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Therapist's Guide to Evidence-Based Relapse Prevention

Therapist's Guide to Evidence-Based Relapse Prevention
  • Author : Katie A. Witkiewitz,G. Alan Marlatt
  • Publisher :Unknown
  • Release Date :2011-04-28
  • Total pages :400
  • ISBN : 0080471048
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Summary : Describes the evidence-based approaches to preventing relapse of major mental and substance-related disorders. Therapist's Guide to Evidence-based Relapse Prevention combines the theoretical rationale, empirical data, and the practical "how-to" for intervention programs. The first section will serve to describe the cognitive-behavioral model of relapse and provide a general introduction to relapse prevention techniques. While Section II will focus on specific problem areas, Section III will focus on diverse populations and treatment settings. Incorporates theoretical and empirical support Provides step-by-step strategies for implementing relapse prevention techniques Includes case studies that describe application of relapse prevention techniques

Mindfulness-based Relapse Prevention for Addictive Behaviors

Mindfulness-based Relapse Prevention for Addictive Behaviors
  • Author : Sarah Bowen,Neha Chawla,G. Alan Marlatt
  • Publisher :Unknown
  • Release Date :2011-01-01
  • Total pages :179
  • ISBN : 9781606239872
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Summary : This authoritative book presents an innovative relapse prevention program that integrates mindfulness practices with evidence-based cognitive and behavioral strategies. The user-friendly guide includes scripted examples of guided meditations and more than 20 reproducible handouts and forms.

Mindfulness-Based Sobriety

Mindfulness-Based Sobriety
  • Author : Nick Turner,Phil Welches,Sandra Conti
  • Publisher :Unknown
  • Release Date :2014-01-02
  • Total pages :224
  • ISBN : 9781608828555
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Summary : Too often, clients with substance abuse and addiction problems achieve sobriety only to relapse shortly after. As a clinician in the addiction treatment field, you are undoubtedly familiar with this common scenario, and it can be a source of extreme frustration. To make matters worse, clients may see their relapse as evidence of personal failure and inadequacy, and as a result, they may resist more treatment. What if you could break this cycle and help clients maintain their progress? Mindfulness-Based Sobriety presents a breakthrough, integrative approach to addiction recovery to help you treat clients recovering from substance abuse and addiction using mindfulness-based therapy, motivational interviewing, and relapse prevention therapy. Research has indicated that mindfulness-based therapy is highly effective in treating emotion dysregulation, stress, depression, and grief—all emotions that lie at the root of addiction. Motivational interviewing is helpful in treating addiction because it helps clients learn to change the behaviors that cause addiction. And finally, relapse prevention therapy teaches individuals with addiction to anticipate and cope with potential relapse. This book combines all three of these highly effective treatments. This powerful manual was developed by Gateway Foundation clinicians in order to better fulfill the mission of reducing substance abuse and co-occurring mental health problems. The book provides two curricula: an outpatient treatment curriculum and a residential treatment curriculum. Both are user-friendly and can be implemented in an open group format, which means that you can say goodbye to the days of tailoring one-on-one treatment to fit a group setting. The integrative approach outlined in this book will help your clients conquer substance abuse by identifying their own values, strengthening their motivation, and tackling other mental health problems that may lie at the root of their addiction. Furthermore, the book’s strong emphasis on relapse prevention means that you can help clients stay on the path to sobriety.

The Oxford Handbook of Cognitive and Behavioral Therapies

The Oxford Handbook of Cognitive and Behavioral Therapies
  • Author : Arthur M. Nezu
  • Publisher :Unknown
  • Release Date :2015-11-30
  • Total pages :528
  • ISBN : 9780199733255
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Summary : The Oxford Handbook of Cognitive and Behavioral Therapies provides a contemporary and comprehensive illustration of the wide range of evidence-based psychotherapy tools available to both clinicians and researchers. Chapters are written by the most prominent names in cognitive and behavioral theory, assessment, and treatment, and they provide valuable insights concerning the theory, development, and future directions of cognitive and behavioral interventions. Unlike other handbooks that provide a collection of intervention chapters but do not successfully tie these interventions together, the editors have designed a volume that not only takes the reader through underlying theory and philosophies inherent to a cognitive and behavioral approach, but also includes chapters regarding case formulation, requisite professional cognitive and behavioral competencies, and integration of multiculturalism into clinical practice. The Oxford Handbook of Cognitive and Behavioral Therapies clarifies terms present in the literature regarding cognitive and behavioral interventions and reveals the rich variety, similarities, and differences among the large number of cognitive and behavioral interventions that can be applied individually or combined to improve the lives of patients.

