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Cognitive Behavioral Group Therapy : Challenges and Opportunities / [electronic resource]

by Söchting, Ingrid.
Material type: materialTypeLabelBookPublisher: Hoboken : Wiley, 2014Description: 1 online resource (388 p.).ISBN: 9781118510261; 1118510267.Subject(s): Cognitive therapy | Cognition | Cognitive therapy | Group psychotherapy | Cognitive therapy | Electronic booksOnline resources: Wiley Online Library
Contents:
1.Extending CBT to Groups -- Why CBT Is Increasingly Used for Common Mental Health Problems -- Principles of CBT -- Cost-Effectiveness of CBT -- Transporting Individual CBT to a Group Setting -- Adapting CBT to CBGT: panic disorder illustration -- Managing the group process across CBGT -- Unique Benefits of the Group Format -- How to Start a CBT Group -- Setting up the group room -- The first session -- Absences and being late -- Confidentiality and socializing outside the group -- Member introductions -- Expectations for CBGT commitment -- Note-taking by CBGT therapists -- Subsequent sessions -- Summary -- Notes -- Recommended Readings for Clinicians -- References -- 2.Working with Process and Content -- Process and Content in Group Therapy -- Group Process in Theory -- Group Process in Practice: Obsessive-Compulsive Disorder Illustration -- Instillation of hope -- Universality -- Imitative behavior and peer modeling
Imparting of information -- Altruism -- Group cohesiveness -- Existential factors -- Catharsis -- Interpersonal learning and new ways of socializing -- Experiencing the group as similar to one's family of origin -- Group process research and CBGT application -- Scott's General Group Therapeutic Skills Rating Scale -- Summary -- Note -- Recommended Readings for Clinicians -- References -- 3.Effectiveness of CBGT Compared to Individual CBT: Research Review -- Depression -- Social Anxiety Disorder (SAD) -- Obsessive-Compulsive Disorder (OCD) -- Generalized Anxiety Disorder (GAD) -- Panic Disorder -- Posttraumatic Stress Disorder (PTSD) -- Addictions -- Psychosis -- Hoarding -- Language and Culture -- What to Take Away from the Research Findings -- Summary -- References -- 4.CBGT for Depression: Psychoeducation and Behavioral Interventions -- The Diagnoses of Depression -- Treatment Protocols Informed by Beck's Cognitive Model of Depression
An Example of a CBGT Depression Protocol -- Psychoeducation -- Behavioral Interventions -- Focus on Emotions in Preparation for the Thought Records -- Capitalizing on the Group in CBGT for Depression -- Summary -- Notes -- Recommended Readings for Clinicians -- References -- 5.CBGT for Depression: Cognitive Interventions and Relapse Prevention -- The Thought Record in a Group -- Other Cognitive Interventions -- Testing assumptions -- Testing core beliefs -- Behavioral experiments -- CBGT Psychodrama -- Relapse Prevention -- Mindfulness-Based Cognitive Therapy (MBCT) -- Summary -- Note -- Recommended Readings for Clinicians -- References -- 6.How to "Sell" CBGT, Prevent Dropouts, and Evaluate Outcomes -- Drawing People into CBGT -- Preparing Clients for CBGT -- Individual pregroup orientation -- Group pregroup orientation -- Rapid access group orientation -- Preventing Dropouts -- Expectations for CBGT -- Client Characteristics Impacting CBGT
Chronic pain -- Gender -- Evaluating CBGT Outcomes -- The benefits of outcome measures -- The CORE-R outcome battery -- Summary -- Note -- Recommended Reading and Viewing for Clinicians -- References -- 7.Transdiagnostic and Other Heterogeneous Groups -- Why Consider Transdiagnostic Groups? -- What Do Transdiagnostic CBGT Protocols Include? -- Mixing anxiety with depression in the same group -- Mixing different anxiety disorders in the same group -- CBGT for Social Anxiety and Panic Disorder -- The diagnosis of social anxiety disorder -- Why groups can be challenging for people with social anxiety -- Why a transdiagnostic group is attractive for people with social anxiety -- Key features of a mixed social anxiety and panic group -- In-session social anxiety exposures -- CBGT for Different Types of Trauma -- The diagnosis of posttraumatic stress disorder (PTSD) -- From homogeneous to heterogeneous trauma groups -- Self-care skills as a prerequisite
