TREATMENT RESISTANT ANXIETY DISORDERS
CONTENTS CHAPTER METACOGNITIVE THERAPY: APPLICATION TO GENERALIZED ANXIETY DISORDER CHAPTER SPECIALIZED COGNITIVE BEHAVIOR THERAPY FOR TREATMENT RESISTANT OBSESSIVE COMPULSIVE DISORDER CHAPTER TREATMENT FOR COMPLEX PTSD CHAPTER UNDERSTANDING AND MANAGING TREATMENT-RESISTANT PANIC DISORDER: PERSPECTIVES FROM THE CLINICAL EXPERIENCE OF SEVERAL EXPERT THERAPISTS CHAPTER EMOTIONAL SCHEMAS IN TREATMENT-RESISTANT ANXIETY CHAPTER AUGMENTING EXPOSURE-BASED TREATMENT FOR ANXIETY DISORDERS WITH PRINCIPLES AND SKILLS FROM DIALECTICAL BEHAVIOR THERAPY CHAPTER COMBINING MOTIVATIONAL INTERVIEWING AND COGNITIVE–BEHAVIORAL THERAPY TO INCREASE TREATMENT EFFICACY FOR GENERALIZED ANXIETY DISORDER CHAPTER USING A COMPASSIONATE MIND TO ENHANCE THE EFFECTIVENESS OF COGNITIVE THERAPY FOR INDIVIDUALS WHO SUFFER FROM SHAME AND SELF-CRITICISM CHAPTER SUGGESTIONS FROM ACCEPTANCE AND COMMITMENT THERAPY FOR DEALING WITH TREATMENT-RESISTANT OBSESSIVE–COMPULSIVE DISORDER CHAPTER TREATING ANXIETY DISORDERS IN THE CONTEXT OF CONCURRENT SUBSTANCE MISUSE CHAPTER THE PHARMACOTHERAPY OF TREATMENT-RESISTANT ANXIETY DISORDERS IN ADULTS IN THE SETTING OF COGNITIVE–BEHAVIORAL THERAPY CHAPTER CONCLUSIONS ONE CHAPTER METACOGNITIVE THERAPY APPLICATION TO GENERALIZED ANXIETY DISORDER A CENTRAL PREMISE OF METACOGNITIVE THEORY AND THERAPY (WELLS, 2000) IS THAT THE CONTROL OF THOUGHT PROCESSES DETERMINES HOW LONG MENTAL SUFFER- ING LASTS MORE SPECIFICALLY, SUSTAINED PROCESSING DETERMINES UNWANTED AND EXTENDED EMOTIONS IN METACOGNITIVE THEORY, THE CONTENT OF THOUGHTS IS NOT SEEN AS CENTRAL IN CAUSING PSYCHOLOGICAL DISORDER, BUT THE EXTENT TO WHICH INDIVIDUALS ENGAGE IN A SPECIFIC STYLE OF THINKING IS CRUCIAL METACOGNITIVE THERAPY (MCT) (WELLS, 1995, 2009) IS BASED ON THE SELF- REGULATORY EXECUTIVE FUNCTION (S-REF) MODEL (WELLS & MATTHEWS, 1994, 1996) A BASIC PRINCIPLE IS THAT PERIODS OF NEGATIVE THOUGHTS, DISTRESSING BELIEFS, AND NEGATIVE EMOTIONS ARE QUITE COMMON AND NORMAL HUMAN EXPE- RIENCES, BUT THESE INADVERTENTLY BECOME ELABORATED AND EXTENDED BECAUSE OF THE STYLE OF A PERSON’S SUBSEQUENT COGNITION AND COPING DISORDER IS CAUSED (IN THE SENSE THAT IT PERSISTS) BY A TOXIC STYLE OF THINKING CALLED THE COGNITIVE ATTENTIONAL SYNDROME (CAS), WHICH IS THE PRODUCT OF METACOGNITION