Mastery of Anxiety and Panic for Adolescents Riding the Wave, Therapist Guide PDF
Preview Mastery of Anxiety and Panic for Adolescents Riding the Wave, Therapist Guide
Mastery of Anxiety and Panic for Adolescents -- David H. Barlow, PhD Anne Marie Albano, PhD Gillian Butler, PhD David M. Clark, PhD Edna B. Foa, PhD Paul J. Frick, PhD Jack M. Gorman, MD Programs Kirk Heilbrun, PhD Robert J. McMahon, PhD Peter E. Nathan, PhD Christine Maguth Nezu, PhD Matthew K. Nock, PhD Paul Salkovskis, PhD Bonnie Spring, PhD Gail Steketee, PhD John R. Weisz, PhD G. Terence Wilson, PhD Mastery of Anxiety and Panic for Adolescents RIDING THE WAVE T h e r a p i s t G u i d e Donna B. Pincus • Jill T. Ehrenreich • Sara G. Mattis 1 1 Oxford University Press, Inc., publishes works that further Oxford University’s objective ofexcellence in research, scholarship, and education. Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With offices in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam Copyright © by Oxford University Press, Inc. Published by Oxford University Press, Inc. Madison Avenue, New York, New York www.oup.com Oxford is a registered trademark ofOxford University Press All rights reserved. No part ofthis publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission ofOxford University Press. Library ofCongress Cataloging-in-Publication Data Pincus, Donna. Mastery ofanxiety and panic for adolescents : riding the wave : therapist guide / Donna B. Pincus, Jill T. Ehrenreich, Sara G. Mattis. p. ; cm. — (TreatmentsThatWork) Includes bibliographical references. ISBN–––– . Panic disorders—Treatment. . Anxiety disorders—Treatment. . Cognitive therapy for teenagers. I. Ehrenreich, Jill T. II. Mattis, Sara Golden, - III. Title. IV. Series: Treatments that work. [DNLM: . Anxiety Disorders—therapy. . Panic Disorder—therapy. . Adolescent Psychology—methods. . Adolescent. . Cognitive Therapy. WM P] RC.P .(cid:1)—dc 3 Printed in the United States ofAmerica on acid-free paper About ProgramsThatWork™ Stunning developments in healthcare have taken place over the last sev- eral years, but many of our widely accepted interventions and strategies in mental health and behavioral medicine have been brought into ques- tion by research evidence as not only lacking benefit but perhaps induc- ing harm. Other strategies have been proven effective using the best cur- rent standards of evidence, resulting in broad-based recommendations to make these practices more available to the public. Several recent de- velopments are behind this revolution. First, we have arrived at a much deeper understanding of pathology, both psychological and physical, which has led to the development of new, more precisely targeted inter- ventions. Second, our increased understanding of developmental issues allows a finer matching of interventions to developmental levels. Third, our research methodologies have improved substantially, such that we have reduced threats to internal and external validity, making the out- comes more directly applicable to clinical situations. Fourth, govern- ments around the world and healthcare systems and policymakers have decided that the quality of care should improve, that it should be evi- dence-based, and that it is in the public’s interest to ensure that this hap- pens (Barlow, ; Institute of Medicine, ). Ofcourse, the major stumbling block for clinicians everywhere is the ac- cessibility of newly developed evidence-based psychological interven- tions. Workshops and books can go only so far in acquainting responsi- ble and conscientious practitioners with the latest behavioral healthcare practices and their applicability to individual patients. This new series, ProgramsThatWork™, is devoted to communicating these exciting new interventions to clinicians on the frontlines of practice. The manuals and workbooks in this series contain step-by-step detailed procedures for assessing and treating specific problems and diagnoses. But this series also goes beyond the books and manuals by providing an- cillary materials that will approximate the supervisory process in assisting practitioners in the implementation of these procedures in their practice. In our emerging healthcare system, the growing consensus is that evidence- based practice offers the most responsible course of action for the mental health professional. All behavioral healthcare clinicians deeply desire to provide the best possible care for their patients. In this series, our aim is to close the dissemination and information gap and make that possible. This therapist guide, and the companion workbook for patients, ad- dresses the treatment of panic disorder and agoraphobia in adolescents. The onset ofthe disorder often occurs in adolescence and, left untreated, panic symptoms can continue into adulthood. Adolescence is a time of significant developmental growth, and therefore the impact of the dis- order can be severe. Panic disorder and agoraphobia can interfere with school attendance, social functioning, and autonomous development. It has also been associated with higher rates of depression. This guide uses a cognitive-behavioral therapy (CBT) approach based on the well-established MAP treatment program for adults. It has been specifically developed and tested for use with adolescents ages –. Through psychoeducation, cognitive restructuring, and exposure tech- niques, adolescents learn about the nature ofanxiety and panic and how to face their fears. An optional parent component involves parents in each session; handouts provide them with tips for parenting their anx- ious teen. The guide also offers suggestions on adapting the material for younger patients and for intensive treatment. For therapists working with the adolescent population, this guide is a unique and valuable resource. It offers a proven and effective treatment that helps therapists work with adolescents to overcome their avoidance and deal with their panic. David H. Barlow, Editor-in-Chief, ProgramsThatWork™ Boston, Massachusetts vi References Barlow, D. H. (). Psychological treatments. American Psychologist, , –. Institute ofMedicine ().Crossing the quality chasm: A new health system for the st century. Washington, DC: National Academy Press. vii This page intentionally left blank Contents Chapter Introductory Information for Therapists Chapter Assessment Chapter Involving Parents Chapter Session : Introduction to Treatment and the Three Component Model Chapter Session : Physiology of Panic and Breathing Awareness Chapter Session : Cognitive Component of Anxiety: Probability Overestimation and Catastrophic Thinking Chapter Session : Cognitive Restructuring (Thinking Like a Detective) Chapter Session : Interoceptive Exposure (Not Letting How We Feel Scare Us) Chapter Session : Introduction to Situational Exposure Chapter Session : Safety Behaviors and Exposures Chapter Sessions –: Exposure Sessions Chapter Session : Relapse Prevention and Therapy Termination Chapter Adaptation Appendix A Panic Disorder Severity Scale for Adolescents (PDSS-A)
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