Treatment Plans and Interventions for Depression and Anxiety Disorders, 2e (Treatment Plans and Interventions for Evidence-Based Psychotherapy)

This widely used book is packed with indispensable tools for treating the most common clinical problems encountered in outpatient mental health practice. Chapters provide basic information on depression and the six major anxiety disorders; step-by-step instructions for evidence-based assessment and intervention; illustrative case examples; and practical guidance for writing reports and dealing with third-party payers. In a convenient large-size format, the book features 74 reproducible client handouts, homework sheets, and therapist forms for assessment and record keeping. The CD-ROM enables clinicians to rapidly generate individualized treatment plans, print extra copies of the forms, and find information on frequently prescribed medications. New to This Edition \*The latest research on each disorder and its treatment. \*Innovative techniques that draw on cognitive, behavioral, and mindfulness- and acceptance-based approaches. \*Two chapters offering expanded descriptions of basic behavioral and cognitive techniques. \*More than half of the 74 reproducibles are entirely new. Cover Half Title Page Series Page Title Page Copyright Dedication About the Authors Acknowledgments Contents List of Figures, Tables, and Forms Introduction The Treatment Package Approach: Advantages and Cautions CHAPTER 1. Treatment in a Changing Health Care Environment Getting Approval for Treatments: General Criteria The Initial Treatment Report Requests for Additional Sessions Telephone Approvals Requests for Extended Treatment CHAPTER 2. Depression Description and Diagnosis Understanding Depression in Cognitive-Behavioral Terms Outcome Studies of Treatments for Depression Assessment and Treatment Recommendations Troubleshooting Problems in Therapy Detailed Treatment Plan for Depression Case Example CHAPTER 3. Panic Disorder and Agoraphobia Description and Diagnosis Understanding Panic Disorder and Agoraphobia in Cognitive- Behavioral Terms Outcome Studies of Treatments for Panic Disorder and Agoraphobia Assessment and Treatment Recommendations Troubleshooting Problems in Therapy Detailed Treatment Plan for Panic Disorder Case Example CHAPTER 4. Generalized Anxiety Disorder Description and Diagnosis Understanding Generalized Anxiety Disorder in Cognitive-Behavioral Terms Outcome Studies of Treatments for Generalized Anxiety Disorder Assessment and Treatment Recommendations Troubleshooting Problems in Therapy Detailed Treatment Plan for Generalized Anxiety Disorder Case Example CHAPTER 5. Social Anxiety Disorder (Social Phobia) Description and Diagnosis Understanding Social Anxiety Disorder in Cognitive-Behavioral Terms Outcome Studies of Treatments for Social Anxiety Disorder Assessment and Treatment Recommendations Troubleshooting Problems in Therapy Detailed Treatment Plan for Social Anxiety Disorder Case Example CHAPTER 6. Posttraumatic Stress Disorder Description and Diagnosis Understanding Posttraumatic Stress Disorder in Cognitive-Behavioral Terms Outcome Studies of Treatments for Posttraumatic Stress Disorder Assessment and Treatment Recommendations Troubleshooting Problems in Therapy Detailed Treatment Plan for Posttraumatic Stress Disorder Case Example CHAPTER 7. Specific Phobia Description and Diagnosis Understanding Specific Phobia in Cognitive-Behavioral Terms Outcome Studies of Treatments for Specific Phobia Assessment and Treatment Recommendations Troubleshooting Problems in Therapy Detailed Treatment Plan for Specific Phobia Case Example CHAPTER 8. Obsessive– Compulsive Disorder Description and Diagnosis Understanding Obsessive–Compulsive Disorder in Cognitive-Behavioral Terms Outcome Studies of Treatments for Obsessive–Compulsive Disorder Assessment and Treatment Recommendations Troubleshooting Problems in Therapy Detailed Treatment Plan for Obsessive–Compulsive Disorder Case Example CHAPTER 9. Behavioral Techniques Assertiveness Training Behavioral