Dean McKay is Professor of Psychology at Fordham University, Adjunct Professor of Psychiatry at Mount Sinai School of Medicine, and a Past President of the Association for Behavioral and Cognitive Therapies (2013-2014). He is also a clinical psychologist and co-directs the Institute for Cognitive Behavior Therapy and Research, a private group psychological practice.Jonathan S. Abramowitz is Professor and Associate Chair in the Department of Psychology and Neuroscience at the University of North Carolina – Chapel Hill, and a clinical psychologist in private practice. He is a Past President of the Association for Behavioral and Cognitive Therapies (2014-2015), and Editor-in-Chief of the Journal of Obsessive-Compulsive and Related Disorders.Eric A. Storch is the All Children's Hospital Guild Endowed Chair and a Professor of Clinical Psychology in the Departments of Pediatrics, Psychiatry & Behavioral Neurosciences, and Health Policy & Management at the University of South Florida. He is a licensed clinical psychologist and serves as the Clinical Director of Rogers Behavioral Health – Tampa.

• Notes on Editors xList of Contributors xi1 Introduction 1Jonathan S. Abramowitz, Eric A. Storch, and Dean McKay2 Cognitive Behavioral Therapy: Empirically Supported Treatment and the Movement to Empirically Supported Practice 4Jesse R. Cougle, Melanie A. Hom, and Natalie L. Matheny3 Fears and Specific Phobias 15Maysa M. Kaskas, Paige M. Ryan, and Thompson E. Davis III4 Panic Disorder and Agoraphobia 34Lily A. Brown and Michelle G. Craske5 The Nature and Treatment of Social Anxiety: Maintenance Factors, Treatment Components, and Maximizing Treatment Response 56Joseph K. Carpenter, Joshua Curtiss, and Stefan G. Hofmann6 The Nature and Treatment of Obsessions and Compulsions 74Jonathan S. Abramowitz7 Hoarding Disorder 89Tina L. Mayes and Catherine R. Ayers8 Mechanisms and Treatment of Generalized Anxiety Disorder 100Michelle G. Newman, Ki Eun Shin, and Lucas S. LaFreniere9 Empirically Supported Conceptualizations and Treatments of Post-traumatic Stress Disorder 115Jonathan D. Green, Brian P. Marx, and Terence M. Keane10 Post-traumatic Stress Disorder Treatment Effects and Underlying Mechanisms of Change 136Lori A. Zoellner, Alissa B. Jerud, Elizabeth H. Marks, and Natalia M. Garcia11 Persistent Depressive Disorder (Dysthymia) and Its Treatment 153James P. McCullough Jr. and Sarah W. Clark12 Matching Empirically Supported Therapies to Treatment Targets in Bipolar Disorder 168Anna Van Meter and Eric Youngstrom13 Schizophrenia and Severe Mental Illness 188Dennis R. Combs and Kim T. Mueser14 Anorexia Nervosa 202Lauren Breithaupt, Sarah Fischer, Joanna Marino, and Diana Gaydusek15 Bulimia Nervosa 218Sarah Fischer, Kendra Davis, and Lauren Breithaupt16 Alcohol Use Disorders: Treatment and Mechanisms of Change 235Barbara S. McCrady17 Cognitive Behavior Therapy for Insomnia 248Shelby Harris and Eleanor McGlinchey18 Psychological Approaches for Low Sexual Arousal 263Charmaine Borg and Peter J. de Jong19 Problems of Mood Dysregulation 281Shannon Sauer-Zavala and Laren R. Conklin20 Mechanisms of Treatments for Trichotillomania (Hair Pulling Disorder) 296Elle Brennan, Sarah K. Francazio, Yolanda E. Murphy, and Christopher A. Flessner21 Body-Focused Repetitive Behavior 309Christine A. Conelea, Hannah E. Frank, and Michael R. Walther22 Non-suicidal Self-injury 328Emily H. Brackman and Margaret S. Andover23 Severe Health Anxiety in the Somatic Symptom and Related Disorders 345Erik Hedman and Erland Axelsson24 Borderline Personality Disorder: Underlying