Clinical Handbook of Psychological Disorders

Fifth Edition
A Step-by-Step Treatment Manual

Edited by David H. Barlow

Hardcovere-bookprint + e-book
March 7, 2014
ISBN 9781462513260
Price: $92.00 $78.20
768 Pages
Size: 7⅜" x 9¼"
March 7, 2014
Price: $92.00 $78.20
768 Pages
print + e-book
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Price: $184.00 $101.20
768 Pages
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This clinical reference and widely adopted text is recognized as the premier guide to understanding and treating frequently encountered psychological disorders in adults. Showcasing evidence-based psychotherapy models, the volume addresses the most pressing question asked by students and practitioners—"How do I do it?" Leading authorities present state-of-the-art information on each clinical problem and explain the conceptual and empirical bases of their respective therapeutic approaches. Procedures for assessment, case formulation, treatment planning, and intervention are described in detail. Extended case examples with session transcripts illustrate each component of treatment.

New to This Edition See also Clinical Handbook of Psychological Disorders in Children and Adolescents, edited by Christopher A. Flessner and John C. Piacentini.

“The book showcases the use of evidence-based psychotherapeutic psychosocial practices to assess and treat a range of psychological disorders….Chapters are clearly organized, concisely written, and full of information about the conceptual and empirical bases of the evidence-based practices….The Clinical Handbooksucceeds in offering its readers procedures for assessment, case formulation, treatment planning, and intervention strategies and techniques. Clinical vignettes and transcripts populate the pages, which serve to exhibit the integration of theory, empiricism, and real-world practice. These clinical illustrations further demonstrate how proficient use of evidence-based practices involves the principled application of techniques individualized to meet patients’ needs instead of rigid adherence to manualized treatments. This realistic portrayal of the skill required to render treatments effectively is refreshing….A very well-written and easy to use textbook. As a reference resource, it will serve students and therapists like a favorite cookbook, with pages soiling over time as they return to seek clinical recipes that will help them better serve their patients.”

Journal of Clinical Psychiatry

“An outstanding revision. Each chapter is well organized, and includes a comprehensive range of information. This handbook is a helpful resource for keeping mental health professionals and students up to date on the latest research and advances in evidence-based treatments for commonly encountered psychological disorders.”

Journal of Psychiatric Practice

“An indispensable guide replete with clinical tools for new and seasoned clinicians, as well as an excellent teaching resource….The authors, all distinguished scholars and clinical investigators, have addressed a wide range of psychological disorders in a rigorous and empirical manner, skillfully translating what is known about them, from theory and precisely executed research to clinical application. This book presents the most advanced treatment protocols in a detailed manner from assessment to treatment completion….Charts, forms, and resource references provided in some chapters contribute greatly to the dissemination of clinical material and make application of the techniques easily accessible….This book, continuing with the long tradition of previous editions, is an exceptional resource for clinicians and should be required reading for all in mental health training programs. It has surpassed its stated objectives to provide state-of-the-art scientific knowledge, present empirically tested effective therapies, and teach clinicians how to implement these treatments in a step-by-step manner, helping them achieve the goal that every mental health professional seeks to achieve, that is, to alleviate psychological pain and enable every client to live a more gratifying and fulfilling life.”

Journal of Nervous and Mental Disease

“The authors have considerable clinical experience and publish therapy plans and transcripts of 'who says what to whom' to prove it....A great resource for psychotherapists. All staff should have a copy.”

British Journal of Psychiatry (on the fourth edition)

“This is a text that should be in every clinical library so as to be referenced based on the clinician's needs. For the student of psychological treatments, and the bibliophile, a personal copy would provide exceeding value.”

Journal of the Canadian Academy of Child and Adolescent Psychiatry (on the fourth edition)

“How can we provide patients suffering from various mental health problems with the most rigorously studied, efficient, and effective treatments? How do we best offer trainees in psychology, psychiatry, and other disciplines, as well as experienced clinicians, direction in the application of such approaches? This book proffers an excellent answer to both questions.”

Journal of Clinical Psychiatry (on the fourth edition)

“[Barlow] has been an acknowledged pioneer and leader in the field for many years, a fact reflected in the thoroughness of the volume's coverage and its list of authors.”

