General Gatekeeper Training - Pathways Counseling Center

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What Therapy?The standard of care is medication andpsychotherapy combinedAt this point, only cognitive behavioral andinterpersonal psychotherapies are considered tobe effective with clinical depression (evidencebased)Patients should ask their doctor for a referral toa cognitive or interpersonal therapistGatekeeper Training- Dr. EllenAnderson31Possible SourcesOf Depression• Genetic: a predisposition to this problem may bepresent, and depressive diseases run in families• Predisposing factors: Childhood traumas, caraccidents, brain injuries, abuse and domestic violence,poor parenting, growing up in an alcoholic home,chemotherapy• Immediate triggers: violent attack, illness, sudden lossor grief, loss of a relationship, any severe shock to thesystem(Anderson, 1999, Berman & Jobes, 1994, Lester, 1998)Gatekeeper Training- Dr. EllenAnderson3216
What Happens If We Don’tTreat Depression?• Significant risk of increased alcohol and drug use• Significant relationship problems• Lost work days, lost productivity (up to $40billion a year)• High risk for suicidal thoughts, attempts, andpossibly death(Surgeon General’s Call To Action, 1999)Gatekeeper Training- Dr. EllenAnderson33• Depression is a medical illness that will likelyaffect the person later in life, even after theinitial episode improves• Youth who experience a major depressiveepisode have a 70% chance of having a secondmajor depressive episode within five years• Many of the same problems that occurred withthe first episode are likely to return, and mayworsen(Oregon SHDP)Gatekeeper Training- Dr. EllenAnderson3417
Page 1 and 2: SAVING LIVES:Understanding Depressi
Page 3: Suicide Is The Last Taboo - WeDon
Page 7 and 8: The Unnoticed Death• For every 2
Page 9 and 10: • Social Isolation: people may be
Page 11 and 12: • The research evidence is overwh
Page 13 and 14: Where It Hits UsGatekeeper Training
Page 15: Renewed dendrites increase the numb
Page 19 and 20: • Suicide myths, continued:7. Onc
Page 21 and 22: Further Behaviors Often Seen in Kid
Page 23 and 24: Learning “QPR” - Or, How To Ask
Page 25 and 26: Don’t…• Make moral judgments
Page 27 and 28: Survivors Of Suicide• Sources of
Page 29 and 30: Websites For AdditionalInformation
Page 31: • Stoff, D.M. & Mann, J.J. (Eds.)

General Gatekeeper Training - Pathways Counseling Center

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