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What Every Therapist Needs to Know About Anxiety Disorders: Key Concepts, Insights, and Interventions [Kietas viršelis]

4.75/5 (108 ratings by Goodreads)
(New York Presbyterian Hospital/Cornell Medical School, New York, USA), (Anxiety and Stress Disorders Institute of Maryland, USA)
  • Formatas: Hardback, 218 pages, aukštis x plotis: 229x152 mm, weight: 453 g, 3 Tables, black and white; 1 Line drawings, black and white; 6 Halftones, black and white; 7 Illustrations, black and white
  • Išleidimo metai: 28-May-2014
  • Leidėjas: Routledge
  • ISBN-10: 0415828988
  • ISBN-13: 9780415828987
Kitos knygos pagal šią temą:
  • Formatas: Hardback, 218 pages, aukštis x plotis: 229x152 mm, weight: 453 g, 3 Tables, black and white; 1 Line drawings, black and white; 6 Halftones, black and white; 7 Illustrations, black and white
  • Išleidimo metai: 28-May-2014
  • Leidėjas: Routledge
  • ISBN-10: 0415828988
  • ISBN-13: 9780415828987
Kitos knygos pagal šią temą:

What Every Therapist Needs to Know About Anxiety Disorders is an integrated and practical approach to treating anxiety disorders for general psychotherapists. What is new and exciting is its focus on changing a patient’s relationship to anxiety in order to enable enduring recovery rather than merely offering a menu of techniques for controlling symptoms. Neither a CBT manual nor an academic text nor a self-help book, What Every Therapist Needs to Know About Anxiety Disorders offers page after page of key insights into ways to help patients suffering from phobias, panic attacks, unwanted intrusive thoughts, compulsions and worries. The authors offer a rich array of therapist-patient vignettes, case examples, stories, and metaphors that will complement the work of trainees and experienced clinicians of every orientation. Readers will come away from the book with a new framework for understanding some of the most frustrating clinical challenges in anxiety disorders, including "reassurance junkies," endless obsessional loops, and the paradoxical effects of effort.

Recenzijos

"Full of sage advice and enlivened by dozens of clienttherapist vignettes, this book is an encyclopaedic sprint through the most common psychological problem in the world. Written in a clear and accessible style, the book is an ideal companion for the non-specialist practitioner.

Sharon Breen, counsellor-in-training, coach and writer, for Therapy Today

"What Every Therapist Needs to Know about Anxiety Disorders is an exceptionally helpful and well-written book. Authors Seif and Winston, with their combined 70-plus years of experience in treating anxiety disorders, have gathered their enormous wealth of knowledge and experience into a highly readable and immediately applicable volume. Their theories have the solidness that only comes from long practice and research. Of central importance, they explain why many treatments (often standardly accepted) fail while freely sharing interventions they have proven to be successful. Professionals will find it informative and useful; those suffering from this cluster of disorders will be helped as well as feel understood and comforted. If you work with people with anxiety disorders, you need to read this book. If you are someone who suffers from anxiety disorders, you need to read this book. You will be glad you made the investment."

Babette Rothschild, author of The Body Remembers and 8 Keys to Safe Trauma Recovery

"Anxiety disorders present a myriad of distracting feelings, thoughts, and interpretations. Seif and Winston pull back the curtains to reveal the simple dynamic that maintains all anxieties and worries. You will learn how to persuade clients to drop their get rid of mentality and adopt the powerful paradoxical responses that will serve as their ticket out of suffering. Here is the chance to learn from the wisdom of two master clinicians Ive admired my entire career."

Reid Wilson, PhD, associate clinical professor of psychiatry at the University of North Carolina School of Medicine and author of Dont Panic: Taking Control of Anxiety Attacks.

"As a psychodynamically oriented therapist, I find this book brimming with useful insights and techniques that I can use to help my patients suffer less as they explore and understand themselves. The authors profound understanding of the workings of anxiety, based on their long experience, is illuminating and helpful to therapists of any theoretical orientation. Reading this book is like having a private consultation with the experts on anxiety and OCD. Free of jargon, the lucid and user-friendly style will make this book a frequently accessed companion for every therapist who has a sense that there is perhaps more one can do to alleviate patients often-crippling anxiety."

