The Transdiagnostic Road Map to Case Formulation and Treatment Planning

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Author :
Publisher : New Harbinger Publications
ISBN 13 : 1608828972
Total Pages : 342 pages
Book Rating : 4.6/5 (88 download)

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Book Synopsis The Transdiagnostic Road Map to Case Formulation and Treatment Planning by : Rochelle I. Frank

Download or read book The Transdiagnostic Road Map to Case Formulation and Treatment Planning written by Rochelle I. Frank and published by New Harbinger Publications. This book was released on 2014-08-01 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transdiagnostic treatment is the future of psychology. Mounting evidence shows that moving beyond treatment protocols that focus on a singular diagnosis and toward transdiagnostic approaches that target psychological mechanisms can improve outcomes. If you are seeking to correctly identify mechanisms and use them to select interventions that best meet the needs of your clients this book offers a powerful and much needed guide. The Transdiagnostic Road Map to Case Formulation and Treatment Planning is the first book to provide an empirically-based method for identifying specific psychological mechanisms underlying clients’ presenting problems and symptoms and linking them to clinical interventions that comprise individualized treatment plans. The transdiagnostic approach outlined in this book signals a revolutionary departure from traditional treatments relying on DSM categorization and gives mental health professionals an essential resource for treating a broad range of patient problems. It builds on existing case formulation approaches by bridging research on psychological mechanisms with a practical guide to assessment and treatment. If you are interested in a new approach to treating patients with symptoms that span different diagnostic categories or are struggling to keep up with the growing number of disorder-based protocols, this book is an extremely important addition to your professional library. It will serve as your compass for navigating both simple and complex cases to arrive at a more effective type of treatment planning—one that is tailored to your client’s specific needs and targets the underlying mechanisms responsible for driving and maintaining their presenting problems and symptoms. For more than forty years, New Harbinger has published powerful, evidence-based psychology resources for mental health professionals and self-help books for clients. As the landscape of psychology evolves, New Harbinger will remain at the forefront, offering clinicians real tools for real change.

The Transdiagnostic Road Map to Case Formulation and Treatment Planning

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Author :
Publisher :
ISBN 13 : 9781648480331
Total Pages : 256 pages
Book Rating : 4.4/5 (83 download)

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Book Synopsis The Transdiagnostic Road Map to Case Formulation and Treatment Planning by : Rochelle I. Frank

Download or read book The Transdiagnostic Road Map to Case Formulation and Treatment Planning written by Rochelle I. Frank and published by . This book was released on 2014-08 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transdiagnostic treatment is the future of psychology. Mounting evidence shows that moving beyond treatment protocols that focus on a singular diagnosis and toward transdiagnostic approaches that target psychological mechanisms can improve outcomes. If you are seeking to correctly identify mechanisms and use them to select interventions that best meet the needs of your clients this book offers a powerful and much needed guide. The Transdiagnostic Road Map to Case Formulation and Treatment Planning is the first book to provide an empirically-based method for identifying specific psychological mechanisms underlying clients' presenting problems and symptoms and linking them to clinical interventions that comprise individualized treatment plans. The transdiagnostic approach outlined in this book signals a revolutionary departure from traditional treatments relying on DSM categorization and gives mental health professionals an essential resource for treating a broad range of patient problems. It builds on existing case formulation approaches by bridging research on psychological mechanisms with a practical guide to assessment and treatment. If you are interested in a new approach to treating patients with symptoms that span different diagnostic categories or are struggling to keep up with the growing number of disorder-based protocols, this book is an extremely important addition to your professional library. It will serve as your compass for navigating both simple and complex cases to arrive at a more effective type of treatment planning--one that is tailored to your client's specific needs and targets the underlying mechanisms responsible for driving and maintaining their presenting problems and symptoms. For more than forty years, New Harbinger has published powerful, evidence-based psychology resources for mental health professionals and self-help books for clients. As the landscape of psychology evolves, New Harbinger will remain at the forefront, offering clinicians real tools for real change.

