Cognitive Behaviour Therapy for Chronic

This title offers a unique general introduction to methods and clinical experience of CBT for a wide range of medical conditions, specifically focusing on chronic illness. A concise, accessible clinical text which assumes basic knowledge of CBT using clinical examples and vignettes to illustrate assessment and therapy. ? Includes a range of typical and important medical conditions that require long-term management ? Fills a gap in this growing area of professional work and training

Craig A. White Department of Psychological Medicine, University of Glasgow, Scotland

List of Figures

xi

List of Tables

xiii

About the Author

xvi

Preface

xvii

Acknowledgements

xix

PART I GENERAL COMPONENTS OF CBT FOR CHRONIC MEDICAL PROBLEMS

Introduction

3

(11)

Chronic medical problems: the context

3

(1)

The psychological impact

4

(2)

Understanding variations in psychosocial adjustment

6

(3)

Why CBT?

9

(1)

CBT: an overview

10

(3)

Summary and conclusions

13

(1)

Assessment

14

(22)

Introduction

14

(1)

Assessment process

14

(8)

Assessment content

22

(11)

Problems accepting assessment relevance

33

(2)

Summary and conclusions

35

(1)

Formulation

36

(23)

Introduction

36

(2)

Problem-level or case-level formulation: some analogies

38

(1)

Using formulations to plan treatment

39

(5)

Mechanics of formulation

44

(6)

Formulation frameworks

50

(7)

Reformulation

57

(1)

Summary and conclusions

57

(2)

Treatment Strategies

59

(36)

Introduction

59

(1)

Distinguishing CBT from other psychological therapies

60

(6)

Behavioural treatment methods

66

(6)

Cognitive treatment methods

72

(15)

Situational and environmental methods

87

(2)

CBT process

89

(3)

Summary and conclusions

92

(3)

PART II THE APPLICATION OF CBT TO SPECIFIC CHRONIC MEDICAL PROBLEMS

Cancer

95

(28)

Introduction

95

(2)

Psychological morbidity

97

(1)

Assessment

98

(10)

Formulation

108

(6)

Treatment strategies

114

(8)

Summary and conclusions

122

(1)

Chronic Pain

123

(25)

Introduction

123

(1)

Assessment

124

(10)

Formulation

134

(4)

Treatment strategies

138

(8)

Summary and conclusions

146

(2)

Diabetes

148

(22)

Introduction

148

(1)

Assessment

149

(1)

Psychological aspects of diabetes

150

(6)

Formulation

156

(7)

Treatment strategies

163

(6)

Summary and conclusions

169

(1)

Dermatology

170

(20)

Introduction

170

(1)

General assessment issues

171

(6)

Formulation

177

(1)

Itching: the application of CBT

178

(10)

CBT and specific skin disorders

188

(1)

Summary and conclusions

189

(1)

Surgical Problems

190

(27)

Introduction

190

(1)

Assessment

191

(9)

Formulation

200

(2)

Intervention strategies

202

(6)

Special considerations

208

(1)

Disfiguring surgery

208

(7)

Cosmetic surgery

215

(1)

Transplantation surgery

215

(1)

Summary and conclusions

216

(1)

Cardiac Problems

217

(26)

Introduction

217

(1)

Non-cardiac chest pain

217

(11)

Managing angina

228

(1)

Cardiac rehabilitation

229

(5)

CBT and ventricular arrhythmia

234

(5)

Summary and conclusions

239

(4)

PART III PROFESSIONAL PRACTICE AND SERVICE DELIVERY

Professional Issues

243

(9)

Introduction

243

(1)

Training requirements

244

(3)

Continuing professional development

247

(2)

Self-care

249

(1)

Summary and conclusions

250

(2)

Service Provision

252

(17)

Introduction

252

(1)

Range of services offered

252

(2)

Managing referrals

254

(3)

Screening assessments

257

(1)

Providing feedback to referrers

258

(1)

Case notes and record-keeping

258

(4)

Service evaluation and monitoring

262

(2)

Resources

264

(1)

Developing services

264

(1)

The legal system

265

(1)

Summary and conclusions

266

(3)

PART IV APPENDICES

Appendix 1 Illness Perception Questionnaire

269

(6)

Appendix 2 Cancer Behavior Inventory (Version 2.0)

275

(4)

Appendix 3 Pain Stages of Change Questionnaire

279

(3)

References

282

(11)

Index

293

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Cognitive Behaviour Therapy for Chronic Medical Problems : A Guide to Assessment and Treatment in Practice

Summary

Author Biography

Table of Contents

Supplemental Materials