Purposeful Application of Theory to Case Conceptualization and Treatment Planning

2021 ◽  
pp. 25-44
Author(s):  
Lynn Louise Wonders
Author(s):  
Amy R. Sewart ◽  
Michelle G. Craske

Abstract: Panic disorder refers to recurrent, unexpected panic attacks, followed by at least 1 month of persistent concern about their recurrence and their consequences or a significant maladaptive change in behavior consequent to the attacks. Highly comorbid with panic disorder, agoraphobia refers to marked fear or avoidance of specific situations from which escape is perceived to be difficult or in which help may be unavailable in the event of panic-like or other incapacitating or embarrassing symptoms. This chapter focuses on the assessment of panic disorder and agoraphobia in adults. It begins with a review of the nature of the disorders, which is followed by a review of clinical assessment instruments designed for the assessment purposes of (a) diagnosis, (b) case conceptualization and treatment planning, and (c) treatment monitoring and evaluation. Recommendations are included for instruments with the greatest scientific support and for assessing these anxiety disorders in a clinically sensitive manner.


Author(s):  
Jacqueline B. Persons ◽  
David M. Fresco ◽  
Juliet Small Ernst

Abstract: This chapter focuses on the assessment of depression in adults. It focuses on major depressive disorder (MDD) because the empirical support for the tools and theories and therapies described in this chapter focuses most frequently on MDD. Many other disorders, as well as phenomena that are not disorders (e.g., grief), share features with MDD, and many of the assessment tools described in this chapter will be helpful in those cases as well. The chapter begins with an overview of the nature of the disorder, which is followed by reviews of assessment instruments designed for the purposes of (a) diagnosis, (b) case conceptualization and treatment planning, and (c) treatment monitoring and evaluation. We include recommendations for instruments that have the greatest scientific support and that assess depression in a clinically sensitive manner.


For many professional psychologists, assessment is viewed as a unique and defining feature of their expertise. Criteria for evaluating the scientific evidence supporting clinical instruments are presented in this chapter, including criteria for norms, reliability, validity, and clinical utility. These criteria are used by chapter authors in this volume in their condition-specific reviews of assessment instruments used for (a) diagnosis, (b) case conceptualization and treatment planning, and (c) treatment monitoring and treatment evaluation. Selecting and using scientifically sound instruments is a necessary starting point for evidence-based practice, but a remaining challenge is for professionals to integrate the resulting assessment data in a manner that is itself evidence-based.


Author(s):  
Michael P. Twohig ◽  
Michael E. Levin ◽  
Clarissa W. Ong

This book is a guide for new therapists on the use of acceptance and commitment therapy (ACT) for any psychological disorder that involves some level of struggle with inner experiences; it is not targeted to any particular diagnosis. The book is suitable for graduate students who are seeing their first client, for clinicians with years of experience who have never done ACT or are just learning about ACT, and for anyone who is interested in applying ACT across a range of presentations. The book also includes exercises and worksheets that will continue to be useful for sessions after the therapist is competent in ACT. The chapters walk therapists through a recommended sequence of ACT sessions, including creative hopelessness, control as the problem, acceptance, defusion, mindfulness, values, and committed action. They also contain accompanying materials for clients. The book provides information on assessment, case conceptualization, treatment planning, and intervention that therapists can use as a starting point for practicing ACT. The book is intended to serve as a more structured framework from which therapists can learn and experiment with ACT concepts as they begin to get more experience with the therapy.


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