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An in-depth look at prevalent anxiety disorders in adolescents,
this book is designed for parents of teens who have recently been
diagnosed with or who are at risk for developing such a disorder.
It is also for other adults, such as teachers and guidance
counsellors, who are regularly in contact with at-risk adolescents.
The book combines scientific expertise - including information
about available treatments and up-to-date research findings on
anxiety disorders-with the practical wisdom of parents who have
raised teenagers with these illnesses. In clear and accessible
language, Dr Edna B. Foa and Linda Wasmer Andrews explain in detail
each of the four major anxiety disorders (social anxiety disorder,
generalized anxiety disorder, obsessive-compulsive disorder, and
post-traumatic stress disorder). The book includes tips on how to
go about getting a diagnosis, what a diagnosis means, when and
where to get treatment, and how to navigate the health care system.
There is also advice on how to handle everyday life - both at home
and at school - once the teen is diagnosed. Pointers on red flags
to look out for and about the dangers of doing nothing are included
as well to help parents and other adults deal effectively with
adolescent anxiety disorders before they become debilitating.
This volume serves as an update on current developments in resource
theory and presents a representative sample of contemporary
research conducted within this theoretical perspective. "Resource
Theory" presents empirical evidence supporting the cross-cultural
validity of this framework. Attention is focused on a broad range
of social-psychological phenomena that have been fruitfully
explored using this theoretical approach. Key features include
social exchange theory, cross-cultural theory and social
relationships.
Prolonged Exposure for PTSD in Intensive Outpatient Programs
(PE-IOP) presents an innovative PTSD treatment model for the use of
prolonged exposure (PE) in residential and intensive outpatient
programs, which increases access to care and retention in care
while providing transformational symptom outcomes. Drs. Rauch,
Rothbaum, Smith, and Foa present the elements of the PE protocol
along with all the logistics for how to provide PE in an intensive
outpatient program. PE is the most widely studied treatment for
PTSD, with over 100 studies showing its efficacy for PTSD and
comorbid patient populations-from single incident and multiple
incident traumas of all types (e.g., combat, sexual assault, etc.)
Variations and considerations for implementation are presented to
allow providers designing programs to consider what best fits their
patient population and setting. Patient and provider forms are
included for use. As leaders in clinical practice, training, and
research in the field of PTSD treatment, Drs. Rauch, Rothbaum,
Smith, and Foa provide concise but thorough description of the key
components of the program, how to implement them, and when and how
to consider adaptations.
This powerful client workbook is written in an encouraging and
easy-to-understand style specifically for women who have been
sexually assaulted and have developed chronic symptoms of
posttraumatic stress disorder (PTSD). Clients learn how
cognitive-behavioral therapy has helped other victims and how it
can work for them. This book explains how to distinguish PTSD
symptoms from other disorders and teaches powerful techniques for
overcoming these symptoms. In writing this book, the authors aim to
address two goals. First, they want to present information about
PTSD and related problems in language understandable to
nonprofessionals. This information will include a review of the
studies on posttrauma problems and on the effectiveness of
different treatments. They also describe why some survivors develop
PTSD and others do not. The second goal of the book is to provide a
detailed client workbook for the treatment of trauma-related
problems, especially PTSD, to assist clients working with a
therapist. The authors are aware of the fact that people have
different problems and different needs. What works for one person
may not work for another. Therefore, they describe several
different treatment techniques. The book is organized around the
different cognitive-behavioral techniques that have been studied
and proven effective with women sufferers of PTSD following an
assault. Throughout the book, the authors focus mainly on women who
have been sexually assaulted and as a result developed chronic
symptoms of PTSD, which have disturbed their daily functioning and
cause them emotional distress. Most of the examples they use to
demonstrate the cognitive-behavioral techniques are drawn from
their experience in treating rape survivors. However, the
cognitive-behavioral procedures outlined here have been as
successful in helping women who have been sexually abused in
childhood and adult female survivors of nonsexual assaults, like
aggravated assault and robbery. Other survivors of traumas such as
natural disasters and car accidents were also helped by this
cognitive-behavioral approach.
Concurrent Treatment of PTSD and Substance Use Disorders Using
Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy
program designed for patients who have posttraumatic stress
disorder (PTSD) and a co-occurring alcohol or drug use disorder.