Mindfulness-Based Treatment Approaches

Mindfulness-Based Treatment Approaches
  • Author : Ruth A. Baer
  • Publisher :Unknown
  • Release Date :2015-07-14
  • Total pages :448
  • ISBN : 0080456200
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Summary : Eastern spiritual traditions have long maintained that mindfulness meditation can improve well-being. More recently, mindfulness-based treatment approaches have been successfully utilized to treat anxiety, depressive relapse, eating disorders, psychosis, and borderline personality disorder. This book discusses the conceptual foundation, implementation, and evidence base for the four best-researched mindfulness treatments: mindfulness-based stress reduction (MBSR), mindfulness-based cognitive therapy (MBCT), dialectical behavior therapy (DBT) and acceptance and commitment therapy (ACT). All chapters were written by researchers with extensive clinical experience. Each chapter includes the conceptual rationale for using a mindfulness-based treatment and a review of the relevant evidence base. A detailed case study illustrates how the intervention is implemented in "real life," exploring the clinical and practical issues that may arise and how they can be managed. This book will be of use to clinicians and researchers interested in understanding and implementing mindfulness based treatments. * Comprehensive introduction to the best-researched mindfulness-based treatments * Covers wide range of problems & disorders (anxiety, depression, eating, psychosis, personality disorders, stress, pain, relationship problems, etc) * Discusses a wide range of populations (children, adolescents, older adults, couples) * Includes wide range of settings (outpatient, inpatient, medical, mental health, workplace) * Clinically rich, illustrative case study in every chapter * International perspectives represented (authors from US, Canada, Britain, Sweden)

CBT for Depression in Children and Adolescents

CBT for Depression in Children and Adolescents
  • Author : Betsy D. Kennard,Jennifer L. Hughes,Aleksandra A. Foxwell
  • Publisher :Unknown
  • Release Date :2016-04-05
  • Total pages :226
  • ISBN : 9781462525263
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Summary : Despite the availability of effective treatments for child and adolescent depression, relapse rates in this population remain high. This innovative manual presents an evidence-based brief therapy for 8- to 18-year-olds who have responded to acute treatment but still have residual symptoms. Each session of relapse prevention cognitive-behavioral therapy (RP-CBT) is illustrated in step-by-step detail, including focused techniques for promoting and sustaining well-being, supplemental strategies for tailoring treatment to each individual's needs, and ways to involve parents. In a convenient large-size format, the book features 51 reproducible handouts and forms. Purchasers get access to a Web page where they can download and print the reproducible materials.

A Comprehensive Guide to Addiction Theory and Counseling Techniques

A Comprehensive Guide to Addiction Theory and Counseling Techniques
  • Author : Alan A. Cavaiola,Margaret Smith
  • Publisher :Unknown
  • Release Date :2020-06-04
  • Total pages :210
  • ISBN : 9781000068740
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Summary : A blend of theory and counseling techniques, this comprehensive text provides readers with an overview of several major counseling theories and their application to substance use disorders and addiction counseling, along with related techniques and interventions. Chapters incorporate cutting edge evidenced-based research on neuroscience, psychological and sociocultural theories explaining the biopsychosocial influences of substance use disorders, and examine how substance use disorder risk factors can be utilized when assessing someone who may have a substance use disorder. The text additionally helps apply theory to practice, offering intervention techniques and using accessible case studies. Throughout the text, highlighted learning opportunities and key terms further help students to practice and apply the theories, interventions and techniques that the book discusses. Mental health professionals, undergraduate and graduate students alike will benefit from this deft mix of prominent theory, innovative research and accessible case studies.