Mechanisms and Implications for Treatment 360Shireen L. Rizvi and Marget C. Thomas25 Paraphilias: An Overview of the Current State of the Field 376William T. O’Donohue, Julie Kahler, Natalie Bennett, Olga Cirlugea, and Lorraine Benuto26 Treating Relationship Distress 396Christine Paprocki and Donald H. Baucom27 Acceptance and Commitment Therapy: A Critical Review to Guide Clinical Decision Making 413Michael E. Levin, James D. Herbert, and Evan M. Forman28 Transdiagnostic Approaches to Cognitive Behavioral Therapy for Emotional Disorders 433Todd J. Farchione, Laren R. Conklin, and Jacqueline R. Bullis29 Neural Network Models as Explanatory Frameworks of Psychopathology and Its Treatment 452Warren W. Tryon, Jonathan Hoffman, and Dean McKay30 Disgust in Psychopathology: Mechanisms and Treatment 480Rachel Ojserkis, William Taboas, and Dean McKay31 Temperament in Youth Internalizing Disorders 504Helen F. Dodd, Jennifer L. Hudson, and Ronald M. Rapee32 Oppositionality and Functionality in Youth Externalizing Disorders 525Randi Bennett, Samantha Adelsberg, and Amy K. Roy33 Early Childhood Externalizing Behavior Problems and Parent Training Interventions 541Daniel M. Bagner, Dainelys Garcia, and Nicole E. BarrosoIndex 556

Dean McKay is Professor of Psychology at Fordham University, Adjunct Professor of Psychiatry at Mount Sinai School of Medicine, and a Past President of the Association for Behavioral and Cognitive Therapies (2013-2014). He is also a clinical psychologist and co-directs the Institute for Cognitive Behavior Therapy and Research, a private group psychological practice.Jonathan S. Abramowitz is Professor and Associate Chair in the Department of Psychology and Neuroscience at the University of North Carolina – Chapel Hill, and a clinical psychologist in private practice. He is a Past President of the Association for Behavioral and Cognitive Therapies (2014-2015), and Editor-in-Chief of the Journal of Obsessive-Compulsive and Related Disorders.Eric A. Storch is the All Children's Hospital Guild Endowed Chair and a Professor of Clinical Psychology in the Departments of Pediatrics, Psychiatry & Behavioral Neurosciences, and Health Policy & Management at the University of South Florida. He is a licensed clinical psychologist and serves as the Clinical Director of Rogers Behavioral Health – Tampa.

• Notes on Editors xList of Contributors xi1 Introduction 1Jonathan S. Abramowitz, Eric A. Storch, and Dean McKay2 Cognitive Behavioral Therapy: Empirically Supported Treatment and the Movement to Empirically Supported Practice 4Jesse R. Cougle, Melanie A. Hom, and Natalie L. Matheny3 Fears and Specific Phobias 15Maysa M. Kaskas, Paige M. Ryan, and Thompson E. Davis III4 Panic Disorder and Agoraphobia 34Lily A. Brown and Michelle G. Craske5 The Nature and Treatment of Social Anxiety: Maintenance Factors, Treatment Components, and Maximizing Treatment Response 56Joseph K. Carpenter, Joshua Curtiss, and Stefan G. Hofmann6 The Nature and Treatment of Obsessions and Compulsions 74Jonathan S. Abramowitz7 Hoarding Disorder 89Tina L. Mayes and Catherine R. Ayers8 Mechanisms and Treatment of Generalized Anxiety Disorder 100Michelle G. Newman, Ki Eun Shin, and Lucas S. LaFreniere9 Empirically Supported Conceptualizations and Treatments of Post-traumatic Stress Disorder 115Jonathan D. Green, Brian P. Marx, and Terence M. Keane10 Post-traumatic Stress Disorder Treatment Effects and Underlying Mechanisms of Change 136Lori A. Zoellner, Alissa B. Jerud, Elizabeth H. Marks, and Natalia M. Garcia11 Persistent Depressive Disorder (Dysthymia) and Its Treatment 153James P. McCullough Jr. and Sarah W. Clark12 Matching Empirically Supported Therapies to Treatment Targets in Bipolar Disorder 168Anna Van Meter and Eric Youngstrom13 Schizophrenia and Severe Mental Illness 188Dennis R. Combs and Kim T. Mueser14 Anorexia Nervosa 202Lauren Breithaupt, Sarah Fischer, Joanna Marino, and Diana Gaydusek15 Bulimia Nervosa 218Sarah Fischer, Kendra Davis, and Lauren Breithaupt16 Alcohol Use Disorders: Treatment and Mechanisms of Change 235Barbara S. McCrady17 Cognitive Behavior Therapy for Insomnia 248Shelby Harris and Eleanor McGlinchey18 Psychological Approaches for Low Sexual Arousal 263Charmaine Borg and Peter J. de Jong19 Problems of Mood Dysregulation 281Shannon Sauer-Zavala and Laren R. Conklin20 Mechanisms of Treatments for Trichotillomania (Hair Pulling Disorder) 296Elle Brennan, Sarah K. Francazio, Yolanda E. Murphy, and Christopher A. Flessner21 Body-Focused Repetitive Behavior 309Christine A. Conelea, Hannah E. Frank, and Michael R. Walther22 Non-suicidal Self-injury 328Emily H. Brackman and Margaret S. Andover23 Severe Health Anxiety in the Somatic Symptom and Related Disorders 345Erik Hedman and Erland Axelsson24 Borderline Personality Disorder: Underlying Mechanisms and Implications for Treatment 360Shireen L. Rizvi and Marget C. Thomas25 Paraphilias: An Overview of the Current State of the Field 376William T. O’Donohue, Julie Kahler, Natalie Bennett, Olga Cirlugea, and Lorraine Benuto26 Treating Relationship Distress 396Christine Paprocki and Donald H. Baucom27 Acceptance and Commitment Therapy: A Critical Review to Guide Clinical Decision Making 413Michael E. Levin, James D. Herbert, and Evan M. Forman28 Transdiagnostic Approaches to Cognitive Behavioral Therapy for Emotional Disorders 433Todd J. Farchione, Laren R. Conklin, and Jacqueline R. Bullis29 Neural Network Models as Explanatory Frameworks of Psychopathology and Its Treatment 452Warren W. Tryon, Jonathan Hoffman, and Dean McKay30 Disgust in Psychopathology: Mechanisms and Treatment 480Rachel Ojserkis, William Taboas, and Dean McKay31 Temperament in Youth Internalizing Disorders 504Helen F. Dodd, Jennifer L. Hudson, and Ronald M. Rapee32 Oppositionality and Functionality in Youth Externalizing Disorders 525Randi Bennett, Samantha Adelsberg, and Amy K. Roy33 Early Childhood Externalizing Behavior Problems and Parent Training Interventions 541Daniel M. Bagner, Dainelys Garcia, and Nicole E. BarrosoIndex 556

Dean McKay is Professor of Psychology at Fordham University, Adjunct Professor of Psychiatry at Mount Sinai School of Medicine, and a Past President of the Association for Behavioral and Cognitive Therapies (2013-2014). He is also a clinical psychologist and co-directs the Institute for Cognitive Behavior Therapy and Research, a private group psychological practice.Jonathan S. Abramowitz is Professor and Associate Chair in the Department of Psychology and Neuroscience at the University of North Carolina – Chapel Hill, and a clinical psychologist in private practice. He is a Past President of the Association for Behavioral and Cognitive Therapies (2014-2015), and Editor-in-Chief of the Journal of Obsessive-Compulsive and Related Disorders.Eric A. Storch is the All Children's Hospital Guild Endowed Chair and a Professor of Clinical Psychology in the Departments of Pediatrics, Psychiatry & Behavioral Neurosciences, and Health Policy & Management at the University of South Florida. He is a licensed clinical psychologist and serves as the Clinical Director of Rogers Behavioral Health – Tampa.

