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Digital Seminar

Disrupting Rumination: Changing the Cognitions that Underlie Anxiety and Depression

Margaret Wehrenberg, Psy.D., Psychologist
3 Hours 52 Minutes
Mar 23, 2018
Product Code:
Media Type:
Digital Seminar
Never expires.


Overactive brain circuitry can trap clients in cycles of rumination that can keep them anxious and depressed. Letting go of ruminating worries, or banishing persistent thoughts, like I’m not good enough or I’m worthless, isn’t easy for clients and when ruminations don’t shift, therapists can begin to feel stuck themselves.

Watch Margaret Wehrenberg and she will examine why clients lock into depressive thought patterns and why they feel they need to hold on to worry. You will learn practical interventions to use in-session for eliminating these patterns and replacing them with attitudes of calm and competency.



Margaret Wehrenberg, Psy.D., Psychologist's Profile

Margaret Wehrenberg, Psy.D., Psychologist Related seminars and products

Margaret Wehrenberg, Psy.D., is a Licensed Clinical Psychologist, and the curriculum development director for Candeo’s online Depression and Anxiety Program. She is the author of five books: Anxiety + Depression: Effective Treatment of the Big Two Co-Occurring DisordersThe Anxious BrainThe 10 Best-Ever Anxiety Management TechniquesThe 10 Best-Ever Depression Management Techniques, and The 10 Best-Ever Anxiety Management Techniques Workbook, all published by W. W. Norton.

She earned her M.A. specializing in psychodrama and play therapy with children, and has years of experience as a certified drug and alcoholism counselor, working with the U.S. Army in Germany and Lutheran Social Services in Illinois before earning her Psy.D. and beginning a private psychotherapy practice. Her outpatient clinical work has focused on anxiety, depression and trauma recovery with adults. Currently, she sees private clients through Wehrenberg and Associates in Naperville, Illinois.

In addition to clinical work, Margaret is an international trainer for mental health clinicians and she is a frequent contributor of articles to The Psychotherapy Networker magazine and has produced Relaxation for Tension and Worry, a CD for breathing, muscle relaxation and imagery to use with anxious clients, as well as a client workbook, Stress Solutions: Ten Effective Strategies to Eliminate Your Stress.

Speaker Disclosures:

Financial: Dr. Margaret Wehrenberg maintains a private practice. She receives royalties as a published author. She is an international presenter and receives compensation. Dr, Wehrenberg receives a speaking honorarium, book royalties, and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Dr. Margaret Wehrenberg is a member of the American Psychological Association and the Anxiety Disorder Association of America.

Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.


  1. Articulate methods to help clients identify perfectionism in thought and behavior and explore treatment interventions to decrease symptoms of anxiety.
  2. Implement strategies for stress management to reduce symptoms of anxiety in clients, including lifestyle changes, cognitive interventions and time management tools.
  3. Evaluate the negative impact of rumination on the brain structure and function to inform the clinician’s choice of treatment interventions.
  4. Ascertain the underlying neurological processes that impact depression symptoms in clients.


Rumination as The Link Between Anxiety and Depression
  • Brief look at brain structure/function contributions
  • The purpose of worry: cognitive mis-steps
  • Explore the impact of guilt and interventions for guilt
Manage Worry
  • Contain your worry in time
  • Invite the worry
  • Identify and alter “magical worry”
The Impact of Stress and 4 Competencies to Prevent Stress Damage on Health, Anxiety and Depression
  • Eliminate the Stressor
  • Manage time and environment
  • Manage Attitude
  • Practice Rest and Relaxation
Perfectionism and the Too Much Activity (TMA) person
  • Perfectionism in thought and behavior and interrupt its negative effects
  • When procrastination is perfectionism in disguise
A look at Depression - 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
  • Change the network on purpose - “Start where you already are”
  • "Charge the batteries” to raise energy
Situational Stressors
  • Setting boundaries and utilizing help
  • Mobilizing energy to respond
Interrupt helplessness
  • Utilize mentors or lifelines
  • Focus on strengths
Positive Impacts of Early Life Adversity
  • Prepare to stay connected
  • Changing Explanatory style
  • Gratitude assignments

Target Audience

Psychologists, Addiction Counselors, Counselors, Social Workers, Marriage & Family Therapists, Nurses, and other Behavioral Health Professionals

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