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 Dependent Personality Disorder

Client Presenting with Dependent Personality Disorder

Client presenting with dependent personality disorder

Learning Objectives

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

  • Identify the criteria for dependent personality disorder
  • Understand the need for risk assessment at first presentation
  • Discuss how core beliefs develop underlying dysfunctional assumptions and the impact on presenting problems
  • Outline a treatment strategy for treatment of dependent personality disorder
  • Recognise the boundary issues arising in therapy

Diagnostic Criteria

The DSM-IV-TR (APA, 2000) identifies criteria for 10 specific personality disorders clustered into A, B and C groups. Cluster A includes personalities that can be viewed as odd or eccentric and often present with blurring psychosis-like symptoms. Cluster B includes people who present with over-dramatic presentations and are often blatantly or erratically emotional, whilst cluster C is concerned with individuals ...

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