Clinical Handbook of Psychological Disorders: A Step-by-Step by David H. Barlow

By David H. Barlow

With over 75,000 copies offered, this medical advisor and largely followed textual content provides authoritative guidance for treating usually encountered grownup issues. The Handbook is exclusive in its specialize in evidence-based perform and its awareness to the main urgent query requested via scholars and practitioners—“How do I do it?” prime scientific researchers offer crucial history wisdom on every one challenge, describe the conceptual and empirical bases in their respective techniques, and illustrate the nuts and bolts of evidence-based evaluate and intervention.

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Extra info for Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual (4th Edition)

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Did you ever have those feelings come “from out of the blue,” for no apparent reason, or in situations where you did not expect them to occur? Yes. How long does it usually take for the rush of fear/discomfort to reach its peak level? It varies, sometimes a couple of seconds and at other times it seems to build more slowly. How long does the fear/discomfort usually last at its peak level? Depends on where I am at the time. If it happens when I’m alone, sometimes it is over within a few minutes or even seconds.

Consequently, Julie is sensitive to anything that produces “unreal” types of feelings, such as the semiconsciousness that occurs just before falling asleep, the period when daylight changes to night, bright lights, concentrating on the same thing for long periods of time, alcohol or drugs, and being anxious in general. Even though she has a prescription for 18 CLINICAL HANDBOOK OF PSYCHOLOGICAL DISORDERS Klonopin (a high-potency benzodiazepine), she rarely, if ever, uses it because of her general fear of being under the influence of a drug, or of feeling an altered state of consciousness.

The survival value of alarm reactions (panic attacks) is emphasized throughout. Education also distinguishes between the state of anxiety and the emotion of fear/ panic, both conceptually and in terms of its three response modes (subjective, physiological, and behavioral). This distinction is central to the model of panic disorder and to the remainder of the treatment. Anxiety is viewed as a state of preparation for future threat, whereas panic is the fight–flight emotion elicited by imminent threat.

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