Section 1: Introduction A. About This Course B. Learning Objectives Section 2: Etiology of Depressive Disorders A. Meet Private First Class (PFC) Parker B. What Does Depression Look Like in Service Members? C. Etiology of Depression D. Multiple Types of Stress/Injury E. Quick Check F. Military-specific Stressors G. Possible Protective Factors for Service Members H. Staff Sergeant (SSgt) Charlie Ross I. Summary Section 3: Prevalence Rates of Depression among Military Populations A. 2011 Department of Defense (DoD) Survey: Personnel Reporting a High Level of Depression B. Depression among Returned Operation Iraqi Freedom (OIF) Service Members C. Quick Check D. Risk Factors for National Guard Soldiers E. Depression and Veterans F. Meet Jessica G. Summary Section 4: Identification and Assessment in the Military A. Possible Ramifications of Depression Diagnosis for Service Members B. Spectrum of Depressive Disorders C. Major Depressive Episode D. Assessing Major Depressive Episode E. MDD Is Not… F. Survivor Guilt G. Depression and Substance Use Disorder H. Symptom Overlap I. Depression and Trauma J. Self-report Screens and Measures K. Recommended Self-report Screens and Measures L. Structured Interviews to Assess for Depressive Disorders M. Suicide-specific Assessment N. Warning Signs O. Sources of Information P. Lt Sarah Jacobs Q. Summary Section 5: Empirically Validated Treatments for Depression A. Goal of Treatment: Achieve Remission B. Course/Phases of Depression C. Acute Phase Treatments D. Acute Stage: Psychoeducation E. Acute Stage: Self-management F. Acute Stage: “Watchful Waiting” G. Quick Check H. MDD Psychotherapies I. Cognitive Behavioral Therapy (CBT) J. The Cognitive Portion of CBT K. Common Cognitive Distortions of Military Personnel L. The Behavioral Portion of CBT M. Interpersonal Psychotherapy (IPT) N. Initial Phase of IPT O. Intermediate Phase of IPT P. Termination of IPT Q. Problem-solving Therapy (PST) R. PST Training S. Fours Skills in PST Training T. Quick Check U. Other Therapies: Acceptance and Mindfulness Therapies V. Other Therapies: Short-term Psychodynamic Psychotherapy W. Other Therapies: Self-Help X. Other Treatment Interventions Y. Service Member Treatment Considerations Z. Meet Technical Sergeant (TSgt) Brown AA. Summary Section 6: Conclusion A. Summary B. Congratulations! C. Course Contributors C. Resources D. References
Jenna Ermold, Ph.D. is a clinical psychologist working as the Assistant Director of Online Programs for the Center for Deployment Psychology at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. In this capacity, she oversees the development and dissemination of online training programs for behavioral health clinicians to improve competency in working with military members and their families. Additionally, she develops and presents workshops across the country to military and civilian audiences on topics in deployment behavioral health and evidence-based therapies for PTSD. She is a graduate of the Malcolm Grow (USAF) Medical Center Psychology Residency Program and served on active duty as a psychology in the United States Air Force from 2002 to 2006. Dr. Ermold graduated from Middlebury College with a degree in psychology and English and received her doctorate in clinical psychology from the University of Vermont. She specializes in health psychology, behavioral health integration into primary care, women's reproductive behavioral health, post-traumatic stress disorder, and military psychology. Disclosure: Jenna Ermold, Ph.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Instructor: Lisa French, Psy.D.
Lisa French, Psy.D., is a clinical psychologist who has been with the CDP since 2011, initially working as a Deployment Behavioral Health Psychologist at Wilford Hall Ambulatory Surgical Center and now serving as a Cognitive Behavioral Therapy Trainer. Dr. French graduated from Oregon State University where she majored in Psychology and earned her Master’s and Doctorate in Clinical Psychology from Pacific University in Forest Grove, Oregon. She graduated from the Wright-Patterson (USAF) Medical Center Psychology Residency Program in 2003 and served on Active Duty as a psychologist in the United States Air Force from 2002-2011. Dr. French deployed in 2006 to Afghanistan in support of Operation Enduring Freedom. As a military spouse, Dr. French continues to experience military life daily and has firsthand understanding of the demands of military service on the family. Her professional interests include military psychology, the assessment and treatment of PTSD and depression, exercise psychology, and suicide prevention/treatment. Disclosure: Lisa French, Psy.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Staff Writer: Naju Madra, M.A.
Instructor: Marjorie Weinstock, Ph.D.
Naju Madra, M.A. is an internal subject matter expert and clinical content writer for Relias' Behavioral Healthcare library. She earned her Master's degree in Psychology with specific study in neuropsychological assessment for children with Fetal Alcohol Spectrum Disorders. She brings with her a wealth of experience in clinical assessment, along with expertise in large-scale clinical research project management, recruitment, training, as well as in-person and web-based curriculum development.
In addition to scholarly activities such as writing manuals and preparing manuscripts for peer-reviewed journals, Ms. Madra has over 15 years of behavioral healthcare experience ranging from crisis counseling and job coaching for individuals with severe mental illness and co-occurring disorders, to community college instruction, and trauma specialist at the Veterans Health Administration. In her current role, Ms. Madra has contributed authorship to over 100 behavioral healthcare course offerings for both licensed and non-licensed professionals in the Health & Human Services market.Disclosure: Naju Madra, M.A. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Marjorie Weinstock, Ph.D. is a Senior Military Behavioral Health Psychologist at the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. She joined the CDP in 2009 as a deployment behavioral health psychologist at the Naval Medical Center San Diego. Prior to joining the CDP, Dr. Weinstock spent three years working for the Navy's Fleet & Family Support Program, where she provided counseling services to military members and their families. Dr. Weinstock is a graduate of Emory University and received her doctorate in Counseling Psychology from the State University of New York-Buffalo. She completed her internship at the Brockton, Massachusetts VA Medical Center and a two-year postdoctoral fellowship in clinical research and addictive disorders at the Brown University Training Consortium. As a military spouse, Dr. Weinstock has a first-hand understanding of the demands of military service on the family. Her professional interests include deployment related mental health issues, the assessment and treatment of PTSD and depression, and the impact of military life on the family. Disclosure: Marjorie Weinstock, Ph.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.