Treatment Plans and Interventions for Depression and Anxiety Disorders

739 Pages·2016·7.09 MB·English

by  Lata K. McGinn

PSYCHOLOGY
Treatment Plans and Interventions
for Depression and Anxiety Disorders
SECOND EDITION
Robert L. Leahy, Stephen J. F. Holland, and Lata K. McGinn
“ Written by highly experienced clinicians and scholars, this volume This widely used book is packed with indispensable tools
(together with the included CD-ROM) has filled a crucial need since for treating the most common clinical problems encoun-
its original publication. The second edition provides up-to-date, tered in outpatient mental health practice. Chapters pro-
hands-on recommendations and concrete guidelines for treating the vide basic information on depression and the six major anxiety
most common anxiety and mood disorders using well-supported disorders; step-by-step instructions for evidence-based assessment
cognitive and behavioral strategies.” —Stefan G. Hofmann, PhD, and intervention; illustrative case examples; and practical guid-
Department of Psychology, Boston University ance for writing reports and dealing with third-party payers. In
a convenient large-size format, the book features 74 reproducible
“ For clinicians at every level of experience, the book is chock full of client handouts, homework sheets, and therapist forms for assess-
techniques, charts, and tools for implementing cognitive and behav- ment and record keeping. The included CD-ROM enables clini-
ioral strategies, with plenty of case examples to illustrate the tech- cians to rapidly generate individualized treatment plans, print
niques. The authors provide fantastic guidance on how to address extra copies of the forms, and find information on frequently
common barriers in implementing cognitive-behavioral therapy prescribed medications.
(CBT).” —Sheri L. Johnson, PhD,
Department of Psychology, University of California, Berkeley New to This Edition
• The latest research on each disorder and its treatment.
“ This updated second edition incorporates the latest theory and • I nnovative techniques that draw on cognitive, behavioral, and
research. The authors present a wide array of tried and tested tech- mindfulness- and acceptance-based approaches.
niques and show when and how to use them. The book includes • Two chapters offering expanded descriptions of basic
detailed guidance on assessment and report writing and abundant behavioral and cognitive techniques.
material for direct use with clients. It should be part of every clini- • More than half of the 74 reproducibles are entirely new.
cian’s CBT toolkit.” —Adrian Wells, PhD,
Division of Clinical Psychology, University of Manchester, Photocopy Rights: The Publisher grants individual book purchasers
United Kingdom nonassignable permission to reproduce selected materials in this book
for professional use. For details and limitations, see copyright page.
“ A well-written, concise, yet scholarly and informative volume that
will be of great value to psychotherapy trainees and practitioners.
Also from Robert L. Leahy
The most important current information on cognitive-behavioral
techniques for depression and anxiety is clearly summarized. Avail- Visit www.guilford.com/s/leahy for related resources, includ-
able clinical tools are presented in a very practical and user-friendly ing the bestselling Cognitive Therapy Techniques and the
manner.” —James E. Mitchell, MD, new series Treatment Plans and Interventions for Evidence-
President, Neuropsychiatric Research Institute; Based Psychotherapy.
Christoferson Professor and Chair of Clinical Neuroscience,
University of North Dakota School of Medicine
Cover design by Paul Gordon; image by NaturaDesigns.com
and Health Sciences
“ What an excellent resource!...Essential reading for clinicians, this @ Sign up for exclusive offers! www.guilford.com/ealerts
book should be a required text for any CBT course at the master’s or
doctoral level.” —David Dia, PhD, LCSW,
College of Social Work, University of Tennessee
ISBN 978-1-60918-649-4
The Guilford Press
72 Spring Street
New York, NY 10012
www.guilford.com
9 781609 186494
Leahy mech.indd 1 10/3/11 2:22 PM
TreaTmenT Plans and InTervenTIons
for dePressIon and anxIeTy dIsorders
TreaTmenT Plans and InTervenTIons
for evIdence-Based PsychoTheraPy
Robert L. Leahy, Series Editor
This series provides psychotherapy practitioners with a wealth of practical tools for treating clients
with a range of presenting problems. Each volume synthesizes current information on a particular
disorder or clinical population; demonstrates how to develop specific, tailored treatment plans; and
describes interventions proven to reduce distress and alleviate symptoms. Step-by-step guidelines for
planning and implementing treatment are illustrated with rich case examples. User- friendly features
include reproducible self- report forms, handouts, and symptom checklists, all in a convenient large-
size format. Specific strategies for handling treatment roadblocks are also detailed. Emphasizing a
collaborative approach to treatment, books in this series enable therapists to offer their clients the
very best in evidence-based practice.
TrEaTmEnT PlanS and InTErvEnTIonS for dEPrESSIon
and anxIETy dISordErS, SEcond EdITIon
Robert L. Leahy, Stephen J. F. Holland, and Lata K. McGinn
TrEaTmEnT PlanS and InTErvEnTIonS for BUlImIa
and BIngE-EaTIng dISordEr
Rene D. Zweig and Robert L. Leahy
Treatment Plans
and Interventions
for depression and
anxiety disorders
Second edition
robert l. leahy
stephen J. f. holland
lata K. mcGinn
tHe GUiLFoRd PReSS
new York London
© 2012 by robert l. leahy, Stephen J. f. Holland, and lata K. mcginn
Published by The guilford Press
a division of guilford Publications, Inc.
72 Spring Street, new york, ny 10012
www.guilford.com
all rights reserved
Except as noted, no part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in
any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without
written permission from the publisher.
Printed in the United States of america
This book is printed on acid-free paper.
last digit is print number: 10 9 8 7 6 5 4 3 2 1
lImITEd dUPlIcaTIon lIcEnSE

