Clinical Handbook of Psychological Disorders
Sixth Edition
A Step-by-Step Treatment Manual
Hardcovere-bookprint + e-book
Now in a revised and expanded sixth edition, this is the leading text on evidence-based treatments for frequently encountered mental health problems. David H. Barlow has assembled preeminent experts to present their respective approaches in step-by-step detail, including extended case examples. Each chapter provides state-of-the-art information on the disorder at hand, explains the conceptual and empirical bases of intervention, and addresses the most pressing question asked by students and practitioners—“How do I do it?” Concise chapter introductions from Barlow highlight the unique features of each treatment and enhance the book's utility for teaching and training.
New to This Edition
- Existing chapters thoroughly revised to incorporate the latest empirical findings and clinical practices.
- Chapter on “process-based therapy,” a new third-wave approach for social anxiety.
- Chapter on transdiagnostic treatment of self-injurious thoughts and behaviors.
- Chapter on chronic pain.
“This book is excellent. Written by well-known experts, it covers many different DSM-5 disorders and problems, providing a step-by-step approach to treatment. The sixth edition justifies replacing the fifth because new research is released daily revealing new evidence-based treatments, as reflected by the updated content in this edition. Clinicians and researchers will not be disappointed by this volume….*****!”
—Doody's Review Service
“The
Clinical Handbook succeeds 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…as they return to seek clinical recipes that will help them better serve their patients.”
—Journal of Clinical Psychiatry (on the fifth edition)
“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 (on the fifth edition)
“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.…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 (on the fifth edition)
“The sixth edition of Barlow's handbook is an essential resource for anyone wanting a deep dive into the latest developments in evidence-based practice for a wide variety of clinical concerns. Twenty-five years after formalizing the evidence-based practice movement within clinical psychology, Barlow has once again masterfully curated an up-to-date reference written by the field's leading clinical scientists. The sixth edition offers fresh insights, critical advances, and rich examples. Whether you are a graduate student, a clinical researcher, or a seasoned practitioner, this book should always be within arm's reach.”
—Bruce F. Chorpita, PhD, Department of Psychology, University of California, Los Angeles; President, PracticeWise
“I have used this valuable text in my graduate classes since the first edition was published in 1985. Chapters present concise summaries of the theory and empirical evidence for the respective interventions, along with insightful explanations of how they are conducted. With the sixth edition, Barlow has again provided a rare gem that helps students and practicing clinicians understand how evidence-based treatments are actually implemented with clients. The book includes updated chapters on well-established approaches presented in previous editions, as well as more recent developments, such as process-based therapy and the transdiagnostic treatment of self-injurious thoughts and behaviors.”
—Leonard A. Doerfler, PhD, Professor and Director, Clinical Counseling Psychology Program, Assumption University
“A marvelous presentation of the latest and most clinically applicable evidence-based practices, including cognitive, behavioral, and interpersonal approaches. Revised and new chapters are written by the best and brightest in the field, including many of those who developed the respective interventions. The sixth edition of the
Handbook is suitable for both students in training and experienced practitioners who want to burnish their clinical skills. There is no better collection that highlights how the field developed, where it currently is, and where it is going to be in the future. I could not recommend it more strongly.”
—Steven D. Hollon, PhD, Gertrude Conaway Vanderbilt Professor of Psychology, Vanderbilt University
“In its sixth edition, this handbook continues to be the single best teaching text on evidence-based practices in mental health. I use this book as a primary text and resource in my Advanced Clinical Practice class and my students rarely resell it—they take it with them when they graduate to save as a clinical reference. The chapter organization makes the book ideal for teaching beginning clinicians. Having a regularly revised text that navigates this increasingly sophisticated and complex terrain makes both the students and me feel like we have a partner in their learning.”
—André Ivanoff, PhD, Columbia University School of Social Work
“Since its initial publication, this handbook has been the single most important volume on evidence-based psychotherapy. For the sixth edition, as in prior editions, Barlow has assembled eminent contributors who are expert practitioners of the therapies they discuss. Each chapter features a review of the evidential basis for the therapy, a description of its implementation, and a detailed clinical illustration. The authors skillfully demonstrate the flexible application of our most efficacious protocols as they merge clinical wisdom and the best psychological science. Essential reading for all mental health professionals, this is the ideal text for graduate psychotherapy courses, and the one we have always used in Harvard's clinical psychology program.”
