Cognitive-Behavioral Therapy for Anxiety Disorders: Mastering Clinical Challenges
224
Cognitive-Behavioral Therapy for Anxiety Disorders: Mastering Clinical Challenges
224Paperback
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Overview
Product Details
| ISBN-13: | 9781606238691 |
|---|---|
| Publisher: | Guilford Publications, Inc. |
| Publication date: | 04/20/2010 |
| Series: | Guides to Individualized Evidence-Based Treatment |
| Pages: | 224 |
| Product dimensions: | 6.90(w) x 9.90(h) x 0.80(d) |
About the Author
Melanie Fennell, PhD, is Director of the University of Oxford Diploma/MSc in Advanced Cognitive Therapy Studies and is a research therapist in Oxford's Department of Psychiatry. She will also codirect a new Master of Studies in Mindfulness-Based Cognitive Therapy program. Dr. Fennell has contributed to the development of treatment protocols for depression and for a range of anxiety disorders, and has published widely on CBT for depression and low self-esteem. In 2002, she was voted "Most Influential Female UK Cognitive Therapist" by the membership of the British Association of Behavioural and Cognitive Psychotherapies.
Ann Hackmann, PhD, until her death in 2017, was a Consultant Clinical Psychologist at the Oxford Cognitive Therapy Centre and the Department of Psychiatry, University of Oxford. She has worked for over 20 years in a research group specializing in the development of cognitive therapy protocols for anxiety disorders. She was particularly interested in working with imagery in cognitive therapy, and published widely on this topic. Dr. Hackmann provided teaching and training in cognitive therapy in many national and international settings, and was a Founding Fellow of the Academy of Cognitive and Behavioral Therapies.
Table of Contents
Part I Setting the Scene 1
1 Treating Anxiety Disorders: The State of the Art 3
Cognitive Therapy and Anxiety 3
A Transdiagnostic View of Underlying Cognitive and Behavioral Processes 5
Current Models and Protocols 7
Embracing Complexity While Utilizing Specific Protocols 21
Conclusion 23
Part II Deepening Understanding and Securing Engagement 27
2 Assessment: Investigating Appraisals in Depth 29
Standard Methods of Accessing Appraisals 30
Targeting Higher Level Appraisals 31
Input from Memory in the Anxiety Disorders 34
How Should We Access "Hot Cognitions"? 39
Conclusion 46
3 Case Formulation: Making Sense of Complexity 48
Principles Guiding Case Formulation 49
Applying these Principles to Resolve Problems in Formulation 49
Anxiety Disorders and Formulation Work: Mapping the Territory 52
Judging the Quality of a Case Formulation 54
Using Metaphors, Pictures, and Diagrams in Formulation Work 56
Formulating Interactions between People 60
Formulating Comorbidity with Different Kinds of Anxiety 61
Conclusion 70
4 Decentering from Thoughts: Achieving Objectivity 71
The Metacognitive Perspective 72
Aspects of Cognitive Therapy That Enhance Metacognitive Awareness 72
Specific Methods for Enhancing Metacognitive Awareness 75
Conclusion 84
Part III Facilitating Emotional Processing 85
5 Bringing About Lasting Change at the Deepest Level 87
Emotional Processing 87
Spontaneous Cognitive Change as a Result of Simply Evoking Hot Material 88
Using Traditional Cognitive Therapy Techniques to Prompt for Change, by Holding Old Material in Mind While Accumulating More Information 90
Using the Properties of Imagery to Bring About Cognitive Change 93
Unpacking and Transforming Metaphorical Images 98
Conclusion 104
6 The Role of Behavioral Experiments 106
The Role of Behavior in Maintaining Anxiety 108
Behavioral Interventions in Treatment 109
Behavioral Experiments and Experiential Learning 111
Creating Successful Behavioral Experiments: The Practicalities 113
Alan's Behavioral Experiments: A Clinical Example 116
Maximizing the Impact of Behavioral Experiments 121
Therapist-Guided In-Session Experiments 126
Conclusion 127
Part IV Overcoming Three Major Obstacles to Progress 131
7 Avoidance of Affect 133
Transdiagnostic Features of Avoidance of Affect 135
The Meaning of Affect 136
Recognizing Avoidance of Affect 137
Making Sense of Avoidance of Affect: Theories, Causes, and Consequences 138
Strategies for Dealing with Avoidance of Affect 142
Pitfalls and Difficulties 150
Conclusion 151
8 Low Self-Esteem 153
A Cognitive Perspective 154
The Relationship between Anxiety and Low Self-Esteem 154
A Cognitive Model of Low Self-Esteem 156
The Role of Rules for Living 159
How the Bottom Line Is Triggered 160
How Low Self-Esteem Is Maintained 160
Treating Comorbid Anxiety and Depression: A Case Example 161
Applying the Model 164
Interventions Designed to Enhance Self-Esteem 166
Questioning the Bottom Line: Undermining the Evidence 168
Creating a New Bottom Line 169
Conclusion 173
9 Dealing with Uncertainty 174
Making Sense of Anxiety and Uncertainty 174
Anticipating and Avoiding Common Pitfalls 176
Strategies Based on Standard Applications of Cognitive Therapy 178
Acknowledging That Change Involves Taking Risks 180
Strategies Derived from the Treatment of GAD 181
Practical Tips 184
Strategies for Helping People to Live with Uncertainty 187
Conclusion 190
Part V Ending Treatment Productively 193
10 Creating a Therapy "Blueprint" 195
The Processes Involved in Ending Treatment 196
A Personal Blueprint for Treating Anxiety Disorders 207
References 209
Index 218
Interviews
Practitioners and students in clinical psychology, psychiatry, counseling, social work, and related mental health fields. May serve as a text in graduate-level seminars and clinical practica in cognitive-behavioral therapy and anxiety disorders.