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 Conduct Disorder

Client presenting with conduct disorder
MandyDrake and MikeThomas

Learning Objectives

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

  • Identify the presentations for conduct disorder
  • Describe the development of conduct disorder from a cognitive perspective
  • Describe how anger is maintained through maladaptive coping mechanisms
  • Outline the main strategies used in the treatment of anger management
  • Understand the importance of trust and relationship building in the treatment of anger management

Diagnostic Criteria

Anger as a diagnosis is usually not included as a single mental health disorder as it is within the emotions commonly observed and experienced. Anger itself is usually a normal response to a situation which causes anxiety, stress or frustration and therefore remains an emotion within cultural, social and psychological parameters. The DSM-IV-TR (APA, 2000) and the ...

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