Activation (Reward Planning and Activity Scheduling) Communication Skills Training Distraction Exposure Graded Task Assignment Mindfulness Modeling Problem Solving Rebreathing Relaxation Self-Reward Social Skills Training Visualization CHAPTER 10. Cognitive Concepts and Techniques Introduction to Cognitive and Cognitive-Behavioral Therapy The Three Levels of Cognitive Distortions Identifying and Challenging Cognitive Distortions Examples of Challenges to Specific Distorted Automatic Thoughts Examining Maladaptive Assumptions Examining the Content of Dysfunctional Schemas Self- Instruction and Self- Control Case Conceptualization Conclusion APPENDIX A. Summary of Behavioral Techniques APPENDIX B. Summary of Cognitive Techniques APPENDIX C. Overview of Contents of Companion CD-ROM References Index Companion CD-ROM Cover Copyright Information Contents of the CD-ROM INTAKE FORM 2.1. Intake Form DEPRESSION FIGURE 2.1. Diagnostic Flow Chart for Major Depression TABLE 2.5. General Plan of Treatment for Depression TABLE 2.15. Sample Symptoms for Major Depression TABLE 2.16. Sample Treatment Goals and Interventions for Depression TABLE 2.17. Detailed Treatment Plan for Depression FORM 2.2. Quick Inventory of Depressive Symptomatology—Self-Report (QIDS-SR16) FORM 2.3. Evaluation of Depression: Test Scores, Substance Use, History, and Recommendations FORM 2.4. Cognitive, Behavioral, and Interpersonal Assessment of Depression FORM 2.5. Evaluation of Suicidal Risk FORM 2.6. No-Suicide Contract FORM 2.7. Information for Patients about Depression FORM 2.8. Patient’s Weekly Activity Schedule FORM 2.9. Patient’s Weekly Planning Schedule: Predicting Pleasure and Mastery FORM 2.10. Patient’s Daily Record of Dysfunctional Automatic Thoughts FORM 2.11. Information for Patients about Insomnia PANIC DISORDER AND AGORAPHOBIA FIGURE 3.1. Diagnostic Flow Chart for Panic Disorder with Agoraphobia TABLE 3.2. General Plan of Treatment for Panic Disorder and Agoraphobia TABLE 3.3. Sample Symptoms for Panic Disorder and Agoraphobia TABLE 3.4. Sample Treatment Goals and Interventions for Panic Disorder and Agoraphobia TABLE 3.5. Detailed Treatment Plan for Panic Disorder and Agoraphobia FORM 3.1. Cognitive-Behavioral Model of Panic Disorder and Agoraphobia for Patients FORM 3.2. Evaluation of Panic Disorder and Agoraphobia: Test Scores, Substance Use, History, Treatment Progress, and Recommendations FORM 3.3. Evaluation of Anxiety and Avoidance for Patients FORM 3.4. Patient’s Panic Record FORM 3.5. Information for Patients about Panic Disorder and Agoraphobia FORM 3.6. Patient’s Most Common Automatic Thoughts When Anxious/Panicking FORM 3.7. Coping Statements for Patients FORM 3.8. Patient’s Hierarchy of Feared Situations FORM 3.9. Your New Rule Book for Your Panic and Agoraphobia GENERALIZED ANXIETY DISORDER FIGURE 4.1. Diagnostic Flow Chart for Generalized Anxiety Disorder TABLE 4.2. General Plan of Treatment for Generalized Anxiety Disorder TABLE 4.5. Sample Symptoms for Generalized Anxiety Disorder TABLE 4.6. Sample Treatment Goals and Interventions for Generalized Anxiety Disorder TABLE 4.7. Detailed Treatment Plan for Generalized Anxiety Disorder FORM 4.1. Generalized Anxiety Disorder: Antecedents and Underlying Processes FORM 4.2. Leahy Anxiety Checklist for Patients FORM 4.3. Penn State Worry Questionnaire (PSWQ) FORM 4.4. Metacognitions Questionnaire 30 (MCQ-30) FORM 4.5. Intolerance of Uncertainty Scale (IUS) FORM 4.6. Evaluation of Generalized Anxiety Disorder: Test Scores, Substance Use, History, Treatment Progress, and Recommendations FORM 4.7. Information for Patients about Generalized Anxiety Disorder FORM 4.8. Patient’s Worry Log FORM 4.9. Questions to Ask Yourself If You Are Worrying: A Self-Help Form for Patients FORM 4.10. Challenging Your Core Beliefs FORM 4.11. Possible Interventions for Worrying: A Self-Help Guide for Patients SOCIAL ANXIETY DISORDER (SOCIAL PHOBIA) FIGURE 5.1. Diagnostic Flow Chart for Social Anxiety Disorder TABLE 5.3. General Plan of Treatment for Social Anxiety Disorder