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People who experience unwanted, intrusive, or frightening thoughts often suffer shamefully and struggle silently for fear of what the thoughts might mean about them. In this powerful book, two anxiety disorder experts offer powerful and proven-effective cognitive behavioral therapy (CBT) skills to help readers get unstuck from disturbing thoughts, overcome intense shame, and reduce anxiety.

Why should modern psychotherapists be interested in philosophy, especially ancient philosophy? Why should philosophers be interested in psychotherapy? There is a sense of mutual attraction between what are today two thoroughly distinct disciplines. However, arguably it was not always the case that they were so distinct. Donald Robertson takes the view that by reconsidering the generally received wisdom concerning the history of these closely-related subjects, we can learn a great deal about both philosophy and psychotherapy, under which heading he includes potentially solitary pursuits such as “self-help” and “personal development”.

We examined rapid response in obese patients with binge-eating disorder (BED) in a clinical trial testing cognitive behavioral therapy (CBT) and behavioral weight loss (BWL). Altogether, 90 participants were randomly assigned to CBT or BWL. Assessments were performed at baseline, throughout and post-treatment and at 6- and 12-month follow-ups. Rapid response, defined as 70% reduction in binge eating by week four, was determined by receiver operating characteristic curves and used to predict outcomes. Rapid response characterized 57% of participants (67% of CBT, 47% of BWL) and was unrelated to most baseline variables. Rapid response predicted greater improvements across outcomes but had different prognostic significance and distinct time courses for CBT versus BWL. Patients receiving CBT did comparably well regardless of rapid response in terms of reduced binge eating and eating disorder psychopathology but did not achieve weight loss. Among patients receiving BWL, those without rapid response failed to improve further. However, those with rapid response were significantly more likely to achieve binge-eating remission (62% v. 13%) and greater reductions in binge-eating frequency, eating disorder psychopathology and weight loss. Rapid response to treatment in BED has prognostic significance through 12-month follow-up, provides evidence for treatment specificity and has clinical implications for stepped-care treatment models for BED. Rapid responders who receive BWL benefit in terms of both binge eating and short-term weight loss. Collectively, these findings suggest that BWL might be a candidate for initial intervention in stepped-care models with an evaluation of progress after 1 month to identify non-rapid responders who could be advised to consider a switch to a specialized treatment.

Schema Therapy combines proven cognitive behavioral therapy techniques with elements of interpersonal, experiential, and psychodynamic therapies in order to help people with long-term mental health problems including personality disorders and chronic depression. Schema Therapy suggests that many negative cognitive conditions are based on past experiences, and therefore provides models for challenging and modifying negative thoughts and behaviors in order to provoke change. In this book, Eshkol Rafaeli, David P. Bernstein and Jeffrey Young – pioneers of the Schema Therapy approach – indicate the 30 distinctive features of Schema Therapy, and how the method fits into the broader CBT spectrum. Divided into two parts, Theoretical Points and Practical Points, this book provides a concise introduction for those new to the technique, as well as a discussion of how it differs from the other cognitive behavioral therapies for those experienced in the field. Part I: Theoretical Points. Universal Core Emotional Needs. Early Maladaptive Schema Development as a Consequence of Unmet Needs. A Taxonomy of Early Maladaptive Schemas. Coping Styles and Responses. Coping Styles: Surrender Responses. Coping Styles: Avoidance Responses. Coping Styles: Overcompensation Responses. Schema Modes as States (The State vs. Trait Distinction). The Wounded Core: Vulnerable Child Mode. Angry and Impulsive Child Modes. Maladaptive Coping Modes. Internalized Parental Modes. Healthy Modes: Healthy Adult, Contented Child. Limited Reparenting. Empathic Confrontation. Part II: Practical Points. The Assessment Process: Focused Life History Interview, Schema Inventories, and Self-monitoring. The Assessment Process: Guided Imagery. The Assessment Process: In-session Behaviours and the Therapy Relationship. Educating the Patient About the Schema and Mode Models, and Using the Schema Case Conceptualization Form. Toolbox 1: Relational Techniques. Toolbox 2: Cognitive Techniques. Toolbox 3: Emotion-focused Techniques. Toolbox 4: Behavioral Pattern Breaking. Mode Dialogues and Imagery. Specific Points for Working with Borderline Personality Disorder. Specific Points for Working with Narcissistic Personality Disorder and Antisocial Personality Disorder. Specific Points for Working with Couples. Interplay Between Schema Therapy for Axis II and CBT for Axis I. The Therapeutic Relationship: Limited Reparenting. Therapists’ Own Schemas. Eshkol Rafaeli is a Clinical Psychologist specializing in both cognitive behavioral therapy and Schema Therapy and is Associate Professor at Bar-Ilan University. David P. Bernstein is a Clinical Psychologist and a Cognitive and Schema Therapist, an is Associate Professor in the Faculty of Psychology at Maastricht University, The Netherlands. Jeffrey Young is the Founder and Director of the Cognitive Therapy Centers of New York and Connecticut, and the Schema Therapy Institute in New York City. \"This book provides an excellent overview of schema therapy and covers all the key areas of new development in schema therapy with authority and brevity.\" - George Lockwood, Director, Schema Therapy Institute Midwest, USA