Steven A Safren – författare

"I dagens framväxande hälso- och sjukvårdssystem finns en tilltagande konsensus om att evidensbaserad behandling är det mest ansvarsfulla arbetssättet för alla som arbetar med psykisk hälsa... Nu har vi fått den första evidensbaserade behandlingen för ADHD hos vuxna, utarbetad av en grupp ledande kliniska forskare på Massachusetts General Hospital i Boston... Varje kliniker som i sitt arbete möter människor med den vanligt förekommande symtombilden kommer vilja lägga till den här interventionen till sin verktygslåda, antingen som ett komplement till medicinering, eller som ett behandlingsalternativ i de närmare 50 procent av fallen där medicinering är relativt ineffektivt." David H Barlow, chefredaktör, Treatments that Work ADHD hos vuxna är en vanligt förkommande funktionsnedsättning, och majoriteten av de individer som medicinerar har kvar symtom som kräver extra färdigheter och strategier för att hanteras. Förutom den behandling som beskrivs i den här bokserien har det fram tills idag inte funnits några utprövade psykologiska interventioner för vuxna med ADHD. Tillsammans med den tillhörande klienthandboken erbjuder denna terapeutmanual effektiva behandlingstekniker som följer empiriskt understödda strategier för behandling. Med hjälp av praktiska steg-för-steg-instruktioner ger den klinikern effektiva metoder för att lära klienten vetenskapligt testade färdigheter som visat sig hjälpa vuxna att hantera ADHD. Sammantaget innehåller terapeutmanualen och klienthandboken all den information och det material som behövs för att ge behandlingen inom ramen för en individuell KBT-terapi. Bokserien har en tillhörande hemsida, www.oup.com/us/ttw. Där går det att ladda ner kliniska verktyg och material som kan vara till hjälp och stöd för klienten och terapeuten. Sagt om boken: "Den tydliga och koncisa terapeutmanualen erbjuder allt som kliniskt verksamma behöver veta om denna systematiska, evidensbaserade behandling vid ADHD hos vuxna... Manualen är oumbärlig för varje kliniker som behandlar vuxna med ADHD." Martin M Antony, Ph.D., ABPP, Handledare vid Anxiety Treatment Research Center, St. Josephs Healthcare, Hamilton, och professor i psykiatri och neurovetenskap, McMaster University, Hamilton, Ontario, Kanada "Författarna har utvärderat effekten av behandlingen i en randomiserad kontrollerad studie med vuxna som trots medicinering upplevde kvarvarande funktionsnedsättning. Terapeutmanualen och den tillhörande klienthandboken kommer att vara mycket användbar för terapeuter i arbetet med att hjälpa klienterna att utveckla oumbärliga kompensatoriska färdigheter" Wendy S. Freeman, Ph.D., biträdande lektor vid institutionen för psykologi, University of Manitoba "Detta är ett banbrytande arbete - det är den första empiriskt grundade behandlingen för ADHD hos vuxna... Kliniker och deras ADHD-patienter kommer att kunna dra nytta av det tydliga, koncisa, rättframma och lättimplementerade steg-för-steg-formatet." Russel A. Barkley, Ph.D., professor i psykiatri, SUNY Upstate Medical University, Syracusa, NY "Inom ett område fullt av otestade påståenden, vägledning vars effekt inte är vetenskapligt belagd, samt kraftigt begränsat forskningsstöd ger det här paketet en behandling som kliniker kan använda med tillförsikt då den är empiriskt testad." Richard Gallagher, Ph.D., biträdande lektor i psykiatri, New York University School of Medicine