Practice in Mental Health-Substance Use

Practice in Mental Health-Substance Use
  • Author : David B. Cooper
  • Publisher :Unknown
  • Release Date :2018-12-20
  • Total pages :270
  • ISBN : 9781315346601
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Summary : The Mental Health-Substance Use series provides clear guidance for professionals on this complex and increasingly recognised field. It concentrates on the concerns, dilemmas and concepts that impact on the life and well-being of affected individuals and those close to them, as well as the future direction of practice, education, research, services, intervention, and treatment. This final book in the series provides the basis of best practice for offering effective interventions to affected individuals and their families, exploring the effects of various substances, both controlled and proscribed, and the impact of substance use in schizophrenia. Therapeutic interventions such as Eye Movement Desensitisation and Reprocessing (EMDR) and dialectical behaviour therapy are discussed, as are relapse prevention and the specific needs of groups such as older people and young adults. Associated topics such as individuals within the criminal justice system, and brain injury (the symptoms of which often mimic mental health-substance use) complete this highly comprehensive guide. The volumes in this series are designed to challenge concepts and stimulate debate, exploring all aspects of the development in treatment, intervention and care response, and the adoption of research-led best practice. They are essential reading for mental health and substance use professionals, students and educators.

Seeking Safety

Seeking Safety
  • Author : Lisa Najavits
  • Publisher :Unknown
  • Release Date :2002-01-01
  • Total pages :399
  • ISBN : 9781572306394
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Summary : This much-needed manual presents the first empirically studied, integrative treatment approach developed specifically for PTSD and substance abuse. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. The volume is designed for ease of use with a large format, lay-flat binding, and helpful reproducible handouts and forms. 4/01.

Evidence-Based Practice of Cognitive-Behavioral Therapy

Evidence-Based Practice of Cognitive-Behavioral Therapy
  • Author : Deborah Dobson,Keith S. Dobson
  • Publisher :Unknown
  • Release Date :2009-01-16
  • Total pages :322
  • ISBN : 9781606237274
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Summary : From leading experts in the field—a practicing clinical psychologist and a renowned psychotherapy researcher—this book synthesizes the evidence base for cognitive-behavioral therapy (CBT) and translates it into practical clinical guidelines. The focus is how clinicians can use current research findings to provide the best care in real-world practice settings. Within a case formulation framework, core cognitive and behavioral theories and techniques are described and illustrated with vivid case examples. The authors also discuss managing everyday treatment challenges; separating CBT myths from facts; and how to develop a successful CBT practice and optimize the quality of services.

Overcoming Your Alcohol Or Drug Problem

Overcoming Your Alcohol Or Drug Problem
  • Author : Dennis C. Daley,G. Alan Marlatt
  • Publisher :Unknown
  • Release Date :2006
  • Total pages :221
  • ISBN : 9780195307733
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Summary : This expanded edition of the successful Graywind title, Managing Your Drug and Alcohol Problem: Therapist Guide provides an evidence-based treatment protocol for all types of substance use disorders. Designed to accompany the Managing Your Addictive Behavior: Workbook, Second Edition, this guide provides clinicians with valuable strategies for working with substance use disorders by focusing on specific issues involved in both stopping substance abuse and changing behaviors or lifestyle aspects that contribute to continued substance abuse. In addition to addressing professional approaches/attitudes toward the substance abusing client, assessment, psychosocial and pharamacotherapeutic treatment, and self-help programs, this expanded edition also includes a new chapter on the management of a co-occurring psychiatric disorder.TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! DT All programs have been rigorously tested in clinical trials and are backed by years of research DT A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date DT Our books are reliable and effective and make it easy for you to provide your clients with the best care available DT Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated DT A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources DT Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Mindfulness-Based Cognitive Therapy for Depression, Second Edition