—Richard J. McNally, PhD, Professor and Director of Clinical Training, Department of Psychology, Harvard University
Table of Contents
1. Panic Disorder and Agoraphobia, Michelle G. Craske, Kate Wolitzky-Taylor, & David H. Barlow
2. Posttraumatic Stress Disorder, Candice M. Monson, Philippe Shnaider, & Kathleen M. Chard
3. Social Anxiety: A Process-Based Treatment Approach, Idan M. Aderka & Stefan G. Hofmann
4. Obsessive–Compulsive Disorder, Martin E. Franklin & Edna B. Foa
5. Generalized Anxiety Disorder: An Acceptance-Based Behavioral Therapy, Lizabeth Roemer, Elizabeth H. Eustis, & Susan M. Orsillo
6. Emotional Disorders: A Unified Protocol for Transdiagnostic Treatment, Laura A. Payne, Kristen K. Ellard, Todd J. Farchione, & David H. Barlow
7. Cognitive Therapy for Depression, Jeffrey E. Young, Erin F. Ward-Ciesielski, Jayne L. Rygh, Arthur D. Weinberger, & Aaron T. Beck
8. Interpersonal Psychotherapy for Depression, Kathryn L. Bleiberg & John C. Markowitz
9. Behavioral Activation for Depression, Sona Dimidjian, Christopher R. Martell, Ruth Herman-Dunn, & Samuel Hubley
10. Borderline Personality Disorder, Andrada D. Neacsiu, Noga Zerubavel, K. Maria Nylocks, & Marsha M. Linehan
11. Addressing Self-Injurious Thoughts and Behaviors within the Context of Transdiagnostic Treatment for Emotional Disorders, Kate H. Bentley, Joseph S. Maimone, & Matthew K. Nock
12. Bipolar Disorder, David J. Miklowitz
13. Schizophrenia and Other Psychotic Disorders, Nicholas Tarrier & Katherine Berry
14. Alcohol Use Disorders, Barbara S. McCrady & Elizabeth E. Epstein
15. Substance Use Disorders, Stephen T. Higgins, Sarah H. Heil, & Kelly R. Peck
16. Treatment of Sleep Disturbance, Katherine A. Kaplan & Allison G. Harvey
17. Cognitive-Behavioral Therapy for Chronic Pain, John D. Otis
18. Eating Disorders: A Transdiagnostic Protocol, Zafra Cooper & Rebecca Murphy
19. Couple Distress, Andrew Christensen, Jennifer G. Wheeler, Brian D. Doss, & Neil S. Jacobson
Author Index
Subject Index
About the Editor
David H. Barlow, PhD, ABPP, is Professor Emeritus 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 650 articles and chapters and over 90 books and clinical manuals, primarily on the nature and treatment of emotional disorders and clinical research methodology. His books and manuals have been translated into more than 20 languages. Dr. Barlow’s numerous awards and citations include psychology’s three highest honors: the Distinguished Scientific Award for the Applications of Psychology from the American Psychological Association, the James McKeen Cattell Fellow Award from the Association for Psychological Science, and the Gold Medal Award for Life Achievement in the Practice of Psychology from the American Psychological Foundation.
Contributors
Idan M. Aderka, PhD, Department of Psychology, University of Haifa, Haifa, Israel
David H. Barlow, PhD, ABPP, Center for Anxiety and Related Disorders, Boston University, Boston, Massachusetts
Aaron T. Beck, MD, University of Pennsylvania Perelman School of Medicine and Beck Institute for Cognitive Behavior Therapy, Philadelphia, Pennsylvania
Kate H. Bentley, PhD, Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts
Katherine Berry, PhD, Division of Psychology and Mental Health, University of Manchester, Manchester, United Kingdom
Kathryn L. Bleiberg, PhD, Department of Psychology, Weill Cornell Medicine, New York, New York
Kathleen M. Chard, PhD, Cincinnati Veteran Affairs Medical Center, Cincinnati, Ohio
Andrew Christensen, PhD, Department of Psychology, University of California, Los Angeles, Los Angeles, California
Zafra Cooper, DPhil, Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut
Michelle G. Craske, PhD, Department of Psychology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, California
Sona Dimidjian, PhD, Renée Crown Wellness Institute and Department of Psychology and Neuroscience, University of Colorado Boulder, 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/Harvard Medical School, Boston, Massachusetts
Elizabeth E. Epstein, PhD, Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts
Elizabeth H. Eustis, PhD, Center for Anxiety and Related Disorders, Boston University, Boston, Massachusetts
Todd J. Farchione, PhD, Center for Anxiety and Related Disorders, Boston University, Boston, Massachusetts
Edna B. Foa, PhD, Center for the Treatment and Study of Anxiety, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
Martin E. Franklin, PhD, Rogers Behavioral Health, Philadelphia, Pennsylvania
Allison G. Harvey, PhD, Department of Psychology, University of California, Berkeley, Berkeley, California