Journal of Nervous and Mental Disease (on the fourth edition)

“This is an exceptional book for both the literature reviews of empirically supported treatments and the hands-on descriptions of these treatments. It will undoubtedly aid in the delivery of psychological treatment. In a body of literature replete with general comparisons, reviews, and meta-analyses, this book stands out as a truly practical step-by-step guide to the major psychological treatments currently available. Students of psychology, psychiatry, and related fields should embrace this in their training....5 stars!”

Doody's Review Service (on the fourth edition)

“This edition continues the tradition of serving as an excellent resource for graduate students and advanced trainees on the major approaches to treating patients with psychological disorders. This version incorporates important treatment movements in the field, as well emerging diagnostic challenges with DSM-5.”

Doody's Review Service

“Barlow has done it again—assembled a stellar group of scientist-practitioners to write scholarly yet accessible chapters on the full array of commonly encountered psychological disorders. Each chapter provides a sophisticated examination of psychopathology, assessment, and the best evidence-based interventions, interweaving science and practice in a dynamic fashion. Like the previous editions, this thoroughly updated and expanded volume is a 'must read' for graduate students, researchers, clinicians, clinical supervisors, and instructors.”

—Gerald C. Davison, PhD, Department of Psychology, University of Southern California

“This fifth edition makes an already outstanding work even better. Existing chapters have been updated with the latest empirical and clinical evidence, and new chapters represent important developments in the field. This book is special for several reasons: The authors are top-notch, chapters cover both psychopathology and treatment, and an extensive case study with session dialogue is included in each chapter. Almost no publishers allow chapters of sufficient length to include all these important elements, but this book has them. Barlow's book has been an invaluable part of my course on empirically supported psychotherapies for clinical psychology graduate students for a decade; the fifth edition will continue to be the basis of my course for years to come.”

—Dianne L. Chambless, PhD, Professor and Director of Clinical Training, Department of Psychology, University of Pennsylvania

“Barlow has assembled core treatment protocols written by leading experts in this clear, comprehensive, and highly practical volume. Each chapter includes discussion of diagnostic criteria, evidence base, assessment, and treatment, culminating in an engaging case presentation. Key treatment considerations are artfully woven throughout the chapters. Conveying essential information in a usable fashion, this is the perfect text for teaching evidence-based interventions.”

—Jillon S. Vander Wal, PhD, Department of Psychology, Saint Louis University

“Barlow has once again produced a top-notch resource for behavioral health professionals! Chapters are written by experts on each disorder and include reviews of the extant research as well as very helpful case examples. The fifth edition incorporates findings from the latest research as well as new chapters on such important areas as generalized anxiety disorder, sleep disorders, and co-occurring depression and substance use disorders. This is an invaluable resource for graduate students as well as practitioners seeking a comprehensive resource on the nature and treatment of psychological disorders.”

—Julia D. Buckner, PhD, Department of Psychology, Louisiana State University

“This text has consistently served as the single best instructional aid for teaching evidence-based therapies to clinical psychology students in our doctoral program. Barlow has once again assembled the best clinicians and scholars to provide a thoughtful balance of theory, rationale, evidence, and clinical techniques. Although many of the included approaches have longstanding track records of efficacy in reducing human suffering, the fifth edition succeeds in keeping the material current, fresh, and relevant.”

—David M. Fresco, PhD, Department of Psychology, Kent State University; Department of Psychiatry, Case Western Reserve University School of Medicine

Clinical Handbook of Psychological Disorders, Fifth Edition, offers a comprehensive, in-depth look at DSM-5 psychological disorders. The descriptions of diagnostic criteria, clinical features, empirically based treatment techniques, and accompanying case examples are a great way to help trainees and experienced practitioners obtain detailed information about each disorder. I assign this book to my students and find it to be a reference that I utilize time and again.”

—Lisa A. Paul, PhD, Department of Psychology, Northern Illinois University

“The first day of class was yesterday, and students are already enthusiastic about the fifth edition of Barlow's Handbook! For the past 15 years, subsequent editions of this text have played an important role in my teaching the main evidence-based interventions for common mental health disorders to clinical social work students. Chapters are authored by the treatment developers themselves and are structured to provide an immediately practical foundation. Each edition is better than the one before it! Finding a text that navigates this complex territory authoritatively from an evidence-based practice perspective and makes it understandable to beginning clinicians has been extremely valuable.”

