Avoiding Treatment Failures in the Anxiety Disorders PDF
Preview Avoiding Treatment Failures in the Anxiety Disorders
Series in Anxiety and Related Disorders SeriesEditor MartinM.Antony Professor,DepartmentofPsychology RyersonUniversity,Toronto,Ontario,Canada Forfurthervolumes: http://www.springer.com/series/6926 · Michael W. Otto Stefan G. Hofmann Editors Avoiding Treatment Failures in the Anxiety Disorders 123 Editors MichaelW.Otto StefanG.Hofmann DepartmentofPsychology DepartmentofPsychology BostonUniversity BostonUniversity 648BeaconSt. 648BeaconSt. Boston,MA02215 Boston,MA02215 USA USA [email protected] [email protected] ISBN978-1-4419-0611-3 e-ISBN978-1-4419-0612-0 DOI10.1007/978-1-4419-0612-0 SpringerNewYorkDordrechtHeidelbergLondon LibraryofCongressControlNumber:2009938520 ©SpringerScience+BusinessMedia,LLC2010 Allrightsreserved.Thisworkmaynotbetranslatedorcopiedinwholeorinpartwithoutthewritten permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY10013,USA),exceptforbriefexcerptsinconnectionwithreviewsorscholarlyanalysis.Usein connectionwithanyformofinformationstorageandretrieval,electronicadaptation,computersoftware, orbysimilarordissimilarmethodologynowknownorhereafterdevelopedisforbidden. Theuseinthispublicationoftradenames,trademarks,servicemarks,andsimilarterms,eveniftheyare notidentifiedassuch,isnottobetakenasanexpressionofopinionastowhetherornottheyaresubject toproprietaryrights. Printedonacid-freepaper SpringerispartofSpringerScience+BusinessMedia(www.springer.com) MWO:Tomyson,Jackson,forbeingwhoyouare. SGH:ToLukas,Benjamin,andRosemary,for makingiteasytoresolvelife’scomplications. Preface Overthelasttwodecades,thefieldhaswitnesseddramaticadvancesintheconcep- tualization and treatment of anxiety disorders. Conditions, such as panic disorder, that were once considered the domain of pharmacotherapy have now been shown toberesponsivetoevenultrabrieftreatmentprotocolsofcognitive-behavioralther- apy(CBT).Indeed,thesuccessofCBTacrosstheanxietydisorders,andacrossthe diverse patients afflicted by these conditions, inspires confidence in both the prin- ciplesofCBTandthemodelsofthedisordersonwhichtheyarebased.Yet,inthe faceoftheseclearadvances,andthestatusofCBTasafirst-lineinterventionforall oftheanxietydisorders,clinicianscontinuetobechallengedbythepersistenceof limitedorpoortreatmentresponseamongsomepatients.Thisvolumeisdevotedto addressingthesechallenges. Authors of the chapters herein were responsible for integrating the latest in empirical research on the nature and treatment of anxiety disorders with lessons learned from actively working with patients in specialty clinic settings. The result isascholarlybased,yetclinicallyapplicable,discussionofissuesoftreatmentnon- response and the strategies used to address these clinical challenges. Interventions thatdefineempiricallysupportedCBTforanxietydisordersaredescribedindetail and are complemented by novel clinical strategies and the variations in treatment deliverythatexpertclinicianshaveappliedwithsuccess.Accordingly,thisvolume isdesignedtobeofusetocliniciansseekingtounderstandmoreabouthowCBTis appliedintheclinicaswellasexperiencedcliniciansseekingtofindnewstrategies toapplywhenstandardinterventionsfail.Thisvolumeisalsodesignedtoprovidea state-of-the-artaccountofwhatisknownandisnotknownaboutpsychosocialtreat- mentoutcomefortheanxietydisorders,therebyprovidingclinicalresearcherswith thelatestevidenceonprinciplesoftreatment,coreinterventionstrategies,predictors ofnonresponse,andcompensatoryornovelinterventions.Byidentifyingtreatment complications and discussing strategies for resolving them, it is our hope that this textwillcontributetothefurtheradvancementofCBTforanxietydisorders. Boston,Massachusetts MichaelW.Otto StefanG.Hofmann vii Contents PartI GeneralAspectsofTreatmentComplications Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 StefanG.HofmannandMichaelW.Otto ACaseFormulationApproachtoResolveTreatmentComplications . . 7 BethanyA.TeachmanandEliseM.Clerkin Helping Exposure Succeed: Learning Theory Perspectives onTreatmentResistanceandRelapse . . . . . . . . . . . . . . . . . . . 31 MarkB.Powers,BramVervliet,JasperA.J.Smits, andMichaelW.Otto TherapeuticAllianceandCommonFactorsinTreatment . . . . . . . . 51 DaniellaM.Halperin,MearaL.Weitzman,andMichaelW.Otto CombinedCognitiveBehavioralandPharmacologicTreatment Strategies:CurrentStatusandFutureDirections . . . . . . . . . . . . . 67 JasperA.J.Smits,HannahE.Reese,MarkB.Powers,andMichaelW.Otto CulturalConsiderationsandTreatmentComplications . . . . . . . . . 