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Psychological Approaches to Generalized Anxiety Disorder : A Clinician's Guide to Assessment and Treatment - Holly Hazlett-Stevens

Psychological Approaches to Generalized Anxiety Disorder

A Clinician's Guide to Assessment and Treatment

Hardcover Published: 1st August 2008
ISBN: 9780387768694
Number Of Pages: 190

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One of the hallmarks of generalized anxiety disorder, along with diffuse pathological worry and somatic complaints, is its resistance to therapy. Of available treatment modalities for GAD, cognitive-behavioral therapy garners the best empirical support in terms of successful long-term results. Psychological Approaches to Generalized Anxiety Disorder offers clinicians a wide variety of CBT strategies to help clients develop core anxiety-reduction skills, presented so that readers can hone their own clinical skills.

Concise without skimping on information, this book reviews current theory and research, addresses important diagnostic issues, and provides salient details in these key areas: Assessment procedures and treatment planning; Latest therapy outcome data, including findings on newer therapies; Specific CBT techniques, including cognitive strategies, psychoeducation, anxiety monitoring, relaxation exercises, and more; Dealing with noncompliance, client ambivalence, and other challenges to therapy; Special considerations for treating older adults with GAD; Relapse prevention, transition issues, and ending treatment.

Psychological Approaches to Generalized Anxiety Disorder has much information of interest to new and seasoned clinicians, clinical researchers, and academic psychologists. It is also an especially valuable reference for graduate students treating or studying the anxiety spectrum.

"Holly Hazlett-Stevens has provided clinicians who treat clients with generalized anxiety disorder with a most useful resource. Psychological Approaches to Generalized Anxiety Disorder is a compendium of techniques with which all cognitive-behavioral therapists should be familiar, presented in a step-by-step, easy-to-digest fashion. The beginning clinician will find the detailed description of techniques and the theory underlying their use to be most helpful in helping clients overcome the cognitive, somatic, and behavioral symptoms that make GAD such a complex disorder to treat. The attention devoted to the description of each technique and what to do when application of the techniques does not go as smoothly as one might like was especially helpful. This book provides a long list of options in the treatment of GAD and a roadmap to their administration in an integrated fashion by an empathically-attuned cognitive-behavioral therapist. It will occupy a place of honor on the bookshelves of those of us who treat clients with GAD, and we will be thankful that we have it."
-Richard G. Heimberg, PhD, Adult Anxiety Clinic, Temple University, Philadelphia, PA

"Holly Hazlett-Stevens has written a very updated and comprehensive book on a highly relevant topic- generalized anxiety disorder, a common but disabilitating disorder.
The book comprises a very thorough presentation of the various current approaches to GAD, with an emphasis on assessment and treatment principles, covering the most relevant treatment strategies for GAD evidenced today. The book is written as a clinicians guide but any clinician and theoretician dealing with anxiety disorder or depression would find this book very useful.
The author has made an impressive and a substantial contribution to this field providing a skillful mix of theory and practice that should be essential reading for all wanting to learn more about this disorder; clinicians, researchers as well as their students. The volume is what many of us have been waiting for, and I highly recommend it."
-Hans M Nordahl, Ph.D., Professor of Clinical Psychology, Norwegian University of Science and Technology

