CBT for Psychological Well-Being in Cancer (eBook)

Mark Carlson is the founder, CEO and co-owner of Mental Health Systems (MHS), and an adjunct faculty member in the psychology department at Argosy University, Twin Cities, USA. Dr. Carlson is a national presenter for CMI, having presented on DBT, Personality Disorders, Self-Injurious Behaviors, and Treatment-Resistant Clients, and Rethinking Borderline Personality Disorder: A Strength-Based Approach. In addition, he is the author of CBT for Chronic Pain and Psychological Well-Being (Wiley, 2014). Dr. Carlson is interested in evidence-based practices, training and consultation and the development of programming for MI/CD, chronic pain, and chronic illness populations.

CBT for Psychological Well-Being in Cancer 3
Contents 9
Acknowledgments 11
1 Introduction to CBT for Psychological Well-Being in Cancer: Orientation to the Manual 13
2 Cancer Statistics and the Scope of the Topic 15
Health Care Costs 16
Cancer and Functioning 17
Cancer and Suicide 18
Medical Interventions 18
Pharmacotherapy 19
Physical Therapy 19
Palliative Care 19
Integrated Behavioral Health 19
Clinical Implications of Integrated Behavioral Health 20
Cognitive Behavioral Therapy 20
Scope of the Book 21
3 Introduction to the TAG Concept for Group and/or Individual Therapy 22
The TAG Concept for Cancer and Psychological Well-Being 22
The Biopsychosocial Model 23
Developing a Program through the TAG Concept 24
Group/Session Structure 24
Section 1: teaching 24
Section 2: application 25
Section 3: generalization (problem solving) 26
Curriculum Overview 26
Sources and recommended readings 26
General curriculum 26
Biological curriculum 27
Psychological curriculum 27
Social curriculum 27
Goals of the Program 27
Suggested Program/Treatment Outcome Measures 28
Partners for Change Outcomes Management System 28
Outcome and Session Rating Scales 28
Treatment Outcome Package 29
SF-36 29
Quality of Life Questionnaire 29
Behavioral Assessment of Pain Questionnaire 30
Symptom Checklist-90-R 30
Illness Perception Questionnaire 31
4 Clinical Manual 32
General Curriculum 32
Session focus: Orienting the individual to therapy 32
Orienting the individual to therapy 32
Teaching skills (T) 35
Applying skills and concepts (A) 35
Generalizing skills and concepts (G) 35
Notes to clinicians and individuals 35
Session focus: Skills training 36
Skills training 36
Teaching skills (T) 39
Applying skills and concepts (A) 39
Generalizing skills and concepts (G) 39
Notes to clinicians and individuals 40
Session focus: Interventions and strategies 41
Interventions and strategies 41
Notes to clinicians and individuals 45
Session focus: Safety assessment and contracting 47
Safety assessment and contracting 47
Teaching skills (T) 51
Applying skills and concepts (A) 51
Generalizing skills and concepts (G) 51
Notes to clinicians and individuals 51
Session focus: Cognitive and behavioral analysis 53
Cognitive and behavioral analysis 53
Teaching skill 58
Notes to clinicians and individuals 59
Session focus: Self-regulation and illness perceptions 60
Self-regulation and illness perceptions 60
Teaching skills (T) 63
Applying skills and concepts (A) 63
Generalizing skills and concepts (G) 63
Notes to clinicians and individuals 63
Session focus: Chronic illness 65
Chronic illness 65
Notes to clinicians and individuals 68
Biological Curriculum 69
Session focus: Increased functioning and quality of life 69
Increased functioning and quality of life 69
Notes to clinicians and individuals 72
Session focus: Goal setting and motivation 73
Goal setting and motivation 73
Teaching skills (T) 76
Applying skills and concepts (A) 78
Generalizing skills and concepts (G) 78
Notes to clinicians and individuals 78
Session focus: Orientation to change 79
Step 1: Orientation to change 79
Step 2: Readiness to change 81
Teaching skills (T) 82
Applying skills and concepts (A) 83
Generalizing skills and concepts (G) 83
Notes to clinicians and individuals 83
Session focus: Working with your team 85
Working with your team 85
Teaching skills (T) 87
Applying skills and concepts (A) 89
Generalizing skills and concepts (G) 89
Notes to clinicians and individuals 89
Session focus: Adherence to treatment protocols 90
Adherence to treatment protocols 90
Teaching skills (T) 93
Applying skills and concepts (A) 94
Generalizing skills and concepts (G) 95
Notes to clinicians and individuals 95
Session focus: Pain 96
Pain 96
Teaching skills (T) 99
Applying skills and concepts (A) 101
