Cognitive Behavioral Group Therapy - Challenges and Opportunities

With coverage of the latest theory and research, this is a complete guide to implementing cognitive behavioral group therapy for practitioners and trainees in a range of mental health disciplines.* Presents evidence-based protocols for depression, panic, social anxiety, generalized anxiety, posttraumatic stress, OCD, compulsive hoarding, psychosis, and addiction* Provides innovative solutions for achieving efficient, effective therapy as mandated by emerging health care priorities, as well as trouble-shoots for common problems such as dropouts* Details unique strategies for working with ethnic minorities and clients across the age spectrum, along with material on mindfulness augmentation and transdiagnostic approaches* Includes clear, accessible instructions, complete with references to DSM-5 diagnostic changes, real-life clinical examples, and group session transcripts

List of contents

About the Author xvAcknowledgments xviIntroduction: The Depth and Breadth of Cognitive Behavior Group Therapy 1Part 1 The Basics of Cognitive Behavioral Group Therapy 51 Extending CBT to Groups 7Why CBT Is Increasingly Used for Common Mental Health Problems 7Principles of CBT 9Cost-Effectiveness of CBT 11Transporting Individual CBT to a Group Setting 12Adapting CBT to CBGT: panic disorder illustration 13Managing the group process across CBGT 15Unique Benefits of the Group Format 17How to Start a CBT Group 19Setting up the group room 20The first session 20Absences and being late 22Confidentiality and socializing outside the group 22Member introductions 23Expectations for CBGT commitment 24Note-taking by CBGT therapists 24Subsequent sessions 25Summary 25Notes 26Recommended Readings for Clinicians 26References 262 Working with Process and Content 29Process and Content in Group Therapy 30Group Process in Theory 31Group Process in Practice: Obsessive-Compulsive Disorder Illustration 32Instillation of hope 32Universality 34Imitative behavior and peer modeling 34Imparting of information 35Altruism 35Group cohesiveness 36Existential factors 37Catharsis 37Interpersonal learning and new ways of socializing 38Experiencing the group as similar to one's family of origin 39Group process research and CBGT application 40Scott's General Group Therapeutic Skills Rating Scale 41Summary 42Note 42Recommended Readings for Clinicians 42References 423 Effectiveness of CBGT Compared to Individual CBT: Research Review 44Depression 46Social Anxiety Disorder (SAD) 47Obsessive-Compulsive Disorder (OCD) 49Generalized Anxiety Disorder (GAD) 50Panic Disorder 50Posttraumatic Stress Disorder (PTSD) 51Addictions 52Psychosis 52Hoarding 52Language and Culture 53What to Take Away from the Research Findings 53Summary 54References 544 CBGT for Depression: Psychoeducation and Behavioral Interventions 59The Diagnoses of Depression 60Treatment Protocols Informed by Beck's Cognitive Model of Depression 61An Example of a CBGT Depression Protocol 63Psychoeducation 63Behavioral Interventions 66Focus on Emotions in Preparation for the Thought Records 70Capitalizing on the Group in CBGT for Depression 71Summary 72Notes 72Recommended Readings for Clinicians 72References 725 CBGT for Depression: Cognitive Interventions and Relapse Prevention 74The Thought Record in a Group 76Other Cognitive Interventions 81Testing assumptions 82Testing core beliefs 83Behavioral experiments 84CBGT Psychodrama 85Relapse Prevention 86Mindfulness-Based Cognitive Therapy (MBCT) 87Summary 90Note 90Recommended Readings for Clinicians 90References 91Part 2 Challenges of Cognitive Behavioral Group Therapy 936 How to "Sell" CBGT, Prevent Dropouts, and Evaluate Outcomes 95Drawing People into CBGT 95Preparing Clients for CBGT 96Individual pregroup orientation 98Group pregroup orientation 99Rapid access group orientation 99Preventing Dropouts 100Expectations for CBGT 101Client Characteristics Impacting CBGT 103Chronic pain 103Gender 104Evaluating CBGT Outcomes 106The benefits of outcome measures 106The CORE-R outcome battery 108Summary 110Note 110Recommended Reading and Viewing for Clinicians 111References 1117 Transdiagnostic and Other Heterogeneous Groups 115Why Consider Transdiagnostic Groups? 116What Do Transdiagnostic CBGT Protocols Include? 118Mixing anxiety with depression in the same group 118Mixing different anxiety disorders in the same group 120CBGT for Social Anxiety and Panic Disorder 122The diagnosis of social anxiety disorder 122Why groups can be challenging for people with social anxiety 123Why a transdiagnostic group is attractive for people with social anxiety 123Key features of a mixed social anxiety and panic group 124In-session social anxiety exposures 126CBGT for Different Types of Trauma 127The diagnosis of posttraumatic stress disorder (PTSD) 127From homogeneous to heterogeneous trauma groups 128Self-care skills as a prerequisite 128Cognitive processing therapy (CPT) in heterogeneous CBGT for trauma 130The role of exposure in CBGT for trauma 132Capitalizing on the group in heterogeneous CBGT for trauma 133Summary 134Notes 134Recommended Readings for Clinicians 134References 1358 Augmenting CBGT with Other Therapy Approaches 138Integrating CBGT and Mindfulness: Generalized Anxiety Disorder (GAD) 139The diagnosis of generalized anxiety disorder 139CBGT for GAD 139Intolerance of uncertainty 140Problem solving 141Imaginary exposure 143GAD and mindfulness 144Integrating mindfulness into CBGT 145CBGT and Interpersonal Therapy: Perinatal Depression 146Integrating interpersonal therapy (IPT) into CBGT 148What exactly is IPT? 148Research support for IPT and CBT in treating perinatal depression 150Example of combined IPT and CBGT for perinatal depression 151Summary 153Notes 153Recommended Readings for Clinicians 154References 1549 How to Fine-Tune CBGT Interventions 156Why Exposure Hierarchies are Important 156How to develop exposure hierarchies in the group 159How to Support Homework Completion 162How to Plan for Termination 165Becoming one's own therapist 166Formal and informal booster sessions 167How to Handle the Last CBGT Session 168Summary 169References 16910 Who Is Qualified to Offer CBGT? 170Standards for Training and Qualifications 170How to Become a CBGT Therapist 172Qualifications of the competent CBGT therapist 172Declarative knowledge about core CBT competencies 173Implementing declarative knowledge into real groups 174Ongoing observational learning and supervision 175Equal Cofacilitation 178Students in CBGT Training 179How to Stay Competent as a CBGT Therapist 180Summary 181Recommended Resources for Clinicians 181References 182Part 3 Cognitive Behavioral Group Therapy Across Ages and Populations 18311 Later Life Depression and Anxiety 185Depression and Anxiety in the Elderly 185Psychotherapy for the Elderly 186Group therapy 187CBGT for the elderly 188CBGT Protocol for the Elderly 188Psychoeducation in CBGT for the elderly 189Goal setting in CBGT for the elderly 190Challenging unhelpful thinking in CBGT for the elderly 191Capitalizing on the Group for the Elderly 192Common Challenges in Later Life CBGT 194Summary 196Note 196Recommended Readings for Clinicians 196References 19712 Youth with Anxiety and Depression 199Anxiety and Depression in Children and Adolescents 199Child-Focused CBT 200The role of parents 201CBGT for children and adolescents with anxiety 203CBGT for children and adolescents with depression 205CBGT Protocol for Anxious Children 207Psychoeducation 208Basic and advanced tools for combating anxiety 209Self-rewards 211Capitalizing on the Group for Youth with Anxiety and Depression 211Common Challenges in CBGT for Children and Adolescents 211Summary 213Note 213Recommended Readings for Clinicians 214References 21413 Youth Obsessive-Compulsive Disorder (OCD) 217OCD in Children and Adolescents 218CBT for Youth OCD 219Behavioral interventions 219Cognitive interventions 220CBGT for youth OCD 221CBGT Protocol for Youth OCD 222Psychoeducation in CBGT for adolescent OCD 223Exposure, response prevention, and refocusing 225Capitalizing on the Group for Youth OCD 227Disorders Related to OCD 228Common Challenges in CBGT for Youth OCD 230Summary 231Note 232Recommended Readings for Clinicians 232References 23214 Language, Culture, and Immigration 235A Chinese Cognitive Behavioral Treatment Program for Chinese Immigrants 236Chinese CBGT Program Rationale 236Referral Issues 238Assessment 239CBGT Treatment Issues for Depressed Chinese People 241Challenging unhelpful thinking 241How to improve homework compliance? 242Capitalizing on the group for Chinese immigrants 243A Spanish-Language Cognitive Behavioral Treatment Program for Latino Immigrants 244Referral and Access Issues 244Assessment 245Latino CBGT Program Rationale 245CBGT Treatment Issues 246The people module 246How to improve homework compliance? 246Capitalizing on the group in CBGT for Latino immigrants 247A CBGT Program for African American Women 248Common Challenges in Culturally Sensitive CBGT 249Summary 251Note 251Recommended Readings for Clinicians 251References 25215 Hoarding 254The Diagnosis and Features of Hoarding Disorder 256Financial and social burdens 257Why do people hoard? 257CBT for Compulsive Hoarding 258CBT model of compulsive hoarding 258Assessment 260Hoarding-specific CBT 261CBGT for Compulsive Hoarding 261CBGT Protocol for Compulsive Hoarding 262Psychoeducation 262Motivation and goal setting 263Skills training for organizing and problem solving 264Challenging unhelpful thinking 265Exposures and behavioral experiments 265Homework 266Relapse prevention 267Capitalizing on the Group for Compulsive Hoarding 268Common Challenges in CBGT for Hoarding 269Summary 270Recommended Readings and Viewing for Clinicians 270References 27116 Psychosis 273The Diagnoses of Schizophrenia Spectrum and Other Psychotic Disorders 274Vulnerability to Psychotic Disorders 275CBT for Psychosis 276Assessment 279Increasing Evidence Supports CBGT for Psychosis 280Integrating evolving trends in CBGT for psychosis 282Narrative enhancement and cognitive therapy 283Compassion-focused therapy 283Person-based cognitive therapy 285Metacognitive training 286Capitalizing on the Group for Psychosis 288Common Challenges in CBGT for Psychosis 288Summary 289Notes 290Recommended Readings for Clinicians 290References 29017 Addictions 294The Diagnoses of Substance-Related and Addictive Disorders 296Why do people become addicted? 297CBT for Addictions 298Assessment 300CBGT for Addictions 301Co-occurring CBGT 301CBGT protocols for addictions 302Psychoeducation 304Motivation and stages of change 305Functional analysis 305Challenging unhelpful thinking 307Coping skills training 307Homework 308Relapse prevention 308Mindfulness-based relapse prevention 309Spiritually oriented relapse prevention 311Capitalizing on the Group for Addictions 313Common Challenges in CBGT for Addictions 314Summary 315Notes 315Recommended Readings for Clinicians 316References 316Appendix A 320Appendix B 321Appendix C 323Appendix D 324Appendix E 325Appendix F 329Appendix G 334Appendix H 338Appendix I 343Appendix J 344Author Index 347Subject Index 360