Mindfulness-Based Cognitive Therapy for Depression, Second Edition
  • Author : Zindel V. Segal,J. Mark G. Williams,John D. Teasdale
  • Publisher :Unknown
  • Release Date :2012-10-18
  • Total pages :471
  • ISBN : 9781462508594
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Summary : This acclaimed work, now in a new edition, has introduced tens of thousands of clinicians to mindfulness-based cognitive therapy (MBCT) for depression, an 8-week program with proven effectiveness. Step by step, the authors explain the "whys" and "how-tos" of conducting mindfulness practices and cognitive interventions that have been shown to bolster recovery from depression and prevent relapse. Clinicians are also guided to practice mindfulness themselves, an essential prerequisite to teaching others. More than 40 reproducible handouts are included. Purchasers get access to a companion website featuring downloadable audio recordings of the guided mindfulness practices (meditations and mindful movement), plus all of the reproducibles, ready to download and print in a convenient 8 1/2" x 11" size. A separate website for use by clients features the audio recordings only. New to This Edition *Incorporates a decade's worth of developments in MBCT clinical practice and training. *Chapters on additional treatment components: the pre-course interview and optional full-day retreat. *Chapters on self-compassion, the inquiry process, and the three-minute breathing space. *Findings from multiple studies of MBCT's effectiveness and underlying mechanisms. Includes studies of adaptations for treating psychological and physical health problems other than depression. *Audio files of the guided mindfulness practices, narrated by the authors, on two separate Web pages--one for professionals, together with the reproducibles, and one just for clients. See also the authors' related titles for clients: The Mindful Way through Depression demonstrates these proven strategies in a self-help format, with in-depth stories and examples. The Mindful Way Workbook gives clients additional, explicit support for building their mindfulness practice, following the sequence of the MBCT program. Plus, for professionals: Mindfulness-Based Cognitive Therapy with People at Risk of Suicide extends and refines MBCT for clients with suicidal depression.

Cognitive Behavior Therapy for Depressed Adolescents

Cognitive Behavior Therapy for Depressed Adolescents
  • Author : Randy P. Auerbach,Christian A. Webb,Jeremy G. Stewart
  • Publisher :Unknown
  • Release Date :2016-01-08
  • Total pages :252
  • ISBN : 9781317597933
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Summary : Cognitive Behavior Therapy for Depressed Adolescents provides clinicians, clinical supervisors, and researchers with a comprehensive understanding of etiological pathways as well as current CBT approaches for treating affected adolescents. Chapters guide readers from preparations for the first session and clinical assessment to termination and relapse prevention, and each chapter includes session transcripts to provide a more concrete sense of what it looks like to implement particular CBT techniques with depressed teens. In-depth discussions of unique challenges posed by working with depressed teens, as well as ways to address these issues, also are provided.

Preventing Harmful Substance Use

Preventing Harmful Substance Use
  • Author : Tim Stockwell,Paul Gruenewald,John Toumbourou,Wendy Loxley
  • Publisher :Unknown
  • Release Date :2005
  • Total pages :496
  • ISBN : 0470092289
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Summary : The prevention of harm from drug use, both legal and illegal, is a major concern to government departments and clinicians throughout the world. Recently, much new research has been conducted regarding global levels and patterns of drug-related harm, on common risk factors with other social problems (e.g. mental health, crime) and on the effectiveness of wide range of intervention strategies. There is a need to summarise and synthesise this new knowledge for use in a range of disciplines. Preventing Harmful Substance Use offers the most comprehensive and up-to-date advice available on the prevention of drug and alcohol abuse. Contributors provide authoritative, science-based reviews of knowledge on their areas of expertise, and make clear recommendations for the future of prevention policy and practice. A final section draws the work together and offers a framework for an integrated science of prevention.

Treating Alcohol and Drug Problems in Psychotherapy Practice

Treating Alcohol and Drug Problems in Psychotherapy Practice
  • Author : Arnold M. Washton,Joan E. Zweben
  • Publisher :Unknown
  • Release Date :2011-11-14
  • Total pages :312
  • ISBN : 1462504388
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Summary : Written specifically for the office-based psychotherapist, this practical guide describes how to detect, assess, diagnose, and treat clients presenting with a range of alcohol and drug problems. Detailed is an integrated, flexible psychotherapeutic approach that emphasizes building a strong therapeutic relationship, engaging clients "where they are," and addressing substance use within the larger context of their lives. The authors describe in very pragmatic terms how to use a combination of motivational, cognitive-behavioral, 12-step, and psychodynamic techniques with clients in different stages of change. Techniques are brought to life with numerous case vignettes, and appendices include reproducible client forms and handouts.