These materials are intended for use only by qualified mental health professionals.

The publisher grants to individual purchasers of this book nonassignable permission to duplicate the forms in the
book and on the cd-rom for which permission is specifically granted in a footnote. This license is limited to
you, the individual purchaser, for personal use or use with individual clients. This license does not grant the right
to reproduce these materials for resale, redistribution, electronic display, or any other purposes (including but not
limited to books, pamphlets, articles, video- or audiotapes, blogs, file- sharing sites, Internet or intranet sites, and
handouts or slides for lectures, workshops, or webinars; whether or not a fee is charged). Permission to reproduce
these materials for these and any other purposes must be obtained in writing from the Permissions department of
guilford Publications.
The authors have checked with sources believed to be reliable in their efforts to provide information that is complete
and generally in accord with the standards of practice that are accepted at the time of publication. However, in
view of the possibility of human error or changes in behavioral, mental health, or medical sciences, neither the
authors, nor the editor and publisher, nor any other party who has been involved in the preparation or publication
of this work warrants that the information contained herein is in every respect accurate or complete, and they are
not responsible for any errors or omissions or the results obtained from the use of such information. readers are
encouraged to confirm the information contained in this book with other sources.
Library of Congress Cataloging-in- Publication Data
leahy, robert l.
Treatment plans and interventions for depression and anxiety disorders / robert l. leahy,
Stephen J. f. Holland, lata K. mcginn. — 2nd ed.
p. ; cm. — (Treatment plans and interventions for evidence-based psychotherapy)
Includes bibliographical references and index.
ISBn 978-1-60918-649-4 (pbk. : alk. paper)
I. Holland, Stephen J. II. mcginn, lata K. III. Title. Iv. Series: Treatment plans and interventions for
evidence-based psychotherapy.
[dnlm: 1. depressive disorder—therapy. 2. anxiety disorders—therapy. 3. cognitive Therapy.
Wm 171.5]
lc-classification not assigned
616.89´5—dc23
2011030418
For Helen
—R. L. L.
For Mia
—S. J. F. H.
To my husband, Tom, and my children, Ariana and Emma
—L. K. M.

