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Full Description
This book is a practical guide to the evidence-based Cognitive Restructuring (CR) for PTSD program, which has been specifically designed to meet the unique needs of people with serious mental illness.
Posttraumatic stress disorder (PTSD) is very common among persons with serious mental illness (SMI). Unfortunately, it often leads to more severe psychiatric symptoms, greater impairment in psychosocial functioning, poorer physical health, and a higher use of acute care services among people with SMI. Yet despite major advances in the treatment of PTSD in the general population, PTSD has remained underdiagnosed and underaddressed among people with SMI, and treatments for this population have been relatively neglected.
This practical, hands-on guide gives clinicians the tools they need for screening, detecting, and treating PTSD in their clients with SMI, including schizophrenia, bipolar disorder, major depression, and borderline personality disorder. Chapters summarize research and theory regarding the interaction between PTSD and SMI, provide nuts and bolts strategies for implementing the authors' Cognitive Restructuring for PTSD program, and offer guidance for overcoming clinical challenges to trauma treatment such as psychotic symptoms, low distress tolerance, emotion dysregulation, hopelessness, and cognitive impairment. Chapters also feature in-session dialogues with case vignettes that follow three unique clients as they participate in the CR for PTSD program.
Handouts and worksheets for delivering the CR for PTSD program are available in the Appendix of the book as well as in printable versions online (https://www.apa.org/pubs/books/treatment-posttraumatic-stress-disorder-serious-mental-illness) under the Resources tab. These online resources also include the educational handouts and worksheets translated into Spanish, a supplemental chapter on The BREATHE Program: A Brief PTSD Intervention for Persons with SMI in Special Settings, and the BREATHE Treatment Program Manual.
Contents
Foreword
Preface
Part I: Background and Overview of Trauma and PTSD in Serious Mental Illness
Chapter . Trauma and PTSD in Serious Mental Illness
Chapter 2. Treatment of PTSD in People With Serious Mental Illness: The Cognitive Restructuring Program
Chapter 3. Understanding and Assessing Trauma and PTSD
Part II: The Cognitive Restructuring for PTSD Program
Chapter 4. Logistics of Implementing the CR for PTSD Program
Chapter 5. Beginning Treatment: Engagement, Orientation, Wellness Planning, and Breathing Retraining
Chapter . Psychoeducation and Goal-Setting
Chapter 7. Cognitive Restructuring I: The Thought-Feeling Model and Common Styles of Thinking
Chapter 8. Cognitive Restructuring II: The 5 Steps of Cognitive Restructuring and Action Plans
Chapter 9. Cognitive Restructuring III: Working With Trauma-Related Thoughts, Core Beliefs, and Persistent PTSD Symptoms
Chapter . Solutions to Common Challenges
Chapter . Skill Generalization and Termination
Part III: Special Clinical Challenges and Populations
Chapter 2. Working With People With Psychosis
Chapter 3. Working With People With Borderline Personality Disorder
Part IV: Conclusion
Chapter 4: The Role of the CR for PTSD Program in a Comprehensive System of Mental Health Care
Appendix: Clinician Tools and Handouts
References