Handbook of Assessment and Treatment Planning for Psychological Disorders

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Author :
Publisher : Guilford Publications
ISBN 13 : 1462545696
Total Pages : 658 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Handbook of Assessment and Treatment Planning for Psychological Disorders by : Martin M. Antony

Download or read book Handbook of Assessment and Treatment Planning for Psychological Disorders written by Martin M. Antony and published by Guilford Publications. This book was released on 2020-07-23 with total page 658 pages. Available in PDF, EPUB and Kindle. Book excerpt: This authoritative clinical reference and text--now revised and updated with 50% new content--presents the assessment tools and strategies that every evidence-based psychotherapy practitioner needs. Unlike most assessment texts, the volume is organized around specific clinical problems. It explains how to select and use the best measures to assess clients' symptoms, generate diagnoses, plan appropriate treatments, and monitor progress. Clinician- and student-friendly features include tables comparing and contrasting relevant measures, sample forms, and case examples. Every chapter addresses considerations for primary and managed care settings. New to This Edition *Chapters on new topics: assessment of well-being and transdiagnostic assessment. *New chapters on core topics: eating disorders, personality disorders, and insomnia. *Updated throughout with DSM-5 diagnostic changes, new and updated instruments, current research, and increased attention to transdiagnostic concerns. *Expanded coverage of obsessive–compulsive and related disorders. See also Clinical Handbook of Psychological Disorders, Sixth Edition, edited by David H. Barlow, which presents evidence-based treatments step by step.

Clinical Case Formulations

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Publisher : John Wiley & Sons
ISBN 13 : 1118046293
Total Pages : 729 pages
Book Rating : 4.1/5 (18 download)

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Book Synopsis Clinical Case Formulations by : Barbara Lichner Ingram

Download or read book Clinical Case Formulations written by Barbara Lichner Ingram and published by John Wiley & Sons. This book was released on 2011-03-10 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: A step-by-step model for individualized case conceptualization This innovative new guide addresses the essential question facing every therapist with a new client: How do I create a treatment plan that is the best match for my client? This unique resource provides a systematic method to integrate ideas, skills, and techniques from different theoretical approaches, empirical research, and clinical experience to create a case formulation that is tailor-made for the client. Clinical Case Formulations is divided into three parts: * Getting Started--provides an overview that sets forth a framework for case formulation and data gathering. * 28 Core Clinical Hypotheses--offers a meta-framework embracing all theories, orientations, and mental health intervention models and presents clinical hypotheses within seven categories: Biological Hypotheses; Crisis, Stressful Situations, and Transitions; Behavioral and Learning Models; Cognitive Models; Existential and Spiritual Models; Psychodynamic Models; and Social, Cultural, and Environmental Factors. These hypotheses are combined and integrated to develop a coherent conceptualization of the client's problems. * Steps to a Complete Case Formulation--provides a structured framework known as the Problem-Oriented Method (POM). Using the POM and integrating multiple hypotheses, the therapist learns how to think intelligently, critically, and creatively in order to develop a tailor-made treatment plan. A list of thirty-three standards for evaluating the application of this method is provided. With this practical guide you will learn to conceptualize your clients' needs in ways that lead to effective treatment plans while finding the tools for troubleshooting when interventions fail to produce expected benefits.

The Case Formulation Approach to Cognitive-Behavior Therapy

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Author :
Publisher : Guilford Press
ISBN 13 : 1462509487
Total Pages : 290 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis The Case Formulation Approach to Cognitive-Behavior Therapy by : Jacqueline B. Persons

Download or read book The Case Formulation Approach to Cognitive-Behavior Therapy written by Jacqueline B. Persons and published by Guilford Press. This book was released on 2012-10-22 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: A major contribution for all clinicians committed to understanding and using what really works in therapy, this book belongs on the desks of practitioners, students, and residents in clinical psychology, psychiatry, counseling, and social work. It will serve as a text in graduate-level courses on cognitive-behavior therapy and in clinical practica.

