Table Of ContentCurrent Clinical Psychiatry
Series Editor: Jerrold F. Rosenbaum
Timothy J. Petersen
Susan E. Sprich
Sabine Wilhelm Editors
The Massachusetts
General Hospital
Handbook of
Cognitive Behavioral
Therapy
Current Clinical Psychiatry
Series editor
Jerrold F. Rosenbaum
For further volumes:
http://www.springer.com/series/7634
Timothy J. Petersen (cid:129) Susan E. Sprich
Sabine Wilhelm
Editors
The Massachusetts
General Hospital
Handbook of Cognitive
Behavioral Therapy
Editors
Timothy J. Petersen Susan E. Sprich
Department of Psychiatry Cognitive-Behavioral Therapy Program
Massachusetts General Hospital Massachusetts General Hospital
Boston , MA , USA Boston , MA , USA
Sabine Wilhelm
OCD and Related Disorders Program
Massachusetts General Hospital
Harvard Medical School
Boston , MA , USA
Current Clinical Psychiatry
ISBN 978-1-4939-2604-6 ISBN 978-1-4939-2605-3 (eBook)
DOI 10.1007/978-1-4939-2605-3
Library of Congress Control Number: 2015937621
Springer New York Heidelberg Dordrecht London
© Springer Science+Business Media New York 2016
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Foreword
While, at fi rst thought, we conceptualize our therapeutic efforts as working
with the patient/client to change thought, emotion, and behavior, in truth what
we must do is to change, literally, rewire, the brain, to accomplish these goals.
What is remarkable about our fi eld is that we now know that we can and do
accomplish this with the therapeutic tools that have been developed, and that
through learning and experience, effective treatment literally rewires the brain
and rebalances circuits that are responsible for how we think, feel, and behave.
It is incumbent on all behavioral health caregivers to learn these skills, to
acquire these tools, in order to be credentialed professionals privileged to care
for and to provide effective treatments for fellow humans who suffer.
T his volume that my remarkable colleagues have produced is unique in that
it brings together foremost clinical and research experts who all have active
clinical research programs based in an academic medical center, a place that is
often the court of last resort for the most challenging and complicated cases.
They have offered an accessible text, both in terms of its readability and in the
clarity of clinical guidance. Case examples are used in each chapter to illus-
trate how the described techniques can be applied to actual patients.
The format of this volume is also unique in the CBT book world as the
content spans basic skills/applications and more specialized applications and
topics. Our department has endeavored to make these expertises available to
all who seek to develop or enhance their clinical skills, and some readers may
wish to in addition pursue our online CBT portfolio of courses for which this
handbook will become the main “reading and resource” going forward. Our
ultimate mission is to create a community of learners who continue to develop
evidence-based practice skills and look to MGH as their education “pro-
vider.” We will always be grateful for your feedback and suggestions as we
pursue our mutual goal of reducing human suffering and impairment.
Jerrold F. Rosenbaum, M.D.
Massachusetts General Hospital/
Harvard Medical School
Boston, MA, USA
v
Contents
1 Introduction .................................................................................. 1
Timothy J. Petersen , Susan E. Sprich , and Sabine Wilhelm
2 Basic Principles and Practice of Cognitive
Behavioral Therapy ..................................................................... 5
Amanda W. Calkins , Jennifer M. Park , Sabine Wilhelm ,
and Susan E. Sprich
3 Cognitive Techniques ................................................................... 1 5
Lauren B. Fisher and Susan E. Sprich
4 Behavioral Strategies ................................................................... 33
Anne Chosak and Lee Baer
5 Cognitive Behavioral Therapy for Anxiety Disorders .............. 43
Kristen K. Ellard and Antonia Chronopoulos
6 Cognitive Behavioral Therapy for Depression .......................... 63
Maren B. Nyer , Lauren B. Fisher , and Amy Farabaugh
7 Cognitive Behavioral Therapy for Bipolar Disorder ................ 87
Thilo Deckersbach , Lori Eisner , and Louisa Sylvia
8 Cognitive Behavioral Therapy for Obsessive–Compulsive
Disorder: Theory, Assessment, and Treatment ......................... 105
