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Clinician's Guide to CBT for Children to Young Adults: A Companion to Think Good, Feel Good and Thinking Good, Feeling Better 2nd edition [Minkštas viršelis]

(Consultant Clinical Psychologist, Royal United Hospital, Bath, UK)
  • Formatas: Paperback / softback, 320 pages, aukštis x plotis x storis: 274x216x18 mm, weight: 862 g
  • Išleidimo metai: 10-Dec-2020
  • Leidėjas: John Wiley & Sons Inc
  • ISBN-10: 111939631X
  • ISBN-13: 9781119396314
Kitos knygos pagal šią temą:
  • Formatas: Paperback / softback, 320 pages, aukštis x plotis x storis: 274x216x18 mm, weight: 862 g
  • Išleidimo metai: 10-Dec-2020
  • Leidėjas: John Wiley & Sons Inc
  • ISBN-10: 111939631X
  • ISBN-13: 9781119396314
Kitos knygos pagal šią temą:
A powerful and insightful clinical resource for CBT practitioners who work with children and young adults

The newly updated and thoroughly revised Second Edition of this companion to Think Good, Feel Good and Thinking Good, Feeling Better delivers guidance for clinicians using the author's seminal workbooks. This companion work builds upon the workbook materials by offering readers instruction on all aspects of the therapeutic process and a wide range of case studies highlighting specific therapies in action.

A Clinician's Guide covers topics including parental involvement, key cognitive distortions in children, formulations, challenging thoughts, guided discovery, and the use of imagery. The author also includes a chapter focusing on common potential problems that arise in therapy and strategies to overcome them.

The book highlights the underlying philosophy, process, and core skills of employing CBT with children and young people. Readers will appreciate the competency framework, which describes the CORE philosophy, PRECISE process, and the ABCs of specific techniques. The book also includes:





Additional materials and handouts for use in therapy, including psycho-educational materials for children and parents on common problems, like depression, OCD, PTSD, and anxiety Downloadable, multi-use worksheets for use in the clinician's therapeutic sessions Practical, real-world case examples that shed light on the techniques and strategies discussed in the book A systematic approach to the use of cognitive behavioural therapy to treat common psychological problems