Treatment of Disorders in Childhood and Adolescence, Fourth Edition

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Author :
Publisher : Guilford Publications
ISBN 13 : 1462547710
Total Pages : 930 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Treatment of Disorders in Childhood and Adolescence, Fourth Edition by : Mitchell J. Prinstein

Download or read book Treatment of Disorders in Childhood and Adolescence, Fourth Edition written by Mitchell J. Prinstein and published by Guilford Publications. This book was released on 2021-05-19 with total page 930 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now completely revised (over 90% new), this definitive practitioner reference and course text comprehensively reviews evidence-based treatments for psychological disorders in children and adolescents. The significantly expanded fourth edition covers an increased number of disorders, as well as transdiagnostic issues and public health concerns. Psychosocial, pharmacological, and complementary therapies are identified and described in well-organized chapters that include rich clinical illustrations. Prominent experts address developmental considerations in treatment and offer guidance for tailoring interventions to each child and family's needs. Prior edition title: Treatment of Childhood Disorders, Third Edition, edited by Eric J. Mash and Russell A. Barkley. New to This Edition *All chapters are new, reflecting over a decade of clinical and empirical developments. *Chapters on additional clinical issues: bipolar disorder, suicidal and nonsuicidal self-injury, obsessive–compulsive disorder, infant and toddler problems, posttraumatic stress disorder, coping and emotion regulation, bereavement, early-onset schizophrenia, personality disorders, childhood obesity, and sleep problems. *Chapters on case conceptualization and evidence-based therapist flexibility. *Illustrative case examples and transcripts added throughout. *Updated for DSM-5; every chapter also considers transdiagnostic and dimensional issues. See also the editors' Assessment of Disorders in Childhood and Adolescence, Fifth Edition.

Functional Analytic Psychotherapy Made Simple

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Publisher : New Harbinger Publications
ISBN 13 : 1626253536
Total Pages : 350 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis Functional Analytic Psychotherapy Made Simple by : Gareth Holman

Download or read book Functional Analytic Psychotherapy Made Simple written by Gareth Holman and published by New Harbinger Publications. This book was released on 2017-04-01 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cowritten with the founders of functional analytic psychotherapy, Functional Analytic Psychotherapy Made Simple offers a practical, behavioral treatment approach focused on client interpersonal relationships and the therapeutic relationship. Functional analytic psychotherapy (FAP) is a research-based treatment for mental health disorders and has been shown to enhance the quality of interpersonal relationships. If you’re a therapist, how you relate to your clients can have a profound impact on treatment outcomes. This book integrates the latest research on the importance of the therapist-client relationship with the new science of social connection into a user-friendly, flexible clinical framework. In this book, you’ll find an introduction to the conceptual foundations and clinical practice of FAP, with an emphasis on practical clinical scenarios and personal reflection. You’ll learn the theoretical basis of FAP in contextual behavioral science and how to apply functional analysis—the core assessment method of behavior therapy—to the therapeutic relationship. You’ll learn to understand the therapeutic relationship and social connection in terms of the Awareness, Courage, and Love model. You’ll also learn how to balance authenticity and compassion with strategy and case conceptualization to make your therapeutic relationships more compassionate, flexible, and effective. And finally, you’ll discover how to apply principles to effectively cope with challenging moments in the therapeutic relationships—such as how to address ineffective behavior happening in the therapy interaction from the first moment of therapy, what to do when therapy does not seem to be progressing, and how to end therapy well. No matter your treatment background, this book will provide invaluable strategies for adopting functional analytic psychotherapy in your practice, enhancing relationships with your clients, and improving overall treatment outcomes.

