Cognitive Behavioral Therapy for Depression: Helping Clients Learn New Skills

Exclusion Criteria

• •1. current or past diagnosis of bipolar disorder or a psychotic disorder;
• •2. moderate or severe substance use in the past 6 months (where "moderate" is defined as 4-5 symptoms and "severe" is defined as 6 + symptoms of those listed in DSM-5 for each of the substance-related disorders);
• •3. current disorder other than MDD if it constitutes the predominant aspect of the clinical presentation and if it requires treatment other than that being offered;
• •4. currently participating in a treatment for an emotional disorder, including any individual psychotherapy or psychiatric medications used to treat a mood or anxiety disorders;
• •5. clear indication of secondary gain (e.g., court-ordered treatment); and
• •6. current suicide risk or significant intentional self-harm in the last six months sufficient to preclude treatment on an outpatient basis.