Front cover image for Metacognitive therapy for anxiety and depression

Metacognitive therapy for anxiety and depression

Explains the "whats" and "how-tos" of metacognitive therapy, an innovative form of cognitive-behavioral therapy with a growing empirical evidence base. MCT developer Wells shows that much psychological distress results from how a person responds to negative thoughts and beliefs, eg. by ruminating or worrying rather than the content of the thoughts." --Publisher description
Print Book, English, 2011
Guilford, New york, 2011
9781609184964, 1609184963
Machine generated contents note: ch. 1 Theory and Nature of Metacognitive Therapy
The Nature of Metacognition
Two Ways of Experiencing: Modes
The Metacognitive Model of Psychological Disorder
Consequences of the CAS
Positive and Negative Metacognitive Beliefs
Summary of the Metacognitive Model
A Reformulated A-B-C Model
A Note on Process-versus Content-Focused Therapies
ch. 2 Assessment
Operationalizing the A-M-C Model
Behavioral Assessment Tests in Anxiety
Questionnaire Measures
Rating Scales
A Seven-Step Assessment Plan
ch. 3 Foundation Metacognitive Therapy Skills
Identifying and Shifting Levels
Detecting the CAS
Using a Metacognitive-Focused Socratic Dialogue
Metacognitively Focused Verbal Reattribution
Metacognitively Delivered Exposure
ch. 4 Attention Training Techniques
Overview of the ATT
Rationale for the ATT
Credibility Check Note continued: Self Attention Rating
Basic Instructions for the ATT
Patient Feedback
Outline of the First ATT Session
Case Example
Situational Attentional Refocusing
ch. 5 Detached Mindfulness Techniques
Aims of DM
Elements of DM
An Information-Processing Model of DM
DM and Other Forms of Mindfulness
Ten Techniques
Reinforcing DM Using Socratic Dialogue
Application of DM in MCT
ch. 6 Generalized Anxiety Disorder
The Ubiquity of Worry
Is Worry Controllable?
The Metacognitive Model of GAD
The Model in Action
Structure of Treatment
Case Conceptualization
Bridging from Socialization to Metacognitive Modification
Questioning Uncontrollability Beliefs
Detached Mindfulness and Worry Postponement
Challenging Uncontrollability Beliefs
Challenging Danger Metacognitions
Behavioral Experiments Note continued: Challenging Positive Metacognitive Beliefs
New Plans for Processing
Relapse Prevention
GAD Treatment Plan
ch. 7 Posttraumatic Stress Disorder
Metacognitive Beliefs
The Metacognitive Model of PTSD
The Model in Action
Structure of Treatment
Case Conceptualization
Presenting the Treatment Rationale
Detached Mindfulness and Rumination/Worry Postponement
Application of DM and Rumination/Worry Postponement
Generalization Training
Eliminating Other Maladaptive Coping Strategies
Attention Modification
Residual Avoidance
New Plans for Processing
Relapse Prevention
PTSD Treatment Plan
ch. 8 Obsessive-Compulsive Disorder
Overview of MCT: Object Level versus Meta Level
Two Types of Metacognitive Change
The CAS in OCD
Metacognitive Beliefs
Stop Signals
The Metacognitive Model of OCD
The Model in Action
Structure of Treatment
Case Conceptualization Note continued: Socialization
Presenting the Treatment Rationale
Engagement: Normalizing and Destigmatizing
Detached Mindfulness
Increasing Compliance with ERP and ERC
Challenging Specific Metacognitive Beliefs about Thoughts
Behavioral Experiments
Contamination Fears: A Special Case?
Modifying Beliefs about Rituals
Behavioral Experiments and Beliefs about Rituals
New Plans for Processing: Stop Signals and Criteria for Knowing
Relapse Prevention
OCD Treatment Plan
ch. 9 Major Depressive Disorder
Rumination and Depressive Thinking
The CAS in Depression
The Metacognitive Model of Depression
The Model in Action
Structure of Treatment
Case Conceptualization
Enhancing Motivation
Helping Patients Understand the Role of Behaviors
Attention Training
Detached Mindfulness and Rumination Postponement
Implementing DM Techniques
Modifying Negative Metacognitive Beliefs Note continued: Modifying Positive Metacognitive Beliefs
Modifying Threat Monitoring
Maladaptive Coping with Mood Fluctuation
New Plans for Processing
Relapse Prevention
Fear of Recurrence
A Note on Suicidality and Self Injury
Depression Treatment Plan
ch. 10 The Evidence for Metacognitive Theory and Therapy
The Existence and Consequences of the CAS
Metacognitive Beliefs
Interim Summary
Causal Status of the CAS and Metacognitions
Does Metacognition Contribute to Disorder above Ordinary Cognition?
Model Testing: Data from Path Analyses and Structural Equation Modeling
Summary of Evidence on Theory
The Evidence on Treatment
ch. 11 Concluding Thoughts
Specifications of a Transdiagnostic Treatment
A Universal Formulation
Neurobiology and MCT
MCT in a Wider Context
Closing Remarks
Metacognitions Questionnaire 30 (MCQ-30)
Meta-Worry Questionnaire (MWQ) Note continued: Thought Fusion Instrument (TFI)
Attention Training Techniques Summary Sheet
Self-Attention Rating Scale
Generalized Anxiety Disorder Scale
Revised (GADS-R)
Posttraumatic Stress Disorder Scale (PTSD-S)
Obsessive-Compulsive Disorder Scale (OCD-S)
Major Depressive Disorder Scale (MDD-S)
GAD Case Formulation Interview
PTSD Case Formulation Interview
OCD Case Formulation Interview
Depression Case Formulation Interview
GAD Treatment Plan
PTSD Treatment Plan
OCD Treatment Plan
Depression Treatment Plan
New Plan Summary Sheet