Diagnosis, Clinical Features, and Theoretical Perspectivesp. 1
Generalized Anxiety Disorder Diagnosisp. 2
History of GAD Diagnosisp. 2
Current GAD Diagnostic Definitionp. 3
Epidemiology and Related Statisticsp. 4
Prevalence and Coursep. 4
Demographic Featuresp. 6
Comorbid Conditionsp. 7
Current Theoretical Approachesp. 8
An Integrative Theoretical Model of GADp. 8
Avoidance Theory of Worry and GADp. 9
Chapter Summaryp. 11
GAD Treatment Researchp. 13
Initial GAD Psychotherapy Outcome Researchp. 14
Study Characteristicsp. 14
Sample Characteristics and Treatment Featuresp. 14
Treatment Outcome Resultsp. 15
Summary of Preliminary Research Findingsp. 16
Cognitive-Behavioral and Pharmacological Treatment Researchp. 17
Inclusion Criteria and Methodological Considerationsp. 17
CBT Outcome Resultsp. 17
Pharmacotherapy Outcome Resultsp. 18
Comparisons Between CBT and Pharmacological Treatmentsp. 18
Recent GAD Treatment Outcome Meta-Analysis Resultsp. 19
Updated Psychotherapy Outcome Meta-Analytic Review Resultsp. 19
Updated CBT Meta-Analytic Review Resultsp. 20
Additional GAD Treatment Researchp. 21
Component Analysis of CBT for GADp. 22
Comparisons Between Applied Relaxation and Cognitive Therapyp. 22
Summary of Recent Research Findings and Future Directionsp. 23
GAD Treatment for Older Adultsp. 24
Early Psychotherapy Outcome Researchp. 24
GAD Psychotherapy Outcome Researchp. 25
Other Treatment-Related researchp. 26
Chapter Summaryp. 27
Assessment Procedures and Treatment Planningp. 29
Diagnostic Assessmentp. 29
Diagnostic Considerationsp. 30
Unstructured Intake Interview Approachp. 32
Semi-Structured Diagnostic Interviewsp. 33
Structured Diagnostic Interviewsp. 35
Brief Diagnostic Assessment Measuresp. 35
Summary and Conclusionsp. 37
Assessment of Worry and Related Constructsp. 38
Worry Severityp. 39
Worry Contentp. 41
Meta-Worryp. 42
Worry Beliefsp. 43
Other Meta-Cognitive Constructsp. 45
Intolerance of Uncertaintyp. 47
Summary and Conclusionsp. 48
Assessment of Older Adultsp. 49
Examination of Existing Measuresp. 49
Assessment Measures Developed for Older Adultsp. 49
Treatment Planningp. 50
Idiosyncratic Symptom, Cognitive, and Behavioral Featuresp. 50
Interpersonal Problems and Social Supportp. 51
Medical Problems and Conditionsp. 52
Disability, Impairment, and Quality of Life Interferencep. 53
Treatment Plan Constructionp. 53
Chapter Summaryp. 54
Psychoeducation and Anxiety Monitoringp. 59
Psychoeducationp. 61
GAD Informationp. 61
Causes of GADp. 62
Cognitive-Behavioral Model of GADp. 63
Definitions of Fear, Anxiety, and Worryp. 65
CBT Treatment Rationalep. 66
Role of the Client in the Therapy Processp. 67
Style of Presentationp. 68
Anxiety Monitoringp. 70
Self-Monitoring Rationalep. 73
Within-Session Modeling of Frequent Monitoringp. 73
Self-Monitoring Homework Instructionsp. 78
Chapter Summaryp. 79
Relaxation Strategiesp. 81
Diaphragmatic Breathingp. 84
Diaphragmatic Breathing Rationalep. 84
Diaphragmatic Breathing Session Proceduresp. 85
Optional Alternative Procedure for Panic Symptomsp. 88
Diaphragmatic Breathing Home Practicep. 88
Progressive Relaxation Trainingp. 90
Progressive Relaxation Training Rationalep. 91
Initial Progressive Relaxation Training Session Proceduresp. 92
Initial Progressive Relaxation Home Practicep. 95
Subsequent Progressive Relaxation Training Proceduresp. 96
Alternative Progressive Relaxation Training Proceduresp. 98
Imagery Relaxation Trainingp. 99
Imagery Relaxation Rationalep. 99
Imagery Relaxation Session Proceduresp. 100
Imagery Relaxation Home Practicep. 101
Combining Relaxation Techniquesp. 101
Applying Relaxation Techniquesp. 102
Relaxation Coping Responsesp. 103
Relaxation Reminder Cuesp. 104
Daily Brief Relaxation Practicep. 104
Chapter Summaryp. 105
Cognitive Strategiesp. 107
Initial Cognitive Therapy Proceduresp. 109
Cognitive Therapy Rationalep. 109
Identify Specific Anxious Thoughtsp. 111
Thought Trackingp. 112
Worry Postponementp. 115
Specific Cognitive Techniques to Challenge Anxious Thoughtsp. 117
Generating Alternative Interpretations or Predictionsp. 118
Examining the Likelihood and Evidencep. 119
Decatastrophizingp. 122
Core Beliefs About the Self, the World, and the Futurep. 126
Common Core Beliefsp. 126
Identifying and Examining Core Beliefsp. 128
Additional Strategies for Restructuring Core Beliefsp. 131
Meta-Cognitive Worry Beliefsp. 132
Positive Worry Beliefsp. 133
Negative Worry Beliefsp. 135
Establishing New Perspectivesp. 136
Developing New Perspectivesp. 137
Constructing Preventive Beliefsp. 137
Application of Cognitive Strategiesp. 138
Chapter Summaryp. 138
Behavior Therapy and Exposure Strategiesp. 141
Active Avoidance: Worry Safety Behaviorp. 142
Identifying Worry Safety Behaviorp. 142
Eliminating Worry Safety Behaviorp. 143
Passive Avoidance Behaviorp. 145
Identifying Passive Avoidance Behaviorp. 146
Eliminating Passive Avoidance Behavior with Exposure Assignmentsp. 147
Imagery Exposure and Coping Rehearsalp. 149
Selecting Imagery Exposure Scenesp. 151
Conducting Imagery Exposurep. 152
Lifestyle Behavior Changep. 153
Identifying Neglected Activitiesp. 153
Increasing Engagement in Desired Activitiesp. 154
Chapter Summaryp. 155
Common Problems and Clinical Considerationsp. 157
Poor Compliance with Home Assignmentsp. 157
Low Motivation to Participate in Treatmentp. 158
Practical Problems Completing Home Assignmentsp. 159
Fear that Homework Will Increase Anxiety and Worryp. 159
Problems in the Therapeutic Relationshipp. 160
Common Problems Associated with Specific CBT Strategiesp. 160
Relaxation Strategiesp. 161
Cognitive Strategiesp. 162
Behavior Therapy and Exposure Techniquesp. 165
Therapy Termination and Relapse Preventionp. 166
Review of Client Progress and Essential Informationp. 166
Continued Practice of Therapy Skills and Coping Responsesp. 167
Written Relapse Prevention Plansp. 167
Early Termination of Therapyp. 168
Chapter Summaryp. 169
Referencesp. 171
Indexp. 185
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780387768694
ISBN-10: 0387768696
Series: Series in Anxiety and Related Disorders
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 190
Published: 1st August 2008
Publisher: Springer-Verlag New York Inc.
Country of Publication: US
Dimensions (cm): 23.5 x 15.5  x 1.27
Weight (kg): 0.41