Download or read book Integrating Motivational Interviewing with CBT for Generalized Anxiety Disorder written by Heather Muir and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Aim: A randomized clinical trial demonstrated that responsively adding motivational interviewing (MI) to cognitive-behavioral therapy (CBT) for generalized anxiety disorder (GAD) outperformed CBT alone on long-term worry reduction (Westra et al., 2016). Consistent with MI's additive aim, this effect was mediated by less patient midtreatment resistance in the integrative treatment (Constantino et al., 2019). Insofar as GAD is marked by interpersonal styles of excessive nonassertiveness and over accommodation, I tested here whether MI-CBT also outperformed CBT, across acute treatment and long-term follow up, on reducing these characteristic interpersonal problems. Moreover, as patient resistance is an interpersonal event for which person-centered MI should, according to theory, be more helpful than directive CBT, I tested if resistance also mediated the expected effect of treatment on the long-term interpersonal outcomes. Method: Eighty-five patients with severe GAD were randomly assigned to 15 sessions of MI-CBT or CBT. Patients completed a measure of interpersonal problems repeatedly through treatment and 12 months of follow up. Independent observers rated patient resistance at a midtreatment session. Results: As expected, structural equation models revealed comparable reductions in nonassertiveness and over accommodation across acute MI-CBT and CBT. Also as predicted, MI-CBT vs. CBT promoted significantly greater reduction in over accommodation problems over long-term follow up; however, this differential effect was only marginally significant for nonassertiveness problems. Finally, as predicted, the treatment effect on the level of both interpersonal problems at 12-month follow up was mediated by less midtreatment resistance in MI-CBT vs. CBT. Discussion: Results support that the benefit of adding MI to CBT for GAD extends to long-term interpersonal change, and they implicate resistance management as a candidate mechanism of this additive effect.

Download or read book Motivational Interviewing and CBT written by Sylvie Naar and published by Guilford Publications. This book was released on 2017-07-12 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing tools to enhance treatment of any clinical problem, this book shows how integrating motivational interviewing (MI) and cognitive-behavioral therapy (CBT) can lead to better client outcomes than using either approach on its own. The authors demonstrate that MI strategies are ideally suited to boost client motivation and strengthen the therapeutic relationship, whether used as a pretreatment intervention or throughout the course of CBT. User-friendly features include extensive sample dialogues, learning exercises for practitioners, and 35 reproducible client handouts that can be downloaded and printed in a convenient 8 1/2" x 11" size. See also Motivational Interviewing, Fourth Edition: Helping People Change and Grow, by William R. Miller and Stephen Rollnick, and Building Motivational Interviewing Skills, Second Edition: A Practitioner Workbook, by David B. Rosengren. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Download or read book Motivational Interviewing in the Treatment of Anxiety written by Henny A. Westra and published by Guilford Press. This book was released on 2012-05-30 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical book provides effective strategies for helping therapy clients with anxiety resolve ambivalence and increase their intrinsic motivation for change. The author shows how to infuse the spirit and methods of motivational interviewing (MI) into cognitive-behavioral therapy or any other anxiety-focused treatment. She describes specific ways to use MI as a pretreatment intervention or integrate it throughout the course of therapy whenever motivational impasses occur. Vivid clinical material--including a chapter-length case example of a client presenting with anxiety and depression--enhances the utility of this accessible guide. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Download or read book Motivational Interviewing and CBT written by Sylvie Naar and published by Guilford Publications. This book was released on 2023-11-03 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing tools to enhance treatment of any clinical problem, this book shows how integrating motivational interviewing (MI) and cognitive-behavioral therapy (CBT) can lead to better client outcomes than using either approach on its own. The authors demonstrate that MI strategies are ideally suited to boost client motivation and strengthen the therapeutic relationship, whether used as a pretreatment intervention or throughout the course of CBT. User-friendly features include extensive sample dialogues, learning exercises for practitioners, and 35 reproducible client handouts. Purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Download or read book Integrating Motivational Interviewing and Cognitive Behavior Therapy in Clinical Practice written by Melanie M. Iarussi and published by Routledge. This book was released on 2019-11-12 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Motivational Interviewing and Cognitive Behavior Therapy in Clinical Practice shows counseling and other mental health professionals how the theoretical bases and evidence-based practices of motivational interviewing (MI) and cognitive behavior therapy (CBT) can be used together to maximize client outcomes. Chapters outline effective methods for integrating MI and CBT and show how these can be applied to clients in a diverse range of mental health, substance use and addiction, and correctional settings. Written in a clear and applicable style, the text features case studies, resources for skill development, and "Voices From the Field" sections, as well as chapters devoted to specific topics such as depression, anxiety, and more. Building on foundational frameworks for integrative practice, this is a valuable resource for counseling and psychotherapy practitioners looking to incorporate MI and CBT into their clinical practices.