COPE represents an integration of two evidence-based treatments:
Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for
substance use disorders. COPE is an integrated treatment, meaning
that both the PTSD and substance use disorder are addressed
concurrently in therapy by the same clinician, and patients can
experience substantial reductions in both PTSD symptoms and
substance use severity. Patients use the COPE Patient Workbook
while their clinician uses the Therapist Guide to deliver
treatment. The program is comprised of 12 individual, 60 to 90
minute therapy sessions. The program includes several components:
information about how PTSD symptoms and substance use interact with
one another; information about the most common reactions to trauma;
techniques to help the patient manage cravings and thoughts about
using alcohol or drugs; coping skills to help the patient prevent
relapse to substances; a breathing retraining relaxation exercise;
and in vivo (real life) and imaginal exposures to target the
patient's PTSD symptoms.
An estimated 2-3% of the population is affected by
obsessive-compulsive disorder (OCD). This is a chronic condition
that significantly affects daily functioning and quality of life.
Many people with OCD would greatly benefit from receiving
professional help to learn how to successfully manage this
debilitating condition. This book guides clinicians in treating
individuals with OCD through the use of exposure and ritual
(response) prevention, one of the most effective and the most
studied treatments for OCD. Designed to be used in conjunction with
its companion patient workbook titled Treating Your OCD with
Exposure and Ritual (Response) Prevention Therapy, this Therapist
Guide includes supporting theoretical, historical and research
background information, diagnostic descriptions, differential
diagnoses, session by session treatment outlines, case examples,
sample dialogues, practice assignments, and tailored application to
the vast variety of presentations and nuances of the disorder. The
manual contains the 'nuts and bolts' of how to provide the
treatment and is a comprehensive resource for therapists. It is an
invaluable guide for clinicians in overcoming the barriers and
difficulties that are part and parcel of every treatment. "Exposure
and ritual (response) prevention (EX/RP) is the best treatment we
have for obsessive compulsive disorder. The Therapist Guide and
Workbook by Foa, Yadin, and Licher will do two very important
things. The first is to make EX/RP much more available to people
suffering from OCD. The second is to help ensure that the treatment
that is made more available is a treatment that should really
work."-Michael R. Liebowitz M.D., Professor of Clinical Psychiatry,
Columbia University and Former Director, Anxiety Disorders Clinic,
New York State Psychiatric Institute "In this well-organized and
succinct manual, leading experts describe exposure and ritual
(response) prevention (EX/RP), a proven first-line treatment for
obsessive-compulsive disorder (OCD). They detail how to evaluate
clients for EX/RP treatment, provide session-by-session
instructions for treatment delivery, and offer invaluable advice on
handling problems like patient nonadherence. This outstanding
therapist manual, together with its accompanying client workbook,
provides state-of-the-art tools for transforming the lives of
people with OCD."-H. Blair Simpson, M.D. Ph.D., Professor of
Clinical Psychiatry, Columbia University Director of the Anxiety
Disorders Clinic and the OCD Research Program at the New York State
Psychiatric Institute "A concise, up-to-date, and extremely useful
clinical guide to understanding and treating people struggling with
OCD. State-of-the-art essentials for how to provide the most
effective intervention for this often difficult to treat condition
are covered in a clear and practical manner that is certain to
facilitate positive outcomes."-Jonathan S. Abramowitz, Ph.D., ABPP,
Professor of Psychology, University of North Carolina at Chapel
Hill and Editor-in-Chief, Journal of Obsessive-Compulsive and
Related Disorders
Traumatic events, including sexual abuse, experiencing or
witnessing violence, and natural disasters, are common among
adolescents. A significant number of adolescents go on to develop
posttraumatic stress disorder (PTSD), which can have a severe
negative impact on well-being and functioning. These adolescents
require professional help to free themselves of PTSD symptoms and
reclaim their lives. This therapist guide presents a proven
treatment for PTSD that has been adapted for the adolescent
population. The program applies the principles of Prolonged
Exposure (PE) to help adolescents emotionally process their
traumatic experiences. A four-phase treatment, adolescents complete
each module at their own rate of progress. The pre-treatment
preparation phase includes modules on motivational interviewing and
case management. During the first treatment phase, modules cover
the rationale for treatment, information-gathering about the
trauma, and common reactions to trauma. Modules in the next phase,
exposures, comprise the core of the treatment. By systematically
confronting situations associated with the trauma, adolescents
overcome avoidance and fear. Recounting the memory of the traumatic
event helps adolescents distinguish the past from the present and
promotes feelings of mastery. The final phase involves modules on
relapse prevention and treatment termination. This therapist guide
considers the adolescent's age and developmental level and includes
developmentally appropriate materials. It offers additional
guidance on tailoring the treatment to each client's unique
situation, including trauma type and family structure. Handouts for
parents are provided in an appendix. The corresponding teen
workbook contains information on each module and forms for
adolescent use. Comprehensive and effective, this program is an
invaluable contribution to the treatment of adolescents with PTSD.
