Recovery-Oriented Cognitive Therapy for Serious Mental Health Conditions

From pioneering treatment developers, this book describes recovery-oriented cognitive therapy (CT-R). This evidence-based approach empowers people given a serious mental health diagnosis such as schizophrenia to build a better life in their chosen community. CT-R provides innovative strategies to help individuals shift from a “patient” mode to an adaptive mode of living and take positive steps to pursue valued aspirations. Vivid case vignettes and sample dialogues illustrate ways to access the adaptive mode with people experiencing negative symptoms, delusions, hallucinations, communication difficulties, self-harming or aggressive behavior, and other challenges. In a convenient large-size format, the book includes reproducible handouts and forms that also can be downloaded and printed from the companion website.

See also Cognitive Behavior Therapy, Third Edition: Basics and Beyond, Judith S. Beck, the definitive CBT text, with new coverage of CT-R in the third edition.

Aaron T. Beck, MD, is the founder of cognitive therapy, University Professor Emeritus of Psychiatry at the University of Pennsylvania, and President Emeritus of the Beck Institute for Cognitive Behavior Therapy. Dr. Beck is the recipient of awards including the Albert Lasker Clinical Medical Research Award, the Lifetime Achievement Award from the American Psychological Association, the Distinguished Service Award from the American Psychiatric Association, the James McKeen Cattell Fellow Award in Applied Psychology from the Association for Psychological Science, and the Sarnat International Prize in Mental Health and Gustav O. Lienhard Award from the Institute of Medicine. He is author or editor of numerous books for professionals and the general public.

Paul Grant, PhD, is Director of Research, Innovation, and Practice at the Beck Institute Center for Recovery-Oriented Cognitive Therapy (CT-R). With Aaron T. Beck, he originated CT-R and conducted foundational research to validate it. He is a recipient of awards from the National Alliance on Mental Illness, the University of Medicine and Dentistry of New Jersey, and the Association for Behavioral and Cognitive Therapies. Dr. Grant developed group, family, and milieu CT-R approaches, and directs large projects implementing CT-R nationally and internationally. He has developed innovative implementation tools and is involved in researching positive beliefs and teamwide culture change as mediators of successful CT-R outcomes.

Ellen Inverso, PsyD, is Director of Clinical Training and Implementation at the Beck Institute Center for Recovery-Oriented Cognitive Therapy (CT-R). A codeveloper of CT-R, she has created transformative CT-R programming for psychiatric inpatient units, programmatic residences, schools, and community teams, with a special focus on adolescents and young adults, individuals engaging in extreme forms of self-injury, individuals considering transitions into the community following extended periods of institutionalization, and families. Dr. Inverso supervises early career professionals in CT-R, guides her seasoned colleagues to add the approach to their armamentaria, and has coauthored curricula for training peer specialists and expert trainers in CT-R.

Aaron P. Brinen, PsyD, is Assistant Professor of Clinical Psychiatry and Behavioral Sciences at Vanderbilt University Medical Center, where he provides training in recovery-oriented cognitive therapy (CT-R), serves individuals with psychosis, and collaborates on research. Previously, he directed Drexel University's center for the dissemination, development, study, and practice of CT-R. A codeveloper of CT-R, Dr. Brinen worked to formalize the treatment and adapt it for individual and group therapy settings, as well as in team-based psychiatric care and during inpatient treatment. He trains psychiatry residents in CT-R and has been active in training community therapists from around the world. Dr. Brinen also has a small clinical psychology practice specializing in cognitive-behavioral therapy for individuals with schizophrenia, posttraumatic stress disorder, and other disorders.

Dimitri Perivoliotis, PhD, is a psychologist at the VA San Diego Healthcare System and Associate Clinical Professor in the Department of Psychiatry at the University of California, San Diego (UCSD). At the VA, he is the coordinator of the Center of Recovery Education. He is also the Training Director of the VA San Diego/UCSD Interprofessional Fellowship in Psychosocial Rehabilitation and Recovery Oriented Services. In these settings, Dr. Perivoliotis conducts individual and group cognitive-behavioral therapy for people with psychosis and co-occurring conditions, such as posttraumatic stress disorder, and provides supervision, training, and consultation to psychology, psychiatry, and social work trainees. He is a codeveloper of recovery-oriented cognitive therapy.

I. CT-R Model of Transformation and Empowerment
1. Introduction to Recovery-Oriented Cognitive Therapy
2. Mapping Recovery: Developing a Plan for Transformative Action
3. Accessing and Energizing the Adaptive Mode
4. Developing the Adaptive Mode: Aspirations
5. Actualizing the Adaptive Mode: Positive Action
6. Strengthening the Adaptive Mode
II. Empowerment for Common Challenges
7. Empowering When Negative Symptoms Are the Challenge
8. Empowering When Delusions Are the Challenge
9. Empowering When Hallucinations Are the Challenge
10. Empowering When Communication Is the Challenge
11. Empowering When Trauma, Self-Injury, Aggressive Behavior, or Substance Use Is the Challenge
III.CT-R Contexts
12. Individual CT-R for the Sole Provider
13. The CT-R Inpatient Service
14. CT-R Group Therapy
15. Families as Facilitators of Empowerment
Appendices
- A. CT-R Terminology
- B. Blank Recovery Map
- C. Recovery Map How-To Guide
- D. Suggestions for Activities to Access the Adaptive Mode
- E. Blank Activity Schedule
- F. Blank Chart for Breaking Aspirations into Steps
- G. Interventions for Individuals Experiencing Negative Symptoms
- H. CT-R Benchmarks