—André Ivanoff, PhD, Columbia University School of Social Work

Table of Contents

1. Panic Disorder and Agoraphobia, Michelle G. Craske and David H. Barlow sample

2. Posttraumatic Stress Disorder, Candice M. Monson, Patricia A. Resick, and Shireen L. Rizvi

3. Social Anxiety Disorder, Richard G. Heimberg and Leanne Magee

4. Obsessive-Compulsive Disorder, Martin E. Franklin and Edna B. Foa

5. An Acceptance-Based Behavioral Therapy for Generalized Anxiety Disorder, Lizabeth Roemer and Susan M. Orsillo

6. Emotional Disorders: A Unified Transdiagnostic Protocol, Laura A. Payne, Kristen K. Ellard, Todd J. Farchione, Christopher P. Fairholme, and David H. Barlow

7. Cognitive Therapy for Depression, Jeffrey E. Young, Jayne L. Rygh, Arthur D. Weinberger, and Aaron T. Beck

8. Interpersonal Psychotherapy for Depression, Kathryn L. Bleiberg and John C. Markowitz

9. Behavioral Activation for Depression, Sona Dimidjian, Christopher R. Martell, Ruth Herman-Dunn, and Samuel Hubley

10. Borderline Personality Disorder, Andrada D. Neacsiu and Marsha M. Linehan

11. Bipolar Disorder, David J. Miklowitz

12. Schizophrenia and Other Psychotic Disorders, Nicholas Tarrier and Rumina Taylor

13. Alcohol Use Disorders, Barbara S. McCrady

14. Drug Use Disorders, Stephen T. Higgins, Stacey C. Sigmon, and Sarah H. Heil

15. Evidence-Based Relationships and Responsiveness for Depression and Substance Abuse, John C. Norcross and Larry E. Beutler

16. Treatment of Sleep Disturbance, Katherine A. Kaplan and Allison G. Harvey

17. Eating Disorders: A Transdiagnostic Protocol, Christopher G. Fairburn and Zafra Cooper

18. Couple Distress, Andrew Christensen, Jennifer G. Wheeler, Brian D. Doss, and Neil S. Jacobson

About the Editor

David H. Barlow, PhD, ABPP, is Professor of Psychology and Psychiatry and Founder and Director Emeritus of the Center for Anxiety and Related Disorders at Boston University. Dr. Barlow has published over 500 articles and book chapters and over 60 books and clinical manuals—some translated into more than 20 languages, including Arabic, Chinese, Hindi, and Russian—primarily in the areas of emotional disorders and clinical research methodology. His books include Clinical Handbook of Psychological Disorders, Fifth Edition, Handbook of Assessment and Treatment Planning for Psychological Disorders, Second Edition, and Anxiety and Its Disorders, Second Edition. He has been the recipient of numerous awards, including, most recently, the Career/Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies. He is past president of the Society of Clinical Psychology and the Association for Behavioral and Cognitive Therapies and past editor of the journals Clinical Psychology: Science and Practice and Behavior Therapy. Dr. Barlow's research has been continually funded by the National Institutes of Health for over 40 years.


David H. Barlow, PhD, Center for Anxiety and Related Disorders and Department of Psychology, Boston University, Boston, Massachusetts

Aaron T. Beck, MD, Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Beck Institute for Cognitive Therapy and Research, Bala Cynwyd, Pennsylvania

Larry E. Beutler, PhD, Department of Clinical Psychology, Palo Alto University, Palo Alto, California

Kathryn L. Bleiberg, PhD, Department of Psychiatry, Weill Cornell Medical College, Cornell University, New York, New York

Andrew Christensen, PhD, Department of Psychology, University of California, Los Angeles, California

Zafra Cooper, DPhil, Department of Psychiatry, University of Oxford, Oxford, United Kingdom

Michelle G. Craske, PhD, Department of Psychology, University of California, Los Angeles, California

Sona Dimidjian, PhD, Department of Psychology and Neuroscience, University of Colorado, Boulder, Colorado

Brian D. Doss, PhD, Department of Psychology, University of Miami, Coral Gables, Florida

Kristen K. Ellard, PhD, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts

Christopher G. Fairburn, DM, Department of Psychiatry, Oxford University, Oxford, United Kingdom

Christopher P. Fairholme, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California

Todd J. Farchione, PhD, Center for Anxiety and Related Disorders and Department of Psychology, Boston University, Boston, Massachusetts