"Just den här behandlingen beskriver den första evidensbaserade effektiva psykologiska interventionen för ADHD hos vuxna. I den här behandlingen kommer du att få lära dig färdigheter som direkt angriper de tre kategorier av symtom som gör det svårt att leva med ADHD som vuxen. Dessa kategorier innefattar att vara impulsiv och lättdistraherad samt att ha svårigheter att organisera och planera. Behandlingen kan på ett effektivt sätt kombineras med medicinering, eller, för de 50 procent av medicinerande för vilka läkemedel endast ger begränsad hjälp, kan den vara tillräcklig som enda insats." David H Barlow, chefredaktör, Treatments that Work Vuxna som lider av uppmärksamhets/hyperaktivitetsstörning (ADHD) vet att det kan få påtagliga negativa konsekvenser på arbetsplatsen, för självförtroendet och i interaktionen med familj och vänner. Trots att vissa läkemedel varit effektiva vid behandling av ADHD hos vuxna har majoriteten av de som medicinerat kvar symtom som behöver hanteras med kompletterande färdigheter och strategier. Tillsammans med den behandling som beskrivs i den tillhörande terapeutmanualen erbjuder denna klienthandbok effektiva och praktiska färdigheter som testats vetenskapligt och visat sig hjälpa vuxna hantera symtom på ADHD. Behandlingen är upplagd så att klienten steg för steg, session för session går igenom den information och det material som är nödvändigt för att genomgå behandlingen inom ramen för en individuell KBT-terapi. Klienten kan aktivt delta i terapin genom att hjälpa till att individanpassa behandlingsstrategierna och genom att utvärdera sina framsteg. Allt för att sträva mot att lära sig att bättre hantera sin ADHD. Bokserien har en tillhörande hemsida, www.oup.com/us/ttw. Där går det att ladda ner kliniska verktyg och material som kan vara till hjälp och stöd för klienten och terapeuten. Sagt om boken: "Trots att läkemedelsbehandling ofta är effektivt vid ADHD har det psykologiska perspektivet som beskrivs i den här praktiska klienthandboken visat sig minska symtom utöver den effekt man sett vid medicinering. Dr. Safren och hans kollegor presenterar sin vetenskapligt utvärderade behandling för ADHD hos vuxna i ett steg-för-steg-format som med lätthet kan användas av vem som helst som lider av funktionsnedsättningen... jag rekommenderar varmt denna bok!" Martin M Antony, Ph.D., ABPP, Handledare vid Anxiety Treatment Research Center, St. Josephs Healthcare, Hamilton, och professor i psykiatri och neurovetenskap, McMaster University, Hamilton, Ontario, Kanada "Detta är en banbrytande bok... I denna manual kommer patienten att hitta användbar information om funktionsnedsättningen, och minst lika viktigt, en vetenskapligt testad taktik för att hantera ADHD och de svårigheter som kan uppstå i samband med den. Tack till Dr. Safren, Sprich, Perlman, och Otto." Russel A. Barkley, Ph.D., professor i psykiatri, SUNY Upstate Medical University, Syracusa, NY "Jag har väntat på en bok som denna! Dr. Safren och hans kollegor har lyckats med den svåra uppgiften att skriva en informativ, praktisk och uppmuntrande bok som kommer att hjälpa vuxna med ADHD att få ut så mycket som möjligt av sessionerna med sin terapeut... Vuxna med ADHD kommer att märka att boken är en användbar resurs för att utveckla och hålla fast vid strategier som kan bidra till att minska påverkan av ADHD på det dagliga livet." Wendy S. Freeman, Ph.D., biträdande lektor vid institutionen för psykologi, University of Manitoba "Dr. Safren och hans kollegor har tillämpat kritiskt tänkande och framsteg inom kognitiv beteendeterapi för att skapa ett behandlingspaket som ökar organisatoriska färdigheter, minskar distraherbarhet och förbättrar interpersonellt och emotionellt fungerande." Richard Gallagher, Ph.D., biträdande lektor i psykiatri, New York University School of Medicine

Attention Deficit/Hyperactivity Disorder (ADHD) in adulthood is a prevalent and impairing disorder. While medications have been effective in treating adult ADHD, the majority of individuals treated with medications still have symptoms that require additional skills and symptom management strategies. This Second Edition of Mastering Your Adult ADHD is thoroughly updated to present the most current, empirically supported treatment strategies in cognitive behavioral therapy (CBT) for coping with symptoms of adult ADHD. The Therapist Guide provides clinicians with effective means of teaching adult clients skills that have been scientifically tested and shown to help them cope with ADHD. The program has been updated to include the optional use of technology and smart phones to improve organization and planning. Core modules cover the development of systems for keeping track of appointments and tasks, reducing distractibility, and improving adaptive thinking skills, and there's an optional module on reducing procrastination. Information is also provided regarding holding an informational meeting with a spouse, partner, or family member. The step-by-step, session-by-session descriptions are a practical resource for therapists who deliver the treatment. The companion Client Workbook contains all of the necessary information for participating in the practical CBT intervention. It includes worksheets, forms, and a link to an assessment measure that can be used to gauge progress during treatment.