about the authors
Robert L. Leahy, PhD, is director of the american Institute for cognitive Therapy in new
york city and clinical Professor of Psychology in the department of Psychiatry at Weill cornell
medical college. He is the author or editor of 19 books on cognitive therapy and psychological
processes, including the professional books Cognitive Therapy Techniques and Overcoming Resis-
tance in Cognitive Therapy and the popular books The Worry Cure and Beat the Blues Before They
Beat You. dr. leahy is Past President of the association for Behavioral and cognitive Thera-
pies, the International association for cognitive Psychotherapy, and the academy of cognitive
Therapy. He is a recipient of the aaron T. Beck award for Sustained and Enduring contribu-
tions to cognitive Therapy. He has given workshops worldwide and has appeared frequently in
the popular media.
Stephen J. F. Holland, PsyD, is director of the capital Institute for cognitive Therapy in
Washington, dc. He has served on the faculty of the doctoral psychology programs at columbia
University and the american School of applied and Professional Psychology. dr. Holland is a
founding fellow of the academy of cognitive Therapy, the author of articles and book chapters
on cognitive- behavioral and integrative psychotherapy, and a presenter at national conferences
and continuing education programs for professionals. He was named one of the top therapists in
the Washington, dc, area by Washingtonian magazine.
Lata K. McGinn, PhD, is associate Professor of Psychology, director of the doctoral clini-
cal Program, and director of the university-based cBT Program for anxiety and depression at
yeshiva University, ferkauf graduate School of Psychology, albert Einstein college of medicine.
She is the author or coauthor of numerous publications on anxiety and depressive disorders
and cognitive- behavioral therapy, including the book Treatment of Obsessive– Compulsive Disor-
der. In her research, dr. mcginn tests vulnerability models of anxiety and depression, and has
recently developed and is testing an intervention to prevent the development of pharmacologi-
cally induced depression. She is President of the International association for cognitive Psycho-
therapy, is on the boards of directors of the association for Behavioral and cognitive Therapies
and the academy of cognitive Therapy, is a founding fellow of the academy of cognitive
Therapy, and was appointed a Beck Scholar in recognition of her contributions to the field of
cognitive therapy. She is cofounder of a group practice in White Plains, new york; maintains a
private practice in new york city; and gives workshops and lectures worldwide.
vii

acknowledgments
Robert L. Leahy: There are many people over many years to whom I am deeply indebted. I
would like to thank Brad alford, david Barlow, aaron T. Beck, Judith S. Beck, david d. Burns,
david m. clark, david a. clark, robert derubeis, Paul gilbert, Steve gordon, Steve Hayes,
Stefan Hofmann, Steve Hollon, christopher martell, John riskind, Philip Tata, and adrian
Wells, whose work has immensely influenced my thinking and writing. I am grateful to my
colleagues over the years at the american Institute for cognitive Therapy in new york city—
especially laura oliff and dennis Tirch for their kindness and support. my wife, Helen, has
patiently endured my preoccupation with my writing—and many thanks go to her. Jim nageotte
of The guilford Press has been a wonderful editor. Poonam melwani has gone far beyond the call
of duty as editorial assistant. and I would like to thank my cat, danny, for allowing me to write
while he attempts to monopolize my attention.
Stephen J. F. Holland: Thanks, first, to Bob leahy for many years of friendship and collabora-
tion and to lata mcKinn for bringing her expertise and collaborative spirit to the second edition.
Thanks to Jim nageotte and Jane Keislar of The guilford Press for their support of and improve-
ments to the book. robert Hindman was my research assistant for the second edition. carol
Powell helped prepare and edit the manuscript. Thanks to the past and present clinical staff of
the capital Institute for cognitive Therapy. Their experience in applying these treatments is
reflected in the pages of this book. I have the good fortune of sharing office space and weekly
consultations with three of the wisest clinicians I know, matthew Knauer, christie Platt, and
richard Smith; thanks for your insights and support over many years. Thanks to my children
for constantly reminding me what life is about. and, most of all, thanks to my wife, mia, for her
unfailing support in everything I do, for understanding the importance of this project, and for
the joy she brings to my life.
Lata K. McGinn: I enjoyed collaborating with Bob leahy and Steve Holland, and I thank them
for their partnership on this book. at The guilford Press, I thank Senior Editor Jim nageotte
and Senior assistant Editor Jane Keislar for their insightful and thoughtful assistance on this
project, as well as Editorial Project manager anna Brackett and copyeditor marie Sprayberry
for extraordinary editorial support. I also want to thank my research assistants nora gouge,
ix