Evidence-Based Addiction Treatment

Evidence-Based Addiction Treatment
  • Author : Peter M. Miller
  • Publisher :Unknown
  • Release Date :2009-07-08
  • Total pages :488
  • ISBN : 0080921906
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Summary : Evidence-Based Addiction Treatment provides a state-of-the-art compilation of assessment and treatment practices with proven effectiveness. A substantial body of evidence is presented to provide students, academics, and clinicians with specific science-based treatments that work. The book includes contributions by well-known researchers on addiction treatment and explicit case examples. Written at a level appropriate for a variety of audiences, research studies are discussed but highly sophisticated knowledge in research methodology is not required. Treatments that work Explicit case examples Contributions by well-known researchers on addiction treatment Simple ways to evaluate treatment effectiveness

Therapist Guide for Maintaining Change

Therapist Guide for Maintaining Change
  • Author : Hilary Eldridge
  • Publisher :Unknown
  • Release Date :1998
  • Total pages :164
  • ISBN : 9780761911319
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Summary : Providing step-by-step guidelines to relapse prevention with adult male child sex abusers, this guide is based on the author′s experience of piloting a unique cognitive-behavioural treatment approach in community-based, secure hospital and prison sex offender programmes. Hilary Eldridge presents the theoretical base for relapse prevention, and includes information on: the relapse process and its implications for assessment of perpetrator patterns; intervention in those patterns and maintenance of change; rationale for the exercises used in each phase; how to introduce the exercises; how to deal with client questions and resistance; and different ways of explaining the materials. The author also provides sample therapist/client dialogue. The book is designed to be used in conjunction with the three-phased programme of its companion manual, Maintaining Change. One copy of the manual is provided free of charge as a package to purchasers of the Therapist Guide for Maintaining Change. This treatment package is ideal for all who work in a professional capacity with adult male sex offenders, and provides a clear map for personal change. Maintaining Change A Personal Relapse Prevention Manual This user-friendly, step-by-step personal relapse prevention manual - designed to be used in conjunction with the Therapist Guide for Maintaining Change - focuses on the notion of control and taking responsibility for one′s actions rather than on `cure′. The programme requires participants to be active in the change process, with the ultimate goal of being able to self-manage. · Purchasers of Maintaining Change may photocopy individual exercises and handouts for use with their own clients or patients. · Customers purchasing this two-volume set may purchase additional copies of Maintaining Change: A Personal Relapse Prevention Manual. Please write to Joyce Lynch at SAGE Publications Ltd for further details. Contents Introduction to the Manual \ PHASE 1 MATERIAL \ PHASE 2 MATERIAL \ Your Cycle and Your Routes to Relapse \ Preventing and Dealing with Risky Moods \ Your Personal Relapse Prevention Collection: Keeping Out/Breaking Out of Your Cycle \ PHASE 3 MATERIAL

Overcoming Your Alcohol Or Drug Problem

Overcoming Your Alcohol Or Drug Problem
  • Author : Dennis C. Daley,G. Alan Marlatt
  • Publisher :Unknown
  • Release Date :2006-06-15
  • Total pages :177
  • ISBN : 9780195307740
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Summary : A substance use problem exists when one experiences any type of difficulty related to using alcohol, tobacco, or other drugs including illicit street drugs or prescribed drugs such as painkillers or tranquilizers. The difficulty can be in any area of life; medical or physical, psychological, family, interpersonal, social, academic, occupational, legal, financial, or spiritual.This expanded new edition of the successful Graywind Publications title provides the reader with practical information and skills to help them understand and change a drug or alcohol problem. Designed to be used in conjunction with therapy or counseling, it focuses on special issues involved in stopping substance use and in changing behaviors or aspects of one's lifestyle that keep the substance use problem active. The information presented is derived from a wealth of research studies, and discusses the most effective recovery strategies from the examination of cognitive-behavoral treatment.TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! DT All programs have been rigorously tested in clinical trials and are backed by years of research DT A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date DT Our books are reliable and effective and make it easy for you to provide your clients with the best care available DT Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated DT A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources DT Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Managing Your Drug Or Alcohol Problem

