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Treating Generalized Anxiety Disorder : Evidence-Based Strategies, Tools, and Techniques - Jayne L. Rygh

Treating Generalized Anxiety Disorder

Evidence-Based Strategies, Tools, and Techniques

Paperback Published: 14th June 2004
ISBN: 9781593850395
Number Of Pages: 210

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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 25 client handouts and forms, assessment tools, and more-presented in a convenient large-size format.

"This is a valuable treatment guide for clinicians. It provides a good theoretical rationale for developing and utilizing the techniques that are most important. The clear and practical writing is wonderful and the large format will be a great help for using the patient forms."--Robert L. Leahy, PhD, Department of Psychiatry, Weill-Cornell University Medical College

"Generalized anxiety disorder (GAD) is stubborn and pervasive. Most patients presenting with other emotional disorders also suffer from GAD, and it is an invariant companion to depression. Now Rygh and Sanderson present the most comprehensive and authoritative treatment manual yet published for GAD. These superb clinicians are intimately familiar with the research, and do not lose sight of the difficulties encountered in day-to-day practice. This volume should be on every clinician's bookshelf."--David H. Barlow, PhD, Center for Anxiety and Related Disorders, Boston University

"Rygh and Sanderson's book provides a comprehensive description of the empirically supported approaches to GAD, covering both theoretical underpinnings and technical procedures. Numerous clinical vignettes demonstrate how to present clients with the rationale for the various interventions, as well as how to implement them. Therapists will appreciate being able to give clients a variety of handouts and forms designed to support each aspect of treatment. This book will also be an excellent text for graduate students learning to conduct cognitive-behavioral therapy."--Cynthia L. Turk, PhD, Anxiety Treatment and Research Center, La Salle University

"Generalized anxiety disorder (GAD) is possibly one of the most difficult and treatment-resistant conditions facing the practicing therapist. This book provides the most comprehensive collection of techniques I have seen for managing GAD. It includes new twists on and applications of traditional strategies as well as some of the latest, cutting-edge methods. The clear, detailed descriptions and realistic examples will be welcomed by clinicians from a wide variety of backgrounds."--Ronald M. Rapee, PhD, Macquarie University Anxiety Research Unit and Department of Psychology, Macquarie University, Australia

List of Tables, Figures, and Handoutsp. xi
Generalized Anxiety Disorder: Diagnosis, Theories, and Treatmentp. 1
Diagnostic Criteriap. 1
Differential Diagnosisp. 1
Coexisting Conditionsp. 2
Prevalence and Life Coursep. 3
Genetic Factorsp. 3
Environmental Factorsp. 4
Costs Associated with GADp. 5
Treatment Outcome Studiesp. 5
Behavioral and Cognitive Theories of Anxiety Disorders, and Related Treatment Techniquesp. 11
Theories of GADp. 14
Conclusionsp. 17
A General Description of Treatmentp. 18
Overview of the Model Used in Treatmentp. 18
Techniques That Target the Cognitive Componentp. 21
Techniques That Target the Physiological Componentp. 24
Techniques That Target the Behavioral Componentp. 24
Techniques That Target Associated Problemsp. 25
Empirical Support for Treatment Techniquesp. 25
Basics of Implementing CBT Techniquesp. 25
Assessment and Treatment Planningp. 28
Diagnostic Clinical Interviewsp. 28
Self-Report Measures for Diagnosis and Severityp. 36
Assessing Idiosyncratic Aspects of GADp. 36
Assessing Problematic Patterns in Past and Current Relationshipsp. 47
Assessing Pleasurable Activityp. 51
Tailoring Treatment to Fit the Individual Clientp. 51
Socialization to Treatmentp. 58
General Information about Anxiety and Worryp. 58
Presentation of the Model Used in Treatmentp. 65
Presentation of the Treatment Rationale and Techniquesp. 69
Problematic Client Responses in the Socialization to Treatmentp. 72
Treating the Cognitive Componentp. 77
Cognitive Restructuringp. 77
Positive Imageryp. 99
Worry Exposurep. 100
Improving Problem Orientationp. 107
Cost-Benefit Analysis of Coping Responsesp. 108
Scheduled Worry Timep. 108
Worry-Free Zonesp. 111
Problematic Client Responses to Cognitive Techniquesp. 111
Treating the Physiological Componentp. 112
Progressive Muscular Relaxation (PMR)p. 113
Diaphragmatic Breathingp. 122
Self-Control Desensitizationp. 124
Applied Relaxationp. 129
Problematic Client Responses to Relaxation Techniquesp. 130
Treating the Behavioral Componentp. 132
Response Preventionp. 133
In Vivo Exposurep. 141
Pleasurable Activity Schedulingp. 145
Supplementary Treatment Techniquesp. 150
Mindfulnessp. 151
Emotional Processing and Regulation Trainingp. 160
Interpersonal Effectivenessp. 171
Time Managementp. 188
Ending Treatmentp. 190
Self-Directed Continuation of Treatmentp. 191
The Importance of Cognitive-Behavioral Therapy for GAD in the Evolving Health Care Environmentp. 194
Referencesp. 197
Indexp. 205
Table of Contents provided by Rittenhouse. All Rights Reserved.

ISBN: 9781593850395
ISBN-10: 1593850395
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 210
Published: 14th June 2004
Publisher: Guilford Publications
Country of Publication: US
Dimensions (cm): 27.9 x 21.6  x 1.3
Weight (kg): 0.54