Historically, mental health clinical research has taken inadequate account of psychosocial disorders experienced by those who identify as sexual and gender minorities, however, researchers have recently begun developing and adapting evidence-based mental health treatment approaches for use with these groups. Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities offers a comprehensive array of evidence-based approaches for treating sexual and gender minority clients' mental health concerns. The interventions detailed here span a diverse spectrum of populations, including sexual and gender minority youth, transgender populations, same-sex couples, sexual minority parents, and bisexual individuals. Chapters also address numerous mental and behavioral health problems, including anxiety disorders, depression, substance abuse, trauma, body image disturbance, and sexual health. In addition to an overview of the research evidence supporting each clinical presentation and approach, chapters contain practical how-to guidance for therapists to use in their clinical practice. This book reflects a true integration of the best of sexual and gender minority research and the best of evidence-based practice research, presented by the leading experts in the field. As such it is essential reading for mental health professionals who work with these groups, as well as trainees in social work, counseling, and clinical psychology.

Overcoming ADHD in Adolescence: A Cognitive Behavioral Approach - Client Workbook presents a scientifically supported intervention designed to help adolescents learn to manage and cope with their ADHD symptoms. Meant to be used in therapy and in conjunction with the complementary Therapist Guide, the Workbook features lessons on organization and planning, reducing distractibility, and adaptive thinking, as well as an optional section on reducing procrastination. The emphasis is primarily on teaching the adolescent how to learn and use skills to combat ADHD and function independently. The book offers guidance on how parents can be involved in the treatment, enabling them to achieve a better balance between the wish to help adolescents succeed and the need for adolescents to move towards independence. The Workbook also explores how technology can be incorporated into the treatment, concluding with a discussion on how to maintain the gains that adolescents have made in therapy. The book is complete with easy-to-use worksheets and forms.

Overcoming ADHD in Adolescence: A Cognitive Behavioral Approach - Therapist Guide presents a manualized psychosocial intervention designed to help adolescent clients learn to manage and cope with their ADHD symptoms. Designed for use by therapists familiar with cognitive behavioral therapy (CBT) and/or structured psychotherapeutic approaches, and meant to be used in conjunction with the complementary Workbook for clients, the Therapist Guide features core modules on organization and planning, reducing distractibility, and adaptive thinking, as well as an optional module on reducing procrastination. The emphasis is primarily on teaching the adolescent how to learn and use skills to combat ADHD and function independently. The book offers guidance on including parents in the treatment-inviting a parent or parents in at the end of sessions, involving parents in goal setting, and optional coaching sessions without the adolescent present. Both this Therapist Guide and the companion Workbook for clients also offer a discussion of how to incorporate technology into the treatment, as well as "signposts of change" sections in each chapter. The Therapist Guide concludes with a discussion of how to help the client maintain the gains that he or she has made in treatment. The books are complete with worksheets and forms as well as a link to an online assessment measure that can be used repeatedly to gauge progress in treatment.

If you suffer from a chronic medical condition like cancer, HIV, diabetes, asthma, or hypertension, you know how hard it can be to perform all the self-care behaviours required of you, especially if you are also dealing with depression. Studies have shown that depressed individuls with chronic illness have a hard time keeping up with the behaviours necessary to manage their condition and improve their health. The program outlined in this workbook can help you take better care of yourself while simultaneously relieving your depression.Designed to be used in conjunction with visits to a qualified mental health professional, this workbook teaches you strategies for maintaining your medical regimen. You will learn how to set up a reminder system for taking medication, plan for getting to medical appointments on time, and how to communicate effectively with your medical providers. You will also learn how to follow the advice of your treatment providers, such as adhering to certain lifestyle and dietary recommendations. These Life-Steps are essential to the program. As you begin to take better care of yourself, you will notice a decrease in your depression.In addition to these self-care skills, you will also learn how to maximise your quality of life, which is another important part of lessening your depressed feelings. Begin to re-engage in pleasurable activities and utilise relaxation techniques and breathing exercises to help you cope with stress and discomfort. Use problem-solving to successfully deal with interpersonal or situational difficulties and change your negative thought through adaptive thinking. By treatment's end you will have all the skills you need to successfully manage your illness and cope with your depression.

The treatment outlined in this therapist guide is intended for people suffering from depression and living with chronic illnesses. As a result of their poor health, many individuals who are chronically ill become depressed and fail to maintain steady self-care routines. Using this guide, therapists can help clients with chronic illnesses to develop core skills and tecniques that will enable them to take better care of themselves. The program incorporates a unique Life-Steps module that teaches clients strategies for keeping up with their medical regimens, including tips for remembering to take medications, getting to medical appointments on time, and communicating effectively with medical providers.Based on the principles of CBT, this guide provides therapists with overviews of adherence behaviours for select illnesses including cancer, HIV, diabetes, and hypertension, among others. The chapters detail adherence skills, integrated with cognitive and behavioural strategies for managing depression such as managing pleasurable activities, adaptive thinking, problem-solving, and relaxation training. The guide concludes with suggestions on how clients can manage their illnesses and avoid relapse into behaviours that worsen their medical condition.

