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(p. 55) Clinical guides to treatment 

(p. 55) Clinical guides to treatment
Chapter:
(p. 55) Clinical guides to treatment
Author(s):

Gavin Andrews

, Alison E. J. Mahoney

, Megan J. Hobbs

, and Margo Genderson

DOI:
10.1093/med:psych/9780198758846.003.0005
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date: 05 July 2020

This chapter presents two clinical guides; a guide for physicians and a guide for specialist clinicians (such as psychologists, clinical psychologists, psychiatrists, and other specialist mental health clinicians). The guides offer step-by-step directions for the implementation of evidence-based pharmacotherapy and psychotherapy. The specialist guide describes in detail, with multiple case examples, the clinical assessment, formulation, and treatment of adults with generalized anxiety disorder (GAD) using a contemporary cognitive behavior therapy (CBT) approach. Treatment components include de-arousal strategies, cognitive therapy (including challenging unhelpful metacognitive beliefs about worry and beliefs associated with intolerance of uncertainty), problem-orientation training, graded exposure, imaginal exposure, and relapse prevention. The chapter also provides useful therapy tips and discusses common therapeutic mistakes.

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