Perfect for professionals and trainees in child and adolescent mental health, like psychiatrists, clinical psychologists, educational psychologists, community psychiatric nurses, and occupational therapists, the book also belongs on the shelves of non-mental health professionals, including school nurses and social workers, who regularly work with children in a therapeutic setting.
About this book xiii
Acknowledgements xv
Online resources xvii
1 Introduction And Overview
1(18)
CBT as an intervention
1(1)
CBT as a preventative intervention
2(1)
CBT with younger children
3(1)
CBT with children and young people with learning difficulties
4(1)
Technologically delivered CBT
5(1)
Involving parents
6(1)
The competencies to deliver child-focused CBT
7(2)
Assessing competence
8(1)
Cognitive Behaviour Therapy Scale for Children and Young People
9(4)
CORE philosophy
13(6)
Child-centred
14(1)
Outcome-focused
15(1)
Reflective
16(1)
Empowering
17(2)
2 Precise
19(32)
The therapeutic alliance
19(2)
Partnership
21(4)
Eliciting the young person's and parents' understanding and views
22(1)
Encourages the young person to participate in decision making
23(1)
Involves the young person and parents/carers in planning the intervention
24(1)
Encourages the young person to provide feedback about sessions
25(1)
Right developmental level
25(5)
Ensures an optimal balance between cognitive and behavioural techniques
26(1)
Uses simple, clear, jargon-free language
27(1)
Uses a variety of verbal (direct and indirect approaches) and non-verbal techniques
28(1)
Appropriately involves parents/carers/others
28(2)
Courtney has anger outbursts
30(1)
Empathy
30(5)
Conveys interest and concern using active listening, reflection, and summaries
30(2)
Acknowledges and responds to emotional responses
32(1)
Demonstrates an open, respectful, non-judgemental, caring approach
33(1)
Empathises with parents
34(1)
Creative
35(4)
Tailors the concepts and methods of CBT around the interests of the young person
35(1)
Uses a range of verbal and non-verbal methods
36(1)
Creatively uses a range of methods
37(1)
Utilises the preferred media of the young person
38(1)
Investigation
39(3)
Creates a process of collaborative inquiry
39(1)
Fully involves young people in the design of experiments
40(1)
Helps young people and parents/carers to consider alternative explanations
41(1)
Encourages reflection
42(1)
Self-efficacy
42(3)
Identifies and highlights strengths and personal resources
43(1)
Encourages identification of helpful skills and strategies
44(1)
Develops personal coping strategies
44(1)
Reinforces use of new skills
45(1)
Enjoyable and engaging
45(3)
Uses an appropriate mix of materials, activities, humour
46(1)
Maintains an appropriate balance between task and relationship-strengthening activities
46(1)
Attends to the young person's interests and incorporates them into the intervention
47(1)
Presents as positive and hopeful
48(1)
Precise in practice
48(3)
Ella's obsessional thoughts
48(1)
Joshua's negative thinking
49(2)
3 A: Assessment And Goals
51(18)
Undertakes a full assessment of the presenting problem
51(2)
Compliments assessment with routine outcome measures (ROMs)
53(2)
Negotiates goals and the dates when progress will be reviewed
55(4)
Identification of goals
56(1)
Prioritisation of goals
57(1)
Whose goals?
57(1)
Inappropriate goals
58(1)
Uses diaries, thought bubbles, and rating scales
59(5)
Sarah feels faint
59(1)
Tick charts
60(1)
Thought bubbles
60(1)
Visualisation
61(1)
Stories
62(1)
Rating scales
63(1)
Pie charts
63(1)
Theo's washing
64(1)
Assesses motivation and readiness to change
64(5)
Pre-contemplation
65(2)
Contemplation
67(1)
Preparation
67(1)
Action
68(1)
Maintenance
68(1)
Relapse
68(1)
4 B: Behavioural
69(22)
Uses behavioural techniques to facilitate therapeutic change
70(5)
Developing hierarchies
70(2)
Graded exposure
72(2)
Response prevention
74(1)
John is worried about germs
75(1)
Problems when undertaking exposure
75(2)
Young person avoidance
75(1)
Clinician avoidance
76(1)
Anxiety does not come down
76(1)
Is the young person focusing on their anxiety?
77(1)
Are parents/carers appropriately involved?
77(1)
Uses behavioural techniques such as activity rescheduling and behavioural activation
77(3)
Activity rescheduling
77(1)
Alison feels down
78(1)
Behavioural activation
79(1)
Problems when undertaking behavioural activation
80(2)
I didn't feel like doing it
80(1)
I did it, but I don't feel any better
81(1)
I did it, but so what?
81(1)
It's not important
81(1)
Provides a clear rationale for using behavioural strategies
82(1)
Identifies and implements reward and contingency plans
82(3)
Models, uses role play, structured problem-solving approaches, or skills training
85(6)
Model how to cope
85(2)
Role play
87(1)
Problem solving
88(1)
Skills training
89(2)
5 C: Cognitions
91(20)
Facilitates cognitive awareness
92(6)
Cognitive content
92(1)
Levels of cognitions
92(1)
Freya worries about making a fool of herself
93(3)
Uses thought records and bubbles
96(2)
Identifies functional and dysfunctional cognitions
98(1)
Unhelpful thoughts
99(1)
Helpful thoughts
99(1)
Identifies common cognitive biases (`thinking traps')
99(3)
The negative filter
100(1)
Blowing things up
100(1)
Predicting failure
101(1)
Being down on yourself
101(1)
Setting yourself up to fail
101(1)
Facilitates thought challenging and perspective taking
102(2)
What is the evidence?
102(1)
The 4Cs
103(1)
What would someone else say?
103(1)
Jaz falls out with her friend
104(1)
Facilitates continuum work using rating scales
104(1)
Uses techniques such as mindfulness, acceptance, and compassion
105(6)
Mindfulness
105(2)
Compassion
107(2)
Acceptance
109(1)
Kindness
110(1)
6 D: Discovery
111(22)
Facilitates discovery and reflection through use of the Socratic dialogue
111(11)
The Socratic dialogue
113(3)
What makes a good Socratic question?
116(2)
Mike is worried about his cat
118(2)
