practice consists largely of treating clients referred with mood problems and/or anxiety conditions at the Cognitive-Behavioral Therapy Center of Western North Carolina in Ashville, North Carolina.

John is a native of southern Ireland and obtained a master’s degree in clinical psychology from the University of Edinburgh in Scotland, and a PhD from Trinity College, Dublin, Ireland in 1990. In the early 1990s, Dr. Ludgate was a research clinical psychologist at the University of Oxford in England and served as cognitive therapist in several outcome studies of panic disorder, agoraphobia, social phobia and hypochondriasis.

He authored Cognitive Behavioral Therapy and Relapse Prevention for Depression and Anxiety (Professional Resources Press, 2009) and was co-editor with Wright, Thase and Beck of Cognitive Therapy with Inpatients: Developing a Cognitive Milieu (Guilford Press, 1993). His other books include Overcoming Compassion Fatigue (PESI, 2014 co-authored with Martha Teater) and The CBT Couples Toolbox (PESI, 2018). He has written numerous journal articles and book chapters in the field of Cognitive Behavior for Anxiety and Depression. He has presented many seminars and workshops on cognitive behavioral approaches, both nationally and internationally.


Speaker Disclosures:
Financial: Dr. John Ludgate is the owner and President of CBT Training & Consultancy, Inc. He has an employment relationship with the Cognitive Behavioral Therapy Center of WNC. He receives a speaking honorarium and recording and book royalties from PESI, Inc. Dr. Ludgate receives royalties as a published author and compensation as a consultant. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. John Ludgate is a member of the Academy of Cognitive Therapy and the Association for the Advancement of Behavioral and Cognitive Therapy.


  1. Summarize factors that are predictive of chronicity and recurrence in depression and anxiety disorders, along with the clinical implications.
  2. Incorporate CBT intervention skills when treating clients with chronic or recurring depression to improve treatment outcomes.
  3. Choose specific CBT interventions to improve clinical outcomes for clients with chronic and recurrent anxiety.


Defining chronicity and recurrence in Depression & Anxiety disorders
  • Factors predictive of chronicity and recurrence with clinical practice implications
  • Important skills every clinician needs for working with this population
  • CBT conceptualization: current and historical formulation
Effective Strategies & Interventions for Chronic Anxiety
  • Enhanced standard CBT procedures (de-catastrophizing, worry control, relaxation)
  • Motivational interviewing
  • Meta cognitive approaches
  • Increasing tolerance for uncertainty
  • Relapse Prevention Strategies & Interventions for Recurrent Anxiety
    • Self-directed CBT aimed at early detection and intervention
    • Mindfulness
    • Vulnerability reduction
Effective Strategies & Interventions for Chronic Depression
  • Enhanced behavioral activation
  • Schema modification
  • Cognitive behavioral analytic psychotherapy strategies
  • Facilitating self compassion
  • Relapse Prevention Strategies & Interventions for Recurrent Depression
    • Self-directed CBT aimed at early detection and intervention
    • Mindfulness
    • Life style modification
Self-directed CBT for the therapist
  • Strategies to manage our reactions when dealing with chronic or relapsing clients
    1. Dealing with therapist dysfunctional beliefs
    2. Mindfulness, acceptance and compassionate approaches for the therapist

Target Audience

Addiction Counselors, Counselors, Marriage & Family Therapists, Nurses, Psychologists, Social Workers, Other Professions



Overall:      4.8

Total Reviews: 19


Elizabeth S

"1/3 of the powerpoint slides were cut off at the bottom, so was unable to view 100% of content on slides. Also, I wish the "packet" that the instructor was referring to was available with the course. A little disappointing."

Nancy A

"John Ludgate did an excellent job of presenting a lot of material in a short amount of time. I was very impressed."

Christine W

"Excellent presentation. Exceeded expectations for a 2 hour CE seminar and provided education that will further my work with clients a great deal."

Nicollette A

"This training was awesome! Thank you. "

Ryan M

"Great presentation, thank you!"


"staff was outstanding! very helpful, polite and knowledgeable"

Dolores J


Darron V

"Very helpful info."

Colleen P

"Excellent handouts and explanation of them."

David E

"good presentation"

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