Cognitive behavioral therapists face numerous instances during each
session and throughout the course of treatment in which they must
make a clinical decision. These "decision points" include instances
in which any number of clinical issues could be addressed, a
specific intervention is not achieving its desired effect, the
patient does not understand or accept the rationale for the
technique, or a crisis has emerged that requires a shift in focus.
This book describes strategic decision making, a flexible yet
evidenced-based approach to working through decision points in
order to move treatment forward in cognitive behavioral therapy. It
dispels the myth that there is a single "right" therapeutic
intervention that must be delivered in any one instance; in fact,
many courses of action can facilitate change provided they are
implemented strategically. Strategic decisions * follow logically
from the case conceptualization * are arrived upon collaboratively
between the therapist and patient * allow the patient to leave the
session with something new * are seen through in their entirety
before their effectiveness is evaluated This compelling, accessible
book will benefit all cognitive behavioral therapists, especially
those who have mastered basic concepts and are refining their
skills in applying them to complex cases.
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