Beating the blues: Cognitive-behavioral treatment for depression in child-maltreating young mothers

Young mothers are at risk for depression. The article first reviews research on social and cognitive risk factors for depression and then considers the relationship between depression and child maltreatment. Cognitive-behavioral casework techniques that may improve social integration and self-management—mitigators of depression—are detailed. Finally, a case study demonstrates the use of these techniques with a depressed and maltreating mother.I am indebted to Joni Hardcastle, Andre Ivanoff, Rita Marlow, and Josie Solseng Maxwell for their contributions to the development and testing of the methods herein described and to Victoria Velasquez for permission to use the case study. I am grateful to Steven Paul Schinke and the staff of Social Work Research, Child Development and Mental Retardation Center, University of Washington, for their support of this project and the William T. Grant Foundation for funding this work and for their commitment to improving the mental health care of young people. Special thanks to Pixie Reiten and Mary Ann Liebert. For assistance preparing this article I thank Jordana Ash, Lorretta Morales Dodson, Christine Frazita, Lois Holt, Vicki Keller and Sharon Ikami.