About the author

Ingrid Söchting is Chief Psychologist in an outpatient mental health program and Clinical Assistant Professor in the Department of Psychiatry at the University of British Columbia. She has been instrumental in developing CBT group therapy programs for depression, OCD, panic disorder, social anxiety, and PTSD, as well as interpersonal therapy (IPT) groups for later life depression. She supervises and teaches CBT and IPT to psychology and psychiatry residents, and is co-director of the Richmond Psychotherapy Training Program. She has also published over 25 peer-reviewed journal articles and book chapters in the field; and is a Canadian certified CBT therapist and a Certified Group Therapist of the American Group Psychotherapy Association.

Summary

With coverage of the latest theory and research, this is a complete guide to implementing cognitive behavioral group therapy for practitioners and trainees in a range of mental health disciplines.

* Presents evidence-based protocols for depression, panic, social anxiety, generalized anxiety, posttraumatic stress, OCD, compulsive hoarding, psychosis, and addiction
* Provides innovative solutions for achieving efficient, effective therapy as mandated by emerging health care priorities, as well as trouble-shoots for common problems such as dropouts
* Details unique strategies for working with ethnic minorities and clients across the age spectrum, along with material on mindfulness augmentation and transdiagnostic approaches
* Includes clear, accessible instructions, complete with references to DSM-5 diagnostic changes, real-life clinical examples, and group session transcripts

Report

"Even the most experienced clinician will be able to find some practical help, useful tips and research references." ( British Psychological Society , 1 January 2015)

Product details

• Authors: Ingrid Sochting, Ingrid (University of British Columbia P Sochting, I Soechting
• Publisher: Wiley, John and Sons Ltd
• Languages: English
• Product format: Hardback
• Released: 05.09.2014
• EAN: 9781118510353
• ISBN: 978-1-118-51035-3
• No. of pages: 392
• Subjects: Humanities, art, music > Psychology; Natural sciences, medicine, IT, technology > Medicine > Clinical medicine; Non-fiction book > Psychology, esoterics, spirituality, anthroposophy > Applied psychology; Psychologie, Klinische Psychologie, Verhaltenstherapie, Gruppentherapie, Kognitive Verhaltenstherapie, Psychology, Psychotherapy & Counseling, Psychotherapie u. Beratung, Cognitive Behavioral Therapy (CBT), Klinische Psychologie / Kinder u. Jugendliche, Child & Adolescent Clinical Psychology