Exposure therapy is the most effective psychological treatment for anxiety, yet many clinicians lack confidence in their ability to implement it effectively while keeping clients engaged. This indispensable book provides guidelines for conducting exposure-based interventions and overcoming common roadblocks. Drawing on cutting-edge theory and research, the authors walk clinicians through assessment and treatment planning and demonstrate a wealth of specific exposure exercises. Chapters are organized around common anxiety triggers that may cut across different diagnoses, making it easier to tailor treatment to each individual's needs. Several reproducible handouts and forms can be downloaded and printed in a convenient 8 1/2" x 11" size.
A Practitioner's Guide to Concepts, Methods, and Evidence-Based Practice
Author: Johan Rosqvist
Exposure Treatments for Anxiety Disorders is a unique volume, as it draws together the latest research on the rapidly-expanding field of anxiety disorders and illuminates how to correctly apply the proven methodology of behavioral therapy techniques to the variety of situations that face today's mental health professional. That said, cognitive therapy has in the last 10 years gotten increased attention as an alternative to behavior therapy in the treatment of anxiety disorders. But while it is gaining acceptance among practitioners, cognitive therapy has yet to illustrate substantial benefits above those that behavior therapy can already provide. In light of the aforementioned, coupled with the pressure many practitioners feel from managed care paradigms and shrinking healthcare coverage, this book will be a welcome resource allowing for increased clarity of action, accountability, and ultimately, positive client outcome. Each chapter is designed to address pivotal aspects in the assessment, formulation and diagnosis, and treatment of anxiety disorders, to a sufficient depth that the generalist practitioner will be comfortable using this book as a guide when working with the anxiety disordered client.
Despite the fact that methods of exposure therapy have proven to be highly effective in various empirical studies, they are still underused and sometimes subject to controversial discussion. There have been significant developments: In recent years, methods of exposure therapy have been applied in various areas of therapy, including body dysmorphic disorder and hypochondriasis. Exposure techniques also play an important role in the so called “third wave therapies” (Acceptance & Commitment Therapy, Dialectical Behavior Therapy). And there is more recently a revival of exposure in panic and agoraphobia and GAD. On the other hand, a large number of scientific articles discuss the practical applications (ethical aspects, amount of exposure) and the theoretical foundations (habituation) of exposure therapy. In order to provide an overview of the current debate and to point out the latest developments in the area of exposure therapy, we have decided to present the current state of discussion (most contributors are scientist-practitioners) to an interested professional audience.
Now revised and expanded to include cutting-edge acceptance-based techniques and a new focus on inhibitory learning, this is the leading guide to therapeutic exposure, a crucial element of evidence-based psychological treatments for anxiety. The book helps the clinician gain skills and confidence for implementing exposure successfully and tailoring interventions to each client's needs, regardless of diagnosis. The theoretical and empirical bases of exposure are reviewed and specialized assessment and treatment planning techniques are described. User-friendly features include illustrative case examples, sample treatment plans, ideas for exercises targeting specific types of fears, and reproducible handouts and forms that can be downloaded and printed in a convenient 8½" x 11" size. New to This Edition *Chapter on acceptance and commitment therapy (ACT) techniques. *Reflects a shift in the field toward inhibitory learning--helping clients learn to tolerate anxiety and uncertainty to maximize long-term outcomes. *Chapter on uses of technology, such as computer-based therapy and virtual reality tools. *Conceptual, empirical, and clinical advances woven throughout.
Exposure Therapy refers to any clinical intervention in which a client directly confronts a source of fear. Since high levels of anxiety can not be maintained indefinitely, repeated exposure leads to decreased anxiety. This type of treatment is effective with phobias, post traumatic stress disorder, obsessive compulsive disorders, panic, generalized anxiety, and several other disorders. It's also been found to be effective in helping to treat substance abuse. Although exposure-based treatments have been extensively researched and reported in the literature, there is no single comprehensive treatment of exposure therapies. Writings tend to be limited to larger pieces on treating specific disorders or types of patients. A comprehensive book on the use of these treatments across patient disorders will be of great use to practitioners. The book is divided into three sections: Foundation, Applications, and Issues. Foundation chapters considers theoretical and assessment issues. Applications chapters will discuss research literature on each disorder having been proven to be successfully treated with exposure therapy. Issue chapters will discuss liability issues, false memory syndrome, and the use of computers and virtual reality in exposure therapy. *Covers the broad range of exposure therapies in one comprehensive source *Provides an integrated look at exposure therapy across a variety of disorders *Each such chapter will include a case study *Blends literature review and practice guidelines
Evidence-based and Disorder-specific Treatment Techniques
Author: Stefan G. Hofmann
Publisher: Taylor & Francis
Social phobia, or social anxiety disorder, is among the most common (and debilitating) of the anxiety disorders, and at any given time it effects somewhere between 3 and 5% of the US population, with similar statistics found in countries around the world. Cognitive-Behavioral Therapy (CBT) has been demonstrated to be the most effective form of treatment for social phobia, but research has shown that conventional CBT principles and general interventions fall short of the mark. With this in mind, Hofmann and Otto have composed an organized treatment approach that includes specifically designed interventions to strengthen the relevant CBT strategies. This volume builds upon empirical research to address the psychopathology and heterogeneity of social phobia, creating a series of specific interventions with numerous case examples.