Cognitive-Behavioral Therapy

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Author :
Publisher : Rowman & Littlefield
ISBN 13 : 1442274115
Total Pages : 377 pages
Book Rating : 4.4/5 (422 download)

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Book Synopsis Cognitive-Behavioral Therapy by : Adam M. Volungis

Download or read book Cognitive-Behavioral Therapy written by Adam M. Volungis and published by Rowman & Littlefield. This book was released on 2018-08-10 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cognitive-Behavioral Therapy: Theory into Practice provides a formal translation of CBT theory in practice by addressing how to apply core competencies for therapists/psychologists serving mental health clients. This book is designed for graduate students in training and mental health professionals who want to learn the basic foundations of applied CBT, but itis also an invaluable resource for experienced practitioners looking to improve their skills. Adam M. Volungis reviews the most common and pertinent CBT skills necessary for most clients encountered in practice, from establishing a sound therapeutic alliance and structuring sessions to modifying negative automatic thoughts and behavioral exposure. Each skill is first presented with a sound evidence-based rationale and then followed by specific steps. Most of the CBT skills covered are accompanied by therapist-client therapy dialogue vignettes and many hours of supplemental videos, worksheets for clinical use, and PowerPoints, which can be accessed on the companion website. Each chapter also includes discussion questions and activities that provide the opportunity for students to practice each CBT skill individually or with peers, while tables and figures conceptualize and summarize key themes and skills.

Clinical Case Formulations

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118038223
Total Pages : 528 pages
Book Rating : 4.1/5 (18 download)

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Book Synopsis Clinical Case Formulations by : Barbara Lichner Ingram

Download or read book Clinical Case Formulations written by Barbara Lichner Ingram and published by John Wiley & Sons. This book was released on 2011-12-13 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praise for Clinical Case Formulations Matching the Integrative Treatment Plan to the Client, Second Edition "[Barbara Ingram has put] a career into the development of this book and it is wonderful! My students love that it was written with them in mind and they love the statements designed to reduce anxiety and normalize the learning process. This is an excellent book!"—Amy M. Rees-Turyn, PhD Associate Professor of Counseling Psychology, Lewis & Clark College A step-by-step model for individualized case conceptualization Fully revised and updated, the second edition of Clinical Case Formulations provides step-by-step tools and insightful guidance for moving from first contact with a client to the development of an effective, personalized treatment plan. Addressing the essential question every therapist faces—How do I create a treatment plan that is the best match for my client?—this unique resource provides a systematic and thoughtful method for integrating ideas, skills, and techniques from different theoretical approaches. It combines empirical research and clinical experience to create a case formulation that is tailor-made for the client. This comprehensive resource offers two tools to guide case formulations: a problem-oriented framework, with a list of 28 standards for evaluating its application, and a set of 30 core clinical hypotheses derived from the knowledge bases of psychology, psychiatry, counseling, and social work professions. The new edition includes: Hypotheses on Emotional Focus, Trauma, and Metacognitive Perspective More detailed attention given to empirically supported therapies such as Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT) Discussion on the importance of bringing cultural competence to case formulation tasks with every client Skill-building activities throughout the text Offering a thorough framework to help clients experience effective clinical service, practitioners will learn to conceptualize clients' needs in ways that lead to strong and individualized treatment plans, as well as advice and guidance on what to do when selected interventions fail to produce the expected benefits.

Psychotherapy: A Practical Introduction

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975126793
Total Pages : 453 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Psychotherapy: A Practical Introduction by : Adam Brenner

Download or read book Psychotherapy: A Practical Introduction written by Adam Brenner and published by Lippincott Williams & Wilkins. This book was released on 2020-10-07 with total page 453 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering unique, essential coverage of the theoretical foundations and core techniques of a variety of psychotherapies, Psychotherapy: A Practical Introduction is a one-stop resource for psychiatry residents and psychiatrists beginning practice, as well as graduate trainees in psychology and clinical social work. This practical reference is an invaluable tool for understanding the common approaches fundamental to all therapies, exploring the most frequently used therapy approaches, learning evidence-based approaches for making treatment decisions, and engaging patients in safe and effective psychotherapies, regardless of treatment setting. For faculty instructors, brand new resource provides a readable, highly applicable core textbook for any introductory psychotherapy course or psychotherapy didactic series.

