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by John W. Ludgate
by John W. Ludgate

Cognitive Behavioral Therapy and Relapse Prevention for Depression and Anxiety

Your Price: $19.95
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Order Code :CBT
• 2009  96pp paperback   ISBN: 9781568871226
• A Practitioner's Resource Series Title

"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

Table of Contents
Please Note: Portions of this book were originally published in Maximizing Psychotherapeutic Gains and Preventing Relapse in Emotionally Distressed Clients, 1995, Professional Resource Press.
Series Preface
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
        Predictors of Relapse
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
         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

CE Program
A supplemental 3-credit/hour, 30-question continuing education program is available for this book.  To order the complete program (this book and CE test module, or test module alone if you already have access to this book), click here: CBT and Relapse Prevention for Depression and Anxiety - CE Program (3 Credits/Hours)

For information about our approved continuing education sponsorships
and acceptance by state boards, please click here:
Continuing Education

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:

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