An essential resource for anyone providing services for individuals with somatoform or anxiety disorders Cognitive-behavioral therapy is now the treatment of choice for individuals with health anxiety and related problems. The latest research shows that it results in reductions in health-related worries, reassurance-seeking behavior, and phobic avoidance, as well as increases in life satisfaction and everyday functioning. This compact, easy to understand book by experts Jonathan S. Abramowitz and Autumn E. Braddock opens with an overview of the diagnostic issues and assessment of health anxiety, and delineates a research-based conceptual framework for understanding the development, maintenance, and treatment of this problem. The focus of the book is a highly practical guide to implementing treatment, packed with helpful clinical pearls, therapist-patient dialogues, illustrative case vignettes, and sample forms and handouts. Readers are equipped with skills for engaging reluctant patients in treatment and tailoring educational, cognitive, and behavioral techniques for health-related anxiety. The book, which also addresses common obstacles in treatment, represents an essential resource for anyone providing services for individuals with somatoform or anxiety disorders.

Auteur

Jonathan S. Abramowitz, PhD, ABPP is Associate Professor and Associate Chair of Psychology as well as Research Associate Professor of Psychiatry, at the University of North Carolina (UNC) at Chapel Hill. He also serves as Director of the Anxiety and Stress Disorders Clinic at UNC. From 2000 to 2006 he was Director of the OCD/Anxiety Disorders Treatment and Research Programat the Mayo Clinic in Rochester, Minnesota. Dr. Abramowitz conducts research on the psychopathology and treatment of anxiety disorders and has authored or edited 5 books and over 100 peer-reviewed research articles and book chapters on these topics. He currently serves as Associate Editor of two professional journals, Behavior Research and Therapy and Journal of Cognitive Psychotherapy, as well as serving on the editorial boards of a number of other professional journals. Dr. Abramowitz is a member of the Obsessive Compulsive Foundation's Scientific Advisory Board and a member of the Anxiety Disorders Association of America's Clinical Advisory Board. In 2005 he was elected to the Board of Directors of the Association for Behavioral and Cognitive Therapies (formerly AABT). He also served on the DSM-IV-TR Anxiety Disorders Work Group. In 2003, Dr. Abramowitz received the Outstanding Contributions to Research Award from the Mayo Clinic Department of Psychiatry and Psychology, and in 2004 he received the David Shakow Early Career Award for Outstanding Contributions to Clinical Psychology from Division 12 (Clinical Psychology) of the American Psychological Association. He currently lives in Chapel Hill, North Carolina with his wife, Stacy, and their daughters Emily and Miriam. Autumn E. Braddock, PhD, is a primary care psychologist within the Veterans Affairs Greater Los Angeles Healthcare System, specializing in behavioral medicine and cognitive-behavioral therapy for anxiety. She is the former Codirector of the Anxiety Disorders Clinic at Mayo Clinic (2006-2008), where she served as a staff clinical health psychologist in the Department of Psychiatry and Psychology and an Instructor in the Mayo Medical School. Dr. Braddock received her B.A. in Psychology from Yale University and her Ph.D. in Clinical Psychology with a minor in Sport Psychology from UCLA. She completed an APA-Accredited internship at the VA Greater Los Angeles Healthcare System (West Los Angeles) and a 2-year APA-Accredited postdoctoral fellowship in Clinical Health Psychology at Mayo Clinic. She has received numerous awards and grants including the Howard R. Rome Fellow Grand Rounds Award at Mayo Clinic, Distinguished Teaching Award at UCLA, and the Mead Prize for Leadership and Character at Yale University. Dr. Braddock has presented her research,primarily addressing anxiety within medical populations, at national and international conferences. She enjoys visiting with her loving parents and brothers in Colorado. Currently, she lives in Santa Maria, California with her partner and best friend, Eric.

