Making Cognitive-Behavioral Therapy Work Clinical Process for New Practitioners

by ; ;
Edition: 1st
Format: Hardcover
Pub. Date: 2005-05-11
Publisher(s): The Guilford Press
List Price: $38.40

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Summary

A highly practical guide for beginning therapists, this concise primer fills the gap between academic training and what newly-minted clinicians need to know for day-to-day work with clients. Illustrated are the "whats," "whens," and "how-tos" of the entire process of cognitive-behavioral therapy (CBT)--from intake, assessment, case conceptualization, and treatment planning, through conducting sessions, making the most of supervision, and termination. Interwoven with an extended case example is expert guidance on confidentiality, informed consent, recordkeeping, and report writing, and on managing relationship issues and common problems that arise in CBT. Invaluable appendices point the reader toward additional resources, including empirically supported treatment manuals, journals, and websites.

Author Biography

Deborah Roth Ledley, PhD, is Assistant Professor of Psychology in Psychiatry at the University of Pennsylvania School of Medicine, as well as a faculty member at the Center for the Treatment and Study of Anxiety at the University of Pennsylvania. Dr. Ledley's scholarly publications include articles and book chapters on the nature and treatment of social phobia, obsessive/n-/compulsive disorder, and other anxiety disorders.

Brian P. Marx, PhD, is Assistant Professor of Clinical Psychology at Temple University. Dr. Marx's scholarly publications include articles and book chapters on sexual aggression and victimization, posttraumatic stress disorder, emotion and psychopathology, and behavior therapy.

Richard G. Heimberg, PhD, is Professor of Psychology, Director of Clinical Training, and Director of the Adult Anxiety Clinic at Temple University. He is also past president of the Association for Advancement of Behavior Therapy. Dr. Heimberg is well known for his efforts to develop and evaluate cognitive-behavioral treatments for social anxiety, and has published more than 200 articles and chapters on social anxiety, the anxiety disorders, and related topics. He is coeditor or coauthor of several books, including [i]Social Phobia: Diagnosis, Assessment, and Treatment[/i]; [i]Managing Social Anxiety: A Cognitive-Behavioral Therapy Approach[/i]; and [i]Generalized Anxiety Disorder: Advances in Research and Practice[/i].

Table of Contents

Introducing Cognitive-Behavioral Process
1(19)
How to Gain Confidence as a Clinician
1(5)
Preparing to See Clients
6(6)
Cognitive-Behavioral Integration: Moving Beyond the ``Black Box''
12(8)
Initial Interactions with Clients
20(16)
The Initial Contact
20(3)
Before Meeting the Client
23(2)
In the Waiting Room
25(1)
In the Room with the Client
25(5)
The Case Conceptualization (Thus Far)
30(1)
A Case Example
31(5)
The Process of Assessment
36(26)
Being Mindful of Your Reactions
36(2)
The Goals of Assessment
38(1)
Tools for Accomplishing Assessment Goals
38(16)
Common Concerns of Beginning Clinicians
54(2)
Michael's Assessment Interview
56(6)
Conceptualizing the Case and Planning Treatment
62(17)
Conceptualizing the Case
62(9)
How Does the Case Conceptualization Inform the Treatment Plan?
71(2)
Two Final Points on Treatment Planning
73(6)
Giving Feedback to Clients and Writing the Assessment Report
79(25)
Reviewing the Client's Strengths
79(1)
Reviewing the Problem List and Diagnoses
80(1)
Sharing the Case Conceptualization
81(1)
Reviewing Treatment Options
82(3)
Michael's Feedback Session
85(6)
Addressing Commonly Asked Questions about CBT
91(6)
Writing the Report
97(7)
Starting the Cognitive-Behavioral Treatment Process
104(26)
The Importance of Setting an Agenda
105(1)
The First Treatment Session
106(7)
Revisiting the Case of Michael
113(15)
Before Moving On: A Note on Homework in CBT
128(2)
Dealing with Initial Challenges in Cognitive-Behavioral Therapy
130(24)
Challenges in Socializing Clients to CBT
130(4)
Special Considerations for Clients Taking Medication While Doing CBT
134(3)
Special Challenges: Working with Suicidal Clients
137(1)
What Skills and Knowledge Do You Need to Assess Suicide Risk?
138(5)
Clinician-Related Roadblocks That Can Interfere with Treatment
143(3)
Difficult Interpersonal Situations in the Therapeutic Relationship
146(8)
The Next Sessions: Teaching the Core Techniques
154(16)
Session 3: Introducing Cognitive Restructuring
155(5)
Session 4: Continuing Cognitive Restructuring and Planning the First Exposure
160(1)
Session 5: Doing the First Exposure
161(2)
Sessions 6--10: Continuing Cognitive Restructuring and Exposures to Feared Situations
163(2)
Keeping Good Client Records
165(5)
Managing Client Noncompliance in Cognitive-Behavioral Therapy
170(26)
Roadblock 1: Difficulties with Getting the Client to Engage in the Process of CBT
171(13)
Roadblock 2: Client Difficulties with the Therapeutic Relationship
184(11)
A Conclusion: Staying Positive in the Face of Challenges
195(1)
Terminating Therapy
196(20)
Keeping the End Point in Mind
196(1)
Teaching Clients to Be Their Own Clinicians
197(4)
Things to Do in the Last Few Sessions of Therapy
201(5)
Terminating Therapy: Staying the Course or Making Adjustments?
206(4)
A Return to the Case of Michael
210(6)
The Process of Supervision
216(17)
The Goals of Supervision
216(1)
The Roles of the Supervisor
217(1)
The Role of the Trainee
218(1)
Setting Up a Supervisory Relationship
219(2)
Methods of Supervision
221(3)
Roadblocks in the Supervisory Relationship
224(8)
Focusing on the Positive
232(1)
Appendix A Recommended Readings in Cognitive-Behavioral Therapy 233(8)
Appendix B Suggested Journals and Websites 241(2)
References 243(4)
Index 247

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