Treatment Plans and Interventions for Depression and Anxiety Disorders

by Leahy, Robert L.; Holland, Stephen J. F.

• ISBN13: 9781572305144
• ISBN10: 1572305142
• Edition: 1st
• Format: Paperback
• Copyright: 2000-03-10
• Publisher: The Guilford Press

Summary

This one-of-a-kind resource provides the busy practitioner with empiri cally supported treatments for seven frequently encountered disorders: major depression, generalized anxiety, panic and agoraphobia, PTSD, s ocial phobia, specific phobia, and obsessive compulsive disorder. Serv ing as ready-to-use treatment packages, chapters describe basic cognit ive-behavioral therapy (CBT) techniques and how to tailor them to each disorder. Also featured are diagnostic decision trees; therapist form s for assessment and record keeping; client handouts and homework shee ts; and session-by-session case examples. Tips for troubleshooting com mon therapeutic roadblocks are presented, as are strategies for ensuri ng third-party payment authorization. The searchable CD-ROM enables cl inicians to rapidly generate individualized treatment plans, print ext ra copies of therapist and client forms, find the facts about commonly prescribed medications, and learn more about cognitive-behavioral tec hniques.

Author Biography

Robert L. Leahy, PhD, received his doctorate from Yale University and completed a postdoctoral fellowship at the Center for Cognitive Therapy at the University of Pennsylvania, Philadelphia, where he worked with Aaron T. Beck. Dr. Leahy is a clinical associate professor of psychology in psychiatry at the Cornell University Medical College, founder and director of the American Institute for Cognitive Therapy in New York City, and editor of the Journal of Cognitive Psychotherapy. He is also on the Executive Committee of the International Association for Cognitive Psychotherapy. The author of Cognitive Therapy: Basic Principles and Applications, and Practicing Cognitive Therapy: A Guide to Interventions, he is currently completing a book on a cognitive therapy model of resistance, to be published by Guilford in Fall 2000.

Stephen J. Holland, PsyD, maintains a full-time private practice in Washington, DC. Previously, he was affiliated with the American Institute for Cognitive Therapy. He has taught classes for doctoral students at Columbia University and the American School of Professional Psychology, both in New York, as well as for professional audiences. His publications include chapters on cognitive-behavioral therapy, brief psychodynamic therapy, and theoretical integration.

Table of Contents

List of Figures, Tables, and Forms	ix
Series Editor's Note	xiii
Preface	xv
Acknowledgments	xix
Treatment in a Managed Care Context	1	(11)
Getting Approval for Treatments: General Criteria	2	(1)
The Initial Treatment Report	3	(4)
Requests for Additional Sessions	7	(3)
Telephone Approvals	10	(1)
Requests for Extended Treatment	11	(1)
Depression	12	(57)
Description and Diagnosis	12	(2)
Understanding Depression in Cognitive-Behavioral Terms	14	(8)
Assessment and Treatment	22	(38)
Case Example	60	(3)
Detailed Treatment Plan for Depression	63	(6)
Panic Disorder and Agoraphobia	69	(44)
Description and Diagnosis	69	(3)
Understanding Panic Disorder and Agoraphobia in Cognitive-Behavioral Terms	72	(6)
Assessment and Treatment	78	(24)
Case Example	102	(6)
Detailed Treatment Plan for Panic Disorder and Agoraphobia	108	(5)
Generalized Anxiety Disorder	113	(34)
Description and Diagnosis	113	(1)
Understanding Generalized Anxiety Disorder in Cognitive-Behavioral Terms	114	(6)
Assessment and Treatment	120	(16)
Case Example	136	(5)
Detailed Treatment Plan for Generalized Anxiety Disorder	141	(6)
Social Phobia	147	(34)
Description and Diagnosis	147	(2)
Understanding Social Phobia in Cognitive-Behavioral Terms	149	(7)
Assessment and Treatment	156	(15)
Case Example	171	(5)
Detailed Treatment Plan for Social Phobia	176	(5)
Posttraumatic Stress Disorder	181	(33)
Description and Diagnosis	181	(2)
Understanding Posttraumatic Stress Disorder in Cognitive-Behavioral Terms	183	(4)
Assessment and Treatment	187	(15)
Case Example	202	(5)
Detailed Treatment Plan for Posttraumatic Stress Disorder	207	(7)
Specific Phobia	214	(28)
Description and Diagnosis	214	(3)
Understanding Specific Phobia in Cognitive-Behavioral Terms	217	(1)
Assessment and Treatment	218	(16)
Case Example	234	(4)
Detailed Treatment Plan for Specific Phobia	238	(4)
Obsessive--Compulsive Disorder	242	(39)
Description and Diagnosis	242	(2)
Understanding Obsessive--Compulsive Disorder in Cognitive-Behavioral Terms	244	(6)
Assessment and Treatment	250	(17)
Case Example	267	(9)
Detailed Treatment Plan for Obsessive--Compulsive Disorder	276	(5)
APPENDIX A. Review of Selected Behaviroal Techniques	281	(15)
Behavioral Activation (Reward Planning and Activity Scheduling)	281	(1)
Distraction	282	(1)
Exposure	282	(6)
Graded Task Assignment	288	(1)
Rebreathing	288	(1)
Relaxation	289	(4)
Self-Reward	293	(1)
Thought Stopping	294	(1)
Visualization	294	(2)
APPENDIX B. Review of Selected Cognitive Concepts and Techniques	296	(19)
Introduction to Cognitive and Cognitive-Behavioral Therapy	296	(1)
The Three Levels of Cognitive Distortions	296	(5)
Identifying and Challenging Cognitive Distortions	301	(14)
APPENDIX C. Overview of Contents of Companion CD-ROM	315	(2)
Disorders	315	(1)
Appendix A (Expanded for CD-ROM): Behavioral Techniques	315	(1)
Appendix B (Expanded for CD-ROM): Cognitive Concepts and Techniques	316	(1)
Medications	316	(1)
References	317	(10)
Index	327