Presenting clear-cut strategies for working with traumatized patients who have multiple co-occurring disorders and life problems, this highly practical manual puts an array of proven cognitive-behavioral strategies at the clinician's fingertips. The authors illustrate the "whats," "whys," and "how-tos" of exposure, cognitive restructuring, and other effective techniques for treating posttraumatic stress disorder (PTSD), and show how to organize interventions within a systematic yet flexible case formulation. Throughout, detailed clinical material shows exactly what the process of therapy looks like and offers guidance for overcoming treatment hurdles. More than 20 reproducible clinical tools are included.
This title is part of the Guides to Individualized Evidence-Based Treatment Series, edited by Jacqueline B. Persons.
"This book will be an invaluable resource for all clinicians involved in the treatment of PTSD. It is compassionate, wide-ranging, and lucid, and demonstrates an admirable grasp of the complexities and realities of clinical practice."
-Cognitive Behavioral Therapy Book Reviews
"A tool that any psychotherapist working with a variety of populations can relate to, thus making the book immediately applicable to a wide range of treatment environments....This book manages to be a significant resource for clinicians of all levels....It is an excellent learning tool for clinicians or graduate students inexperienced with PTSD who may be preparing to tackle their first cases....Simultaneously, it is also an outstanding resource for the experienced clinician, particularly one who is currently being challenged by a PTSD patient who is not processing in therapy....It will be a conduit to improve the lives of many suffering from PTSD."
"The book is extremely well written....There is a balance of attention to objective research and clinical implications....Will be best used as either a teaching supplement in graduate programs or as an educational/clinical adjunct for seasoned therapists."
-Journal of Contemporary Psychotherapy
"Provides an excellent roadmap for the clinician. The authors outline the many options and choices that CBT practitioners face with patients with PTSD, and show how to deal with these within an individualized case formulation. Instructive clinical examples provide pragmatic, concrete guidance for navigating complex situations. The frequently asked questions on troubleshooting clinical roadblocks are immensely helpful. Zayfert and Becker's approach to CBT provides an excellent balance between structure and flexibility, making a real contribution to the dissemination of evidence-based treatments for PTSD. I would recommend this book to any colleague or student involved in treating those who have suffered psychological trauma and its consequences."
-Nicholas Tarrier, PhD, School of Psychological Sciences, University of Manchester, UK
"Finally, a CBT guide that gracefully bridges the gap between research-derived therapies and their real-world applications! In plain language, this book highlights the strength of CBT for organizing treatment that works for a lamentably common affliction, PTSD, even in patients with many problems. From literature review to case description, from session transcription to specific instruction, from assessment measures to troubleshooting, every means is exploited in the service of enabling competent care. In their clarity of clinical vision, and with evident commitment and compassion, the authors offer remedy for the concerns of the treater as well as the patient. Highly recommended."
-Elizabeth B. Simpson, MD, Dialectical Behavior Therapy Program, Massachusetts Mental Health Center, Jamaica Plain, Massachusetts
1. Cognitive-Behavioral Therapy for PTSD: Overview and Empirical Foundation
2. Cognitive-Behavioral Conceptualization of PTSD
3. Assessment, Case Conceptualization, and Treatment Planning
4. Embarking on Treatment: Clearing the Path for Success
6. Introducing Exposure Therapy
7. Imaginal Exposure
8. Cognitive Restructuring
9. Supplemental Tools
10. Putting It Together
About the Authors:
Claudia Zayfert, PhD, a clinical psychologist and an Associate Professor of Psychiatry at Dartmouth Medical School, has been involved in treatment, research, and training related to PTSD for over 15 years. She completed her doctoral degree at West Virginia University and was a Research Associate at the National Center for PTSD. She is Director of the Anxiety Disorders Service and the Posttraumatic Stress Disorder Treatment Program in the Department of Psychiatry at Dartmouth Hitchcock Medical Center. Dr. Zayfert's primary interests have been the treatment of PTSD with comorbid conditions. Her current research is focused on treatment of posttraumatic insomnia. Dr. Zayfert has published extensively and has presented at national and international conferences to promote the use of empirically supported treatments for anxiety disorders in clinical practice. She routinely provides training and consultation regarding cognitive-behavioral treatments for complicated PTSD.
Carolyn Black Becker, PhD, is an Associate Professor of Psychology at Trinity University, San Antonio. Trained at Rutgers University, Dr. Becker is a practicing clinical psychologist who specializes in the treatment of PTSD, anxiety disorders, and eating disorders. She has over 14 years of experience with cognitive-behavioral treatments for a variety of anxiety disorders, including PTSD. The primary focus of her teaching, research, and clinical work is the implementation of scientifically supported prevention and treatment interventions in clinical settings. In addition to numerous publications on these topics, Dr. Becker regularly presents at national and international conferences and provides training and consultation to clinicians.