By David H. Barlow

This scientific reference and largely followed textual content is well-known because the leading consultant to figuring out and treating often encountered mental issues in adults. Showcasing evidence-based psychotherapy types, the quantity addresses the main urgent query requested by way of scholars and practitioners--"How do I do it?" top specialists current cutting-edge info on every one scientific challenge and clarify the conceptual and empirical bases in their respective healing techniques. techniques for review, case formula, therapy making plans, and intervention are defined intimately. prolonged case examples with consultation transcripts illustrate each one portion of treatment.

New to This Edition
*Incorporates therapy options, the most recent empirical findings, and adjustments to diagnostic standards in DSM-5.
*Chapter on acceptance-based therapy of generalized nervousness disorder.
*Chapter on comorbid melancholy and substance abuse, demonstrating a transdiagnostic approach.
*Chapter on sleep problems.

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Additional resources for Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual (5th Edition)

Sample text

The internal antecedents include heart rate fluctuations, lightheaded feelings, hunger feelings, weakness due to lack of food, thoughts of the “big one” happening, thoughts of not being able to cope with this for much longer, and anger. Her misappraisals about panic attack symptoms include beliefs that she will never return to normality, that she will go crazy or lose control, and that others will think she is weird. Her behavioral reactions to panic attacks include escape behaviors such as pulling off to the side of the road, leaving restaurants and other crowded places, calling her husband or mother, and checking for her Klonopin.

1997) were comparable to standard cognitive-­behavioral therapy, and improvements were maintained at 12-month follow-­up. In a second study, patients with panic disorder were randomly assigned to receive either 4 weeks of CART (N = 21) or cognitive therapy (N = 20). An initial 4 weeks of skills training was followed by three sessions of in vivo exposure and a fourth session at a 2-months follow-­up. Respective skills acquisition trainings led to significant and comparable reductions in panic symptom severity and panic-­related cognitions, irrespective of modality.

According to the model described earlier, these medical conditions exacerbate panic disorder to the extent that they elicit the feared physical sensations. For example, mitral valve prolapse sometimes produces the sensation of a heart flutter, asthma produces shortness of breath, and hypoglycemia produces dizziness and weakness, all of which overlap with symptoms of panic and may therefore become conditional cues for panic. Self‑Monitoring Self-­monitoring is a very important part of assessment and treatment for panic disorder and agoraphobia.

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