Cognitive processing therapy (CPT) in heterogeneous CBGT for trauma -- The role of exposure in CBGT for trauma -- Capitalizing on the group in heterogeneous CBGT for trauma -- Summary -- Notes -- Recommended Readings for Clinicians -- References -- 8.Augmenting CBGT with Other Therapy Approaches -- Integrating CBGT and Mindfulness: Generalized Anxiety Disorder (GAD) -- The diagnosis of generalized anxiety disorder -- CBGT for GAD -- Intolerance of uncertainty -- Problem solving -- Imaginary exposure -- GAD and mindfulness -- Integrating mindfulness into CBGT -- CBGT and Interpersonal Therapy: Perinatal Depression -- Integrating interpersonal therapy (IPT) into CBGT -- What exactly is IPT? -- Research support for IPT and CBT in treating perinatal depression -- Example of combined IPT and CBGT for perinatal depression -- Summary -- Notes -- Recommended Readings for Clinicians -- References -- 9.How to Fine-Tune CBGT Interventions
Why Exposure Hierarchies are Important -- How to develop exposure hierarchies in the group -- How to Support Homework Completion -- How to Plan for Termination -- Becoming one's own therapist -- Formal and informal booster sessions -- How to Handle the Last CBGT Session -- Summary -- References -- 10.Who Is Qualified to Offer CBGT? -- Standards for Training and Qualifications -- How to Become a CBGT Therapist -- Qualifications of the competent CBGT therapist -- Declarative knowledge about core CBT competencies -- Implementing declarative knowledge into real groups -- Ongoing observational learning and supervision -- Equal Cofacilitation -- Students in CBGT Training -- How to Stay Competent as a CBGT Therapist -- Summary -- Recommended Resources for Clinicians -- References -- 11.Later Life Depression and Anxiety -- Depression and Anxiety in the Elderly -- Psychotherapy for the Elderly -- Group therapy -- CBGT for the elderly
OCD in Children and Adolescents -- CBT for Youth OCD -- Behavioral interventions -- Cognitive interventions -- CBGT for youth OCD -- CBGT Protocol for Youth OCD -- Psychoeducation in CBGT for adolescent OCD -- Exposure, response prevention, and refocusing -- Capitalizing on the Group for Youth OCD -- Disorders Related to OCD -- Common Challenges in CBGT for Youth OCD -- Summary -- Note -- Recommended Readings for Clinicians -- References -- 14.Language, Culture, and Immigration -- A Chinese Cognitive Behavioral Treatment Program for Chinese Immigrants -- Chinese CBGT Program Rationale -- Referral Issues -- Assessment -- CBGT Treatment Issues for Depressed Chinese People -- Challenging unhelpful thinking -- How to improve homework compliance? -- Capitalizing on the group for Chinese immigrants -- A Spanish-Language Cognitive Behavioral Treatment Program for Latino Immigrants -- Referral and Access Issues -- Assessment -- Latino CBGT Program Rationale
CBGT Treatment Issues -- The people module -- How to improve homework compliance? -- Capitalizing on the group in CBGT for Latino immigrants -- A CBGT Program for African American Women -- Common Challenges in Culturally Sensitive CBGT -- Summary -- Note -- Recommended Readings for Clinicians -- References -- 15.Hoarding -- The Diagnosis and Features of Hoarding Disorder -- Financial and social burdens -- Why do people hoard? -- CBT for Compulsive Hoarding -- CBT model of compulsive hoarding -- Assessment -- Hoarding-specific CBT -- CBGT for Compulsive Hoarding -- CBGT Protocol for Compulsive Hoarding -- Psychoeducation -- Motivation and goal setting -- Skills training for organizing and problem solving -- Challenging unhelpful thinking -- Exposures and behavioral experiments -- Homework -- Relapse prevention -- Capitalizing on the Group for Compulsive Hoarding -- Common Challenges in CBGT for Hoarding -- Summary