Download or read book Integrated Motivational Interviewing and Cognitive Behavioral Therapy ICBT written by Joseph Hyde and published by John Wiley & Sons. This book was released on 2024-06-13 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical approach to clinical interventions applicable to a range of mental health diagnoses Integrated Motivational Interviewing and Cognitive Behavioral Therapy (ICBT) for Adults is a guide for practitioners looking for evidence-based clinical interventions that are portable across settings and diagnoses. Written in plain English and with an emphasis on step-by-step instructions, this valuable toolkit collects strategies and interventions that have been shown to be effective in substance use disorder, depression, anxiety, and beyond. This widely applicable treatment approach draws on motivational interviewing, cognitive behavioral therapy (CBT), motivational enhancement therapy, mindfulness, functional analysis, and other methods that are strongly supported in the literature. With content reflecting emerging research findings and evolving social contexts, this book is both timely and firmly rooted in science. After presenting a set of proven techniques for motivational interviewing and CBT, this book details a 16-session course designed to fit within conventional models of therapeutic practice. Each session covers a cognitive behavioral skill (e.g., assertiveness, handling cravings, suicidality) and builds upon the previous sessions, but they also work as standalone interventions and do not have to be followed in a particular order. The book also offers additional tools to promote intervention quality and clinical supervision. Worksheets, handouts, and other materials are included in photocopiable format, making this a valuable guide in all outpatient mental health settings. Learn the fundamentals of motivational interviewing, cognitive behavioral therapy, and other evidence-based treatment modalities Get practical clinical tools, including step-by-step session guides on cognitive behavioral skills relevant to a range of diagnoses Access self-assessments, clinical supervision tools, and other resources to enhance clinical effectiveness Incorporate emerging research, changing social contexts, and lessons learned from the COVID-19 pandemic into your practice Earlier editions of this guide focused on addressing substance use disorders and cooccurring disorders. This edition is applicable to those disorders but reflects that these clinical strategies are transdiagnostic.

Download or read book Motivational Interviewing in the Treatment of Anxiety written by Henny A. Westra and published by Guilford Publications. This book was released on 2015-12-02 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical book provides effective strategies for helping therapy clients with anxiety resolve ambivalence and increase their intrinsic motivation for change. The author shows how to infuse the spirit and methods of motivational interviewing (MI) into cognitive-behavioral therapy or any other anxiety-focused treatment. She describes specific ways to use MI as a pretreatment intervention or integrate it throughout the course of therapy whenever motivational impasses occur. Vivid clinical material--including a chapter-length case example of a client presenting with anxiety and depression--enhances the utility of this accessible guide. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Download or read book The Impact of Motivational Interviewing on Client Response to the Treatment Rationale Within Cognitive Behavioral Therapy for Generalized Anxiety written by Angela Leah Kertes and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Improving Outcomes and Preventing Relapse in Cognitive behavioral Therapy written by Martin M. Antony and published by Guilford Press. This book was released on 2005-08-25 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Organized around specific psychological disorders, this important work brings together leading scientist-practitioners to present strategies for maximizing the benefits of cognitive-behavioral therapy (CBT). Described are effective ways not only to overcome frequently encountered treatment obstacles, but also to help people stay well once therapy has ended. Tightly edited chapters provide clear recommendations for adapting standard treatment protocols for tough-to-treat patients; enhancing motivation and homework compliance; dealing with common comorbidities; complementing CBT with other approaches; and targeting the factors that contribute to relapse and recurrence.

