Treatment Plans and Interventions for Depression and Anxiety Disorders

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
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