Cognitive-Behavioral Therapy for Anxiety Disorders
Mastering Clinical Challenges
- By Gillian Butler, Melanie Fennell, Ann Hackmann

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- Binding: Hardback
- Pages: 224
- Published by: Guilford Press
- Publication Date: 5th September 2008
- ISBN: 978-1-59385-830-8
About the Book
Helping therapists bring about enduring change when treating clients with any anxiety disorder, this invaluable book combines expert guidance, in-depth exploration, and innovative clinical strategies. The authors draw on extensive experience and research to provide a framework for constructing lucid formulations of complex cases. They identify obstacles that frequently arise during the early, middle, and later stages of treatment and present a wide range of practical solutions. The volume demonstrates clear-cut yet flexible ways to enhance client engagement, foster metacognitive awareness, facilitate emotional processing, address low self-esteem and fear of uncertainty, and much more, including reproducible handouts and forms.
Reviews
"This book must be read by all those who seek to help people suffering from anxiety disorders. It clearly and accessibly portrays the essence of effective CBT for anxiety while avoiding oversimplified prescriptions. The book is unique in helping clinicians to achieve the integration of clinical art and clinical science that characterizes excellent CBT. The reader will learn essential therapeutic skills for striking a balance in two key areas: between general and specific factors in anxiety disorders and their treatment, and between self-acceptance and recognizing and implementing the need for change. Read this book and use it!" - Paul Salkovskis, CPsychol, Institute of Psychiatry, King’s College, London, UK
"A refreshing alternative to many of the existing manuals on this topic. It presents a highly individualized, formulation-based, cognitive approach to treating these challenging conditions. The book is well grounded in science and includes solutions to the most common treatment roadblocks. I highly recommend it to anyone who works with people who suffer from anxiety disorders." - Martin M. Antony, Professor and Director of Graduate Studies, Department of Psychology, Ryerson University, Toronto, Canada
"This long-awaited book exceeds expectations. It provides a single, comprehensive guide to CBT for anxiety disorders, from assessment to termination. This is no small feat in itself, and yet, Butler et al. also offer so much more. Therapists will appreciate the sophisticated nuances of therapy depicted here. Layers of clinical creativity are embedded within illustrative case examples. As an added bonus, the authors' transdiagnostic approach offers a clear path through the sometimes-confusing process of treating clients with multiple anxiety disorders. I heartily recommend this elegant book, whether it is the first or the 50th you have read on anxiety treatment." - Christine A. Padesky, cofounder, Center for Cognitive Therapy, Huntington Beach, California, USA
Table of Contents
Introduction. Part I: Setting the Scene. Treating Anxiety Disorders: The State of the Art. Part II: Deepening Understanding and Securing Engagement. Assessment: Investigating Appraisals in Depth. Case Formulation: Making Sense of Complexity. Decentering from Thoughts: Achieving Objectivity. Part III: Facilitating Emotional Processing. Bringing About Lasting Change at the Deepest Level. The Role of Behavioral Experiments. Part IV: Overcoming Three Major Obstacles to Progress. Avoidance of Affect. Low Self-Esteem. Dealing with Uncertainty. Part V: Ending Treatment Productively. Creating a Therapy "Blueprint."
About the Author(s)
Gillian Butler, PhD, Melanie Fennell, PhD, and Ann Hackmann, PhD, all at: Oxford Cognitive Therapy Centre, Warneford Hospital, Oxford, UK
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