Treatment Resistant Anxiety Disorders: Resolving Impasses to Symptom Remission

390 Pages·2009·2.44 MB·English

by  Deborah Sookman

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Library of Congress Cataloging‑in‑Publication Data
Treatment resistant anxiety disorders : resolving impasses to symptom remission
/ edited by Debbie Sookman, Robert L. Leahy.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-415-98891-9 (hardback : alk. paper)
1. Anxiety disorders--Treatment. 2. Cognitive therapy. I. Sookman, Debbie.
II. Leahy, Robert L.
[DNLM: 1. Anxiety Disorders--complications. 2. Anxiety Disorders--therapy.
3. Cognitive Therapy--methods. 4. Treatment Refusal. WM 172 T7849 2009]
RC531.T686 2009
616.85’2206--dc22 2009014786
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Dedication
To my parents Bella and Larry Sookman,
who would have read this book with pride,
and to Arthur Landa
for your love and encouragement.
D.S.
Again, for Helen
R.L.

Contents
Contributors ......................................................................................................ix
Introduction ......................................................................................................xi
Chapter 1 Metacognitive therapy: application
to generalized anxiety disorder ...............................................1
Adrian Wells
Chapter 2 Specialized cognitive behavior therapy for
treatment resistant obsessive compulsive disorder ...........31
Debbie Sookman and Gail Steketee
Chapter 3 Treatment for complex PTSD .................................................75
Christie Jackson, Kore Nissenson, and Marylene Cloitre
Chapter 4 Understanding and managing treatment-resistant
panic disorder: perspectives from the clinical
experience of several expert therapists ..............................105
Timothy J. Bruce and William C. Sanderson
Chapter 5 Emotional schemas in treatment-resistant anxiety .........135
Robert L. Leahy
Chapter 6 Augmenting exposure-based treatment
for anxiety disorders with principles and
skills from dialectical behavior therapy ............................161
Stacy Shaw Welch, Travis L. Osborne, and Jayde Pryzgoda
Chapter 7 Combining motivational interviewing and
cognitive–behavioral therapy to increase treatment
efficacy for generalized anxiety disorder ..........................199
Henny A. Westra and Hal Arkowitz
vii
viii Contents
Chapter 8 Using a compassionate mind to enhance the
effectiveness of cognitive therapy for individuals
who suffer from shame and self-criticism .........................233
Deborah A. Lee
Chapter 9 Suggestions from acceptance and commitment
therapy for dealing with treatment-resistant
obsessive–compulsive disorder ...........................................255
Michael P. Twohig, Jennifer C. Plumb,
Dahlia Mukherjee, and Steven C. Hayes
Chapter 10 Treating anxiety disorders in the
context of concurrent substance misuse .............................291
Sherry H. Stewart and Roisin M. O’Connor
Chapter 11 The pharmacotherapy of treatment-resistant
anxiety disorders in adults in the setting
of cognitive–behavioral therapy ..........................................323
Theodore T. Kolivakis, Howard C. Margolese,
and Simon Ducharme
Chapter 12 Conclusions ..............................................................................347
Robert L. Leahy
Index ................................................................................................................359
Contributors
Hal Arkowitz Robert L. Leahy
University of Arizona The American Institute for
Tucson, Arizona Cognitive Therapy
New York, New York
Timothy J. Bruce
University of Illinois College Deborah A. Lee
of Medicine Berkshire Traumatic Stress Service
Peoria, Illinois University College
London, United Kingdom
Marylene Cloitre
Howard C. Margolese
New York University School
McGill University Health Centre
of Medicine
Montreal, Quebec, Canada
New York, New York
Dahlia Mukherjee
Simon Ducharme
University of Nevada
McGill University Health Centre
Reno, Nevada
Montreal, Quebec, Canada
Kore Nissenson
Steven C. Hayes
Montefiore Medical Center
University of Nevada
Bronx, New York
Reno, Nevada
Roisin M. O’Connor
Christie Jackson Dalhousie University
New York University School Halifax, Nova Scotia, Canada
of Medicine
New York, New York Travis L. Osborne
Anxiety and Stress Reduction
Theodore T. Kolivakis Center of Seattle (ASRC) and
McGill University Health Centre University of Washington
Montreal, Quebec, Canada Seattle, Washington
ix