Sarah H. Heil, PhD, Vermont Center on Behavior and Health and Departments of Psychiatry and Psychological Science, University of Vermont, Burlington, Vermont
Ruth Herman-Dunn, PhD, private practice and Department of Psychology, University of Washington, Seattle, Washington
Stephen T. Higgins, PhD, Vermont Center on Behavior and Health and Departments of Psychiatry and Psychological Science, University of Vermont, Burlington, Vermont
Stefan G. Hofmann, PhD, Center for Anxiety and Related Disorders, Boston University, Boston, Massachusetts
Samuel Hubley, PhD, Renée CrownWellness Institute and Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado
Neil S. Jacobson, PhD (deceased), formerly of Department of Psychology, University of Washington, Seattle, Washington
Katherine A. Kaplan, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California
Marsha M. Linehan, PhD, ABPP, Department of Psychology, University of Washington, Seattle, Washington
Joseph S. Maimone, BA, Department of Psychology, Harvard University and Massachusetts General Hospital/Harvard Medical School, Cambridge, Massachusetts
John C. Markowitz, MD, Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York State Psychiatric Institute, New York, New York
Christopher R. Martell, PhD, Department of Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, Massachusetts
Barbara S. McCrady, PhD, Center on Alcohol, Substance use, and Addictions (CASAA) and Department of Psychology, The University of New Mexico, Albuquerque, Albuquerque, New Mexico
David J. Miklowitz, PhD, Max Gray Child and Adolescent Mood Disorders Program, Division of Child and Adolescent Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, California
Candice M. Monson, PhD, Department of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada
Rebecca Murphy, DClinPsych, Department of Psychiatry, University of Oxford, Oxford, United Kingdom
Andrada D. Neacsiu, PhD, Cognitive Behavioral Research and Therapy Program, Department of Psychiatry and Behavioral Sciences, and Department of Family Medicine, Duke University Medical Center, Durham, North Carolina
Matthew K. Nock, PhD, Department of Psychology, Harvard University, Cambridge, Massachusetts
K. Maria Nylocks, PhD, Emory Healthcare Veterans Program, Emory University School of Medicine, Atlanta, Georgia
Susan M. Orsillo, PhD, Department of Psychology, Suffolk University, Boston, Massachusetts
John D. Otis, PhD, Center for Anxiety and Related Disorders, Boston University, Boston, Massachusetts
Laura A. Payne, PhD, Department of Psychiatry, McLean Hospital/Harvard Medical School, Belmont, Massachusetts
Kelly R. Peck, PhD, Vermont Center on Behavior and Health and Departments of Psychiatry and Psychological Science, University of Vermont, Burlington, Vermont
Lizabeth Roemer, PhD, Department of Psychology, University of Massachusetts-Boston, Boston, Massachusetts
Jayne L. Rygh, PhD, private practice, New York, New York
Philippe Shnaider, PhD, Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada
Nicholas Tarrier, PhD, FBPsS, FBA, Emeritus Professor, Department of Psychology, University of Manchester, Manchester, United Kingdom
Erin F. Ward-Ciesielski, PhD, Center for Anxiety and Related Disorders, Boston University, Boston, Massachusetts
Arthur D. Weinberger, PhD, formerly of Cognitive Therapy Center of New York, New York, New York
Jennifer G. Wheeler, PhD, Pacific Evaluation, Consultation, and Treatment Services, PLLC, Seattle, Washington
Kate Wolitzky-Taylor, PhD, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, California
Jeffrey E. Young, PhD, Schema Therapy Institute, New York, New York
Noga Zerubavel, PhD, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina
Audience
Clinical psychologists, clinical social workers, psychiatrists, counselors, and psychiatric nurses; graduate students and instructors.
Course Use
Serves as a text in graduate-level courses on psychotherapy and evidence-based practice.
Previous editions published by Guilford:
Fifth Edition, © 2014
ISBN: 9781462513260
Fourth Edition, © 2008
ISBN: 9781593855727
Third Edition, © 2001
ISBN: 9781572306110
Second Edition, © 1993
ISBN: 9780898621297
First Edition, © 1985
ISBN: 9780898626483
New to this edition:
- Existing chapters thoroughly revised to incorporate the latest empirical findings and clinical practices.
- Chapter on “process-based therapy,” a new third-wave approach for social anxiety.
- Chapter on transdiagnostic treatment of self-injurious thoughts and behaviors.
- Chapter on chronic pain.