Disrupting Rumination: Changing the Thoughts that Underlie Anxiety and Depression

This is an On Demand Webinar about Rumination. Access information, resources, and CEU information will be sent to you shortly after registration and registrants will be given unlimited access to the recording for a full year

Already registered for this workshop?

Overactive brain circuitry can trap people in cycles of ruminative thinking. This neurobiologically-based rumination links anxiety and depression — two disorders concur in about 50% of our clients.

Whether clients experience depressive themes of worthlessness and inadequacy or the anxious full-of-dread cognitions, repetitive patterns of negative thoughts keep people locked into distress. Letting go isn’t easy. As reinforced by life experience and strengthened by repetition, mental habits form a neurobiological rut into which clients fall repeatedly. Stuck in this rut, people become unable to change behaviour, and in response, it is no surprise that therapists themselves can begin to feel stuck, wondering how to promote change in thought and action.

In this workshop, we’ll examine why clients lock into depressive patterns that increase their unhappiness, and we will explore the four subtle reasons they hold on to worry. Understanding these underlying rationales helps clients increase both their confidence and ability to change their mental habits. More importantly, we’ll explore pragmatic, achievable solutions to disrupt rumination and stuck behaviours, eliminate these patterns, and replace them with attitudes of calmness and competency. After utilizing experiential and interactive methods, you will leave prepared to offer your clients effective tools to end rumination, alter stuck behaviours, and move into recovery from depression and anxiety. 

Known for her humour, pragmatic treatment approaches, and interactive teaching style, Dr. Wehrenberg is a sought-after speaker and consistently receives the highest ratings for her dynamic presentation and high-quality content. Seasoned professionals often rank her training “as among the best I have ever attended.” This workshop is packed with good information and strategies.

Want More Margaret Wehrenberg?

Margaret Wehrenberg also presents The New Social Anxiety: Mental Health and Social Balance in the Age of Social Media and the Internet. Click here for full info.

  • Explain how to improve treatment compliance by applying a basic understanding of neurological causes of rumination and how to assess and change in anxious and depressed clients 
  • Discuss at least four underlying causes of depression and immediate therapy interventions that will rapidly disrupt the ruminative themes of worthlessness and inadequacy
  • Explain how to frame four purposes of worry and how to apply techniques that break the hold of worry 
  • Demonstrate how to interrupt the ruminative cognitions that decrease energy and then apply self-reinforcing techniques that can energize clients
  • Demonstrate how to teach clients to identify the impact of situational stressors
  • Discuss at least four approaches that reduce and eliminate the damage of stress that underpins both anxiety and depression

Margaret Wehrenberg, PsyD, is a licensed clinical psychologist, is the author of 8 books on the treatment of anxiety and depression, including the best-selling The 10 Best-Ever Anxiety Management Techniques (revised and updated in 2018) and its accompanying workbook. An expert on the treatment of anxiety and depression, she also has extensive training and expertise in the neurobiology of psychological disorders. In addition to clinical work, she coaches business professionals on managing anxiety and contributes articles for The Psychotherapy Networker magazine. She has produced audio soundtracks available on her website for breathing, muscle relaxation and imagery. Margaret blogs on depression for Psychology Today.>

Time Topic Covered
10:00 am – 11:30 am

Rumination as The Link Between Anxiety and Depression

  • A brief look at brain structure/function contributions
  • The purpose of worry: cognitive mis-steps
  • Exploring the impact of guilt and interventions for guilt
11:30 am – 11:15 pm 15-minute break
11:45 am – 1:15 pm

Managing the Four Purposes of Worry at Every Age

  • Containing your worry in time
  • Inviting the worry
  • Identifying and altering “magical worry”

The Impact of Stress and Four Competencies to Prevent Stress, Anxiety and Depression, Especially in Older Adolescents and Young Adults

  • Eliminating the Stressor
  • Managing Time and Environment
  • Managing Attitude
  • Practicing Rest and Relaxation, and activating the Default Mode Network for creative problem solving in anxiety and depression
1:15 pm – 1:45 pm 30-minute break
1:45 pm – 3:15 pm

Perfectionism, Anxiety and Depression in the Too Much Activity (TMA) Person of Any Age from Childhood to Late Adulthood

  • Exploring four ways to disrupt perfectionism, which may be an ironic effort to diminish anxiety but rather intensifies anxious/depressive states
  • Procrastination as perfectionism in disguise
  • Recognizing the highly active depressed client and developing their capacity to slow down without intensifying depression
3:15 pm – 3:30 pm 15-minute break
3:30 pm – 5:00 pm

A Look at Depression  

  • Four underlying causes of depression 
  • Immediate responses 

Raising Energy and Altering Cognitions

  • Altering the neural networks that keep rumination in place

“Born to be blue”: Spotting and altering the impact of endogenous depression

This training offers 6 hours of direct contact (not counting breaks or lunch). It is the participant’s responsibility to check with their individual state boards/regulatory body to verify CE requirements for their license to practice.

For Live Broadcast Attendees

Webinar attendance by participants is automatically tracked, documented and archived for future reference. Upon confirming you have attended 100% of the webinar and upon completion of a course evaluation, you will be issued a certificate of participation (see below).

For Attendees of On Demand/Recorded Version

If you cannot verify 100% attendance of the Live Broadcast or if you are watching the On Demand/recorded version of this webinar, you will need to complete a Post-Webinar Quiz with a pass of at least 80% in order to verify your attendance.

For US and International Participants

For American and International participants, this webinar may be eligible for Continuing Education credits. This webinar has not been pre-approved for US and International CE credits.

However, upon completion of the webinar and verification of your webinar attendance, you will be provided with the  following supporting documents  that you can submit to your licensing/regulating authority for consideration of approval for CE credit:

  • Certificate of participation (emailed to you upon verification of webinar attendance)
  • Workshop description, learning objectives, agenda, content references, disclosure agreement
  • Speaker’s CV

Instructions on how to obtain your Certificate of Participation will be emailed either upon completion of the Live Broadcast or after participants pass the Post-Webinar Quiz following the On Demand recorded version of the webinar.

For more general info about CEs for US Participants, please click here.  

For Canadian Participants

Upon fulfillment of the above requirements, Canadian participants will be issued a Certificate of Participation which features:

  • Name of Participant
  • Title of Training
  • Name of Presenter plus their credentials
  • Number of hours of training
  • Date of training
  • Confirmation that you have passed a quiz with at least 80% grade to verify your attendance

Please check carefully with your regulating body/organization that this certificate is sufficient proof for you to claim CEUs.

For general information about Continuing Education for Canadians and International participants, please click here.  

$239.00Add to cart

Event Detail

Who Should Attend

  • Marriage and Family Therapists
  • Clinical and Counselling Psychologists
  • Psychiatric Social Workers
  • Pastoral Counsellors
  • Psychotherapists
  • Psychiatrists
  • Physicians
  • Nurse Practitioners
  • Occupational Therapists
  • Counsellors
  • Graduate Students in accredited programs in the above fields
  • Case Managers
  • Licensed Professional Counsellors
  • All other professionals who would like to develop, update or expand their skills and knowledge in mental health practices