83 StuartJ.Spendlove,CarolynT.Jackson,andJoaquinP.Borrego,Jr. PartII AvoidingTreatmentFailures:Disorder-SpecificPerspectives AvoidingTreatmentFailuresinPanicDisorder . . . . . . . . . . . . . . 103 HeatherW.Murray,R.KathrynMcHugh,andMichaelW.Otto AvoidingTreatmentFailuresinObsessiveCompulsiveDisorder. . . . . 125 LuanaMarques,AnneChosak,Dieu-MyPhan,JeanneFama, ShanaFranklin,andSabineWilhelm AvoidingTreatmentFailuresinPTSD . . . . . . . . . . . . . . . . . . . 147 ClaudiaZayfertandJasonC.DeViva AvoidingTreatmentFailuresinSocialAnxietyDisorder . . . . . . . . . 169 StefanG.Hofmann,J.AnthonyRichey,AnuAsnaani, andAliceT.Sawyer ix x Contents AvoidingTreatmentFailuresinGeneralizedAnxietyDisorder . . . . . 185 EvelynBeharandT.D.Borkovec AvoidingTreatmentFailuresinSpecificPhobias . . . . . . . . . . . . . 209 GeorgW.Alpers PartIII TreatmentComplicationsinSpecialPopulations ResolvingTreatmentComplicationsAssociatedwithComorbid Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231 ChristenM.DeveneyandMichaelW.Otto Resolving Treatment Complications Associated with the PresenceofComorbidPersonalityDisorders . . . . . . . . . . . . . . . 251 MatthewK.Nock,TaraL.Deliberto,andMichaelHollander ResolvingTreatmentComplicationsAssociatedwithComorbid AnxietyandSubstanceUseDisorders . . . . . . . . . . . . . . . . . . . 271 ElizabethK.Reynolds,MatthewT.Tull,IditShalev,andC.W.Lejuez ResolvingTreatmentComplicationsAssociatedwithComorbid EatingDisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291 CarolynBlackBecker,ClaudiaZayfert,andElizabethM.Pratt ResolvingTreatmentComplicationsAssociatedwithComorbid MedicalConditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317 JosephGreer,JessicaGraham,andStevenSafren ResolvingTreatmentComplicationsinChildrenandAdolescents . . . . 347 JamieA.MiccoandJillT.Ehrenreich Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 371 Contributors GeorgW.Alpers DepartmentofPsychology,UniversityofWürzburg,Germany; DepartmentofPsychology,UniversityofEichstätt,Eichstätt,Germany J.AnthonyRichey DepartmentofPsychology,BostonUniversity,Boston,MA, USA AnuAsnaani DepartmentofPsychology,BostonUniversity,Boston,MA,USA CarolynBlackBecker TrinityUniversity,SanAntonio,TX,USA EvelynBehar UniversityofIllinois,Chicago,IL,USA T.D.Borkovec PennStateUniversity,UniversityPark,IL,USA JoaquinP.Borrego TexasTechUniversity,Lubbock,TX,USA AnneChosak DepartmentofPsychiatry,MassachusettsGeneralHospitaland HarvardMedicalSchool,Boston,MA,USA EliseM.Clerkin DepartmentofPsychology,UniversityofVirginia, Charlottesville,VA,USA TaraL.Deliberto HarvardUniversity,Cambridge,MA,USA ChristenM.Deveney DepartmentofPsychology,BostonUniversity,Boston, MA,USA JasonC.DeViva VeteransAffairsConnecticutHealthCareSystem,Newington, CT,USA JillT.Ehrenreich DepartmentofPsychology,UniversityofMiami,CoralGables, FL,USA JeanneFama MassachusettsGeneralHospitalandInstructoratHarvardMedical School,Boston,MA,USA ShanaFranklin OCDandRelatedDisordersClinic,MassachusettsGeneral HospitalandHarvardMedicalSchool,Boston,MA,USA xi xii Contributors JessicaGraham DepartmentofPsychology,UniversityofMassachusetts,Boston, MA,USA JosephGreer DepartmentofPsychology,BronfmanScienceCenter,Williams College,Williamstown,MA,USA DaniellaM.Halperin DepartmentofPsychology,BostonUniversity,Boston, MA,USA StefanG.Hofmann DepartmentofPsychology,BostonUniversity,Boston,MA, USA MichaelHollander TwoBrattleCenter,Cambridge,MA,USA CarolynT.Jackson TexasTechUniversity,Lubbock,TX,USA C.W.Lejuez CenterforAddictions,Personality,andEmotionResearch, DepartmentofPsychology,UniversityofMaryland,CollegePark,MD,USA LuanaMarques DepartmentofPsychiatry,MassachusettsGeneralHospitaland HarvardMedicalSchool,Boston,MA,USA R.KathrynMcHugh DepartmentofPsychology,BostonUniversity,Boston, MA,USA JamieA.Micco MassachusettsGeneralHospitalandHarvardMedicalSchool, Cambridge,MA,USA HeatherW.Murray DepartmentofPsychology,BostonUniversity,Boston,MA, USA MatthewK.Nock HarvardUniversity,Cambridge,MA,USA MichaelW.Otto DepartmentofPsychology,BostonUniversity,Boston,MA, USA Dieu-MyPhan BodyDysmorphicDisorderClinic,MassachusettsGeneral HospitalandHarvardMedicalSchool,Boston,MA,USA MarkB.Powers UniversityofAmsterdam,Amsterdam,TheNetherlands ElizabethM.Pratt DepartmentofPsychology,BostonUniversity,Boston,MA, USA HannahE.Reese HarvardUniversity,Cambridge,MA,USA ElizabethK.Reynolds CenterforAddictions,Personality,andEmotion Research,DepartmentofPsychology,UniversityofMaryland,CollegePark,MD, USA StevenSafren ABPP,HarvardMedicalSchool;BehavioralMedicine,Department ofPsychiatry,MassachusettsGeneralHospital,Boston,MA,USA AliceT.Sawyer DepartmentofPsychology,BostonUniversity,Boston,MA,USA
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