Recommended Readings and Viewing for Clinicians -- References -- 16.Psychosis -- The Diagnoses of Schizophrenia Spectrum and Other Psychotic Disorders -- Vulnerability to Psychotic Disorders -- CBT for Psychosis -- Assessment -- Increasing Evidence Supports CBGT for Psychosis -- Integrating evolving trends in CBGT for psychosis -- Narrative enhancement and cognitive therapy -- Compassion-focused therapy -- Person-based cognitive therapy -- Metacognitive training -- Capitalizing on the Group for Psychosis -- Common Challenges in CBGT for Psychosis -- Summary -- Notes -- Recommended Readings for Clinicians -- References -- 17.Addictions -- The Diagnoses of Substance-Related and Addictive Disorders -- Why do people become addicted? -- CBT for Addictions -- Assessment -- CBGT for Addictions -- Co-occurring CBGT -- CBGT protocols for addictions -- Psychoeducation -- Motivation and stages of change -- Functional analysis -- Challenging unhelpful thinking
Coping skills training -- Homework -- Relapse prevention -- Mindfulness-based relapse prevention -- Spiritually oriented relapse prevention -- Capitalizing on the Group for Addictions -- Common Challenges in CBGT for Addictions -- Summary -- Notes -- Recommended Readings for Clinicians -- References.
Summary: This is a complete guide to implementing cognitive behavioral group therapy across a range of mental health contexts. Written by a leading clinician and researcher in the field, the guide presents evidence-based protocols for depression, panic, social anxiety, generalized anxiety, posttraumatic stress, obsessive-compulsive disorder, compulsive hoarding, psychosis, and addiction. The author provides innovative solutions for achieving efficient, effective therapy as mandated by emerging health-care priorities. She also offers troubleshooting for common problems related to group therapy programs such as transdiagnostic approaches, mindfulness-augmentation, dropout prevention, and therapist qualification. In addition, she details unique strategies for working with ethnic minorities and clients across the age spectrum from children to the elderly.Summary: Throughout, the book includes clear instructions for professionals and trainees at all levels, complete with references to DSM-5 diagnostic changes, real-life clinical examples, and group session transcripts. Relevant for those using CBT and/or group therapy in a range of disciplinesùfrom psychology, social work, and counseling to occupational therapy, psychiatry, and nursingùthis is an invaluable guide to a burgeoning therapeutic intervention.--Book Jacket.
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1.Extending CBT to Groups -- Why CBT Is Increasingly Used for Common Mental Health Problems -- Principles of CBT -- Cost-Effectiveness of CBT -- Transporting Individual CBT to a Group Setting -- Adapting CBT to CBGT: panic disorder illustration -- Managing the group process across CBGT -- Unique Benefits of the Group Format -- How to Start a CBT Group -- Setting up the group room -- The first session -- Absences and being late -- Confidentiality and socializing outside the group -- Member introductions -- Expectations for CBGT commitment -- Note-taking by CBGT therapists -- Subsequent sessions -- Summary -- Notes -- Recommended Readings for Clinicians -- References -- 2.Working with Process and Content -- Process and Content in Group Therapy -- Group Process in Theory -- Group Process in Practice: Obsessive-Compulsive Disorder Illustration -- Instillation of hope -- Universality -- Imitative behavior and peer modeling

