Mastery of Your Anxiety and Worry (MAW) Therapist Guide

by Zinbarg, Richard E.; Craske, Michelle G.; Barlow, David H.

• ISBN13: 9780195186918
• ISBN10: 0195186915
• Format: Paperback
• Copyright: 2004-11-11
• Publisher: Graywind Publications

Summary

This 13-session program incorporates new procedures to help clients learnto monitor their anxiety, gain control, and initiate needed change throughcognitive restructuring, progressive muscle relaxation, and direct confrontationof unnecessary worry using imagery and In Vivo Experience. The videotape helpstherapists gain a better understanding of cognitive behavioral therapy for thetreatment of generalized anxiety disorder.In this program, clients will learn to control their "out-of-control" worry andanxiety. The program is divided into 13 components or lessons. In each lesson,clients will learn specific skills. The skills will build on each other so thatin each new lesson, they will use skills learned in earlier lessons. The typesof skills that they will learn include reducing physical tension, controllingexcessive worry, and dealing with real problem situations. The program isobviously structured, but within that structure, there is room for individualtailoring, since individual differences are very important for understandingwhat will help each client the most.At the end of each lesson, there is an exercise and a self-assessment sectionthat is there for clients to see if they have learned the important information.If not, it is a sign for them to go back over the material again. Most peoplego over the lesson repeatedly. In addition, specific exercises are outlined atthe end of each chapter.

Author Biography

Richard E. Zinbarg is an associate professor in psychology at Northwestern University and a licensed clinical psychologist specializing in the treatment of anxiety and panic disorders. He is the Patricia M. Nielsen Research Chair and co-director of the Anxiety and Panic Treatment Program at The Family Institute at Northwestern University. He received his PhD from Northwestern in 1989. He also directed the Oregon Program for Anxiety Study and Treatment at the University of Oregon. For the past 15 years he has published and presented extensively on anxiety disorders.

Michelle G. Craske received her PhD from the University of British Columbia in 1985 and has published over 100 articles and chapters in the areas of anxiety disorders and fear. She recently completed an advanced level text, Anxiety Disorders: Psychological Approaches to Theory and Treatment. Currently, she is professor of psychology in the department of psychology at the University of California, Los Angeles, and director of the UCLA Anxiety Disorders Behavioral Research Program. She continues to serve on the DSM-IV Anxiety Disorders Workgroup Subcommittee, which is charged with revising the text that accompanies the diagnostic criteria; is a consultant to various national organizations in their efforts to develop and disseminate practice guidelines for panic disorder and other anxiety disorders; and has been awarded NIMH/NIH funds for the study of anxiety disorders. Her research focuses on furthering the understanding of fear and anxiety and in developing more effective treatments for the anxiety disorders.

David H. Barlow received his Ph.D. from the University of Vermont in 1969 and has published over 400 articles and chapters and over 20 books. His major interests over the past 30 years has been the study of anxiety and its disorders, and developing new psychological procedures for practice settings. Prior to his current position as Professor and Director of the Center for Anxiety and Related Disorders and Director of Clinical Psychology Programs at Boston University, he founded clinical psychology internships at Brown University and the University of Mississippi Medical Center. He is the recipient of the 2000 American Psychological Association (APA) Distinguished Scientific Award for the Applications of Psychology. Other awards include the Career Contribution Awards from the Massachusetts and California Psychological Associations, and a MERIT award from the National Institute of Mental Health for long-term contributions to the clinical research effort. During the 1997/1998 academic year, he was Fritz Redlich Fellow at the Center for Advanced Study in Behavioral Sciences in Palo Alto, California. He is Past-President of the Society of Clinical Psychology of the American Psychological Association, and the Association for the Advancement of Behavior Therapy. He was also Chair of the American Psychological Association Task Force of Psychological Intervention Guidelines, a member of the DSM-IV Task Force of the American Psychiatric Association, and was Co-Chair of the Work Group for revising the anxiety disorders categories.

