This practical introduction helps trainees use cognitive behavioural therapy to assess and treat generalised anxiety disorder (GAD), one of the most commonly presented client issues. Taking the reader step-by-step through each stage of CBT with anxiety and worry, the authors illustrate the whole range of different treatment techniques whilst keeping the book accessible and concise.
Tailored to current High and Low Intensity (IAPT) training, it covers self-help literature as well as traditional one-to-one therapy. The book:
contains illustrative case material, balancing an evidence-based approach with awareness of the realities of today's practice; alerts trainees to the potential complicating factors and the co-existence of other anxiety or mood disorders alongside GAD; addresses cross-cutting professional themes, such as working with morbidity and the pressures of working within NHS settings.
Bridging the gap between theory and practice, this book is essential reading for all CBT trainees on IAPT programmes, as well as trainees on postgraduate counselling, psychotherapy and clinical psychology courses. Qualified therapists who require an update in this area will also find this a useful resource.
Chapter 12: Complicating Factors
There are many factors that can complicate cognitive therapy for GAD. These factors could be to do with the client's motivation for therapy, or with features of the client's presentation such as perfectionism, the impact of some of their lifestyle choices, such as the use of alcohol or drugs, or the impact of their socio-economic and interpersonal circumstances. There are also complicating factors that the therapist and their organisational setting can bring to the situation, such as their own anxiety with the therapy in general or this treatment protocol in particular or a restriction on the number of available therapy sessions. We do not claim to be able to provide the final answers on these matters because each client's complicating factors should ...