Current Clinical Psychiatry Series Editor: Jerrold F. Rosenbaum Timothy J. Petersen Susan E. Sprich Sabine Wilhelm Editors The Massachusetts General Hospital Handbook of Cognitive Behavioral Therapy Current Clinical Psychiatry Series editor Jerrold F. Rosenbaum For further volumes: http://www.springer.com/series/7634 Timothy J. Petersen (cid:129) Susan E. Sprich Sabine Wilhelm Editors The Massachusetts General Hospital Handbook of Cognitive Behavioral Therapy Editors Timothy J. Petersen Susan E. Sprich Department of Psychiatry Cognitive-Behavioral Therapy Program Massachusetts General Hospital Massachusetts General Hospital Boston , MA , USA Boston , MA , USA Sabine Wilhelm OCD and Related Disorders Program Massachusetts General Hospital Harvard Medical School Boston , MA , USA Current Clinical Psychiatry ISBN 978-1-4939-2604-6 ISBN 978-1-4939-2605-3 (eBook) DOI 10.1007/978-1-4939-2605-3 Library of Congress Control Number: 2015937621 Springer New York Heidelberg Dordrecht London © Springer Science+Business Media New York 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. T he publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Humana Press is a brand of Springer Springer Science+Business Media LLC New York is part of Springer Science+Business Media (www.springer.com) Foreword While, at fi rst thought, we conceptualize our therapeutic efforts as working with the patient/client to change thought, emotion, and behavior, in truth what we must do is to change, literally, rewire, the brain, to accomplish these goals. What is remarkable about our fi eld is that we now know that we can and do accomplish this with the therapeutic tools that have been developed, and that through learning and experience, effective treatment literally rewires the brain and rebalances circuits that are responsible for how we think, feel, and behave. It is incumbent on all behavioral health caregivers to learn these skills, to acquire these tools, in order to be credentialed professionals privileged to care for and to provide effective treatments for fellow humans who suffer. T his volume that my remarkable colleagues have produced is unique in that it brings together foremost clinical and research experts who all have active clinical research programs based in an academic medical center, a place that is often the court of last resort for the most challenging and complicated cases. They have offered an accessible text, both in terms of its readability and in the clarity of clinical guidance. Case examples are used in each chapter to illus- trate how the described techniques can be applied to actual patients. The format of this volume is also unique in the CBT book world as the content spans basic skills/applications and more specialized applications and topics. Our department has endeavored to make these expertises available to all who seek to develop or enhance their clinical skills, and some readers may wish to in addition pursue our online CBT portfolio of courses for which this handbook will become the main “reading and resource” going forward. Our ultimate mission is to create a community of learners who continue to develop evidence-based practice skills and look to MGH as their education “pro- vider.” We will always be grateful for your feedback and suggestions as we pursue our mutual goal of reducing human suffering and impairment. Jerrold F. Rosenbaum, M.D. Massachusetts General Hospital/ Harvard Medical School Boston, MA, USA v Contents 1 Introduction .................................................................................. 1 Timothy J. Petersen , Susan E. Sprich , and Sabine Wilhelm 2 Basic Principles and Practice of Cognitive Behavioral Therapy ..................................................................... 5 Amanda W. Calkins , Jennifer M. Park , Sabine Wilhelm , and Susan E. Sprich 3 Cognitive Techniques ................................................................... 1 5 Lauren B. Fisher and Susan E. Sprich 4 Behavioral Strategies ................................................................... 33 Anne Chosak and Lee Baer 5 Cognitive Behavioral Therapy for Anxiety Disorders .............. 43 Kristen K. Ellard and Antonia Chronopoulos 6 Cognitive Behavioral Therapy for Depression .......................... 63 Maren B. Nyer , Lauren B. Fisher , and Amy Farabaugh 7 Cognitive Behavioral Therapy for Bipolar Disorder ................ 87 Thilo Deckersbach , Lori Eisner , and Louisa Sylvia 8 Cognitive Behavioral Therapy for Obsessive–Compulsive Disorder: Theory, Assessment, and Treatment ......................... 