• 2009 96pp paperback ISBN: 9781568871226
• A Practitioner's Resource Series Title
Cognitive behavior therapy (CBT) is an empirically supported treatment for almost every psychological disorder and its principles have been applied to a diverse range of problems and situations. Dr. Ludgate describes both the general strategies based on cognitive-behavioral therapy that you can employ for maintenance of therapeutic gains and relapse prevention in your clients, as well as the specific procedures for maintenance and relapse prevention, covers specific difficulties in maintaining treatment gains, and illustrates general guidelines for working with patients who relapse.
Reviews
"This book is an indispensable source for helping
clients stay well after treatment. Practical and concise, it is based on sound
research demonstrating that this approach empowers clients with the tools they
need to continue to 'be their own therapist' after formal therapy ends."
-Judith S. Beck, PhD, Director, Beck Institute for Cognitive Therapy & Research; Clinical Associate Professor of Psychology in Psychiatry, University
of Pennsylvania; Past President, Academy of Cognitive Therapy
"One of the greatest challenges that we face as
psychotherapists is that at least one third of the clients that we treat will
relapse at one time or another. This statistic is only likely to escalate as
the severity of psychopathology increases in our society. Dr. John Ludgate has
crafted a unique and concise resource for practitioners that offers a number of
outstanding techniques and strategies for building maintenance and relapse
prevention with depressive and anxiety disorders. This book is a must for
trainees or any practitioner interested in improving the quality and success
rate of their treatment deliver."
-Frank M. Dattilio,
PhD, ABPP, Department of Psychiatry, Harvard
Medical School
Please Note: Portions of this book were originally published
in Maximizing Psychotherapeutic Gains
and Preventing Relapse in Emotionally Distressed Clients, 1995, Professional
Resource Press.
Acknowledgments
Series Preface
Abstract
Overview of Cognitive-Behavioral Therapy (CBT) and Relapse
Definitions of Relapse
The Need for a Greater Emphasis on Maintenance and Relapse Prevention in Psychotherapy
Factors in Relapse
Relapse Rates in Emotional Disorders
Depression
Anxiety
Predictors of Relapse
Depression
Anxiety
Overview of Strategies for Maintenance and Relapse Prevention
Specific Procedures For Maintenance and Relapse Prevention
Early Therapy Activities
Throughout Therapy Activities
Near Termination Activities
Follow-Up/After-Care Activities
Specific Difficulties In Maintaining Treatment Gains and Preventing Relapse
The Patient Who Does Not Want to End Therapy
The Overly Dependent Patient Who Does Not Take an Active Part in Therapy
The Patient Who Relapses Quickly After Termination
The Patient Who Gets Discouraged Following Relapse or Due to the Amount of Effort Needed for Maintenance
The Patient Who Does Not Want to Follow Medication Recommendations
The Patient Who Stops Working on Maintenance Once Symptoms Are Reduced
The Patient Who Has Excessive Life Stress in the Therapy or After-Care Phase
The Patient Who Sees Recovery or Relapse in All-or-Nothing Terms
The Axis II Patient Who Has a Reactivation of Dysfunctional Schema
General Guidelines For Therapists Working With Patients Who Relapse
Keep a Problem-Solving Attitude
Avoid Labeling or Stereotyping the Patient
Persist With the Model When Serious Problems Arise
Identify and Deal With Therapist Dysfunctional Cognitions
Be Realistic in Expectations
Seek Support or Advice
Myths Regarding Relapse
Summary
Appendices
Appendix A: Self-Monitoring Chart
Appendix B: General Thought-Testing Procedure
Appendix C: General Problem-Solving Procedure
Appendix D: Early Warning Signs of Relapse
Appendix E: Lifestyle Balance
Appendix F: Invitation to Maintenance and Relapse-Prevention Seminars
Appendix G: Possible Agenda for Maintenance and Relapse-Prevention Seminar
References
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About the Author
John W. Ludgate, PhD,
completed his clinical psychology training at the University of Edinburgh
(Scotland) in 1976. After receiving his doctorate from Trinity College in
Dublin, Ireland, he earned a Post-Doctoral Fellowship in Cognitive Therapy at
the University of Pennsylvania. In 1986, he became the Assistant Director of
Training at the Center for Cognitive Therapy in Philadelphia, a position he
held for 2 years. Dr. Ludgate was appointed Research Clinical Psychologist in
the Anxiety Disorders Clinic at the University of Oxford (England) in 1992,
serving until 1994. He has published a number of articles and book chapters on
cognitive therapy and, with Dr. Aaron Beck, co-authored a book on inpatient
cognitive therapy in 1992. Dr. Ludgate currently works at the
Cognitive-Behavioral Therapy Center of Western North Carolina in Asheville,
North Carolina. The author presents seminars and workshops at both national and
international conferences as well as co-directing an intensive 6-month
Cognitive-Behavioral Therapy Training course in Asheville, North Carolina. Dr.
Ludgate can be reached through his website at: https://www.behaviortherapist.com/about/ludgate.htm
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