LGBTQ individuals seek therapy at higher rates than the general population, but the mental health profession has historically lacked evidence-based guidance for supporting the unique presenting concerns of LGBTQ clients. This book changes that by presenting how-to guidance for delivering cognitive-behavioral therapy that directly responds to the distinct stressors facing LGBTQ individuals. LGBTQ-affirmative Cognitive-Behavioral Therapy is the first mental health treatment designed by and for LGBTQ individuals that has been tested in several randomized controlled trials with diverse segments of the LGBTQ community. Results of these trials show that this transdiagnostic treatment is associated with reductions in depression, anxiety, substance use problems, and psychological distress, making it suitable for a broad range of presenting concerns. LGBTQ-affirmative Cognitive-Behavioral Therapy: Therapist Guide teaches the principles and techniques that mental health practitioners can use to affirmatively respond to the distinct stressors that their LGBTQ clients often face. The book follows a clear step-by-step approach with nine modules, each of which teaches skills for enhancing LGBTQ clients' mental well-being by undoing the deep impact that early and ongoing LGBTQ-related stress can have on basic psychological processes. This Therapist Guide is intended to be accompanied by the Client Workbook, which contains accessible, step-by-step guidance and worksheets for clients to follow when participating in this treatment. This guide provides essential tools for helping therapists effectively and affirmatively respond to the unique needs of their LGBTQ clients.

Research shows that LGBTQ individuals seek therapy at higher rates than the general population, and yet there is a lack of effective, evidence-based treatment support for the unique challenges facing LGBTQ individuals. This workbook changes that by presenting cognitive-behavioral therapy techniques that directly respond to the distinct stressors facing LGBTQ individuals. LGBTQ-affirmative Cognitive-Behavioral Therapy is the first mental health treatment designed by and for LGBTQ individuals to have been tested in randomized controlled trials. LGBTQ-affirmative Cognitive-Behavioral Therapy: Client Workbook is designed to enhance mental wellbeing and help you with a broad range of mental health challenges, such as depression, anxiety, substance use problems, and psychological distress. Using the exercises, quizzes, and worksheets you will learn how to monitor your feelings, thoughts, and behaviors; confront uncomfortable emotions; and learn more effective ways of coping with your experiences. It can be used individually, or in addition to the complementary Therapist Guide in a therpeautic setting. This workbook provides essential tools for helping you to effectively respond to mental health challenges in an effective, identity-affirming way.

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.This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

This book provides a framework for affirmative, empirically supported cognitive-behavioral therapy (CBT) with lesbian, gay, and bisexual clients. Guidelines for competent assessment and treatment are integrated with practical descriptions of widely used CBT applications. In addition to presenting powerful treatment tools for depression, anxiety, and other problems encountered by gay and straight clients alike, the book offers clear-cut guidance on helping individuals and couples cope with the stresses of sexual minority status. Rich case illustrations bring to life the diversity of lesbian and gay communities, highlighting commonalities as well as differences among the issues that clients bring to therapy. Filling a crucial gap in the literature, this is an important resource for therapists in a range of settings, from CBT newcomers to experienced practitioners. Appendices include resources and sample client and therapist forms.Winner--APA Division 44 Distinguished Book Award in Lesbian, Gay, and/or Bisexual Psychology

This text outlines the importance of biopsychosocial factors in improving medical care, and illustrates evidence-based, state-of-the-art interventions for patients with a variety of medical conditions. Each chapter is focused on a particular health concern or illness, which is described both in terms of prevalence and frequent psychological and psychiatric comorbidities that may present to clinicians working with these populations. Consistent with evidence-based care, information on the efficacy of the treatments being described is presented to support their continued use. To accommodate the needs of clinicians, we describe population specific approaches to treatment, including goal settings, modules and skills as well as strategies to assess and monitor progress.  To facilitate learning, each chapter contains one or more case examples that explicate the skills described to convey change within a behavioral medicine protocol. Each chapter also includes resources in the form ofbooks and websites to gain additional knowledge and detail as needed. Authors are experts in the field of each chapter, ensuring that information presented is recent and of high quality.

This text outlines the importance of biopsychosocial factors in improving medical care, and illustrates evidence-based, state-of-the-art interventions for patients with a variety of medical conditions.