Cognitive Therapy With Inpatients

Over the past decade, cognitive therapy principles originally developed for outpatients have been successfully adapted for use with more severely ill, hospitalized patients. Noted for its cogent theoretical formulations, replicable procedures, and documentation of outcome--all features that are highly desirable on inpatient units--cognitive therapy also has the advantage of a short-term format, a critical factor in the face of escalating health care costs. COGNITIVE THERAPY WITH INPATIENTS, the first volume to describe the development of a "cognitive milieu," is a practical manual that describes effective cognitive strategies and procedures for short-term psychiatric hospitalization. The book begins with an overview of the basic concepts of cognitive therapy and hospital psychiatry. Detailed instructions are given for developing and maintaining different types of inpatient cognitive therapy units. Using a "step-by-step" approach, the authors demonstrate how the cognitive milieu can be adapted to fit the needs of a wide variety of treatment settings. Extensive illustrations, including actual dialogued of treatment interactions, are used to describe interventions. Pragmatic advice is given for application in individual, group, and family formats. The volume also offers indepth coverage of the theoretical and practical issues involved in combining cognitive therapy with pharmacotherapy. Asserting that the fusion of these models enhances both forms of treatment--and stressing the importance of interdisciplinary teamwork in effective hospital care--the book describes methods of building effective treatment teams and devotes particular attention to the functions of psychiatric nurses. Techniques are identified for maximizing the chances of good outcome while minimizing the risk of relapse. In addition, special applications for treatment of adolescent inpatients, alcohol and substance abuse, eating disorders, geropsychiatry, and chronic patients are discussed. Designed as a treatment guide for all professionals who work in hospital settings, this unique volume is a valuable resource for psychiatrists, psychologists, social workers, occupational therapists, and nurses. It also serves as a text for graduate courses in cognitive therapy, psychiatry residency training programs, psychology doctoral programs, and graduate programs in psychiatric nursing.

"This book can help you develop a spirited savvy in recovery-oriented cognitive therapy over the course of fifteen chapters, which we have organized into three parts: The first six chapters in Part I introduce you to recovery-oriented cognitive therapy, the basic model and how it works. Building on the basics, the five chapters in Part II extend understanding, strategy, and intervention to the challenges that have historically gotten the person stuck: negative symptoms, delusions, hallucinations, communication challenges, trauma, self-injury, aggressive behavior, and substance use. The final four chapters in Part III delve deeper into specific settings and applications - individual therapy, therapeutic milieu, group therapy, and families"--

Bringing together cognitive therapy clinicians, researchers, and theoreticians, this volume integrates the latest findings on the conceptualization and treatment of a range of psychological and psychiatric problems. From depression and anxiety, to eating disorders, hypochondriasis, obsessive-compulsive disorder, panic, personality disorders, sexual problems, social phobia, and substance abuse, authors discuss the needs of individual patients and structuring effective interventions. Factors such as therapist competencey, the theraputic relationship and empathy are systematially examined. Chapters also consider the specific needs of populations such as children and adolescents and the mentally ill.

Cognitive Behaviour Therapy for Acute Inpatient Mental Health Units presents innovative ways of delivering CBT within the inpatient setting and applying CBT principles to inform and enhance inpatient care. Maintaining staff morale and creating a culture of therapy in the acute inpatient unit is essential for a well-functioning institution. This book shows how this challenge can be addressed, along with introducing and evaluating an important advance in the practice of individual CBT for working with crisis, suited to inpatient work and crisis teams. The book covers a brief cross-diagnosis adaptation of CBT, employing arousal management and mindfulness, developed and evaluated by the editors. It features ways of supporting and developing the therapeutic role of inpatient staff through consultation and reflective practice. Chapters focus on topics such as: providing staff training working within psychiatric intensive care innovative psychological group work. Cognitive Behaviour Therapy for Acute Inpatient Mental Health Units will be essential reading for those trained, or those undergoing training in CBT as well as being of interest to a wider public of nurses, health care support workers, occupational therapists, medical staff and managers.

This state-of-the-art guide provides a powerful transdiagnostic approach for treating adolescent eating disorders (anorexia nervosa, bulimia nervosa, binge-eating disorder, and others) in either outpatient or inpatient settings. It describes how enhanced cognitive behavior therapy (CBT-E)--the gold-standard treatment for adult eating disorders--has been systematically adapted and tested with younger patients. With a strong motivational focus, CBT-E gives the adolescent a key role in decision making. The book presents session-by-session guidelines for assessing patients, determining whether CBT-E is appropriate, developing case conceptualizations, conducting individualized interventions, addressing medical issues, and involving parents. User-friendly features include case vignettes and reproducible forms; purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size. CBT-E is recognized as a best practice for the treatment of adolescent eating disorders by the U.K. National Institute for Health and Care Excellence (NICE).

An innovative treatment approach with a strong empirical evidence base, brief cognitive-behavioral therapy for suicide prevention (BCBT) is presented in step-by-step detail in this authoritative manual. Leading treatment developers show how to establish a strong collaborative relationship with a suicidal patient, assess risk, and immediately work to establish safety. Proven interventions are described for building emotion regulation and crisis management skills and dismantling the patient's suicidal belief system. The book includes case examples, sample dialogues, and 17 reproducible handouts, forms, scripts, and other clinical tools. The large-size format facilitates photocopying; purchasers also get access to a webpage where they can download and print the reproducible materials.

Introduction: Accountability in Psychological Treatments (R. Acierno et al.). Adult Disorders and Problems: Panic Disorder and Agoraphobia (T.K. Bouman, P.M.G. Emmelkamp). Obsessive Compulsive Disorder (M.J. Kozak, E.B. Foa). Cognitive Behavioral Treatment of Social Phobia (A. Scholing et al.). Social Skills Training for Depression: A Treatment Manual (A.S. Bellack et al.). Cognitive Behavior Therapy Manual for Treatment: Depressed Patients (M.E. Thase). Biobehavioral Treatment and Rehabilitation for Persons with Schizophrenia (S.E. Wong, R.P. Liberman). Community Reinforcement Training (CRT) with Concerned Others (R.J. Meyers et al.). Cognitivebehavioral Treatment of Sex Offenders (W.L. Marshall, A. Eccles). Sexual Dysfunction (N. McConaghy). A Comprehensive Treatment Manual for the Management of Obesity (M.A. Friedman, K.D. Brownell). Lifestyle Change: A Program for Longterm Weight Management (D.A. Williamson et al.). Managing Marital Therapy: Helping Partners Change (R.L. Weiss, W.K. Halford). Insomnia (D.L. Van Brunt et al.). The Cognitivebehavioral Treatment of Bodyimage Disturbances (T.F. Cash, J.R. Grant). Cognitivebehavioral Treatment of Postconcussion Syndrome: A Therapist's Manual. Trichotillomania Treatment Manual (M.A. Stanley, S.G. Mouton). Anger Management Training with Essential Hypertensive Patients (K.T. Larkin, C. Zayfert).

Revised edition of the authors' Cognitive-behavioral therapy in groups, c2006.