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

by Wright, Jesse H.

• ISBN13: 9781585623211
• ISBN10: 1585623210
• Edition: 1st
• Format: Paperback
• Copyright: 2008-07-01
• Publisher: AMERICAN PSYCHIATRIC PUBLISHING INC

Summary

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

Foreword	p. xi
Preface	p. xv
Acknowledgments	p. xix
Introduction	p. 1
Why Use CBT for Severe Mental Disorders?	p. 2
The CBT Model for Severe Mental Illnesses	p. 4
Overview of Treatment Methods	p. 12
Efficacy of CBT for Severe Mental Disorders	p. 19
Summary	p. 21
References	p. 22
Engaging and Assessing	p. 29
Influences on the Therapeutic Relationship	p. 30
Guidelines for Engaging a Person With Severe Mental Illness	p. 37
Assessment	p. 45
Indications for CBT	p. 47
Summary	p. 48
References	p. 49
Normalizing and Educating	p. 51
Normalizing Schizophrenia	p. 51
Normalizing Bipolar Disorder	p. 62
Normalizing Depression	p. 62
The Therapeutic Relationship	p. 63
Education	p. 64
Summary	p. 71
References	p. 72
Case Formulation and Treatment Planning	p. 75
Developing the Biopsychosocial Case Conceptualization	p. 76
How to Construct and Use a Mini-Formulation	p. 94
Summary	p. 97
References	p. 98
Delusions	p. 99
Treating Delusions: Basic CBT Processes	p. 99
Defining Delusions	p. 102
Discussing Delusions	p. 104
Modifying Delusions	p. 106
Resistant Delusions	p. 114
Treating Delusions in Mood Disorders	p. 117
Summary	p. 122
References	p. 123
Hallucinations	p. 125
Impact of Hallucinations	p. 125
The CBT Approach to the Hallucinating Patient	p. 127
Specific CBT Techniques for Hallucinations	p. 132
Summary	p. 141
References	p. 143
Depression	p. 145
Hopelessness and Suicidality	p. 146
Low Energy and Lack of Interest	p. 160
Low Self-Esteem	p. 168
Summary	p. 177
References	p. 177
Mania	p. 181
Mania Prevention Plan	p. 182
Summary	p. 208
References	p. 209
Interpersonal Problems	p. 211
Common Interpersonal Difficulties	p. 211
Interpersonal Problems in Specific Disorders	p. 222
Summary	p. 235
References	p. 236
Impaired Cognitive Functioning	p. 237
Thought Disorder in Schizophrenia	p. 238
Racing Thoughts, Distractibility, and Disorganization in Mania and Hypomania	p. 247
Problems With Cognitive Functioning in Depression	p. 251
Summary	p. 254
References	p. 255
Negative Symptoms	p. 257
What Are Negative Symptoms?	p. 258
The CBT Conceptualization	p. 259
Demotivation in Schizophrenia	p. 260
Socialization	p. 264
Applying Standard Behavioral Methods	p. 266
Summary	p. 270
References	p. 271
Promoting Adherence	p. 273
Types of Nonadherence to Treatment	p. 275
Common Reasons for Nonadherence: Possible Solutions	p. 275
Working With Cognitions	p. 281
Developing a Written Adherence Plan	p. 286
CBT Homework	p. 290
Summary	p. 291
References	p. 292
Maintaining Treatment Gains	p. 295
Relapse Prevention	p. 295
Methods for Continuation and Maintenance CBT	p. 303
Summary	p. 312
References	p. 313
Worksheets and Checklists	p. 315
Cognitive-Behavior Therapy Resources	p. 329
DVD Guide	p. 335
Index	p. 339
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