Download or read book Ambivalence as a Moderator of Treatment Outcomes in Motivational Interviewing and Cognitive Behavioural Therapy for Generalized Anxiety Disorder written by Melissa Lauren Button and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although there is a robust finding documenting the efficacy of Cognitive Behavioural Therapy (CBT) in treating anxiety, a significant proportion of clients fail to respond optimally to treatment. A major focus of psychotherapy research involves client-treatment matching, which examines client characteristics as potential predictors of treatment response. Client ambivalence has been identified as a key marker in psychotherapy with wide-ranging implications for engagement in therapy. Motivational Interviewing (MI) has strong empirical support for increasing client commitment for change through the resolution of ambivalence. Though it may be speculated that integrating MI into CBT may be more efficacious for clients high in ambivalence than CBT alone, the investigation of these critical client-treatment matching research questions has been hampered by inadequate measures of ambivalence. This study sought to examine this question in the context of CBT alone versus MI-CBT for 85 clients with severe generalized anxiety disorder (GAD). Rather than relying on self-report, the study used an observational measure (client in-session talk against change) to quantify ambivalence. Findings suggest MI-CBT resulted in better long-term worry outcomes than CBT alone for clients who were high in early ambivalence, whereas clients low in early ambivalence did better with CBT alone. In other words, client ambivalence significantly moderated treatment outcomes. In contrast, there was no moderation effect of ambivalence on interpersonal problems. Here, results revealed that regardless of their early ambivalence levels, clients who received MI-CBT reported significantly fewer interpersonal problems at long-term follow-up than clients receiving CBT alone. Client ambivalence seems to represent a key individual difference variable, and tailoring standard CBT protocols to incorporate MI may be particularly efficacious for clients who are highly ambivalent about change. The results also emphasize the potentially broader benefits of MI, in that, integrating MI into CBT may be an effective way of reducing interpersonal problems for all clients, regardless of their early ambivalence levels. Overall, these findings support the benefit of systematic training in identifying and flexibly responding to in-session markers of client change language, and suggest that treatment outcomes can be improved by training CBT therapists to incorporate the MI spirit during moments of ambivalence.

Download or read book Motivational Cognitive Behavioural Therapy written by Cathy Atkinson and published by Routledge. This book was released on 2019-12-06 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: This informative and straightforward book explores the emergence of motivational interviewing (MI) and cognitive behavioural therapy (CBT), with specific attention given to the increasing focus on the central importance of the therapeutic alliance in improving client outcomes. Comprising 30 short chapters divided into two parts – theory and practice – this entry in the popular "CBT Distinctive Features Series" covers the key features of MI-informed CBT, offering essential guidance for students and practitioners experienced in both MI and CBT, as well as practitioners from other theoretical orientations who require an accessible guide to this developing approach.

Download or read book Anxiety and Substance Use Disorders written by Sherry H. Stewart and published by Springer Science & Business Media. This book was released on 2007-12-03 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disorders of anxiety and substance use are, for some reason, rarely treated in an integrated fashion by professionals. This timely volume addresses this glaring omission with dispatches from the frontlines of research and treatment. Thirty-four international experts offer findings, theories, and intervention strategies for this common form of dual disorder, across a range of substances and of anxiety disorders, to give the reader comprehensive knowledge in a practical format.

Download or read book Transformation in Psychotherapy written by Louis Georges Castonguay and published by American Psychological Association (APA). This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive look at corrective experiences across the main psychotherapeutic approaches.

