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Treating Treatment-Refractory Depression with Psychodynamic Psychotherapy (ISTDP)  |  View Full Calendar

Presented by Thomas M. Brod, M.D. (PRE-REGISTRATION HAS CLOSED)


Treatment-refractory depression may be defined as Major Depression with an inadequate
response to at least one full trial of medication; it is usually a recurrent or chronic
condition. These are psychodynamically complex cases often presenting with exhaustion,
rumination, self-hatred (and suicidal behavior), and typically with persistent somatization
substituting for the depressive process. Imaging and outcome studies have demonstrated
that such cases are often successfully treated with psychodynamic psychotherapy--once
the path to treatment is established.
After reviewing the published literature demonstrating the efficacy of psychodynamic
treatment, this three-hour course reviews the common treatment factors which can be
demonstrably effective with “Treatment-Refractory Depression.” The psychodynamic
principles of ISTDP, which are reviewed and illustrated with video of clinical material,
provide the backdrop for this course. Participants are encouraged to bring examples from
their own practice to discuss (video encouraged but not necessary).
[Due to the confidentiality of the material to be discussed, participation is limited to
licensed or registered clinicians.]
Learning Objectives
As a result of attending this course, participants should be able to:
• Identify brain regions which have been shown to change associated with psychological
improvement in Treatment-Refractory Depression and recognize at least four common
factors in the treatment of such cases
• Locate and help patients with the malignant defense patterns of the pathological
super-ego activity in depressive somatization
• Identify the four rapidly rotating fronts of resistance that must be addressed in
psychodynamic treatment of these so-called “refractory” patients
• Respond therapeutically to the four rapidly rotating fronts of resistance
• Build and maintain Unconscious Therapeutic Alliance with these patients
Thomas M. Brod, M.D., is a psychoanalyst in private practice in West Los Angeles. He is
Associate Clinical Professor of Psychiatry at Geffen UCLA Medical School and Senior
Faculty at NCP.
Saturday, June 24, 2017, 9:30 AM – 12:30 PM • 3 CE credits
$55 Pre-registration, $65 at the door, $30 student rate