Ruthellen Josselson, PhD, author of Playing Pygmalion: How People Create One Another.

"You won't feel anxious about working with anxious patients and won't know how much you didn't know about anxietyyours and your patientsuntil after you read this book. The authors generously and expertly share their accumulated wisdom in a way that's nuanced, highly informative, and easy to grasp. Though the book is not primarily aimed at psychoanalysts, it is guaranteed to be thought provoking and productive to read because of its applicability to various treatment modalities, its richness, its originality, and its leading-edge approach."

Sigalit Levy, PhD, clinical psychologist and psychoanalyst at theWilliam Alanson White Institute

List of Figures and Tables xi
Preface xiii
Acknowledgments xvii
1 Why Details Make a Difference 1(6)
Introduction
3(2)
Reasonable Goals
5(1)
Techniques Are Not the Answer
5(2)
2 The Basics 7(8)
Three General Characteristics of Highly Anxious People
7(1)
Anxiety Feels Dangerous
7(1)
How an Anxiety Disorder Differs from Plain Anxiety
8(1)
The Three Types of Triggers
9(4)
The Defining Aspect of an Anxiety Disorder
13(1)
The Basic Principle: Identify and Treat Avoidance
14(1)
3 A Contemporary View of Anxiety Disorders 15(22)
Sensitivity and Anxiety
15(1)
A Discussion of Causation
15(1)
Insight: Cause Versus Maintenance
16(1)
Primary Versus Secondary Gains
17(1)
Studies on Causation
17(2)
The Dilemma of Insight
19(1)
Consequences of Affect Intolerance
20(1)
The Value of Talking about Anxiety Symptoms
21(1)
A Direct Approach to Treating Anxiety Disorders
22(1)
The Neurological Perspective: Role of the Amygdala in Sensitization
23(5)
The Value of Exposure
28(1)
The Fear-maintaining Cycle
29(1)
Avoidance, Resistance, Neutralization
30(1)
The Phenomenology of Anxiety: Anxiety Alters Consciousness
31(3)
With Anxiety, Common Sense Makes No Sense
34(1)
The Paradoxical Attitude
34(3)
4 The Therapeutic Attitude of Acceptance 37(16)
Approaching Anxiety Mindfully
38(1)
Embracing Anxiety
39(3)
The Role of the Therapist
42(3)
Teaching Metaphors
45(2)
Essential Elements to the Therapeutic Attitude of Acceptance
47(6)
5 Getting Started 53(14)
The First Contact Must Instill Hope
53(1)
Immediate Help: Embed Information in Your Questions
54(2)
Get the Details
56(4)
Find Out What They Have Tried
60(1)
Introduce the New Paradigm: Offer a More Profound Change Than Techniques
61(2)
Provide Information and Answer Questions
63(4)
6 Techniques Your Patients Have Probably Already Tried and Misunderstood: What They Are and How to Make Them Helpful 67(22)
The Problem with Techniques
67(3)
How Techniques Can Be Helpful
70(1)
Techniques Are Temporary Help, Not Goals
70(1)
Emergency Coping
71(2)
Techniques That Can Be Helpful: "What Is," Not "What If?"
73(8)
Anxiety Management Tricks That Easily Backfire
81(1)
Diaphragmatic Breathing
81(3)
Anxiety Management in Cases of Real Danger, Not False Messages
84(1)
Some Issues in Determining Patient Progress
84(5)
7 Diagnoses: An Annotated Tour of the Anxiety Disorders 89(16)
Specific Phobias
89(3)
Panic Disorder
92(1)
Social Anxiety Disorder
93(2)
Obsessive-compulsive Disorder
95(5)
Generalized Anxiety Disorder
100(1)
Traumatic Anxieties
101(4)
8 Exposure: The Active Ingredient 105(21)
Exposure in the History of Psychotherapy
105(1)
Exposure Therapy Is More Than "Just Do It"
106(9)
Role of the Therapist During Exposure: What to Say and Do
115(3)
Exposure Can Be an Intrinsic Part of Diagnosis and Assessment
118(1)
Exposure for Patients with Obsessive-compulsive Disorder: Exposure and Response Prevention
118(1)