Comprehensive Handbook of Psychotherapy Integration

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Publisher : Springer Science & Business Media
ISBN 13 : 1475797826
Total Pages : 552 pages
Book Rating : 4.4/5 (757 download)

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Book Synopsis Comprehensive Handbook of Psychotherapy Integration by : George Stricker

Download or read book Comprehensive Handbook of Psychotherapy Integration written by George Stricker and published by Springer Science & Business Media. This book was released on 2013-06-29 with total page 552 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique handbook covers the consensuses and controversies surrounding traditional and nontraditional psychotherapeutic methodologies as related to individuals and specific subpopulations. It is the most comprehensive, integrative resource available to the graduate level student and to the practicing clinician.

Experiencing CBT from the Inside Out

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Publisher : Guilford Publications
ISBN 13 : 1462518893
Total Pages : 297 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Experiencing CBT from the Inside Out by : James Bennett-Levy

Download or read book Experiencing CBT from the Inside Out written by James Bennett-Levy and published by Guilford Publications. This book was released on 2015-01-23 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Engaging and authoritative, this unique workbook enables therapists and students to build technical savvy in contemporary CBT interventions while deepening their self-awareness and therapeutic relationship skills. Self-practice/self-reflection (SP/SR), an evidence-based training strategy, is presented in 12 carefully sequenced modules. Therapists are guided to enhance their skills by identifying, formulating, and addressing a professional or personal problem using CBT, and reflecting on the experience. The book's large-size format makes it easy to use the 34 reproducible worksheets and forms. Purchasers also get access to a Web page where they can download and print the reproducible materials.

Evidence-Based Practice of Cognitive-Behavioral Therapy

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Author :
Publisher : Guilford Publications
ISBN 13 : 1462538029
Total Pages : 369 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Evidence-Based Practice of Cognitive-Behavioral Therapy by : Deborah Dobson

Download or read book Evidence-Based Practice of Cognitive-Behavioral Therapy written by Deborah Dobson and published by Guilford Publications. This book was released on 2018-07-03 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: From an experienced clinician and a prominent psychotherapy researcher, this book synthesizes the evidence base for cognitive-behavioral therapy (CBT) and translates it into practical clinical guidelines. Therapists and students learn how to implement core CBT techniques, why and how they work, and what to do when faced with gaps in scientific knowledge. Vivid case examples illustrate what evidence-based strategies look like in action with real-world clients who may have multiple presenting problems. The authors also separate CBT myths from facts and discuss ways to manage common treatment challenges. New to This Edition *Revised throughout to incorporate the latest research, including key meta-analytic studies. *Chapters on clinical techniques have been restructured to be more concise and digestible. *New content on sleep difficulties, reducing avoidance, and motivational interviewing. *A new extended case example runs throughout the book.

Case Conceptualization and Treatment Planning

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Publisher : SAGE Publications
ISBN 13 : 1506331394
Total Pages : 1293 pages
Book Rating : 4.5/5 (63 download)

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Book Synopsis Case Conceptualization and Treatment Planning by : Pearl S. Berman

Download or read book Case Conceptualization and Treatment Planning written by Pearl S. Berman and published by SAGE Publications. This book was released on 2018-07-11 with total page 1293 pages. Available in PDF, EPUB and Kindle. Book excerpt: Case Conceptualization and Treatment Planning: Integrating Theory With Clinical Practice teaches students in counseling, psychotherapy, and clinical psychology how to develop the case conceptualization and treatment planning skills necessary to help clients achieve change. Author Pearl S. Berman provides client interviews and sample case studies in each chapter along with detailed steps for practice and developing treatment plans. Chapters conclude with questions that engage students in critical thinking about the complexity of human experiences. The updated and expanded Fourth Edition includes cutting-edge issues in trauma-informed care; responsiveness to development across the lifespan; integration of issues relevant to intersectionality of oppression; and evidence-based practice.