105 Noah Chase Berman , Corinna M. Elliott , and Sabine Wilhelm 9 Cognitive Behavioral Treatment for Trichotillomania (Hair-Pulling Disorder) and Excoriation (Skin- Picking) Disorder ............................................................... 117 Nancy J. Keuthen and Aisha Usmani 10 Behavior Therapy for Tourette Syndrome and Chronic Tic Disorder ............................................................ 131 Hannah E. Reese and Aisha Usmani 11 Cognitive Behavioral Therapy for Body Dysmorphic Disorder ................................................................... 1 41 Jennifer L. Greenberg , Aaron J. Blashill , Jennifer Ragan , and Angela Fang vii viii Contents 12 Transdiagnostic Cognitive Behavioral Therapy for Eating Disorders..................................................................... 155 Emily K. Gray and Jennifer J. Thomas 13 Cognitive Behavioral Therapy for Adult Attention-Defi cit Hyperactivity Disorder ................................................................ 171 Susan E. Sprich and Steven A. Safren 14 Cognitive Behavioral Approaches for Schizophrenia and Other Psychotic Disorders ................................................... 183 Peter H. Marcus and Corinne Cather 15 Cognitive Behavioral Approaches for Substance Use Disorders ....................................................... 197 Julie D. Yeterian , Allison K. Labbe , and John F. Kelly 16 Cognitive Behavioral Therapy for Posttraumatic Stress Disorder ............................................................................. 211 Elizabeth M. Goetter and Luana Marques 17 Treatment of Borderline Personality Disorder ......................... 227 Rebecca Harley , Lori Eisner , Ellen Prairie , and Michelle Jacobo 18 Behavioral Medicine Strategies in Outpatient Psychiatric Settings ...................................................................... 243 Ana-Maria Vranceanu , Janna R. Gordon , Mark J. Gorman , and Steven A. Safren 19 Cognitive Behavioral Therapy with Children and Adolescents ............................................................................ 259 Aude Henin , Jamie A. Micco , Melissa Schoeller , Alexandra Boudreaux , and Dina Hirshfeld-Becker 20 Cognitive Behavioral Couple Therapy for the Treatment of Relationship Distress ............................................................... 277 Steffany J. Fredman , Philippe Shnaider , Kimberly Z. Pentel , and Candice M. Monson 21 Evaluating Strategies for Combining Pharmacotherapy with Cognitive Behavioral Therapy ........................................... 289 Meredith E. Charney , Amanda W. Calkins , Lauren S. Hallion , and Naomi M. Simon 22 Cognitive Behavioral Therapies for Chronic Depression ......... 301 John D. Matthews and James Doorley Index ...................................................................................................... 319 Contributors Lee Baer , Ph.D. Department of Psychiatry , Massachusetts General Hospital , Boston , MA , USA Noah Chase Berman , Ph.D. Department of Psychiatry, OCD and Related Disorders Program , Massachusetts General Hospital and Harvard Medical School , Boston , MA , USA Aaron J. Blashill , Ph.D. Department of Psychiatry , The Massachusetts General Hospital , Boston , MA , USA Alexandra Boudreaux , B.A. C hild Cognitive Behavioral Therapy Program, Department of Psychiatry , Massachusetts General Hospital , Boston , MA , USA Amanda W. Calkins , Ph.D. Department of Psychiatry , Massachusetts General Hospital, Harvard Medical School , Boston , MA , USA Corinne Cather , Ph.D. Department of Psychiatry , Massachusetts General Hospital , B oston , MA , USA Meredith E. Charney , Ph.D. Department of Psychiatry , Massachusetts General Hospital , Boston , MA , USA Anne Chosak , Ph.D. Obsessive Compulsive Disorders Unit , Massachusetts General Hospital , Boston , MA , USA Antonia Chronopoulos , Ph.D. Department of Psychiatry , Massachusetts General Hospital , Boston , MA , USA Thilo Deckersbach , Ph.D. B ipolar Clinic and Research Program, Department of Psychiatry , Massachusetts General Hospital , Boston , MA , USA James Doorley , B.A. Department of Psychology , George Mason University , Fairfax , VA , USA Lori Eisner , Ph.D. Department of Psychiatry , Massachusetts General Hospital , B oston , MA , USA Kristen K. Ellard , Ph.D. Bipolar Clinic and Research Program, Department of Psychiatry, M assachusetts General Hospital/Harvard Medical School, Boston , MA , USA ix