Disorders of anxiety and substance use are, for some reason, rarely treated in an integrated fashion by professionals. This timely volume addresses this glaring omission with dispatches from the frontlines of research and treatment. Thirty-four international experts offer findings, theories, and intervention strategies for this common form of dual disorder, across a range of substances and of anxiety disorders, to give the reader comprehensive knowledge in a practical format.
Tips and techniques for managing a prevalent co-existing condition. Anxiety and depression are two of the most common complaints in therapy, and its not unusual for clients to suffer from both simultaneously. But spotting the co-occurrence is not easy. When one symptom picture dominates, diagnosis and treatment are pretty straightforward. But consider how fuzzy the clinical picture can become: Depression can rob an anxious client of the energy needed to control her symptoms; acute anxiety can make anyone depressed and exhausted; and what happens when anxiety masquerades as depression, or vice versa? What are the signs that this is happening? It’s hard enough to treat these two disorders when they exist on their own, and it gets even harder when they present together. In her customary practical style and conversational tone, Margaret Wehrenberg unravels the complexity of this common comorbidity, teaching therapists exactly how to tackle it. Beginning with “Where to Start?”, she walks readers through a variety of common tricks for distinguishing between anxiety and depression, and provides an assessment plan for determining which set of symptoms the client is most ready to work on. The book goes on to highlight seven common types of comorbid clients, who can be arrayed on a spectrum, from the “low energy” (depressed) on one end to the “high anxiety” (anxious) on the other, and everything in between, including the “hopeless ruminator,” the “quiet avoider,” and the “high-energy anxious and depressed” client. By organizing the book around these typical client profiles, readers are given a more realistic picture of what comorbid anxiety and depression look like and how to best help their clients. Wondering where depression ends and anxiety begins, or vice versa, and how you can most effectively help your clients when they’re struggling with both? The key clinical strategies offered in this book provide a practical roadmap forward, helping therapists and their clients to better understand the symptom picture, manage its effects, and heal.
A much-anticipated companion to the popular book on how to understand, manage, and conquer your stress. Brimming with exercises, worksheets, tips, and tools, this how-to workbook is the much-anticipated companion to Wehrenberg’s popular The 10 Best-Ever Anxiety Management Techniques. Expanding on those top 10 anxiety-busting techniques, the workbook demonstrates exactly how to put them to work to understand, manage, and conquer your stress. From panic disorders, generalized anxiety, and social anxiety, to everyday worry and stress, manifestations of anxiety are among the most common and pervasive mental health complaints. Whether you suffer from sweaty palms during a work presentation, persistent rumination, or even agoraphobia, anxiety can be debilitating. But thanks to a flood of supporting brain research, effective, practical strategies have emerged that allow us to manage day-to-day anxiety on our own. In this workbook, Wehrenberg walks us through a valuable collection of them, showing just how physical, emotional, and behavioral symptoms can be alleviated with targeted training. Step-by-step exercises on developing and implementing counter-cognitions, mindfulness meditation, thought-stopping and thought-replacement, “breathing minutes,” demand delays, cued relaxation, affirmations, and much more are presented—all guaranteed to soothe your anxious thoughts. The accompanying audio CD features an array of calming, author-guided exercises including targeted breath work, muscle relaxation, mindfulness, and much more. Praise for Margaret Wehrenberg's books: "[A] thoughtful book that provides immediate help for people suffering from depression. I highly recommend it.” —Daniel G. Amen, MD, Author of Change Your Brain, Change Your Life "[O]ffers the key to unlocking the complex biochemistry of your brain, and reversing you anxiety-inducing habits. Dr. Wehrenberg has done the work to create the right learning environment and organize the needed tools. Follow her lead and your body and mind will thank you with the peace and quiet you deserve.” —Reid Wilson, PhD, Author of Don't Panic: Taking Control of Anxiety Attacks “[A] well-researched book with clearly-written brain science for the non-scientist. Its life-changing, self-motivating techniques, many of which can be practiced outside the treatment room, will benefit anyone who suffers from depression and everyone who treats them. The appendix of practices alone is worth the price!” —Amy Weintraub, Author of Yoga Skills for Therapists and Yoga for Depression “In steps that are both clear and scaled for easily attainable victories, Wehrenberg extends a hand to those with the recourse of clinical therapy.” —Booklist “Any practitioner who works with anxious clients will want to have this comprehensive book.” —The Psychologist
Unified Protocol for Transdiagnostic Treatment of Emotional Disorders provides an alternative to disorder-specific treatments of various emotional disorders, designed to be applicable to the wide range of anxiety and other disorders with strong emotional components.