Emotional Processing of Traumatic Experiences Therapist Guide
Author: Edna Foa
Publisher: Oxford University Press
Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences, Therapist Guide outlines an empirically-validated treatment program for use with those individuals who suffer from posttraumatic stress disorder. Based on the principles of CBT and Prolonged Exposure, this program helps clients to confront safe but anxiety evoking situations in order to overcome their excessive fear and anxiety.
Integrating Techniques and Applications from CBT, DBT, and ACT
Author: Timothy A. Sisemore
Publisher: New Harbinger Publications
As a mental health professional, it can be difficult to help anxious clients face their fears and anxieties. Exposure therapy is widely appreciated as one of the most effective therapeutic treatments for anxiety spectrum disorders; however, it is often underutilized due to problems that present themselves during treatment, such as client unwillingness or hesitancy, or a lack of understanding on the professional’s part regarding targeted applications. The Clinician's Guide to Exposure Therapies for Anxiety Spectrum Disorders offers guidance in creating specific exposure exercises for clients’ individual fears and phobias, as well as tools to help you and your clients overcome common roadblocks that arise during exposure therapy. In addition, this clinician’s guide presents detailed solutions and specific exposure strategies for the most common fears and phobias clients experience. You will learn to implement exposure therapy and integrate it with other evidence-based practices, such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and acceptance and commitment therapy (ACT). The book also includes reproducible worksheets you can use to help clients develop hierarchies of exposure and information about using prolonged exposure therapy for post-traumatic stress disorder. If you are looking for a powerful resource for treating anxiety disorders, this is it.
Panic Control Therapy for Benzodiaepine Discontinuation Patient Workbook
Author: Michael W. Otto
Publisher: Oxford University Press
Designed to help adults suffering from panic disorder who wish to discontinue anxiety medication, this program is designed for mental health professional treating panic disorder patients wishing to discontinue anxiety medication. The therapist guide addresses collaboration with the prescribingphysician, allows successful medication discontinuation, and provides patients with skills for the medicine-free management of panic disorder over the long term. This workbook is designed to help patients who have difficulties with anxiety and panic to discontinue their benzodiazepine treatment. Benzodiazepines are a class of medications used to treat panic disorders and other anxiety-related conditions. Benzodiazeptines are also known as mildtranquilizers. They are helpful for treating anxiety disorders, such as panic disorders, but patients may have difficulties when they discontinue these medications. Because of these difficulties, special strategies have been developed to help patients complete their medication taper (the gradualreduction of drug use). The best way to discontinue benzodiazepine is to slowly decrease the dose. A slow taper is important because it minimizes symptoms and makes sure that patients discontinue their medication safely. But even with a slow taper of medication, uncomfortable symptoms frequently emerge and many patientsfear the return or worsening of anxiety and panic attacks. Difficulties with benzodiazepine taper are discussed in this workbook as part of a program aimed at maximizing the success of discontinuation and helping the patient remain panic free over the long run. To achieve these goals, thisworkbook provides important information on panic disorder, benzodiazepine treatment, and taper symptoms. It then provides instruction in skills useful for treating the panic disorder and aiding in medication discontinuation.
This highly practical manual provides evidence based tools and techniques for assessing and treating clients with Generalized Anxiety Disorder (GAD). Proven cognitive-behavioral interventions are described in rich, step-by-step detail, together with illustrative case examples. With an emphasis on both accountability and flexibility, the clinician is guided to select from available options, weave them into individualized treatment plans, and troubleshoot problems that may arise. For those clients who do not respond well to CBT alone, the book also offers a chapter on cutting-edge supplementary interventions that have shown promise in preliminary clinical trials. Special features include a wealth of reproducible materials - over twenty-five client handouts and forms, assessment tools, and more - presented in a convenient large-size format.