TABLE 5.4. Maladaptive “Rules” in Social Anxiety Disorder TABLE 5.5. Sample Symptoms for Social Anxiety Disorder TABLE 5.6. Sample Treatment Goals and Interventions for Social Anxiety Disorder TABLE 5.7. Detailed Treatment Plan for Social Anxiety Disorder FORM 5.1. The Causes of Social Anxiety FORM 5.2. Social Anxiety Questionnaire (SAQ) for Patients FORM 5.3. Evaluation of Social Anxiety Disorder: Test Scores, Substance Use, History, Treatment Progress, and Recommendations FORM 5.4. Social Anxiety Situations List for Patients FORM 5.5. Safety Behaviors Inventory for Patients with Social Anxiety FORM 5.6. Information for Patients about Social Anxiety Disorder POSTTRAUMATIC STRESS DISORDER FIGURE 6.1. Diagnostic Flow Chart for Posttraumatic Stress Disorder TABLE 6.1. Maladaptive “Rules” in Posttraumatic Stress Disorder TABLE 6.3. General Plan of Treatment for Posttraumatic Stress Disorder TABLE 6.4. Examples of Techniques for Addressing Trauma-Related Cognitive Distortions TABLE 6.5. Sample Symptoms for Posttraumatic Stress Disorder TABLE 6.6. Sample Treatment Goals and Interventions for Posttraumatic Stress Disorder TABLE 6.7. Detailed Treatment Plan for Posttraumatic Stress Disorder FORM 6.1. The Causes of Posttraumatic Stress Disorder FORM 6.2. PTSD Checklist—Civilian Version (PCL-C) FORM 6.3. Evaluation of Posttraumatic Stress Disorder: Test Scores, Substance Use, History, Treatment Progress, and Recommendations FORM 6.4. Patient’s Trauma Trigger Record FORM 6.5. Information for Patients about Posttraumatic Stress Disorder FORM 6.6. “Hot Spots” in My Story FORM 6.7. Safety Behaviors in Posttraumatic Stress Disorder FORM 6.8. Negative Thoughts and Realistic Responses in Posttraumatic Stress Disorder FORM 6.9. Possible Interventions for Posttraumatic Stress Disorder: A Self-Help Guide SPECIFIC PHOBIA FIGURE 7.1. Diagnostic Flow Chart for Specific Phobia TABLE 7.1. General Plan of Treatment for Specific Phobia TABLE 7.3. Sample Symptoms for Specific Phobia TABLE 7.4. Sample Treatment Goals and Interventions for Specific Phobia TABLE 7.5. Detailed Treatment Plan for Specific Phobia FORM 7.1. Where Your Fear Comes From and Why It Persists FORM 7.2. Fearful Thinking FORM 7.3. Evaluation of Specific Phobia: Test Scores, Substance Use, History, Treatment Progress, and Recommendations FORM 7.4. Fear Evaluation for Patients FORM 7.5. Information for Patients about Specific Phobia FORM 7.6. Costs and Benefits of Overcoming Your Fear FORM 7.7. Patient’s Self-Monitoring of Fears FORM 7.8. Patient’s Fear Hierarchy for Specific Phobia FORM 7.9. Costs and Bene.ts of Avoidance Behaviors in Specific Phobia FORM 7.10. Safety Behaviors in Specific Phobia FORM 7.11. Predictions and Outcomes in Specific Phobia FORM 7.12. Rational and Irrational Thoughts in Specific Phobia FORM 7.13. Your Phobia-Free Rule Book OBSESSIVE-COMPULSIVE DISORDER FIGURE 8.1. Diagnostic Flow Chart for Obsessive–Compulsive Disorder TABLE 8.2. General Plan of Treatment for Obsessive–Compulsive Disorder TABLE 8.3. Sample Symptoms for Obsessive–Compulsive Disorder TABLE 8.4. Sample Treatment Goals and Interventions for Obsessive–Compulsive Disorder TABLE 8.5. Detailed Treatment Plan for Obsessive–Compulsive Disorder FORM 8.1. Maudsley Obsessional–Compulsive Inventory (MOCI) FORM 8.2. Obsessive–Compulsive Questionnaire (OCQ) for Patients FORM 8.3. Evaluation of Obsessive–Compulsive Disorder: Test Scores, Substance Use, History, Treatment Progress, and Recommendations FORM 8.4. Patient’s Obsession/Ritual Log FORM 8.5. Information for Patients about Obsessive–Compulsive Disorder FORM 8.6. Patient’s Hierarchy of Obsessions FORM 8.7. Patient’s Hierarchy of Anxiety-Provoking/Avoided Situations and Other Stimuli BEHAVIORAL TECHNIQUES APPENDIX A. Summary of Behavioral Techniques FORM 9.1. Patient’s Imaginal Exposure Practice Record FORM 9.2. Patient’s In Vivo Exposure Practice Record COGNITIVE CONCEPTS AND TECHNIQUES APPENDIX B. Summary of Cognitive Techniques TABLE 10.1. Dysfunctional Schemas in Personality Disorders FORM 10.1. General