The Transdiagnostic Road Map to Case Formulation and Treatment Planning: Practical Guidance for Clinical Decision Making

by Rochelle I. Frank PhD, Joan Davidson PhD, Jacqueline B. Persons PhD (Foreword by)

Overview

Transdiagnostic treatment is the future of psychology.
 
Mounting evidence shows that moving beyond treatment protocols that focus on a singular diagnosis and toward transdiagnostic approaches that target psychological mechanisms can improve outcomes. If you are seeking to correctly identify mechanisms and use them to select interventions that best meet the needs of your clients this book offers a powerful and much needed guide.  The Transdiagnostic Road Map to Case Formulation and Treatment Planning is the first book to provide an empirically-based method for identifying specific psychological mechanisms underlying clients’ presenting problems and symptoms and linking them to clinical interventions that comprise individualized treatment plans.
 
The transdiagnostic approach outlined in this book signals a revolutionary departure from traditional treatments relying on DSM categorization and gives mental health professionals an essential resource for treating a broad range of patient problems. It builds on existing case formulation approaches by bridging research on psychological mechanisms with a practical guide to assessment and treatment.  If you are interested in a new approach to treating patients with symptoms that span different diagnostic categories or are struggling to keep up with the growing number of disorder-based protocols, this book is an extremely important addition to your professional library. It will serve as your compass for navigating both simple and complex cases to arrive at a more effective type of treatment planning—one that is tailored to your client’s specific needs and targets the underlying mechanisms responsible for driving and maintaining their presenting problems and symptoms.
 
For more than forty years, New Harbinger has published powerful, evidence-based psychology resources for mental health professionals and self-help books for clients. As the landscape of psychology evolves, New Harbinger will remain at the forefront, offering clinicians real tools for real change.

Product Details

ISBN-13:	9781608828975
Publisher:	New Harbinger Publications
Publication date:	08/01/2014
Sold by:	Barnes & Noble
Format:	eBook
Pages:	256
File size:	2 MB

About the Author

Rochelle I. Frank, PhD, is a clinical psychologist in Oakland, CA, where she maintains a private practice providing psychotherapy, professional consultation, supervision, and training workshops. She is also an assistant clinical professor in the clinical science program at the University of California, Berkeley. Frank has over twenty-five years of clinical experience in outpatient, inpatient, and residential settings, and specializes in the treatment of severe mood disorders, borderline personality disorder, and trauma and dissociative disorders. She is past president of the Alameda County Psychological Association, and served on the faculty of the University of California, San Francisco, School of Medicine and several Bay Area clinical psychology graduate programs. Previously, she was a clinical director with the San Francisco Department of Public Health, where she contributed to the development and implementation of behavioral health care policies, procedures, and training curricula throughout county mental health programs.
 
Joan Davidson, PhD, is codirector and founding partner of the San Francisco Bay Area Center for Cognitive Therapy and assistant clinical professor in the clinical science program at the University of California, Berkeley. For over twenty years she has worked as a cognitive behavioral clinician specializing in the treatment of adults with mood and anxiety disorders. In addition, she teaches, writes, and provides clinical consultation and supervision to students and licensed professionals. Davidson is Founding Fellow of the Academy of Cognitive Therapy and an Academy of Cognitive Therapy Certified Trainer/Consultant. She is the author of Daring to Challenge OCD: Overcome Your Fear of Treatment and Take Control of Your Life using Exposure and Response Prevention (New Harbinger, 2014) and coauthor of The Essential Components of Cognitive-Behavior Therapy for Depression (American Psychological Association, 2001) and videotape series of the same name.

Foreword writer Jacqueline B. Persons, PhD, is director of the Cognitive Behavior Therapy and Science Center and a clinical professor in the department of psychology at the University of California, Berkeley. Persons is the author of three books, including The Case Formulation Approach to Cognitive-Behavior Therapy and Cognitive Therapy in Practice: A Case Formulation Approach. She is past president of the Association for Behavioral and Cognitive Therapies and the Society for a Science of Clinical Psychology.

Table of Contents

Foreword vii

Acknowledgments xi

Part 1 Defining the Problem and Mapping Solutions

1 Why We Need a Transdiagnostic Road Map 3

2 Vulnerability Mechanisms 13

3 Response Mechanisms 33

4 Core Principles of the Transdiagnostic Road Map 47

Part 2 Developing Transdiagnostic Mechanism Hypotheses

5 Assessment and Data Collection: The Road to Mechanism Hypotheses 69

6 Developing a Transdiagnostic Mechanism Formulation with the Patient 93

Part 3 Planning Treatment

7 Developing Treatment Goals 113

8 Selecting Interventions 127

Part 4 Navigating the Transdiagnostic Road Map

9 Implementing Treatment 159

10 Assessing Progress, Changing Course, and Ending Treatment 181

Appendix: Road Map Worksheets 199

References 205

Index 231

Interviews

Rochelle I. Frank lives in Oakland, CA; Joan Davidson lives in Berkeley, CA.

