This book is a practical guide to the evidence-based cognitive restructuring (CR) for PTSD treatment, which has been specifically designed to meet the unique needs of people with serious mental illness. Posttraumatic stress disorder (PTSD) is one of the most common disorders in persons with serious mental illness (SMI), leading to more severe psychiatric symptoms, greater impairment in psychosocial functioning, poorer physical health, and higher use of acute care services. Yet despite major advances in the treatment of PTSD in the general population, for many years PTSD has remained under-diagnosed and under-addressed among SMI sufferers, and treatments have been relatively neglected in this population. The cognitive restructuring (CR) for PTSD program described in this book offers clinicians tools for screening, detecting, and treating PTSD in their clients with SMI, in hopes of addressing the great burden of trauma on their lives. Chapters summarize contemporary research and theory regarding the interaction between PTSD and serious mental illness, and provide nuts and bolts strategies for implementing the cognitive restructuring program, with treatment implications for various sub-populations and different kinds of mental illness including schizophrenia, psychosis, and borderline personality disorder. The book's appendix includes educational handouts and worksheets for delivering the CR for PTSD program and tracking clients' progress throughout. This book also features valuable online resources, including the educational handouts and worksheets translated into Spanish to facilitate using this intervention with Spanish-speaking individuals with SMI, an underserved population with very high rates of trauma and PTSD. A supplemental chapter and practical manual that outline a three-session intervention for PTSD which can be implemented in settings or situations where use of the full CR for PTSD program may not be appropriate are also included online.
Kim T. Mueser, PhD, is a professor in the Departments of Occupational Therapy and Psychological and Brain Sciences at Boston University. He has published over 400 peer-reviewed articles, 100 book chapters, and 15 books primarily on psychosocial treatments for serious mental illness (SMI), and has given numerous conference presentations, workshops, and invited lectures in the U.S. and abroad. Dr. Mueser began adapting empirically supported treatment methods for PTSD in the general population to the SMI population in the late 1990s, which resulted in the first standardization and feasibility testing of the CR for PTSD program in the early 2000s, followed by randomized controlled trials evaluating the program. Jennifer D. Gottlieb, PhD is a diplomate in the Academy of Cognitive and Behavioral Therapies whose work has been dedicated to the development, evaluation, and implementation of effective psychotherapeutic interventions for persons with severe psychiatric conditions. She is a founding member and former president of the North America CBT for Psychosis Network (NACBTp) and is on the faculty at Cambridge Health Alliance and Harvard Medical School. In addition to numerous publications and presentations related to cognitive-behavioral therapies for psychosis and other serious mental illness, Dr. Gottlieb has focused on the Cognitive Restructuring for PTSD intervention for over 18 years, both as a co-investigator and program development consultant. She has provided extensive workshop training, clinical supervision, and treatment fidelity evaluation to hundreds of clinicians and has worked with multiple mental health agencies, nationally and internationally, to implement and sustain this intervention. To learn more, please visit her website: www.jennifergottliebphd.com.
Foreword Preface Part I: Background, and Overview of Trauma and PTSD in Serious Mental Illness Chapter 1. Trauma and PTSD in Serious Mental Illness Chapter 2. Treatment of PTSD in People with Serious Mental Illness: The Cognitive Restructuring Program Chapter 3. Understanding and Assessing Trauma and PTSD Part II: The Cognitive Restructuring for PTSD Program Chapter 4. Logistics of Implementing the CR for PTSD Program Chapter 5. Beginning Treatment, Engagement, Orientation, Wellness Planning, and Breathing Retraining Chapter 6. Psychoeducation and Goal-Setting Chapter 7. Cognitive Restructuring I: The Thought-Feeling Model and Common Styles of Thinking Chapter 8. Cognitive Restructuring II: The 5 Steps of Cognitive Restructuring and Action Plans Chapter 9. Cognitive Restructuring III: Working with Trauma-Related Thoughts, Core Beliefs, and Persistent PTSD Symptoms Chapter 10. Solutions to Common Challenges Chapter 11. Skill Generalization and Termination Part III: Special Clinical Challenges and Populations Chapter 12. Working with People with Psychosis Chapter 13. Working with People with Borderline Personality Disorder Part IV: Conclusions Chapter 14: The Role of the CR for PTSD Program in a Comprehensive System of Mental Health Care References Appendix: Tools, Handouts, and Worksheets