Edna B. Foa, PhD, Department of Psychiatry and Center for the Treatment and Study of Anxiety, University of Pennsylvania, Philadelphia, Pennsylvania

Martin E. Franklin, PhD, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Allison G. Harvey, PhD, Department of Psychology, University of California, Berkeley, California

Sarah H. Heil, PhD, Departments of Psychiatry and Psychology, University of Vermont, Burlington, Vermont

Richard G. Heimberg, PhD, Adult Anxiety Clinic and Department of Psychology, Temple University, Philadelphia, Pennsylvania

Ruth Herman-Dunn, PhD, private practice and Department of Psychology, University of Washington, Seattle, Washington

Stephen T. Higgins, PhD, Departments of Psychiatry and Psychology, University of Vermont, Burlington, Vermont

Samuel Hubley, MA, Department of Psychology and Neuroscience, University of Colorado, Boulder, Colorado

Neil S. Jacobson, PhD (deceased), Department of Psychology, University of Washington, Seattle, Washington

Katherine A. Kaplan, MA, Department of Psychology, University of California, Berkeley, California

Marsha M. Linehan, PhD, Department of Psychology, University of Washington, Seattle, Washington

Leanne Magee, PhD, Division of Plastic and Reconstructive Surgery, Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania

John C. Markowitz, MD, Department of Psychiatry, Columbia University, and Department of Psychiatry, New York State Psychiatric Institute, New York, New York

Christopher R. Martell, PhD, Martell Behavioral Activation Research Consulting, and Department of Psychology, University of Wisconsin, Milwaukee, Wisconsin.

Barbara S. McCrady, PhD, Center on Alcoholism, Substance Abuse, and Addictions and Department of Psychology, University of New Mexico, Albuquerque, New Mexico

David J. Miklowitz, PhD, Department of Psychiatry, Semel Institute, University of California, Los Angeles School of Medicine, Los Angeles, California.

Candice M. Monson, PhD, Department of Psychology, Ryerson University, Toronto, Ontario, Canada

Andrada D. Neacsiu, PhD, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina

John C. Norcross, PhD, private practice and Department of Psychology, University of Scranton, Scranton, Pennsylvania

Susan M. Orsillo, PhD, Department of Psychology, Suffolk University, Boston, Massachusetts

Laura A. Payne, PhD, David Geffen School of Medicine, University of California, Los Angeles, California

Patricia A. Resick, PhD, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina

Shireen L. Rizvi, PhD, Graduate School of Applied and Professional Psychology, Rutgers—The State University of New Jersey, Piscataway, New Jersey

Lizabeth Roemer, PhD, Department of Psychology, University of Massachusetts, Boston, Massachusetts

Jayne L. Rygh, PhD, private practice, New York, New York

Stacey C. Sigmon, PhD, Departments of Psychiatry and Psychology, University of Vermont, Burlington, Vermont

Nicholas Tarrier, PhD, School of Psychological Sciences, University of Manchester, Manchester, United Kingdom

Rumina Taylor, DClinPsy, Institute of Psychiatry, King's College London, and South London and Maudsley NHS Foundation Trust, London, United Kingdom

Arthur D. Weinberger, PhD (retired), Cognitive Therapy Center of New York, New York, New York

Jennifer G. Wheeler, PhD, private practice, Seattle, Washington

Jeffrey E. Young, PhD, Department of Psychiatry, Columbia University, and Schema Therapy Institute of New York, New York, New York


Clinicians, students, and researchers in clinical psychology, counseling, psychiatry, social work, family therapy, and psychiatric nursing.

Course Use

Serves as a text in graduate-level courses on psychotherapy and evidence-based practice.

Special package offer: Clinical Handbook of Psychological Disorders in Children and Adolescents: A Step-by-Step Treatment Manual and Clinical Handbook of Psychological Disorders: Fifth Edition: A Step-by-Step Treatment Manual (on adults), combine state-of-the-art information with step-by-step treatment guidelines.

Order both items — a $137.00 value for $99.95!

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Previous editions published by Guilford:

Fourth Edition, © 2008
ISBN: 9781593855727

Third Edition, © 2001
ISBN: 9781572306110

Second Edition, © 1993
ISBN: 9780898621297

First Edition, © 1985
ISBN: 9780898626483
New to this edition: