Cognitive-Reminiscence Therapy for Young Adults with Depressive Symptoms: Clinical Observations, Challenges, and Recommendations

Cognitive-reminiscence therapy is a novel intervention for depression in young adults, and currently no specific clinical guidance exists for its use in this age group. The aim of this article is to disseminate our experiences from a recent clinical trial in which we engaged in cognitive-reminiscence therapy (CRT) with young adults for the purpose of treating depressive symptoms. Discussion is presented in terms of clinical observations that were made during treatment, specific challenges that arose, and recommendations for implementing this therapy with young adults. Firstly, a conceptual overview and rationale for CRT is provided along with an outline of the treatment protocol that was used. Then,a framework for undertaking therapeutic reminiscence work at different levels of analysis is presented, and comment is made on the rationale for, and the process of, elicitingspecific memories. Common life events and issues that emerged as the foci of reminiscence with young adults in our trial are reviewed. Following this, the process of orienting to the mechanisms of change in CRT is discussed. Finally, several clinical issues and insights that emerged during the provision of this therapy are presented: contextualising emerging adulthood as a time of transition, creating continuity acrossindividuals’ lives, the process of reflection on reminiscence, and homework adherence.