Cognitive-Behavior Therapy for Severe Mental Illness: An Illustrated Guide (Book with DVD)

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2008-07-01

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Mastering cognitive-behavior therapy (CBT) for the common, yet difficult-to-treat aspects of severe mental illness has now been made easier with Cognitive-Behavior Therapy for Severe Mental Illness. A proven, effective treatment for patients with severe mental illness, CBT is illuminated in an insightful volume that boasts an abundance of learning exercises, worksheets, and checklists-plus video demonstrations on DVD that offer an inside look at CBT methods in use. This is the only book to present a comprehensive CBT approach that can be used across the broad range of severe Axis I disorders to prevent relapse, promote treatment adherence, reduce symptoms, and maintain treatment gains. The authors, all internationally recognized experts in using CBT for severe mental illness, provide a host of functional strategies for treating patients with schizophrenia, bipolar disorder, and treatment-refractory depression. Their easy-to-read guide covers specific symptoms in detail and promotes practitioners' skill building-including how to design useful interventions, provide effective psychoeducation, and engage patients in effective therapeutic relationships. The eighteen videos show CBT in action, demonstrating such scenarios as tracing origins of paranoia and formulating an antisuicide plan. Readers seeking to learn or improve their use of CBT for severe mental illness will Master the key processes of engaging, assessing, normalizing, educating, and formulating Learn methods to help patients reduce delusional thinking, cope with hallucinations, and target hopelessness, suicidality, low energy and interest, and poor self-esteem Prevent relapse in bipolar disorder through such methods as monitoring symptoms and promoting good sleep Address interpersonal problems common in patients with severe mental illness, showing how to build support and cope with dysfunctional or terminated relationships Help patients become better organized in their thinking and reduce problems with maintaining concentration Apply CBT procedures to improve negative symptoms in schizophrenia, such as attention deficit and anhedonia The book is an ideal companion to the authors' popular introductory text Learning Cognitive-Behavior Therapy, building on its critically acclaimed methodology to offer guidelines for effective treatment. Cognitive-Behavior Therapy for Severe Mental Illnessshows how CBT enhances pharmacotherapy and helps practitioners develop important skills in treating challenging clinical problems.

Author Biography

Jesse H. Wright, M.D., Ph.D., is Professor and Associate Chair for Academic Affairs at the University of Louisville School Of Medicine in Louisville, Kentucky.

Douglas Turkington, M.D., is Professor of Psychosocial Psychiatry, Department of Neurology, Neurobiology, and Psychiatry, at the University of Newcastle-upon-Tyne, Royal Victoria Infirmary, in Newcastle-upon-Tyne, United Kingdom.

David G. Kingdon, M.D., is Professor of Mental Health Care Delivery, Department of Psychiatry, at the Royal South Hants Hospital and University of Southampton, United Kingdom.

Monica Ramirez Basco, Ph.D., is Clinical Associate Professor, Department of Psychiatry, Division of Psychology, at the University of Texas Southwestern at Dallas, in Dallas, Texas.

Table of Contents

Forewordp. xi
Prefacep. xv
Acknowledgmentsp. xix
Introductionp. 1
Why Use CBT for Severe Mental Disorders?p. 2
The CBT Model for Severe Mental Illnessesp. 4
Overview of Treatment Methodsp. 12
Efficacy of CBT for Severe Mental Disordersp. 19
Summaryp. 21
Referencesp. 22
Engaging and Assessingp. 29
Influences on the Therapeutic Relationshipp. 30
Guidelines for Engaging a Person With Severe Mental Illnessp. 37
Assessmentp. 45
Indications for CBTp. 47
Summaryp. 48
Referencesp. 49
Normalizing and Educatingp. 51
Normalizing Schizophreniap. 51
Normalizing Bipolar Disorderp. 62
Normalizing Depressionp. 62
The Therapeutic Relationshipp. 63
Educationp. 64
Summaryp. 71
Referencesp. 72
Case Formulation and Treatment Planningp. 75
Developing the Biopsychosocial Case Conceptualizationp. 76
How to Construct and Use a Mini-Formulationp. 94
Summaryp. 97
Referencesp. 98
Delusionsp. 99
Treating Delusions: Basic CBT Processesp. 99
Defining Delusionsp. 102
Discussing Delusionsp. 104
Modifying Delusionsp. 106
Resistant Delusionsp. 114
Treating Delusions in Mood Disordersp. 117
Summaryp. 122
Referencesp. 123
Hallucinationsp. 125
Impact of Hallucinationsp. 125
The CBT Approach to the Hallucinating Patientp. 127
Specific CBT Techniques for Hallucinationsp. 132
Summaryp. 141
Referencesp. 143
Depressionp. 145
Hopelessness and Suicidalityp. 146
Low Energy and Lack of Interestp. 160
Low Self-Esteemp. 168
Summaryp. 177
Referencesp. 177
Maniap. 181
Mania Prevention Planp. 182
Summaryp. 208
Referencesp. 209
Interpersonal Problemsp. 211
Common Interpersonal Difficultiesp. 211
Interpersonal Problems in Specific Disordersp. 222
Summaryp. 235
Referencesp. 236
Impaired Cognitive Functioningp. 237
Thought Disorder in Schizophreniap. 238
Racing Thoughts, Distractibility, and Disorganization in Mania and Hypomaniap. 247
Problems With Cognitive Functioning in Depressionp. 251
Summaryp. 254
Referencesp. 255
Negative Symptomsp. 257
What Are Negative Symptoms?p. 258
The CBT Conceptualizationp. 259
Demotivation in Schizophreniap. 260
Socializationp. 264
Applying Standard Behavioral Methodsp. 266
Summaryp. 270
Referencesp. 271
Promoting Adherencep. 273
Types of Nonadherence to Treatmentp. 275
Common Reasons for Nonadherence: Possible Solutionsp. 275
Working With Cognitionsp. 281
Developing a Written Adherence Planp. 286
CBT Homeworkp. 290
Summaryp. 291
Referencesp. 292
Maintaining Treatment Gainsp. 295
Relapse Preventionp. 295
Methods for Continuation and Maintenance CBTp. 303
Summaryp. 312
Referencesp. 313
Worksheets and Checklistsp. 315
Cognitive-Behavior Therapy Resourcesp. 329
DVD Guidep. 335
Indexp. 339
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