Download or read book Comparing Therapist Responsivity to Resistance Markers in Cognitive Behavioural Therapy and Motivational Interviewing Integrated with Cognitive Behavioural Therapy for Generalized Anxiety written by Kimberley Michelle Hara and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: While therapist supportive, rather than directive, strategies have been particularly indicated during client resistance, little systematic research has examined how therapists responsively navigate resistance (Aviram et al., 2016; Westra & Norouzian, 2018). In the context of Cognitive-Behavioural Therapy (CBT) for Generalized Anxiety Disorder (GAD; Westra et al., 2016), the present study examined (1) the degree to which therapist management of resistance differs between therapists trained in CBT integrated with Motivational Interviewing (MI-CBT; i.e., training centered on the responsive management of resistance) and therapists trained in CBT-alone, and (2) the impact of specific therapist behaviours differentiating therapy groups during resistance on client worry outcomes immediately posttreatment and 1-year posttreatment. An adapted version of the Client Resistance Code (Chamberlain et al., 1984; Westra et al., 2009) was used to identify episodes of client resistance to therapist direction, and specific moments of disagreement were rated for therapist behaviour (i.e., degree of interpersonal affiliation, control and hostility) using the Structural Analysis of Social Behavior (Benjamin, 1974). Therapists trained in MI integrated with CBT were found to exhibit significantly more affiliative and fewer hostile behaviours during disagreement episodes compared to those trained in CBT-alone. Increased therapist affiliation during disagreement episodes was also found to mediate client 1-year posttreatment outcomes, such that increased therapist affiliation as facilitated by MI-CBT vs. CBT-alone was associated with improved outcomes. Increased therapist hostility also mediated 1-year outcomes, demonstrating increased therapist hostility as facilitated by CBT-alone vs. MI-CBT was associated with poorer outcomes at 1-year posttreatment. This study highlights the value of training therapists in the responsive detection and management of client resistance, as well as the systematic integration of relational models, such as MI, with more action-oriented treatment approaches. Findings have significant capacity to improve clinical decision-making and therapist effectiveness, thereby improving the efficacy of CBT for GAD.

Download or read book Motivational Interviewing in the Treatment of Psychological Problems First Ed written by Hal Arkowitz and published by Guilford Press. This book was released on 2008 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: This cutting-edge book brings together leading experts to describe novel MI applications in the treatment of anxiety, depression, PTSD, suicidal behavior, obsessive-compulsive disorder, eating disorders, and other conditions.

Download or read book Narrative Emotion Process Markers in Cognitive Behavioural Therapy For Generalized Anxiety Disorder written by Jasmine Khattra and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to a narrative-emotion informed approach to psychotherapy, individuals enter psychotherapy when their narratives lack flexibility, emotional coherence and fail to integrate important lived experiences. Effective psychotherapy provides clients with an opportunity to integrate emotionally salient life experiences, as a told story or self narrative that enables new meaning-making and a more adaptive view of self. The Narrative-Emotion Process Coding System Version 2.0 (NEPCS; Angus Narrative-emotion Marker Lab, 2015) is a standardized measure that consists of a set of 10 clinically-derived markers that capture a client's capacity to disclose, emotionally re-experience, and reflect on salient personal stories in videotaped psychotherapy sessions. These 10 markers are classified into three subgroups: Problem (Same Old, Empty, Unstoried Emotion, and Superficial Storytelling), Transition (Reflective, Inchoate, Experiential, and Competing Plotlines Storytelling), and Change Markers (Unexpected Outcome, and Discovery Storytelling). The present study applied the NEPCS Version 2.0 to a sample of clients (N = 6; 36 therapy sessions) engaging in cognitive behavioural therapy (CBT) for generalized anxiety disorder (GAD). The NEPCS Version 2.0 was applied to two early, two middle, and two late-stage videotaped therapy sessions for each of the six clients (three recovered, and three unchanged outcome status), who were drawn from a randomized controlled trial comparing the efficacy of CBT and motivational interviewing integrated with CBT for GAD (Westra, Constantino, & Antony, 2016). Multilevel modeling analyses demonstrated significantly higher proportions of Reflective Storytelling (p

Download or read book Cognitive Therapy for Challenging Problems written by Judith S. Beck and published by Guilford Press. This book was released on 2011-07-05 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following on the success of the bestselling Cognitive Therapy: Basics and Beyond, this groundbreaking book from Judith S. Beck addresses what to do when a patient is not making progress in cognitive-behavioral therapy. Provided is practical, step-by-step guidance on conceptualizing and solving frequently encountered problems, whether in developing and maintaining the therapeutic alliance or in accomplishing specific therapeutic tasks. While the framework presented is applicable to a range of challenging clinical situations, particular attention is given to modifying the longstanding distorted beliefs and dysfunctional behavioral strategies of people with personality disorders. Helpful appendices include a reproducible assessment tool, and the Personality Belief Questionnaire.