Pub. Date:
American Psychological Association
Strategic Decision Making in Cognitive Behavioral Therapy

Strategic Decision Making in Cognitive Behavioral Therapy

by Amy Wenzel


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Cognitive behavioral therapists face numerous instances during each session and throughout the course of treatment in which they must make a clinical decision. These "decision points" include instances in which any number of clinical issues could be addressed, a specific intervention is not achieving its desired effect, the patient does not understand or accept the rationale for the technique, or a crisis has emerged that requires a shift in focus. This book describes strategic decision making, a flexible yet evidenced-based approach to working through decision points in order to move treatment forward in cognitive behavioral therapy. It dispels the myth that there is a single "right" therapeutic intervention that must be delivered in any one instance; in fact, many courses of action can facilitate change provided they are implemented strategically. Strategic decisions
• follow logically from the case conceptualization
• are arrived upon collaboratively between the therapist and patient
• allow the patient to leave the session with something new
• are seen through in their entirety before their effectiveness is evaluated This compelling, accessible book will benefit all cognitive behavioral therapists, especially those who have mastered basic concepts and are refining their skills in applying them to complex cases.

Product Details

ISBN-13: 9781433813191
Publisher: American Psychological Association
Publication date: 06/30/2013
Edition description: New Edition
Pages: 331
Product dimensions: 7.39(w) x 10.29(h) x 0.91(d)

Table of Contents

Preface vii

Introduction 3

I Common Cognitive Behavioral Therapy Strategies 17

Chapter 1 Cognitive Case Conceptualization and Treatment Planning 19

Chapter 2 Session Structure 43

Chapter 3 Psychoeducation and Motivational Enhancement 63

Chapter 4 Cognitive Restructuring: Automatic Thoughts 83

Chapter 5 Cognitive Restructuring: Beliefs 105

Chapter 6 Behavioral Activation 127

Chapter 7 Problem Solving 145

Chapter 8 Exposure 169

Chapter 9 Affective Coping Skills 187

Chapter 10 Relapse Prevention and Completion of Treatment 203

II Clinical Applications 217

Chapter 11 Case Study: Chronic Depression 219

Chapter 12 Case Study: Chronic Anxiety 245

Chapter 13 Case Study: Serious Mental Illness 271

Conclusion 299

References 305

Index 319

About the Author 331

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