An estimated 2-3% of the population is affected by
obsessive-compulsive disorder (OCD). This is a chronic condition
that significantly affects daily functioning and quality of life.
Many people with OCD would greatly benefit from receiving
professional help to learn how to successfully manage this
debilitating condition. This workbook aims to guide patients of
obsessive-compulsive disorder (OCD) in how to best benefit from the
treatment provided by their therapists. Treatments addressed in
this publication include exposure and ritual (response) prevention,
an effective, evidence-based treatment for this disorder.
Designed to be used in conjunction with its companion therapist
guide titled Exposure and Ritual (Response) Prevention for
Obsessive Compulsive Disorder, thisWorkbook includes an exposure
and ritual prevention treatment program which is broken down into
17 - 20 biweekly treatment sessions. During these sessions the
patient will be gradually exposed to situations and places that
trigger his or her OCD symptoms. The goal is that over time the OCD
sufferer comes to realize that the things he or she fears will not
necessarily occur if the rituals are not performed. Some exposures
will be supervised by the therapist, but the workbook can help the
patient to practice on their own at home in order to overcome some
of the barriers and difficulties that are part and parcel of every
treatment.
"Exposure and ritual (response) prevention (EX/RP) is the best
treatment we have for obsessive compulsive disorder. The Therapist
Guide and Workbook by Foa, Yadin, and Licher will do two very
important things. The first is to make EX/RP much more available to
people suffering from OCD. The second is to help ensure that the
treatment that is made more available is a treatment that should
really work."--Michael R. Liebowitz M.D., Professor of Clinical
Psychiatry, Columbia University and Former Director, Anxiety
Disorders Clinic, New York State Psychiatric Institute
"In this well-organized and succinct manual, leading experts
describe exposure and ritual (response) prevention (EX/RP), a
proven first-line treatment for obsessive-compulsive disorder
(OCD). They detail how to evaluate clients for EX/RP treatment,
provide session-by-session instructions for treatment delivery, and
offer invaluable advice on handling problems like patient
nonadherence. This outstanding therapist manual, together with its
accompanying client workbook, provides state-of-the-art tools for
transforming the lives of people with OCD."--H. Blair Simpson, M.D.
Ph.D., Professor of Clinical Psychiatry, Columbia University
Director of the Anxiety Disorders Clinic and the OCD Research
Program at the New York State Psychiatric Institute
"A concise, up-to-date, and extremely useful clinical guide to
understanding and treating people struggling with OCD.
State-of-the-art essentials for how to provide the most effective
intervention for this often difficult to treat condition are
covered in a clear and practical manner that is certain to
facilitate positive outcomes."--Jonathan S. Abramowitz, Ph.D.,
ABPP, Professor of Psychology, University of North Carolina at
Chapel Hill and Editor-in-Chief, Journal of Obsessive-Compulsive
and Related Disorders
An in-depth look at prevalent anxiety disorders in adolescents,
this book is designed for parents of teens who have recently been
diagnosed with or who are at risk for developing such a disorder.
It is also for other adults, such as teachers and guidance
counsellors, who are regularly in contact with at-risk adolescents.
The book combines scientific expertise - including information
about available treatments and up-to-date research findings on
anxiety disorders-with the practical wisdom of parents who have
raised teenagers with these illnesses. In clear and accessible
language, Dr Edna B. Foa and Linda Wasmer Andrews explain in detail
each of the four major anxiety disorders (social anxiety disorder,
generalized anxiety disorder, obsessive-compulsive disorder, and
post-traumatic stress disorder). The book includes tips on how to
go about getting a diagnosis, what a diagnosis means, when and
where to get treatment, and how to navigate the health care system.
There is also advice on how to handle everyday life - both at home
and at school - once the teen is diagnosed. Pointers on red flags
to look out for and about the dangers of doing nothing are included
as well to help parents and other adults deal effectively with
adolescent anxiety disorders before they become debilitating.
Those who have experienced a traumatic event and are having trouble
moving past feelings of fear, shame and guilt, or helplessness may
be diagnosed with Posttraumatic Stress Disorder (PTSD). Reclaiming
Your Life from a Traumatic Experience: A Prolonged Exposure
Treatment Program can help readers to overcome and reclaim their
lives from PTSD. Best used in combination with treatment by a
mental health professional, the second edition of this Workbook,
along with the accompanying Therapist Guide, will help readers work
through PTSD regardless of the type of trauma experienced-be it a
motor vehicle accident, physical or sexual assault, or
combat-related event. The program outlined in this book will reduce
anxiety and distress, teaching readers to face memories of trauma
while processing their emotions about the event using a
scientifically tested and proven technique called Prolonged
Exposure Therapy. Instead of avoiding or escaping situations that
provoke anxiety and other negative emotions, readers will learn how
to reevaluate feelings and beliefs to think differently about their
traumatic experiences. Complete with information on PTSD, as well
as case examples, self-assessment tools, and homework assignments,
Reclaiming Your Life from a Traumatic Experience is an invaluable
tool on the road to recovery from PTSD.
