Among mental health researchers, there is a consensus that empirically supported treatments (ESTs) have favorable outcomes and that the outcomes are typically better than other approaches. The majority of these are available as therapist manuals, brief books, or other extended volumes. However, among mental health service providers, there is often a view that these manuals and books can be formulaic and rigid, and likely insensitive to individual patient needs or presentations. Withthese conflicting perspectives in place, there is a need for accurate communication and reconciliation. Flexibility within Fidelity identifies how effective ESTs can be implemented with both integrity and flexibility. The book is comprised of chapters focusing on specific ESTs for identified problem areas amongst adults and children/adolescents, including anxiety disorders, PTSD, pain management, and depression among others. Chapter authors focus on the specific treatment components that are required to maintain fidelity and the features of the EST which can be applied with flexibility,promoting a personalized implementation. Written in an accessible style featuring in-depth clinical discussions, this book will equip mental health practitioners with the tools to implement ESTs across client presentations.
Introduction; Chapter 1: Cognitive Behavioral Therapy for Social Anxiety Disorder: Being Flexible while Maintaining Fidelity; Rachel M. Butler, Emily B. ODay, and Richard G. Heimberg; ; Chapter 2: Flexible Principles for the Treatment of Adult Worry; Amy R. Sewart and Michelle G. Craske; ; Chapter 3: PTSD Treatment with Adults: Making Modifications while Maintaining Fidelity; Colleen A. Sloan, Scott Litwack, and Denise M. Sloan; ; Chapter 4: Being Flexible while Maintaining Fidelity in Cognitive Behavioral Therapy of Depression; Daniel R. Strunk, Abby Adler Mandel, and Iony D. Ezawa; ; Chapter 5: Empirically Supported Treatment for Obsessive-Compulsive Disorder: Core Elements and Adaptive Applications; Martin E. Franklin and Sarah G. Turk Karan; ; Chapter 6: Being Flexible While Maintaining Fidelity for Medical Patients: Patient-Centered and Team-Based Strategies; Mira Reichman, Victoria A. Grunberg, James D. Doorley, Jafar Bakshaie, Ethan G. Lester, Ryan A. Mace, and Ana-Maria Vranceanu; ; Chapter 7: Goodness of Fit: Flexing Manualized Treatment for Hoarding Disorder; Suzanne Otte, Christiana Bratiotis, and Gail Steketee; ; Chapter 8: Treatment of Chronic Pain: Importance of Flexibility and Fidelity; John D. Otis; Chapter 9: Flexible Applications of Family-based Therapy for Youth with Bipolar Spectrum Disorders; Haley M. Brickman and Mary A. Fristad; Chapter 10: How to Bend but Not Break an Empirically Supported Treatment for Anxiety in Youth; Lara S. Rifkin, Lindsay Myerberg, Elizabeth A. Gosch, Lesley A. Norris, Margaret E. Crane, and Philip C. Kendall; Chapter 11: The Coping Power Program for Children with Aggressive Behavior Problems; John E. Lochman, Nicole P. Powell, and Shannon Jones; Chapter 12: Delivering Treatment for Adolescent Panic Disorder with Flexibility and Fidelity; Donna B. Pincus, Laura Nelson Darling, and Ovsanna Leyfer; Chapter 13: Tourette and Trichotillomania: Adapting Treatment while Maintaining Fidelity; Jennifer R. Alexander, Jordan T. Stiede, and Douglas W. Woods;
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