Common difficulties
120(2)
Alternative perspective taking and attending to new or overlooked information
122(5)
Perspective taking
122(1)
Responsibility pies
123(1)
Joshua's accident
123(1)
Attends to overlooked information
124(1)
Analogical comparisons
124(1)
Systematically testing the assumed relationship
125(1)
Maria worries she will pass germs to others
126(1)
Behavioural experiments and prediction testing
127(6)
Cognition- and prediction-testing experiments
127(1)
Planning a behavioural experiment
128(1)
Prediction-testing experiments: Caleb thinks he is a failure
129(1)
Active experiments: Laura's social anxiety
130(1)
Information gathering experiments: Adam's formulation
131(2)
7 E: Emotions
133(16)
Develops emotional literacy by facilitating the identification of a range of emotions
133(2)
Helps to distinguish between different emotions and identifies key body signals
135(3)
Body signals
135(1)
Feeling diaries
135(1)
William feels sad
136(1)
Emotional logs
137(1)
Isabella feels down
137(1)
Relaxation, guided imagery, controlled breathing, and calming activities
138(6)
Progressive muscle relaxation
139(2)
Calming imagery
141(1)
Aisha's calming image
141(1)
Diaphragmatic (controlled) breathing
142(1)
Change the feeling
143(1)
Physical activity, letting feelings go, emotional metaphors, and imagery
144(2)
Physical activity
144(1)
Let the feeling go
144(1)
Emotional metaphors
145(1)
Emotive imagery
145(1)
Anthony's humorous image
146(1)
Self-soothing, mind-games, and mindfulness
146(3)
Self-soothing
146(1)
Mind games
147(1)
Mindfulness
147(1)
Talk with someone
148(1)
8 F: Formulations
149(22)
Provides a coherent and understandable rationale for the use of CBT
149(2)
Linking thoughts, emotions, and behaviours
151(7)
Mini-formulations (two- or three-system models)
151(1)
Rhiannon is unhappy and scared
152(2)
Maintenance formulations
154(1)
Naomi cuts herself
154(1)
Four-system formulations
155(1)
Abdul's anxiety
156(1)
Remember the strengths
157(1)
Provides an understanding of important past events and relationships (onset formulations)
158(5)
Mary's anxiety
161(2)
Includes parental/family factors in formulations
163(2)
Sally's anxiety
163(2)
Activities and goals/targets are clearly linked to the formulation
165(2)
Common problems
167(1)
Difficulty identifying thoughts or feelings
167(1)
Is it important to distinguish between different levels of cognitions?
168(1)
I can't seem to put this together in a formulation
168(1)
I'm not sure if the formulation is right
169(1)
I can't seem to find all the information to complete the formulation
169(2)
9 G: General Skills
171(14)
Prepares and brings the necessary materials and equipment to the meeting
171(1)
Manages the young person's behaviour during sessions
172(2)
Ensures that sessions have an agenda and clear goals and are appropriately structured
174(3)
General update
175(1)
Outcome measures update
175(1)
Home assignment review
175(1)
Session topic
176(1)
Home assignment
176(1)
Session summary and feedback
176(1)
Ensures good timekeeping so that all tasks are completed
177(1)
Sessions are appropriately paced, flexible, and responsive
178(3)
Responsive
180(1)
Gary is worried about germs
180(1)
Prepares for endings and relapse prevention
181(4)
Relapse prevention
181(4)
10 H: Home Assignments
185(14)
Negotiates home assignments
185(3)
Assignments are meaningful and related to the formulation
188(1)
Assignments are consistent with the young person's developmental level
189(2)
Assignments are realistic, achievable, and safe
191(2)
Refers to goals when planning assignments and to rating scales when reviewing progress
193(2)
Harry wants to get fitter
193(1)
Fatima's unhelpful thoughts
194(1)
Assignments are reviewed and reflection encouraged
195(4)
11 Putting It Together
199(30)
Anxiety
200(3)
Effectiveness
200(1)
Rationale informing the intervention
200(1)
Core components of CBT interventions for anxiety disorders
201(1)
Parents
202(1)
Important cognitions
202(1)
Depression
203(4)
Effectiveness
203(1)
Rationale informing the intervention
204(1)
Core components of CBT interventions for depression
205(1)
Parents
206(1)
Important cognitions
206(1)
Obsessive-compulsive disorder (OCD)
207(3)
Effectiveness
207(1)
Rationale informing the intervention
208(1)
Core components of CBT interventions for OCD
209(1)
Parents
210(1)
Important cognitions
210(1)
Post-traumatic stress disorder (PTSD)
210(3)
Effectiveness
210(1)
Rationale informing the intervention
211(1)
Core components of CBT interventions for PTSD
211(1)
Parents
212(1)
Important cognitions
213(1)
When it doesn't go right
213(2)
Is the young person motivated to change?
215(4)
Sam's costs of change
217(2)
Are the young person and their family engaged with the intervention?
219(5)
Jade is anxious and depressed
221(3)
How has the intervention been delivered?
224(5)
12 Resources
229(50)
The Chain of Events
230(1)
The Negative Trap
231(1)
Four systems
232(1)
How did this happen?
233(1)
Session rating scale
234(1)
Scales of change
235(1)
Anxiety intervention plan
236(1)
Depression intervention plan
237(1)
OCD intervention plan
238(1)
PTSD intervention plan
239(1)
Motivation
240(1)
Engagement
241(1)
Intervention delivery
242(1)
Reflective practice
243(1)
The Cognitive Behaviour Therapy Scale for Children and Young People (CBTS-CYP)
244(15)
Beating anxiety
259(5)
Fighting back depression
264(6)
Controlling worries and habits
270(5)
Coping with trauma
275(4)
References 279(12)
Index 291
PAUL STALLARD is Professor of Child and Family Mental Health at the University of Bath and Head of Psychological Therapies (CAMHS) for Oxford Health NHS Foundation Trust. He is a clinical psychologist who has worked with children and young people for 40 years using Cognitive Behaviour Therapy (CBT). He is also an active researcher and has been involved in many studies exploring the use and effectiveness of CBT with children and young people.