RAINBOW

Author(s):  
Amy E. West ◽  
Sally M. Weinstein ◽  
Mani N. Pavuluri

RAINBOW: A Child- and Family-Focused Cognitive-Behavioral Treatment for Pediatric Bipolar Disorder is a comprehensive, evidence-based treatment manual designed specifically for children ages 7–13 with bipolar spectrum disorders and their families. Developed by experts in pediatric mood disorders and tested in a randomized clinical trial (RCT), RAINBOW integrates psychoeducation and cognitive-behavioral therapy (CBT) with complementary techniques from mindfulness-based intervention, positive psychology, and interpersonal therapy to address the range of therapeutic needs of families affected by this disorder. Guided by the evidence on the neurobiological and psychosocial difficulties accompanying pediatric bipolar disorder, this treatment targets the child and family across seven core components: Routine, Affect Regulation, I Can Do It, No Negative Thoughts and Live in the Now, Be a Good Friend/Balanced Lifestyle for Parents, Oh How Do We Solve This Problem, and Ways to Get Support. Throughout the treatment, the child and family will learn how to identify mood states and triggers of mood dysregulation, and develop cognitive and behavioral strategies for improving mood stability. Children will build social skills, and caregivers will develop greater balance and self-care in their own lives. The family will learn ways to use routines, problem-solving, and social support to improve overall family functioning. Intended for qualified child-focused mental health professionals, this manual includes the conceptual background of the treatment and user-friendly step-by-step instruction in delivering RAINBOW with families, including handy session outlines and engaging worksheets for the child and caregiver(s).

Author(s):  
Nancy P. Kropf ◽  
Sherry M. Cummings

Chapter 3, “Cognitive Behavioral Therapy: Theory and Practice,” presents the history, examines the theoretical underpinnings, and explains the essential skills and techniques of cognitive behavioral therapy (CBT). Theoretical principles, such as cognitive distortions, underlying assumptions and schema, and their presentation in older adults, are discussed. The treatment approach of CBT is outlined, including the nature of the therapeutic relationship, changing cognitions, behavioral strategies, the use of homework in treatment, and special considerations and adaptations for practice with older clients. Various contexts and settings where CBT is implemented are summarized, such as individual and group settings within community-based, acute-care, and long-term-care facilities. The chapter ends with the case example of cognitive behavioral treatment with an older female caregiver, which highlights and illustrates CBT practice with older adults.


2006 ◽  
Vol 20 (3) ◽  
pp. 275-286 ◽  
Author(s):  
Rachel L. Grover ◽  
Alicia A. Hughes ◽  
R. Lindsey Bergman ◽  
Julie Newman Kingery

The current article presents suggestions for modifications to common manualized treatments to tailor the interventions to specific anxiety diagnoses and common comorbid diagnoses. The authors utilize one cognitive-behavioral treatment manual (Coping Cat; Kendall, 2000) to demonstrate appropriate clinical accommodations. As the majority of cognitive-behavioral treatment manuals contain both skill (e.g., relaxation training, cognitive restructuring, problem solving) and exposure components, suggestions for accommodations are grouped into relevant skill or exposure sections. Recommended modifications include a focus on imaginal exposure for generalized anxiety disorder, involvement of parents in the treatment of separation anxiety disorder, completion of a variety of in vivo exposures for social phobia, and involvement of school personnel in the treatment of selective mutism. Brief recommendations are also included for common comorbid symptoms of depression and attention-deficit/hyperactivity disorder.


2014 ◽  
Vol 9 (2) ◽  
pp. 94-102 ◽  
Author(s):  
Jason S. Spendelow

Depression is a significant public health issue and many researchers have suggested that modifications to conventional cognitive–behavioral therapy (CBT) are required to address infrequent help-seeking in men and counter negative effects of traditional masculinity on therapeutic engagement. This narrative review summarizes recommended alterations to CBT in the areas of therapeutic setting, process, and content. Key themes from this literature include a focus on behavioural interventions, and harmful cognitions that orginate from the traditional male gender stereotype. This literature is marked by limited empirical support for many of the recommended treatment modifications, and several options for future research are outlined.


1984 ◽  
Vol 12 (1) ◽  
pp. 45-54 ◽  
Author(s):  
David Richard Pecheur ◽  
Keith J. Edwards

This study was designed to answer two related questions: (a) Could Beck's cognitive-behavioral treatment of depression be efficaciously employed in a religious population, and (b) would the efficacy of Beck's cognitive-behavioral treatment of depression be enhanced if it was integrated with the subjects’ religious beliefs? A multiple cutoff procedure was utilized in the selection of subjects for a secular cognitive behavior modification group, a religious cognitive behavior modification group, and a waiting list control group. The results indicated that the secular and the religious cognitive behavior modification groups were significantly more effective than the waiting list control group in alleviating depression. No significant differences were found between secular and the religious cognitive behavior modification groups. The reductions in depression were maintained at a one-month follow-up. The results relevant to Beck's cognitive-behavioral therapy of depression and to the treatment of religious patients are discussed.


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