Editorial Reviews

Amid today’s flood of books and cacophony of webinars and podcasts, Frank and Davidson’s sage advice stands out in this unique text on transdiagnostic road maps. This book is well written with clinical acumen and a solid link to the empirical literature on comorbidity. It should be required reading for all students, clinicians, and researchers in the field. I highly recommend it!”
—Frank M. Dattilio, PhD, ABPP, Harvard Medical School, Boston, MA


“Follow this road map and you will likely never need to consult another ‘how to conceptualize my treatment approach’ map again! This volume moves the promise of transdiagnostic practice into the realm of possibility by showing how the latest research on transdiagnostic mechanisms informs individualized, case formulation-driven approaches to treatment planning, implementation, and assessment. Rochelle Frank and Joan Davidson have written a very timely, important, and useful book that will be of use to clinicians, researchers, and students of mental health. Anyone who is interested in understanding how the latest research on mechanisms that cut across diagnostic boundaries can inform a practical, evidence-based guide to treatment will benefit from reading this book.”
—Ann Kring, PhD, vice chair and professor of psychology at University of California, Berkeley, and president of the Society for Research in Psychopathology


“This book is the first clinically accessible attempt to use transdiagnostic research to create a powerful new form of functional analysis: one that is specific, testable, replicable, and modifiable. As the DSM-V stumbles, this book presents the exciting possibility that we now have enough transdiagnostic knowledge to create a categorization system that will help practitioners select interventions based on their usefulness in targeting identified processes of change. The details could be mistaken, but this is a bold and creative step forward that deserves the attention of practitioners and researchers alike.”
—Steven C. Hayes, PhD, foundation professor and director of clinical training at University of Nevada and cofounder of acceptance and commitment therapy (ACT)


“How cognitive behavioral therapists need this book! Cognitive behavioral therapy (CBT) is in a transitional phase. There is increasing focus on transdiagnostic processes and process mechanisms such as avoidance, ruminative thinking, and anxiety sensitivity that underpin many of the problems we see clinically. But up until now, no one has really put this together in a coherent ‘how to’ form for clinicians. These authors have done it! The book is rich in illustrative examples and helpful ways to think about CBT interventions. I found myself constantly stimulated, as well as challenged, to make adaptations to my approach as a CBT therapist.”
—James Bennett-Levy, PhD, associate professor at the University of Sydney and coeditor of the Oxford Guide to Behavioural Experiments in Cognitive Therapy and the Oxford Guide to Imagery in Cognitive Therapy


“The Transdiagnostic Road Map to Case Formulation and Treatment Planning by Frank and Davidson is an excellent guide to implementing state-of-the-art cognitive behavioral therapy (CBT). Their review of the key processes and mechanisms underlying disorders and innovative use of case conceptualization will give the clinician valuable tools to use with clients [suffering from] a wide range of difficulties. I highly recommend this excellent book to any therapist interested in going beyond simple diagnosis.”
—Robert L. Leahy, PhD, director at the American Institute for Cognitive Therapy


“In this engaging book, the authors provide a comprehensive array of transdiagnostic mechanisms, review the evidence for these mechanisms, and link these mechanisms to a transdiagnostic model that provides the basis of individualized case formulation and treatment.  The strength of this approach is that it allows a guiding framework for incorporating strategies from different diagnostic protocols when there are currently few evidence supported treatments for comorbidity. …  I would highly recommend this book to any professional working with clients with comorbid disorders who is interested in a practical, integrated transdiagnostic approach to treatment.”
—Sarah Egan, clinical psychologist and senior research fellow at the school of psychology and speech pathology, Curtin University, Australia


“This superb, readable, and practical guide extends beyond the cutting edge and represents a much-needed translation of the transdiagnostic approach into the nuts and bolts of helping people. The Transdiagnostic Road Map to Case Formulation and Treatment Planning is a beautifully written and carefully crafted science-based book. I highly recommend this book as a precious resource for both students and experienced clinicians. A must-read.”
—Allison G. Harvey, PhD, professor of psychology at the University of California, Berkeley


“This book will raise your game. Frank and Davidson’s The Transdiagnostic Road Map to Case Formulation and Treatment Planning is extraordinarily practical. Their research summaries on transdiagnostic mechanisms and easy-to-use formulation and treatment planning worksheets will make your work smarter and more efficient. A fantastic book for students, yet sophisticated enough for the experienced practitioner who works with multi-problem clients.” 
—Kelly Koerner, PhD, author of Doing Dialectical Behavior Therapy

From the Publisher