Cognitive Therapy of Anxiety Disorders: Science and Practice

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Updating and elaborating on Aaron T. Beck's pioneering cognitive model of anxiety disorders, this groundbreaking work is both authoritative and highly practical. The authors synthesize the latest thinking and empirical data on anxiety treatment and offer step-by-step instruction in cognitive assessment, case formulation, cognitive restructuring, and behavioral intervention. They provide evidence-based mini-manuals for treating the five most common anxiety disorders: panic disorder, social phobia, generalized anxiety disorder, obsessive-compulsive disorder, and posttraumatic stress disorder. User-friendly features include vivid case examples, concise "Clinician Guidelines" that reinforce key points, and over three dozen reproducible handouts and forms.

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Editorial Reviews

Doody's Review Service
Reviewer: Christopher J Graver, PhD, ABPP-CN(Madigan Healthcare System)
Description: Cognitive therapy is constantly extending its scope to various disorders. In this book, the authors expand upon previous works on the use of cognitive therapy with anxiety disorders by providing an update on theory, techniques, and scientific studies.
Purpose: The main purpose is to present an updated cognitive model for anxiety disorders that is more in line with current research and can further our understanding and application of cognitive therapy to anxiety disorders in particular.
Audience: The target audience is mental health professionals, including psychologists, psychiatrists, and paraprofessionals. Students of these disciplines also will be interested in the book. It is edited by the most qualified scientists and clinicians in cognitive therapy.
Features: The first of the book's three sections provides background on cognitive theory and updates on the current literature. Key factors in anxiety disorders are explored, such as epidemiology, neurophysiology, genetics, gender differences, and the all-important issue of normal versus abnormal. Central tenets of cognitive therapy are discussed, as well as more advanced concepts. There are plenty of tables, charts, and figures throughout these initial chapters that make a review of cognitive therapy straightforward. The second section provides instruction for very specific cognitive techniques, ranging from threat appraisals to behavioral experiments to metacognitive explorations. Assessment and conceptualization strategies are addressed and specific tools are detailed at the end of the chapters. While these are general techniques, the third section provides guidance on how to apply these techniques for specific disorders, including generalized anxiety disorder, panic disorder, social phobia, obsessive-compulsive disorder, and posttraumatic stress disorder. The book is well written with plenty of supplementary materials, case examples, and sample scripts. Each chapter has clear subheadings and a concluding paragraph. The references are valuable and current, with some from 2009.
Assessment: This is an indispensable resource for therapists using cognitive therapy with individuals suffering from anxiety disorders. The general review of techniques is worthwhile, but the specific guidance for individual anxiety disorders is exceptional.

"David A. Clark has done an outstanding job...over the past four years of reviewing, evaluating, and synthesizing the enormous research and clinical literature on the cognitive perspective toward anxiety....There is no question that this is a practical treatment manual....The last five chapters are really mini treatment manuals for panic disorder, social phobia, GAD, OCD, and PTSD. Plus you'll find rating scales, checklists, structured diaries—almost forty reproducible handouts and forms. In every chapter you will find Clinician Guidelines." Each is a boxed-in few sentences that reinforce key points. They serve as a great way for experienced clinicians to scan through sections of this sizable book and settle in on passages that expand their comprehension. If you are ready to sharpen your clinical skills, you will truly appreciate this book."

"A valuable resource and reference. Written by two eminent and respected researchers in the field of cognitive psychology, this work is offered to readers as both an updated and reformulated presentation of the cognitive model of anxiety as originally presented by Beck and Emery (1985) and as an evidence-based treatment handbook....Given how thorough, well researched, and applicable the information is, this text will quickly become a classic reference for instructors, graduate students, and clinicians....From the perspective of one who trains predoctoral interns and teaches graduate courses, I think this book would be the textbook of choice for introducing the cognitive conceptualization of anxiety, treatment planning from the cognitive perspective, and application of the cognitive model of anxiety in treatment settings. The authors examine and update the cognitive theory of anxiety and use this as the underpinnings for introducing cognitive techniques for treatment....From a clinician's perspective, this work contains a wealth of useful information. It will become the gold standard for the assessment and treatment of anxiety. It is a work that clinicians will repeatedly turn to when looking for the most relevant information....This book has a niche of its own as a reference of the highest caliber. It is a volume that will withstand the test of time."--PsycCRITIQUES
Healthcare Counselling and Psychotherapy Journal
"An immense amount of research into the anxiety disorders has been conducted in the last 25 years, leaving the authors with the considerable task of including all the necessary information, a task they achieve with magisterial skill and authority....Will serve as a master text on the overall direction in which this work should be heading."--Healthcare Counselling and Psychotherapy Journal
Canadian Psychology
"A comprehensive review of cognitive therapy for anxiety from its empirical theoretical foundation to its clinical application to disorders. Although the focus of the text is ultimately on the cognitive treatment of anxiety, the rich theoretical background that is interwoven throughout makes this book of interest to academics and graduate students as well as clinicians....An excellent resource for researchers and clinicians working in the field of anxiety disorders. The reference section alone makes it a valuable addition to one's bookshelf, and the authors have done an excellent job of organizing a vast, and at times disparate, body of research into a cohesive review of cognitive theory as it applies to anxiety....The book in its entirety is clearly an essential text for those interested in obtaining a comprehensive understanding of cognitive theory and anxiety."--Canadian Psychology
Bulletin of the Menninger Clinic