Managing Your Drug Or Alcohol Problem
  • Author : Dennis C. Daley,G. Alan Marlatt
  • Publisher :Unknown
  • Release Date :1997
  • Total pages :148
  • ISBN : 0195183754
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Summary : Designed to educate clients on effective lifestyle management, this program focuses on client education and teaching clients how to manage craving and reduce the risk of relapse. The client learns about the nature of their problem, underlying causes, and effective cognitive coping strategies by which to take control of their lives and initiate positive change. This Therapist Guide reviews practical issues in the assessment and treatment of all types of substance abuse disorders. The information and recovery strategies can be used with clients who abuse or are dependent on alcohol, sedatives, tobacco, cocaine, methamphetamiens and other stimulants, heroin and other opioids, cannabis, hallucinogens, and inhalants. The guide provides clinicians with strategies for working with substance abuse disorders by focusing on specific issues involved in both stopping substance abuse and changing behaviors or lifestyle aspects that contribute to continued substance abuse.The information presented in this guide is derived from several sources: empirical, clinical, and self-help literature, as well as the authors' many years of experience developing treatment programs and providing direct treatment services.

A Cognitive Behavioural Therapy Programme for Problem Gambling

A Cognitive Behavioural Therapy Programme for Problem Gambling
  • Author : Namrata Raylu,Tian Po Oei
  • Publisher :Unknown
  • Release Date :2010-06-10
  • Total pages :272
  • ISBN : 9781136962257
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Summary : This book is a treatment manual providing guidance for therapists treating clients with gambling addictions. In this book the authors use a cognitive behavioural approach and provide a session by session guide for overcoming problem gambling. Essential topics covered include: assessment and psychoeducation cognitive behavioural strategies to stabilize gambling identifying and challenging thinking errors relaxation and imaginal exposure problem solving and goal setting managing negative emotions relapse prevention: maintaining a balanced lifestyle and coping with high risk situations A Cognitive Behavioural Therapy Programme for Problem Gambling supplies detailed information to help the therapist and client understand gambling behaviours, as well as practical advice on techniques that can be used with the client to change these behaviours. This practical guide includes handouts and exercises that can be downloaded by purchasers of the print edition. It will provide helpful guidance for addiction counsellors and therapists worldwide.

The Clinician's Guide to Cognitive-Behavioral Therapy for Childhood Obsessive-Compulsive Disorder

The Clinician's Guide to Cognitive-Behavioral Therapy for Childhood Obsessive-Compulsive Disorder
  • Author : Eric A. Storch,Joseph McGuire,Dean McKay
  • Publisher :Unknown
  • Release Date :2017-09-13
  • Total pages :382
  • ISBN : 9780128114285
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Summary : The Clinician's Guide to Cognitive-Behavioral Therapy for Childhood Obsessive-Compulsive Disorder brings together a wealth of experts on pediatric and adolescent OCD, providing novel cognitive behavioral strategies and considerations that therapists can immediately put into practice. The book provides case studies and example metaphors on how to explain exposure models to children in a developmentally appropriate manner. The book also instructs clinicians on how to use symptom information and rating scales to develop an appropriate exposure hierarchy. The book is arranged into two major sections: assessment and treatment of childhood OCD and special considerations in treating childhood OCD. Each chapter is structured to include relevant background and empirical support for the topic at hand, practical discussion of the nature and implementation of the core component (such as exposure and response prevention, cognitive therapy, psychoeducation and more), and a case illustration that highlights the use of a particular technique. Provides the strong theoretical foundation required to successfully implement treatment Highlights the use of particular intervention techniques through case studies Provides CBT strategies for anxiety, tic disorders, trichotillomania, ADHD and disruptive behaviors Includes strategies for treatment of patients who are initially non-responsive to CBT Encourages individualization of evidence-based and clinically-informed principles for each patient Reviews what to do if/when OCD remits and/or returns Provides details on differentiation OCD symptoms from anxiety and other psychopathology