Improving Outcomes and Preventing Relapse in Cognitive-Behavioral Therapy

Improving Outcomes and Preventing Relapse in Cognitive-Behavioral Therapy

Improving Outcomes and Preventing Relapse in Cognitive-Behavioral Therapy

Improving Outcomes and Preventing Relapse in Cognitive-Behavioral Therapy

Synopsis

Organized around specific psychological disorders, this important work brings together leading scientist-practitioners to present strategies for maximizing the benefits of Cognitive-Behavioral Therapy (CBT). Described are effective ways not only to overcome frequently encountered treatment obstacles, but also to help people stay well once therapy has ended. Tightly edited chapters provide clear recommendations for adapting standard treatment protocols for tough-to-treat patients; enhancing motivation and homework compliance; dealing with common comorbidities; complementing CBT with other approaches; and targeting the factors that contribute to relapse and recurrence.

Excerpt

Over the past few decades, effective psychological treatments have been developed for assessing and treating people who suffer from a wide range of psychological problems (Antony & Barlow, 2002; Barlow, 2001). However, relatively little attention has been paid to the individuals who do not benefit fully from current treatments or experience a return of their symptoms some time after treatment has ended. This book fills that gap by providing detailed suggestions for how to maximize treatment outcomes following cognitivebehavioral therapy (CBT), particularly with challenging patients, and how to prevent relapse and recurrence.

This volume is organized around particular syndromes, with chapters on each of the major anxiety disorders, depression, bipolar disorder, schizophrenia, alcohol use disorders, eating disorders, and couple distress. Each chapter begins with a brief overview of the problem and a description of standard, evidence-based psychological treatments. In addition, a review of the literature on predictors of outcome following CBT is provided, followed by a detailed, practical discussion of clinical strategies for overcoming obstacles and improving outcomes during treatment. Examples of topics covered in many of the chapters include dealing with comorbidity, enhancing motivation and readiness for change, augmenting CBT using other approaches, improving homework compliance, and adapting standard treatment protocols to particular types of clinical presentations.

Each chapter also includes a detailed discussion of the factors that contribute to relapse and recurrence once treatment has ended. Practical strategies for preventing a return of symptoms are also reviewed. Although the specific guidelines vary from chapter to chapter, examples of strategies covered include the use of maintenance therapy (either occasional CBT visits, medications, or self-help approaches), strategies for managing stress, and recommendations for maintaining healthy lifestyle habits, such as proper diet, exercise, and sleep. Each chapter ends with a case example illustrating these strategies with a particularly challenging client.

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