Table of Contents

Chapter 1: Structure of the Mastery of Your Anxiety and Worry Program and Practical Issues in Its Implementation	1	(14)
Who Will Benefit From This Program?	2	(1)
What if Other Problems (Diagnoses) Are Present?	3	(1)
Medication	4	(1)
Who Should Run the MAW Program?	5	(1)
Should Former Clients Be Co-Therapists?	6	(1)
Group Versus Individual Sessions	7	(1)
Session Style	7	(3)
Frequency of Meetings	10	(1)
Does Every Person Require the Entire Program?	11	(1)
Benefits of Using a Workbook	11	(2)
Full Workbook Versus Installments	13	(1)
Fees for the MAW Treatment Program	14	(1)
Chapter 2: The Nature of Anxiety and Generalized Anxiety Disorder	15	(8)
Conceptualization of the Development of Excessive Worry and Anxiety	15	(3)
Conceptualization of Worry Within Generalized Anxiety Disorder	18	(2)
Conceptualization of Generalized Anxiety Disorder	20	(3)
Chapter 3: Outline of Treatment Procedures and Basic Principles Underlying Treatment	23	(8)
Treatment Targets	24	(1)
Individual Variability	24	(1)
Principles Underlying the Treatment Procedures	25	(2)
Case Example: Striving for Perfection, The Case of J	27	(3)
Outline of Therapist Guide	30	(1)
Chapter 4: Lesson 1 The Nature of Generalized Anxiety	31	(12)
Summary of Information	31	(1)
Main Concepts Conveyed to Client	32	(1)
Principles and Points to Consider in Lesson 1	33	(1)
Case Vignettes	33	(7)
Atypical and Problematic Responses	40	(3)
Chapter 5: Lesson 2 Learning to Recognize Your Own Anxiety	43	(6)
Summary of Information	43	(1)
Main Concepts Conveyed to Client	43	(1)
Principles and Points to Consider in Lesson 2	44	(1)
Case Vignettes	44	(3)
Atypical and Problematic Responses	47	(2)
Chapter 6: Lesson 3 The Purpose and Function of Anxiety	49	(8)
Summary of Information	49	(1)
Main Concepts Conveyed to Client	50	(1)
Principles and Points to Consider in Lesson 3	51	(1)
Case Vignettes	52	(3)
Atypical and Problematic Responses	55	(2)
Chapter 7: Lesson 4 A Closer Look at Generalized Anxiety Disorder	57	(8)
Summary of Information	57	(1)
Main Concepts Conveyed to Client	58	(1)
Principles and Points to Consider in Lesson 4	59	(1)
Case Vignettes	59	(4)
Atypical and Problematic Responses	63	(2)
Chapter 8: Lesson 5 Learning to Relax	65	(6)
Summary of Information	65	(1)
Main Concepts Conveyed to Client	66	(1)
Principles and Points to Consider in Lesson 5	67	(1)
Case Vignettes	68	(1)
Atypical and Problematic Responses	69	(2)
Chapter 9: Lesson 6 Controlling Thoughts That Cause Anxiety I: Overestimating the Risk	71	(8)
Summary of Information	71	(1)
Main Concepts Conveyed to Client	72	(1)
Principles and Points to Consider in Lesson 6	73	(1)
Case Vignettes	74	(2)
Atypical and Problematic Responses	76	(3)
Chapter 10: Lesson 7 Controlling Thoughts That Cause Anxiety II: Thinking the Worst	79	(8)
Summary of Information	79	(1)
Main Concepts Conveyed to Client	80	(1)
Principles and Points to Consider in Lesson 7	80	(1)
Case Vignettes	81	(4)
Atypical and Problematic Responses	85	(2)
Chapter 11: Lesson 8 Direct Worry Control	87	(6)
Summary of Information	87	(1)
Main Concepts Conveyed to Client	88	(1)
Principles and Points to Consider in Lesson 8	89	(1)
Case Vignettes	89	(3)
Atypical and Problematic Responses	92	(1)
Chapter 12: Lesson 9 From Worry Exposure to Worry Prevention	93	(8)
Summary of Information	93	(1)
Main Concepts Conveyed to Client	94	(1)
Principles and Points to Consider in Lesson 9	94	(1)
Case Vignettes	95	(3)
Atypical and Problematic Responses	98	(3)
Chapter 13: Lesson 10 Dealing With Real Problems	101	(6)
Summary of Information	101	(1)
Main Concepts Conveyed to Client	102	(1)
Principles and Points to Consider in Lesson 10	102	(1)
Case Vignettes	103	(3)
Atypical and Problematic Responses	106	(1)
Chapter 14: Lesson 11 Drugs for Anxiety and Their Relation to This Program	107	(6)
Summary of Information	107	(1)
Main Concepts Conveyed to Client	107	(1)
Principles and Points to Consider in Lesson 11	108	(1)
Case Vignettes	108	(3)
Atypical and Problematic Responses	111	(2)
Chapter 15: Lesson 12 Your Accomplishments and Your Future	113	(6)
Summary of Information	113	(1)
Main Concepts Conveyed to Client	113	(1)
Principles and Points to Consider in Lesson 12	114	(1)
Case Vignettes	115	(2)
Atypical and Problematic Responses	117	(2)
References	119	(2)
Additional Readings	121