Noah Chase Berman , Corinna M. Elliott , and Sabine Wilhelm
9 Cognitive Behavioral Treatment for Trichotillomania
(Hair-Pulling Disorder) and Excoriation
(Skin- Picking) Disorder ............................................................... 117
Nancy J. Keuthen and Aisha Usmani
10 Behavior Therapy for Tourette Syndrome
and Chronic Tic Disorder ............................................................ 131
Hannah E. Reese and Aisha Usmani
11 Cognitive Behavioral Therapy for Body
Dysmorphic Disorder ................................................................... 1 41
Jennifer L. Greenberg , Aaron J. Blashill , Jennifer Ragan ,
and Angela Fang
vii
viii Contents
12 Transdiagnostic Cognitive Behavioral Therapy
for Eating Disorders..................................................................... 155
Emily K. Gray and Jennifer J. Thomas
13 Cognitive Behavioral Therapy for Adult Attention-Defi cit
Hyperactivity Disorder ................................................................ 171
Susan E. Sprich and Steven A. Safren
14 Cognitive Behavioral Approaches for Schizophrenia
and Other Psychotic Disorders ................................................... 183
Peter H. Marcus and Corinne Cather
15 Cognitive Behavioral Approaches
for Substance Use Disorders ....................................................... 197
Julie D. Yeterian , Allison K. Labbe , and John F. Kelly
16 Cognitive Behavioral Therapy for Posttraumatic
Stress Disorder ............................................................................. 211
Elizabeth M. Goetter and Luana Marques
17 Treatment of Borderline Personality Disorder ......................... 227
Rebecca Harley , Lori Eisner , Ellen Prairie ,
and Michelle Jacobo
18 Behavioral Medicine Strategies in Outpatient
Psychiatric Settings ...................................................................... 243
Ana-Maria Vranceanu , Janna R. Gordon , Mark J. Gorman ,
and Steven A. Safren
19 Cognitive Behavioral Therapy with Children
and Adolescents ............................................................................ 259
Aude Henin , Jamie A. Micco , Melissa Schoeller ,
Alexandra Boudreaux , and Dina Hirshfeld-Becker
20 Cognitive Behavioral Couple Therapy for the Treatment
of Relationship Distress ............................................................... 277
Steffany J. Fredman , Philippe Shnaider , Kimberly Z. Pentel ,
and Candice M. Monson
21 Evaluating Strategies for Combining Pharmacotherapy
with Cognitive Behavioral Therapy ........................................... 289
Meredith E. Charney , Amanda W. Calkins ,
Lauren S. Hallion , and Naomi M. Simon
22 Cognitive Behavioral Therapies for Chronic Depression ......... 301
John D. Matthews and James Doorley
Index ...................................................................................................... 319
Contributors
Lee Baer , Ph.D. Department of Psychiatry , Massachusetts General Hospital ,
Boston , MA , USA
Noah Chase Berman , Ph.D. Department of Psychiatry, OCD and Related
Disorders Program , Massachusetts General Hospital and Harvard Medical
School , Boston , MA , USA
Aaron J. Blashill , Ph.D. Department of Psychiatry , The Massachusetts
General Hospital , Boston , MA , USA
Alexandra Boudreaux , B.A. C hild Cognitive Behavioral Therapy Program,
Department of Psychiatry , Massachusetts General Hospital , Boston , MA , USA
Amanda W. Calkins , Ph.D. Department of Psychiatry , Massachusetts
General Hospital, Harvard Medical School , Boston , MA , USA
Corinne Cather , Ph.D. Department of Psychiatry , Massachusetts General
Hospital , B oston , MA , USA
Meredith E. Charney , Ph.D. Department of Psychiatry , Massachusetts
General Hospital , Boston , MA , USA
Anne Chosak , Ph.D. Obsessive Compulsive Disorders Unit , Massachusetts
General Hospital , Boston , MA , USA
Antonia Chronopoulos , Ph.D. Department of Psychiatry , Massachusetts
General Hospital , Boston , MA , USA
Thilo Deckersbach , Ph.D. B ipolar Clinic and Research Program,
Department of Psychiatry , Massachusetts General Hospital , Boston , MA , USA
James Doorley , B.A. Department of Psychology , George Mason University ,
Fairfax , VA , USA
Lori Eisner , Ph.D. Department of Psychiatry , Massachusetts General
Hospital , B oston , MA , USA
Kristen K. Ellard , Ph.D. Bipolar Clinic and Research Program, Department
of Psychiatry, M assachusetts General Hospital/Harvard Medical School,
Boston , MA , USA
ix