Imparting of information -- Altruism -- Group cohesiveness -- Existential factors -- Catharsis -- Interpersonal learning and new ways of socializing -- Experiencing the group as similar to one's family of origin -- Group process research and CBGT application -- Scott's General Group Therapeutic Skills Rating Scale -- Summary -- Note -- Recommended Readings for Clinicians -- References -- 3.Effectiveness of CBGT Compared to Individual CBT: Research Review -- Depression -- Social Anxiety Disorder (SAD) -- Obsessive-Compulsive Disorder (OCD) -- Generalized Anxiety Disorder (GAD) -- Panic Disorder -- Posttraumatic Stress Disorder (PTSD) -- Addictions -- Psychosis -- Hoarding -- Language and Culture -- What to Take Away from the Research Findings -- Summary -- References -- 4.CBGT for Depression: Psychoeducation and Behavioral Interventions -- The Diagnoses of Depression -- Treatment Protocols Informed by Beck's Cognitive Model of Depression

An Example of a CBGT Depression Protocol -- Psychoeducation -- Behavioral Interventions -- Focus on Emotions in Preparation for the Thought Records -- Capitalizing on the Group in CBGT for Depression -- Summary -- Notes -- Recommended Readings for Clinicians -- References -- 5.CBGT for Depression: Cognitive Interventions and Relapse Prevention -- The Thought Record in a Group -- Other Cognitive Interventions -- Testing assumptions -- Testing core beliefs -- Behavioral experiments -- CBGT Psychodrama -- Relapse Prevention -- Mindfulness-Based Cognitive Therapy (MBCT) -- Summary -- Note -- Recommended Readings for Clinicians -- References -- 6.How to "Sell" CBGT, Prevent Dropouts, and Evaluate Outcomes -- Drawing People into CBGT -- Preparing Clients for CBGT -- Individual pregroup orientation -- Group pregroup orientation -- Rapid access group orientation -- Preventing Dropouts -- Expectations for CBGT -- Client Characteristics Impacting CBGT

Chronic pain -- Gender -- Evaluating CBGT Outcomes -- The benefits of outcome measures -- The CORE-R outcome battery -- Summary -- Note -- Recommended Reading and Viewing for Clinicians -- References -- 7.Transdiagnostic and Other Heterogeneous Groups -- Why Consider Transdiagnostic Groups? -- What Do Transdiagnostic CBGT Protocols Include? -- Mixing anxiety with depression in the same group -- Mixing different anxiety disorders in the same group -- CBGT for Social Anxiety and Panic Disorder -- The diagnosis of social anxiety disorder -- Why groups can be challenging for people with social anxiety -- Why a transdiagnostic group is attractive for people with social anxiety -- Key features of a mixed social anxiety and panic group -- In-session social anxiety exposures -- CBGT for Different Types of Trauma -- The diagnosis of posttraumatic stress disorder (PTSD) -- From homogeneous to heterogeneous trauma groups -- Self-care skills as a prerequisite

Cognitive processing therapy (CPT) in heterogeneous CBGT for trauma -- The role of exposure in CBGT for trauma -- Capitalizing on the group in heterogeneous CBGT for trauma -- Summary -- Notes -- Recommended Readings for Clinicians -- References -- 8.Augmenting CBGT with Other Therapy Approaches -- Integrating CBGT and Mindfulness: Generalized Anxiety Disorder (GAD) -- The diagnosis of generalized anxiety disorder -- CBGT for GAD -- Intolerance of uncertainty -- Problem solving -- Imaginary exposure -- GAD and mindfulness -- Integrating mindfulness into CBGT -- CBGT and Interpersonal Therapy: Perinatal Depression -- Integrating interpersonal therapy (IPT) into CBGT -- What exactly is IPT? -- Research support for IPT and CBT in treating perinatal depression -- Example of combined IPT and CBGT for perinatal depression -- Summary -- Notes -- Recommended Readings for Clinicians -- References -- 9.How to Fine-Tune CBGT Interventions

Why Exposure Hierarchies are Important -- How to develop exposure hierarchies in the group -- How to Support Homework Completion -- How to Plan for Termination -- Becoming one's own therapist -- Formal and informal booster sessions -- How to Handle the Last CBGT Session -- Summary -- References -- 10.Who Is Qualified to Offer CBGT? -- Standards for Training and Qualifications -- How to Become a CBGT Therapist -- Qualifications of the competent CBGT therapist -- Declarative knowledge about core CBT competencies -- Implementing declarative knowledge into real groups -- Ongoing observational learning and supervision -- Equal Cofacilitation -- Students in CBGT Training -- How to Stay Competent as a CBGT Therapist -- Summary -- Recommended Resources for Clinicians -- References -- 11.Later Life Depression and Anxiety -- Depression and Anxiety in the Elderly -- Psychotherapy for the Elderly -- Group therapy -- CBGT for the elderly

