Psychology 229: Behavioral Counseling and Psychotherapy COURSE DESCRIPTION This course will cover the theoretical foundations and application of Cognitive Behavior Therapy. The bulk of this course will focus on providing step-by-step instructions so that students can learn to implement specific cognitive behavioral strategies from empirically supported treatment manuals. The disorders covered during the application section of this course are among the most commonly encountered in clinical practice. There will also be an overview of the basic foundations of cognitive therapy in light of emotion theory, cognitive science, and evolutionary psychology. Students will learn to: 1) diagnose anxiety and mood disorders according to DSM-IV criteria, 2) assess the nature and severity of specific disorders utilizing evidence-based measures, 3) implement cognitive behavioral treatment strategies for anxiety and mood disorders, 4) assess the effectiveness of their interventions. REQUIRED TEXT Barlow, D.H. (2008). Clinical Handbook of Psychological Disorders (4th Edition). New York: Guilford Press. (see below for recommended books) GRADING Class attendance/participation: 25% Final Examination: Competency Assessment: 75% The exam will consist of 15 essay questions. The focus of the exam will be to evaluate your ability to assess and implement cognitive behavioral treatment of disorders covered during class lectures or within the reading. Additional topics (e.g., emotion theory, evidence-based treatments) will be covered on the exam as well. The test is straightforward. If you complete the readings and have the lecture materials the questions will be easy. For example, a question may provide a clinical presentation for social phobia and ask you to develop an assessment and treatment plan for the case. Or, a question may ask you to present the basic steps of cognitive restructuring as though you were introducing it to a client for the first time. Knowledge of specific research studies is not necessary, however, general information will be important (e.g., studies have shown alprazolam interferes with the effects of exposure – how might that change your treatment plan). Sample test questions will be provided prior to the exam. COURSE OUTLINE (timing of topics subject to change) Week 1 The Importance of Evidence-Based Psychotherapy: Healthcare Policy, Treatment Guidelines, and CBT Bruce, T.J. & Sanderson, W.C. (2004). Evidence-Based psychosocial practices: The past, present, and future. In C. Stout & R. Hayes (Eds). Evidence-Based Practice for Mental Health Professionals. New York: Wiley. Week 2 Cognition and Emotion, Appraisal Theory, Nature of Emotions, Evolutionary Psychology R.S. Lazarus (1992). Cognition and emotion. Emotion and Adaptation. New York: Oxford University Press. R.S. Lazarus (1992). Goal incongruent emotions. Emotion and Adaptation. New York: Oxford University Press. Cosmides & Tooby: Evolutionary Psychology: A Primer *****BEGINNING WEEK 3: BRING LECTURE OUTLINE TO CLASS***** ------do not use the outline on e-reserve, it is an outdated version Week 3 Introduction to Cognitive Behavior Therapy McGinn, L. & Sanderson, W.C. (2001). What allows cognitive behavioral therapy to be brief: overview, efficacy, and crucial factors facilitating brief treatment. Clinical Psychology: Science and Practice, 8, 23-37. Week 4 Week 5 Cognitive Restructuring Additional Major Treatment Strategies: Psychoeducation, Lowering Physical Arousal, behavioral strategies. ----------CLINICAL APPLICATIONS--------Week 6 Panic Disorder with Agoraphobia Barlow chapter 1 Week 7 Panic Disorder with Agoraphobia continued Sanderson, W.C. & Wetzler, S. (1993). Observations on the cognitive behavioral treatment of panic Disorder: Impact of benzodiazepines. Psychotherapy, 30, 125-132. Clark, D.M. (1999). Anxiety disorders: why they persist and how to treat them. Behavior Research and Therapy, 27, 5-27. Sanderson, W.C. & Bruce, T.J. (2007). Causes and management of treatment resistant panic disorder and agoraphobia. Cognitive Behavioral Practice, 14(1), 26-35. Weeks 8,9 Obsessive Compulsive Disorder Barlow chapter 5 Week 10 Generalized Anxiety Disorder Barlow chapter 4 Week 11 Social Anxiety Disorder Barlow chapter 3 Week 12 Post-Traumatic Stress Disorder Barlow chapter 2 Wks 13,14 Depression, Suicidality Barlow chapter 6 Suicide chapter: FINAL EXAM – date to be announced -----------------------------------------------------------RECOMMENDED BOOKS to be read someday when you have time to improve your background in CBT: Beck, J.S. (1995). Cognitive therapy: Basics and beyond . New York: Guilford. Leahy, R. L. (2003). Cognitive therapy techniques: A practitioner’s guide. New York: Guilford Press. Safran, J. & Greenberg, L. (Eds.) (1991). Emotion, Psychotherapy & Change. New York: Guilford. Young, J., Klosko, J., & Weishaar, M.E. (2003). Schema therapy: A practitioner's guide. New York: Guilford. --------------------------------------------------------------- COURSE OBJECTIVES Intervention Skills 1) Students will interpret and explain the principles and techniques of applied behavior analysis and cognitive-behavioral therapy, in both oral and written form. 2) Students will demonstrate competence in the use of interventions based on applied behavior analysis and cognitive behavior therapy. -----