• Notes on Editors xList of Contributors xi1 Introduction 1Jonathan S. Abramowitz, Eric A. Storch, and Dean McKay2 Cognitive Behavioral Therapy: Empirically Supported Treatment and the Movement to Empirically Supported Practice 4Jesse R. Cougle, Melanie A. Hom, and Natalie L. Matheny3 Fears and Specific Phobias 15Maysa M. Kaskas, Paige M. Ryan, and Thompson E. Davis III4 Panic Disorder and Agoraphobia 34Lily A. Brown and Michelle G. Craske5 The Nature and Treatment of Social Anxiety: Maintenance Factors, Treatment Components, and Maximizing Treatment Response 56Joseph K. Carpenter, Joshua Curtiss, and Stefan G. Hofmann6 The Nature and Treatment of Obsessions and Compulsions 74Jonathan S. Abramowitz7 Hoarding Disorder 89Tina L. Mayes and Catherine R. Ayers8 Mechanisms and Treatment of Generalized Anxiety Disorder 100Michelle G. Newman, Ki Eun Shin, and Lucas S. LaFreniere9 Empirically Supported Conceptualizations and Treatments of Post-traumatic Stress Disorder 115Jonathan D. Green, Brian P. Marx, and Terence M. Keane10 Post-traumatic Stress Disorder Treatment Effects and Underlying Mechanisms of Change 136Lori A. Zoellner, Alissa B. Jerud, Elizabeth H. Marks, and Natalia M. Garcia11 Persistent Depressive Disorder (Dysthymia) and Its Treatment 153James P. McCullough Jr. and Sarah W. Clark12 Matching Empirically Supported Therapies to Treatment Targets in Bipolar Disorder 168Anna Van Meter and Eric Youngstrom13 Schizophrenia and Severe Mental Illness 188Dennis R. Combs and Kim T. Mueser14 Anorexia Nervosa 202Lauren Breithaupt, Sarah Fischer, Joanna Marino, and Diana Gaydusek15 Bulimia Nervosa 218Sarah Fischer, Kendra Davis, and Lauren Breithaupt16 Alcohol Use Disorders: Treatment and Mechanisms of Change 235Barbara S. McCrady17 Cognitive Behavior Therapy for Insomnia 248Shelby Harris and Eleanor McGlinchey18 Psychological Approaches for Low Sexual Arousal 263Charmaine Borg and Peter J. de Jong19 Problems of Mood Dysregulation 281Shannon Sauer-Zavala and Laren R. Conklin20 Mechanisms of Treatments for Trichotillomania (Hair Pulling Disorder) 296Elle Brennan, Sarah K. Francazio, Yolanda E. Murphy, and Christopher A. Flessner21 Body-Focused Repetitive Behavior 309Christine A. Conelea, Hannah E. Frank, and Michael R. Walther22 Non-suicidal Self-injury 328Emily H. Brackman and Margaret S. Andover23 Severe Health Anxiety in the Somatic Symptom and Related Disorders 345Erik Hedman and Erland Axelsson24 Borderline Personality Disorder: Underlying Mechanisms and Implications for Treatment 360Shireen L. Rizvi and Marget C. Thomas25 Paraphilias: An Overview of the Current State of the Field 376William T. O’Donohue, Julie Kahler, Natalie Bennett, Olga Cirlugea, and Lorraine Benuto26 Treating Relationship Distress 396Christine Paprocki and Donald H. Baucom27 Acceptance and Commitment Therapy: A Critical Review to Guide Clinical Decision Making 413Michael E. Levin, James D. Herbert, and Evan M. Forman28 Transdiagnostic Approaches to Cognitive Behavioral Therapy for Emotional Disorders 433Todd J. Farchione, Laren R. Conklin, and Jacqueline R. Bullis29 Neural Network Models as Explanatory Frameworks of Psychopathology and Its Treatment 452Warren W. Tryon, Jonathan Hoffman, and Dean McKay30 Disgust in Psychopathology: Mechanisms and Treatment 480Rachel Ojserkis, William Taboas, and Dean McKay31 Temperament in Youth Internalizing Disorders 504Helen F. Dodd, Jennifer L. Hudson, and Ronald M. Rapee32 Oppositionality and Functionality in Youth Externalizing Disorders 525Randi Bennett, Samantha Adelsberg, and Amy K. Roy33 Early Childhood Externalizing Behavior Problems and Parent Training Interventions 541Daniel M. Bagner, Dainelys Garcia, and Nicole E. BarrosoIndex 556