OCD with Purely Mental Obsessions and Compulsions
119(2)
The Right Way to Practice Exposure
121(5)
9 The Curious Case of Worry 126(18)
Varieties of the Worry Experience
127(2)
A Caveat: Generalized Anxiety Disorder-Rarely a Stand-alone Diagnosis
129(1)
Worry Is Not an Affect: It Is Thinking-And Thoughts Are Not Facts
129(1)
Productive Versus Unproductive Worry
130(1)
An Important Insight: Some Worry Thoughts Raise Anxiety and Some Lower It
130(1)
The Therapeutic Perspective on Worry
131(1)
About Worry and Time: The Role of Urgency
132(1)
Evaluating Worry
132(1)
Rumination: A Different Kind of Worrying
133(1)
Coping with Worry: What Doesn't Work
134(2)
Coping with Worry: Strategies That Work
136(8)
10 Unwanted Intrusive Thoughts: All Bark and No Bite 144(12)
How Unwanted Intrusive Thoughts are Maintained
144(5)
Living with Joy Despite Unwanted Intrusive Thoughts
149(1)
Treating Unwanted Intrusive Thoughts
150(1)
Issues for Therapists: Varieties of Presentation
150(3)
Issues for Therapists: Therapist Anxiety and a New Construct
153(1)
Exposure to Unwanted Intrusive Thoughts
154(2)
11 Classic Pitfalls: Common Mistakes Non-Specialists Make 156(10)
Pitfall Number 1: Turning the Causation Arrow Around
156(2)
Pitfall Number 2: Pathological Doubt OCD-Misidentifying OCD Thoughts as Issues and the Seduction of Co-compulsions
158(2)
Pitfall Number 3: Intrusive Thoughts or Doubts about Sexual Orientation or Identity-Misdiagnosing OCD Thoughts as a Sexual Issue
160(2)
Pitfall Number 4: Get Your Feelings Out
162(2)
Pitfall Number 5: Mistakes in the Application of Exposure-based Treatment
164(2)
12 Another View of Resistance: Issues that Interfere with Treatment 166(10)
When People Come Back Without Doing Home Practice
166(1)
Anticipatory Anxiety: When People Need Help Getting over the Hump
167(4)
The Reassurance Junkie: When People Are Constant Callers
171(5)
13 Some Hard to Treat Problems: A New Perspective 176(5)
Illness Worries (Health Anxiety and Hypochondria)
176(1)
Scrupulosity (Religious and Secular)
177(1)
Emetophobia (Fear of Vomiting)
178(1)
Paruresis (Shy Bladder Syndrome)
179(2)
14 Relapse Prevention 181(6)
Anxiety Disorders Are Chronic Intermittent Disorders: They Come Back
181(1)
The Most Enduring Recovery Is When Symptoms Do Not Matter
182(1)
Search and Destroy: The Role of Subtle Avoidance
183(1)
The Role of Psychotherapy in Relapse Prevention
183(1)
The Proper Place for Stress Management
184(2)
Finally
186(1)
Appendix 1 Additional Metaphors 187(2)
Appendix 2 A Summary of the Labeling Process That Can Be Given to Patients 189(1)
Appendix 3 How to Learn Diaphragmatic Breathing 190(2)
Appendix 4 Anxiety Diary 192(1)
Index 193
Martin N. Seif, PhD, ABPP, cofounded the Anxiety and Depression Association of America and was a member of its board of directors from 1977 through 1991. Dr. Seif is associate director of the Anxiety and Phobia Treatment Center at White Plains Hospital and a faculty member of New York Presbyterian Hospital/Cornell Medical School. He maintains a private practice in Manhattan and Greenwich, Connecticut, and leads Freedom to Fly, an airport-based program for fearful fliers.

Sally Winston, PsyD, cofounded the Anxiety and Stress Disorders Institute of Maryland, where she is codirector. She is the inaugural recipient of the Jerilyn Ross Award of the Anxiety and Depression Association of America and has decades of experience treating patients, training therapists, and advocating for public awareness of anxiety disorders and advances in their treatment. She has given training workshops in the US, Canada, Asia, and Africa.