A strategy-filled handbook to understand, manage, and conquer your depression, modeled after its best-selling counterpart on anxiety. Why is depression one of the most pervasive of all mental health complaints? What makes the lethargy, mental rumination, loss of concentration, unassuageable negativity, and feelings of inadequacy so stubbornly resistant to treatment and so hard to shake off? What can you do to alleviate your symptoms and move in the direction of full recovery? In order to answer these questions, Margaret Wehrenberg explains, you must first understand your brain. Drawing on cutting-edge neuroscience research presented in a reader-friendly way, Wehrenberg skillfully describes what happens in the brain of a depression sufferer and what specific techniques can be used to alter brain activity and control its range of disabling symptoms. Containing practical, take-charge tips from a seasoned clinician, this book presents the ten most effective strategies for moving from lethargy into action, taking charge of your brain, and breaking free from depression to find hope and happiness.
"_This widely used book is packed with indispensable tools for treating the most common clinical problems encountered in outpatient mental health practice. Chapters provide basic information on depression and the six major anxiety disorders; step-by-stepinstructions for evidence-based assessment and intervention; illustrative case examples; and practical guidance for writing reports and dealing with third-party payers. In a convenient large-size format, the book features 125 reproducible client handouts, homework sheets, and therapist forms for assessment and record keeping. The included CD-ROM enables clinicians to rapidly generate individualized treatment plans, print extra copies of the forms, and find information on frequently prescribed medications._New to This Edition*The latest research on each disorder and its treatment.*Innovative techniques that draw on cognitive, behavioral, mindfulness, and acceptance-based approaches.*Two chapters offering expanded descriptions of basic behavioral and cognitive techniques.*47 of the 125 reproducibles are entirely new. __"--Provided by publisher.
In recent years, there has been a growing awareness of the multiple interrelationships between depression and various physical diseases. The WPA is providing an update of currently available evidence on these interrelationships by the publication of three books, dealing with the comorbidity of depression with diabetes, heart disease and cancer. Depression is a frequent and serious comorbid condition in diabetes, which adversely affects quality of life and the long-term prognosis. Co-occurrent depression presents peculiar clinical challenges, making both conditions harder to manage. Depression and Diabetes is the first book devoted to the interaction between these common disorders. World leaders in diabetes, depression and public health synthesize current evidence, including some previously unpublished data, in a concise, easy-to-read format. They provide an overview of the epidemiology, pathogenesis, medical costs, management, and public health and cultural implications of the comorbidity between depression and diabetes. The book describes how the negative consequences of depression in diabetes could be avoided, given that effective depression treatments for diabetic patients are available. Its practical approach makes the book ideal for all those involved in the management of these patients: psychiatrists, psychologists, diabetologists, general practitioners, diabetes specialist nurses and mental health nurses.
Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration. A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families. The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.
Depression is frequently associated with other psychiatric disorders and is often related to chronic health problems. Depressive symptoms are also common in chronically distressed close relationships and severe interpersonal difficulties in families and at work. The topic of depressive comorbidity is clearly very important, and while recent research in this area has been methodologically sophisticated, well presented, and inherently interesting, there has not been a comprehensive, academic resource that covers recent developments in this area. The Oxford Handbook of Depression and Comorbidity brings together scholarly contributions from world-class researchers to present a careful and empirically based review of depressive comorbidity. Cutting-edge chapters address theory, research, and practice, while capturing the diversity, evidence-base, and importance of depressive comorbidity. Specific topics include the comorbidity between depression and PTSD, alcohol use, and eating, anxiety, panic, bipolar, personality, and sleep disorders, as well as schizophrenia, suicide, cardiovascular disease, cancer, pain, obesity, intimate relationships, and many more. The Oxford Handbook of Depression and Comorbidity is a unique and much-needed resource that will be helpful to a broad range of researchers and practitioners including clinical and counseling psychologists, psychiatrists, marital and family therapists, social workers, and counselors working in mental-health and general health-care settings, as well as students in these areas.
This manual presents the first empirically studied, integrative treatment approach developed specifically for co-occurring PTSD and substance abuse. For persons with this prevalent and difficult-to-treat dual diagnosis, the most urgent clinical need is to establish safety--to work toward discontinuing substance use, letting go of dangerous relationships, and gaining control over such extreme symptoms as dissociation and self-harm. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. Each topic provides highly practical tools and techniques to engage patients in treatment; teach "safe coping skills" that apply to both disorders; and restore ideals that have been lost, including respect, care, protection, and healing. Structured yet flexible, topics can be conducted in any order and in a range of different formats and settings. The volume is designed for maximum ease of use with a large-size format and helpful reproducible therapist sheets and handouts, which purchasers can also download and print at the companion webpage. See also the author's self-help guide Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both, an ideal client recommendation.