Information for Patients about Cognitive-Behavioral Therapy FORM 10.2. Categories of Distorted Automatic Thoughts: A Guide for Patients FORM 10.3. Examples of Maladaptive Assumptions: A Guide for Patients FORM 10.4. Patient’s Event–Mood–Thought Record FORM 10.5. Patient’s Form for Categorizing and Responding to Automatic Thoughts FORM 10.6. Patient’s Self-Instruction Script MEDICATIONS FOR DEPRESSIVE AND ANXIETY DISORDERS Antidepressants—monoamine oxidase inhibitors (MAO) Antidepressants—tricyclics Antidepressants—selective serotonin reuptake inhibitors (SSRIs) Antidepressants—miscellaneous Anxiolytics—benzodiazepines Anxiolytics—miscellaneous Stimulants Antipsychotics—phenothiazines Antipsychotics—miscellaneous Antimanics Hypnotics Back Cover _this Widely Used Book Is Packed With Indispensable Tools For Treating The Most Common Clinical Problems Encountered In Outpatient Mental Health Practice. Chapters Provide Basic Information On Depression And The Six Major Anxiety Disorders; Step-by-step Instructions For Evidence-based Assessment And Intervention; Illustrative Case Examples; And Practical Guidance For Writing Reports And Dealing With Third-party Payers. In A Convenient Large-size Format, The Book Features 125 Reproducible Client Handouts, Homework Sheets, And Therapist Forms For Assessment And Record Keeping. The Included Cd-rom Enables Clinicians To Rapidly Generate Individualized Treatment Plans, Print Extra Copies Of The Forms, And Find Information On Frequently Prescribed Medications._new To This Edition*the Latest Research On Each Disorder And Its Treatment.*innovative Techniques That Draw On Cognitive, Behavioral, Mindfulness, And Acceptance-based Approaches.*two Chapters Offering Expanded Descriptions Of Basic Behavioral And Cognitive Techniques.*47 Of The 125 Reproducibles Are Entirely New. __--provided By Publisher. Treatment In A Changing Health Care Environment -- Depression -- Panic Disorder And Agoraphobia -- Generalized Anxiety Disorder -- Social Anxiety Disorder (social Phobia) -- Posttraumatic Stress Disorder -- Specific Phobia -- Obsessive-compulsive Disorder -- Behavioral Techniques -- Cognitive Concepts And Techniques -- Appendix A. Summary Of Behavioral Techniques -- Appendix B. Summary Of Cognitive Techniques -- Appendix C. Overview Of Contents Of The Companion Cd-rom. Robert L. Leahy, Stephen J.f. Holland, Lata K. Mcginn. Machine Generated Contents Note: Introduction1. Treatment In A Changing Health Care Environment2. Depression3. Panic Disorder And Agoraphobia4. Generalized Anxiety Disorder5. Social Anxiety Disorder (social Phobia)6. Posttraumatic Stress Disorder7. Specific Phobia8. Obsessive-compulsive Disorder9. Behavioral Techniques10. Cognitive Concepts And Techniquesappendix A. Summary Of Behavioral Techniquesappendix B. Summary Of Cognitive Techniquesappendix C. Overview Of Contents Of The Companion Cd-rom. Includes Bibliographical References (pages 461-481) And Index. This widely used book and accompanying CD-ROM are packed with indispensable tools for treating the most common clinical problems encountered in outpatient mental health practice. Chapters provide basic information on depression and the six major anxiety disorders; step-by-step instructions for evidence-based assessment and intervention; illustrative case examples; and practical guidance for writing reports and dealing with third-party payers. In a convenient large-size format, the book features 74 reproducible client handouts, homework sheets, and therapist forms for assessment and record keeping. The CD-ROM enables clinicians to rapidly generate individualized treatment plans, print extra copies of the forms, and find information on frequently prescribed medications. New to This Edition•The latest research on each disorder and its treatment.•Innovative techniques that draw on cognitive, behavioral, and mindfulness- and acceptance-based approaches.•Two chapters offering expanded descriptions of basic behavioral and cognitive techniques.•More than half of the 74 reproducibles are entirely new.