Treating Stalking

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Publisher : John Wiley & Sons
ISBN 13 : 111985671X
Total Pages : 326 pages
Book Rating : 4.1/5 (198 download)

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Book Synopsis Treating Stalking by : Troy McEwan

Download or read book Treating Stalking written by Troy McEwan and published by John Wiley & Sons. This book was released on 2024-02-12 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: Address the root causes of stalking behavior with this vital guide In the approximately thirty-five years since stalking was identified as a form of harmful behavior, addressing its social effects has largely fallen to the criminal justice system. There is significant evidence, however, to suggest that pure criminalization is an ineffective response, and that mental health treatment for people who stalk may be the only serious path to relief for stalking victim. Despite this, however, robust research into treatment for people who stalk remains rare, and relevant resources for mental health providers few. Treating Stalking is among the first comprehensive overviews of this vital subject. Drawing on decades of combined research and clinical experience, it identifies stalking as a form of maladaptive behavior potentially responsive to psychological therapy and other treatments. It is designed to aid clinicians looking to structure a clinical program and stop stalking behavior. Treating Stalking readers will also find: Case examples and worksheets from authors’ practices Attention to multidisciplinary programs, including pharmacological and occupational interventions Detailed treatment of ethical and legal issues related to treating stalking Treating Stalking is a must-have for any psychologist or other mental health professional looking to treat patients who stalk.

Beyond the DSM

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Publisher : New Harbinger Publications
ISBN 13 : 1684036631
Total Pages : 273 pages
Book Rating : 4.6/5 (84 download)

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Book Synopsis Beyond the DSM by : Steven C. Hayes

Download or read book Beyond the DSM written by Steven C. Hayes and published by New Harbinger Publications. This book was released on 2020-10-01 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a mental health clinician, you know that every client is unique, and a client’s symptoms are the result of a complex combination of psychological, environmental, genetic, and neural factors. However, the de facto DSM model poses considerable constraints on how you can treat clients—often resulting in a one-size-fits-all diagnosis. This important volume challenges the assumptions and approach made by the DSM, and provides a vision and plan for an evidence-based, process-based approach to individualized care. With contributions from renowned experts in the field—including Steven C. Hayes, Stefan G. Hofmann, Joseph Ciarrochi, Matthew McKay, Uma Vaidyanathan, Sarah Morris, David Sommers, J. Scott Fraser, and many more—this groundbreaking book will show you a new way to recognize the complexity of human suffering and human prosperity. You’ll find solid tips for treating a wide variety of psychological issues in a more flexible way. And, finally, you’ll come away with a greater understanding of the “processes of change,” and how to build a solid foundation for an alternative to syndromal diagnosis. The future of mental health treatment is process-based. Whether you’re a clinician, researcher, student, instructor, or other professional working in the mental health field, this breakthrough volume offers everything you need to understand process-based treatment and create a more customized and effective approach to treating clients.

Handbook of Cognitive-Behavioral Therapies, Fourth Edition

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Author :
Publisher : Guilford Publications
ISBN 13 : 1462538584
Total Pages : 543 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Handbook of Cognitive-Behavioral Therapies, Fourth Edition by : Keith S. Dobson

Download or read book Handbook of Cognitive-Behavioral Therapies, Fourth Edition written by Keith S. Dobson and published by Guilford Publications. This book was released on 2019-03-12 with total page 543 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now revised and expanded with over 50% new material, this definitive clinical reference is the text of choice for graduate-level courses in evidence-based psychotherapy. Foremost authorities describe the conceptual and scientific foundations of cognitive-behavioral therapy (CBT) and provide a framework for assessment and case formulation. Major approaches are reviewed in detail, including emotion-centered problem-solving therapy, rational emotive behavior therapy, cognitive therapy, schema therapy, mindfulness- and acceptance-based interventions, and dialectical behavior therapy (DBT). Applications to specific populations are discussed, including children and adolescents, couples, culturally diverse clients, and more. New to This Edition *Chapter on clinical assessment. *Chapter on DBT. *Chapters on transdiagnostic treatments, CBT-based prevention models, and improving dissemination and implementation. *Existing chapters extensively revised or rewritten to reflect important research and clinical advances.