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.
Chapter 7: Client Presenting with Generalised Anxiety Disorder (GAD)
Client Presenting with Generalised Anxiety Disorder (GAD)
By the end of the chapter you should be able to:
- Identify the nature and symptoms of Generalised Anxiety Disorder (GAD)
- Explain the development and maintenance factors of GAD from a cognitive perspective
- Outline a cognitive and behavioural strategy used in the treatment of GAD
Generalised anxiety disorder (GAD) is characterised by excessive, intrusive and difficult to control worry. It is a ‘free-floating’ worry that, as noted in the DSM-IV-TR code 300.02 (APA, 2000), is not focused exclusively on having a panic attack (panic disorder), concerns about contamination (OCD), anxiety about social contact (social phobia), physical complaints (somatisation disorder) or illness (hypochondriasis). The anxiety and worry may well revolve [Page 95]around a ...