Concurrent Treatment of PTSD and Substance Use Disorders Using
Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy
program designed for patients who have posttraumatic stress
disorder (PTSD) and a co-occurring alcohol or drug use disorder.
COPE represents an integration of two evidence-based treatments:
Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for
substance use disorders. COPE is an integrated treatment, meaning
that both the PTSD and substance use disorder are addressed
concurrently in therapy by the same clinician, and patients can
experience substantial reductions in both PTSD symptoms and
substance use severity. Patients use the COPE Patient Workbook
while their clinician uses the Therapist Guide to deliver
treatment. The program is comprised of 12 individual, 60 to 90
minute therapy sessions. The program includes several components:
information about how PTSD symptoms and substance use interact with
one another; information about the most common reactions to trauma;
techniques to help the patient manage cravings and thoughts about
using alcohol or drugs; coping skills to help the patient prevent
relapse to substances; a breathing retraining relaxation exercise;
and in vivo (real life) and imaginal exposures to target the
patient's PTSD symptoms.
Newly Revised and Updated!
Are you tormented by extremely distressing thoughts or persistent worries?
Compelled to wash your hands repeatedly?
Driven to repeat or check certain numbers, words, or actions?
If you or someone you love suffers from these symptoms, you may be one of the millions of Americans who suffer from some form of obsessive-compulsive disorder, or OCD.
Once considered almost untreatable, OCD is now known to be a highly treatable disorder using behavior therapy. In this newly revised edition of Stop Obsessing! Drs. Foa and Wilson, internationally renowned authorities on the treatment of anxiety disorders, share their scientifically based and clinically proven self-help program that has already allowed thousands of men and women with OCD to enjoy a life free from excessive worries and rituals.
You will discover: • Step-by-step programs for both mild and severe cases of OCD • The most effective ways to help you let go of your obsessions and gain control over your compulsions • New charts and fill-in guides to track progress and make exercises easier • Questionnaires for self-evaluation and in-depth understanding of your symptoms • Expert guidance for finding the best professional help • The latest information about medications prescribed for OCD
This treatment program adapts the principles of Dr. Foa's proven
effective Prolonged Exposure Therapy for adolescents suffering from
Posttraumatic Stress Disorder (PTSD.) The treatment program is
based on the principles of prolonged exposure and emotional
processing for use with those individuals who suffer from PTSD. In
vivo and imaginal exposure comprise the core of the treatment,
along with breathing retraining and techniques for monitoring
progress.
The treatment is presented in modules that can be individually
tailored to fit the needs of each patient. Because many adolescent
PTSD sufferers do not initiate therapy on their own, but are
referred to therapy by social workers, parents, or other authority
figures, their willingness to participate in their treatment can
vary widely. The first element of this treatment, serves to assess
the client's attitude, and increase motivation to change. Other
modules introduce psychoeducation, real-life exposure, emotional
processing, and relapse prevention. This companion workbook
provides additional information, monitoring forms, and worksheets
to help clients take control of their treatment.
After reviewing the relevant treatment literature, the authors
detail how to assess and treat PTSD using a cognitive-behavioral
approach. Co mplete instructions are given for planning treatment,
as well as for i ntroducing the patient to the various
interventions. Nine exposure and stress management techniques are
then detailed, including imaginal ex posure (trauma reliving), in
vivo exposure, relaxation training, thoug ht-stopping, cognitive
restructuring, covert modeling, and role-playin g. Enhancing the
book's clinical utility are numerous case examples il lustrating
how to implement the techniques, as well as explanations of how to
cope with common problems and complications in treatment. The final
chapter presents detailed outlines of three suggested treatment
programs.
After reviewing the relevant treatment literature, the authors
detail how to assess and treat PTSD using a cognitive-behavioral
approach. Co mplete instructions are given for planning treatment,
as well as for i ntroducing the patient to the various
interventions. Nine exposure and stress management techniques are
then detailed, including imaginal ex posure (trauma reliving), in
vivo exposure, relaxation training, thoug ht-stopping, cognitive
restructuring, covert modeling, and role-playin g. Enhancing the
book's clinical utility are numerous case examples il lustrating
how to implement the techniques, as well as explanations of how to
cope with common problems and complications in treatment. The final
chapter presents detailed outlines of three suggested treatment
programs.
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