From a leading clinician-researcher, this book presents an empirically tested approach for helping clients with severe and chronic depression by directly tackling negative rumination. Rumination-focused cognitive-behavioral therapy (RFCBT) combines carefully adapted elements of CBT with imagery, visualization, and compassion-based techniques. The book provides everything needed to implement this 12-session approach, including numerous sample dialogues, a chapter-length case example, reflections and learning exercises for therapists, and 10 reproducible client handouts.