June 2021

Use Behavioral Activation with Depression Patients

This month we focus on quick behavioral health interventions for patients with depression that can be performed in primary care clinics by non-behavioral health providers. Behavioral activation is a Cognitive Behavioral Therapy (CBT) skill that helps patients understand how behavior influences emotions, like cognitive work helps patients understand the connection between thoughts and emotions.

Behavioral activation gradually builds motivation and energy through pleasure from new behaviors and mastery of behaviors. When a patient is depressed, they may be less likely to do the things they enjoy. With Behavioral Activation, they can identify enjoyable goals and activities for the week and work toward meeting those goals. As the patient works on the activity, it will teach them how their behavior can affect their mood.

How to use behavioral activation in your practice:

• Explain to the patient what behavioral activation is and why you're suggesting they try it

• Have them make a list of activities they find rewarding and rate each on a scale of 1-10 for ease and reward

• Find suggested activities and an activity scheduling template

May 2021

Screening for Depression

This month we focus on strategies for screening your patients for depression in an accessible and non-stigmatizing manner. Collaboration throughout the process is key!

Try these depression screening tips:

• Introduce the screener to your patients by explaining that you ask everyone these questions, and ask for their permission before proceeding. “We ask everyone these same questions in order to assess all areas of life. Is it okay if I proceed with my questions?”

• Gain consent before offering resources. “There are various resources available if you feel you could use some support as you continue navigating the various responsibilities in your life. There are online resources, support phone lines, and also therapy which some people find useful, just to have a place where they can discuss their stressors and associated feelings with an objective person, receive validation, and explore potential solutions.”

Read more strategies about Screening for Depression in the Primary Care Setting from Molly Sherb, PhD, Licensed Clinical Psychologist, Behavioral Health Team, Mount Sinai Health System