Texte du rabat

Cognitive-behavioral therapy is now the treatment of choice for individuals with health anxiety and related problems. The latest research shows that it results in reductions in health-related worries, reassurance-seeking behavior, and phobic avoidance, as well as increases in life satisfaction and everyday functioning. This compact, easy to understand book by experts Jonathan S. Abramowitz and Autumn E. Braddock opens with an overview of the diagnostic issues and assessment of health anxiety, and delineates a research-based conceptual framework for understanding the development, maintenance, and treatment of this problem. The focus of the book is a highly practical guide to implementing treatment, packed with helpful clinical pearls, therapist-patient dialogues, illustrative case vignettes, and sample forms and handouts. Readers are equipped with skills for engaging reluctant patients in treatment and tailoring educational, cognitive, and behavioral techniques for health-related anxiety. The book, which also addresses common obstacles in treatment, represents an essential resource for anyone providing services for individuals with somatoform or anxiety disorders.

Contenu

Dedication... v Preface ... vii Acknowledgments... viii 1 Description of Health Anxiety 1.1 Terminology... 1 1.2 Definition ... 1 1.3 Epidemiology ... 3 1.4 Course and Prognosis... 4 1.5 Differential Diagnoses ... 4 1.5.1 Somatization Disorder ... 5 1.5.2 Somatic Delusions ... 5 1.5.3 Illness or Disease Phobia... 5 1.5.4 Panic Disorder ... 6 1.5.5 Obsessive-Compulsive Disorder ... 6 1.5.6 Generalized Anxiety Disorder ... 6 1.5.7 Pain Disorder ... 7 1.6 Comorbidity ... 7 1.7 Diagnostic Procedures and Documentation... 7 1.7.1 Structured Diagnostic Interviews... 7 1.7.2 Semi-Structured Symptom Interviews... 8 1.7.3 Self-Report Inventories... 9 1.7.4 Documenting Changes in Symptom Levels... 9 2 Theories and Models of Health Anxiety 2.1 Development of Health Anxiety... 10 2.1.1 The Human Body Is NoisyA" ... 10 2.1.2 Beliefs and Interpretations Lead to Health Anxiety... 10 2.1.3 Origins of Dysfunctional Core Beliefs ... 12 2.2 Maintenance of Health Anxiety... 12 2.2.1 Physiological Maintenance Factors ... 13 2.2.2 Cognitive Maintenance Factors ... 14 2.2.3 Behavioral Maintenance Factors ... 15 2.3 Treatment Implications of the Model... 16 3 Diagnosis and Treatment Indications 3.1 Review of Medical Records... 17 3.2 Self-Report Inventories... 17 3.3 The Clinical Interview ... 18 3.3.1 Chief Complaint and History ... 18 3.3.2 Mood... 18 3.3.3 Social Functioning ... 19 3.3.4 History and Previous Treatment... 19 3.3.5 Family Issues ... 19 x Advances in Psychotherapy: Hypochondriasis and Health Anxiety 3.4 Identifying the Appropriate Treatment... 20 3.4.1 Medications... 20 3.4.2 Cognitive Behavior Therapy (CBT)... 21 3.5 Factors that Influence Treatment Decisions ... 21 3.6 Presenting the Recommendation for CBT... 22 3.6.1 Getting a Foot in the Door... 22 3.6.2 The Mind-Body Connection... 23 3.6.3 Body Vigilance and Body Noise ... 23 3.6.4 Effects of Behavioral Responses ... 23 3.6.5 Presenting the Treatment Rationale... 23 3.6.6 Eliciting Change TalkA"... 24 4 Treatment 4.1 Methods of Treatment... 27 4.1.1 Functional Assessment... 28 4.1.2 Self Monitoring... 32 4.1.3 Psychoeducation... 33 4.1.4 Cognitive Therapy Techniques... 39 4.1.5 Exposure and Response Prevention... 47 4.1.6 Implementing Appropriate Self-Care Behaviors ... 58 4.2 Mechanisms of Action ... 58 4.3 Efficacy and Prognosis... 59 4.4 Variants of the Treatment Procedures... 59 4.5 Problems in Carrying Out Treatment... 60 4.5.1 Nonadherence... 60 4.5.2 Arguments... 61 4.5.3 Unbe…