OCD in Children and Adolescents -- CBT for Youth OCD -- Behavioral interventions -- Cognitive interventions -- CBGT for youth OCD -- CBGT Protocol for Youth OCD -- Psychoeducation in CBGT for adolescent OCD -- Exposure, response prevention, and refocusing -- Capitalizing on the Group for Youth OCD -- Disorders Related to OCD -- Common Challenges in CBGT for Youth OCD -- Summary -- Note -- Recommended Readings for Clinicians -- References -- 14.Language, Culture, and Immigration -- A Chinese Cognitive Behavioral Treatment Program for Chinese Immigrants -- Chinese CBGT Program Rationale -- Referral Issues -- Assessment -- CBGT Treatment Issues for Depressed Chinese People -- Challenging unhelpful thinking -- How to improve homework compliance? -- Capitalizing on the group for Chinese immigrants -- A Spanish-Language Cognitive Behavioral Treatment Program for Latino Immigrants -- Referral and Access Issues -- Assessment -- Latino CBGT Program Rationale

CBGT Treatment Issues -- The people module -- How to improve homework compliance? -- Capitalizing on the group in CBGT for Latino immigrants -- A CBGT Program for African American Women -- Common Challenges in Culturally Sensitive CBGT -- Summary -- Note -- Recommended Readings for Clinicians -- References -- 15.Hoarding -- The Diagnosis and Features of Hoarding Disorder -- Financial and social burdens -- Why do people hoard? -- CBT for Compulsive Hoarding -- CBT model of compulsive hoarding -- Assessment -- Hoarding-specific CBT -- CBGT for Compulsive Hoarding -- CBGT Protocol for Compulsive Hoarding -- Psychoeducation -- Motivation and goal setting -- Skills training for organizing and problem solving -- Challenging unhelpful thinking -- Exposures and behavioral experiments -- Homework -- Relapse prevention -- Capitalizing on the Group for Compulsive Hoarding -- Common Challenges in CBGT for Hoarding -- Summary

Recommended Readings and Viewing for Clinicians -- References -- 16.Psychosis -- The Diagnoses of Schizophrenia Spectrum and Other Psychotic Disorders -- Vulnerability to Psychotic Disorders -- CBT for Psychosis -- Assessment -- Increasing Evidence Supports CBGT for Psychosis -- Integrating evolving trends in CBGT for psychosis -- Narrative enhancement and cognitive therapy -- Compassion-focused therapy -- Person-based cognitive therapy -- Metacognitive training -- Capitalizing on the Group for Psychosis -- Common Challenges in CBGT for Psychosis -- Summary -- Notes -- Recommended Readings for Clinicians -- References -- 17.Addictions -- The Diagnoses of Substance-Related and Addictive Disorders -- Why do people become addicted? -- CBT for Addictions -- Assessment -- CBGT for Addictions -- Co-occurring CBGT -- CBGT protocols for addictions -- Psychoeducation -- Motivation and stages of change -- Functional analysis -- Challenging unhelpful thinking

Coping skills training -- Homework -- Relapse prevention -- Mindfulness-based relapse prevention -- Spiritually oriented relapse prevention -- Capitalizing on the Group for Addictions -- Common Challenges in CBGT for Addictions -- Summary -- Notes -- Recommended Readings for Clinicians -- References.

This is a complete guide to implementing cognitive behavioral group therapy across a range of mental health contexts. Written by a leading clinician and researcher in the field, the guide presents evidence-based protocols for depression, panic, social anxiety, generalized anxiety, posttraumatic stress, obsessive-compulsive disorder, compulsive hoarding, psychosis, and addiction. The author provides innovative solutions for achieving efficient, effective therapy as mandated by emerging health-care priorities. She also offers troubleshooting for common problems related to group therapy programs such as transdiagnostic approaches, mindfulness-augmentation, dropout prevention, and therapist qualification. In addition, she details unique strategies for working with ethnic minorities and clients across the age spectrum from children to the elderly.

Throughout, the book includes clear instructions for professionals and trainees at all levels, complete with references to DSM-5 diagnostic changes, real-life clinical examples, and group session transcripts. Relevant for those using CBT and/or group therapy in a range of disciplinesùfrom psychology, social work, and counseling to occupational therapy, psychiatry, and nursingùthis is an invaluable guide to a burgeoning therapeutic intervention.--Book Jacket.

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