Generalizing skills and concepts (G) 101
Notes to clinicians and individuals 101
Session focus: Healthy habits and sleep 102
Healthy habits and sleep 102
Teaching skills (T) 103
Applying skills and concepts (A) 104
Generalizing skills and concepts (G) 105
Notes to clinicians and individuals 105
Psychological Curriculum 106
Session focus: Anxiety 106
Anxiety 106
Teaching skills (T) 108
Applying skills and concepts (A) 110
Generalizing skills and concepts (G) 110
Notes to clinicians and individuals 110
Session focus: Depression 111
Depression 111
Depressive disorders 112
Teaching skills (T) 114
Applying skills and concepts (A) 116
Generalizing skills and concepts (G) 116
Notes to clinicians and individuals 116
Session focus: Trauma and retraumatization 117
Trauma and retraumatization 117
Teaching skills (T) 119
Applying skills and concepts (A) 120
Generalizing skills and concepts (G) 121
Notes to clinicians and individuals 121
Session focus: Increasing resiliency through stress management 122
Increasing resiliency through stress management 122
Teaching skills (T) 125
Applying skills and concepts (A) 125
Generalizing skills and concepts (G) 126
Notes to clinicians and individuals 126
Session focus: Anger management 127
Anger management 127
Teaching skills (T) 128
Applying skills and concepts (A) 130
Generalizing skills and concepts (G) 130
Notes to clinicians and individuals 130
Session focus: Finding meaning 132
Finding meaning 132
Teaching skills (T) 134
Applying skills and concepts (A) 136
Applying skills and concepts (A) 136
Notes to clinicians and individuals 137
Session focus: Stigma 138
Stigma 138
Teaching skills (T) 141
Applying skills and concepts (A) 143
Generalizing skills and concepts (G) 143
Notes to clinicians and individuals 143
Social Curriculum 144
Session focus: Intimacy 144
Intimacy 144
Teaching skills (T) 147
Applying skills and concepts (A) 147
Generalizing skills and concepts (G) 148
Notes to clinicians and individuals 148
Session focus: Problem solving 149
Problem solving 149
Teaching skills (T) 151
Applying skills and concepts (A) 153
Generalizing skills and concepts (G) 153
Notes to clinicians and individuals 153
Session focus: Nurturing support systems 154
Nurturing support systems 154
Teaching skills (T) 157
Applying skills and concepts (A) 159
Generalizing skills and concepts (G) 159
Notes to clinicians and individuals 159
Session focus: Managing conflict 161
Managing conflict 161
Teaching skills (T) 163
Applying skills and concepts (A) 165
Generalizing skills and concepts (G) 165
Notes to clinicians and individuals 165
Session focus: Demoralization and remoralization 166
Demoralization and remoralization 166
Teaching skills (T) 171
Applying skills and concepts (A) 174
Generalizing skills and concepts (G) 175
Notes to clinicians and individuals 175
Session focus: Styles of interacting 176
Styles of interacting 176
Teaching skills (T) 179
Applying skills and concepts (A) 179
Generalizing skills and concepts (G) 179
Notes to clinicians and individuals 179
Session focus: Grief and loss 180
Grief and loss 180
Teaching skills (T) 183
Applying skills and concepts (A) 184
Generalizing skills and concepts (G) 184
Notes to clinicians and individuals 185
Handouts and Homework 186
General Curriculum 187
Group Rules/Expectations 187
Attendance/Discharge Contract 188
Safety Contract 189
Skills Implementation Plan 190
Goal Setting 195
Goal Setting Homework 197
Stages of Change 199
Control versus Influence Homework 200
Preparing for an Appointment Homework 202
Self-Advocacy Homework 203
Baseline Assessment 205
Baseline Assessment Homework 206
Behavior Chain Analysis Homework 208
Building a Healthy Sleep Routine 209
Maintaining a Healthy Sleep Routine 210
Sleep Hygiene Homework 211
Psychological Curriculum 212
Experiential Mapping 212
Guided Imagery 214
Progressive Muscle Relaxation 215
Meditation 217
Coping with Stress 218
Beliefs about Anger Homework 220
Managing Conflict Homework 222
Taking a Timeout 223
Defense Mechanisms and Coping Styles Homework 224
Finding Meaning and Purpose Homework 226
First Steps toward Change Homework 228
Challenging Stigma Homework 231
Social Curriculum 233
Intimacy in Relationships Homework 233
Exploring Roles and Responsibilities Homework 235
Individual-Based Problem-Solving Homework 237
Social-Based Problem-Solving Homework 239
Nurturing Support Systems Homework 242
Remoralization Homework 244
Active Listening 246
Styles of Interacting Homework 247
The 3 Is Homework 249
References 251
Index 257
EULA 265