This book uniquely combines CBT with the Department of Health stepped care model to provide the first comprehensive case study-approach textbook. A step-by-step guide to using CBT, the book is structured around case examples of clients who present with the most commonly encountered conditions; from mild depression and GAD to more complex, enduring symptoms and diagnosis like OCD, personality disorder and social phobia.

The distinctive practical format is ideal in showing how to put the principles of CBT and stepped care into effect. As well as echoing postgraduate level training, it provides an insight into the experiences the trainee will encounter in real-world practice. Each chapter addresses a specific client condition and covers initial referral, presentation and assessment, case formulation, treatment interventions, evaluation of CBT strategies and discharge planning.

The book also includes learning exercises and clinical hints, as well as extensive reference to further CBT research, resources and reading. It will be invaluable for trainees on Improving Access to Psychological Therapies (IAPT) programs, and anyone studying graduate CBT courses.

Client Presenting with Post-Traumatic Stress Disorder (PTSD)

Client presenting with post-traumatic stress disorder (PTSD)

Learning Objectives

By the end of this chapter you should be able to:

  • Identify the symptoms of post-traumatic stress disorder (PTSD) from diagnostic criteria
  • Understand the development of PTSD from both a cognitive and behavioural perspective
  • Discuss a case formulation and decide on cognitive and behavioural interventions
  • Plan and implement the CBT treatment interventions
  • Be aware of factors that may cause a relapse of PTSD

Diagnostic Criteria

The DSM-IV-TR (APA, 2000) code 309.81 diagnostic criteria for post-traumatic stress disorder (PTSD) reflect the diversity of this condition. The major criteria for the diagnosis of PTSD in clients who have been exposed to traumatic events include re-experiencing, avoidance, numbing and hyper-arousal. Each of these symptoms, alone or as a group, should have ...

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