"Practicing cognitive therapists (and trainees in particular) will find much to like here. Particularly welcome are the frequent, one-paragraph Clinician Guidelines set apart in boxes throughout the text....The authors also provide a Quick Reference Summary at the end of each chapter in Parts I and II, presenting the high points of interest to the practitioner. Other clinician-friendly features include assessment and monitoring forms, actual interview questions for specific aspects of assessment, and a list of recommended self-help workbooks for patients....Perhaps the most thorough, scholarly, and practical volume on the treatment of anxiety disorders currently available. It is an invaluable addition to the anxiety literature, meeting and exceeding the high standard set by previous works by Dr. Beck and his collaborators. It would behoove all mental health practitioners and clinical researchers to be familiar with its contents."--Bulletin of the Menninger Clinic
From the Publisher

"The authors provide students and practitioners with the strong theoretical base that is a sine qua non for effective treatment. They show how cognition links up with multiple other etiological factors in anxiety and hence can serve well as a treatment target and focus. Marvelous, instructive clinical pearls accompany each theoretical point. An excellent chapter on assessment contains all the necessary rating forms needed for patient evaluation and monitoring of outcomes. Treatment techniques are described in depth; the book concludes with outstanding disorder-specific chapters. The definitive text."--Peter P. Roy-Byrne, MD, Professor and Vice Chair, Department of Psychiatry and
Behavioral Sciences, University of Washington School of Medicine at Harborview Medical Center"Exceptional. In this comprehensive and integrative work, Clark and Beck offer their latest insights in treating anxiety disorders and provide specific conceptual frameworks. Clinicians, students, and researchers will find this important work to be of immense value in guiding treatment and research. Included are a wealth of practical assessment and monitoring tools that can be used effectively with clients. The book will also be valuable as a course text in clinical psychology training programs."--Adrian Wells, PhD, Division of Clinical Psychology, University of Manchester, United Kingdom, and Director, Metacognitive Therapy Institute

"The authors' scientific expertise and clinical experience are evident in this well-written, practical book. It is an excellent contribution to the cognitive therapy literature that will enhance the skills of professionals and trainees, irrespective of theoretical orientation. Detailed case examples illustrate the application of cognitive therapy principles and practices for treating each of the anxiety disorders."--Kamila S. White, PhD, Department of Psychology, University of Missouri-Saint Louis

"Clark and Beck have produced a landmark work. Scholarly and clinically rich, the book presents the contemporary status of the cognitive model of anxiety disorders with great clarity. It provides a comprehensive yet easy-to-read summary of the empirical literature and describes concrete clinical techniques for addressing some of the most common psychiatric problems. This book is essential reading for current and future mental health professionals."--Stefan G. Hofmann, PhD, Department of Psychology, Boston University


"An immense amount of research into the anxiety disorders has been conducted in the last 25 years, leaving the authors with the considerable task of including all the necessary information, a task they achieve with magisterial skill and authority....Will serve as a master text on the overall direction in which this work should be heading."--Healthcare, Counselling, and Psychotherapy Journal
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Product Details

  • ISBN-13: 9781609189921
  • Publisher: Guilford Publications, Inc.
  • Publication date: 8/26/2011
  • Edition description: New Edition
  • Pages: 628
  • Sales rank: 412,004
  • Product dimensions: 7.00 (w) x 9.90 (h) x 1.20 (d)

Meet the Author

David A. Clark, PhD, is Professor of Psychology at the University of New Brunswick, Canada. He has published seven books, including Intrusive Thoughts in Clinical Disorders: Theory, Research, and Treatment; Cognitive-Behavioral Therapy for OCD; and Scientific Foundations of Cognitive Theory and Therapy of Depression, as well as over 100 articles and chapters on various aspects of cognitive theory and therapy of depression and anxiety disorders. Dr. Clark is a Fellow of the Canadian Psychological Association, a Founding Fellow of the Academy of Cognitive Therapy, and a recipient of the Academy’s Aaron T. Beck Award for significant and enduring contributions to cognitive therapy. He is an Associate Editor of the International Journal of Cognitive Therapy and maintains a private practice.

Aaron T. Beck, MD, is the founder of cognitive therapy, University Professor Emeritus of Psychiatry at the University of Pennsylvania, and President Emeritus of the Beck Institute for Cognitive Behavior Therapy. Dr. Beck is the recipient of numerous awards, including the Albert Lasker Clinical Medical Research Award, the American Psychological Association (APA) Lifetime Achievement Award, the American Psychiatric Association Distinguished Service Award, the Robert J. and Claire Pasarow Foundation Award for Research in Neuropsychiatry, and the Institute of Medicine's Sarnat International Prize in Mental Health and Gustav O. Lienhard Award.

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Table of Contents

I. Cognitive Theory and Research on Anxiety  

1. Anxiety: A Common but Multifaceted Condition

2. The Cognitive Model of Anxiety

3. Empirical Status of the Cognitive Model of Anxiety

4. Vulnerability to Anxiety

II. Cognitive Therapy of Anxiety: Assessment and Intervention Strategies

5. Cognitive Assessment and Case Formulation

6. Cognitive Interventions for Anxiety

7. Behavioral Interventions: A Cognitive Perspective

III. Cognitive Theory and Treatment of Specific

Anxiety Disorders

8. Cognitive Therapy of Panic Disorder

9. Cognitive Therapy of Social Phobia

10. Cognitive Therapy of Generalized Anxiety Disorder

11. Cognitive Therapy of Obsessive–Compulsive Disorder

12. Cognitive Therapy of Posttraumatic Stress Disorder

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