Straight-forward explanations and useful worksheets make the skills accessible to clients. Practical guidance on clinical policies with program forms help therapists create save and structured treatment environments. Easy to read and highly practical, this definitive manual is an invaluable resource for clients and therapists across theoretical orientations.

    The amygdala acts as a primal response, and oftentimes, when this part of the brain processes fear, you may not even understand why you are afraid. By comparison, the cortex is the center of “worry.” That is, obsessing, ruminating, and dwelling on things that may or may not happen. In the book, Pittman and Karle make it simple by offering specific examples of how to manage fear by tapping into both of these pathways in the brain. As you read, you’ll gain a greater understanding how anxiety is created in the brain, and as a result, you will feel empowered and motivated to overcome it. The brain is a powerful tool, and the more you work to change the way you respond to fear, the more resilient you will become. Using the practical self-assessments and proven-effective techniques in this book, you will learn to literally “rewire” the brain processes that lie at the root of your fears.

    Among them: a successful, first generation Chinese immigrant musician suffering sexual dysfunction; a young woman whose father abandoned her at age nine with her younger siblings in an isolated cottage in the depth of winter; and a glamorous workaholic whose narcissistic, negligent mother greeted her each morning of her childhood with Good morning, Monster.Each patient presents a mystery, one that will only be unpacked over years. They seek Gildiner's help to overcome an immediate challenge in their lives, but discover that the source of their suffering has been long buried.As in such recent classics as The Glass Castle and Educated, each patient embodies self-reflection, stoicism, perseverance, and forgiveness as they work unflinchingly to face the truth. Gildiner's account of her journeys with them is moving, insightful, and sometimes very funny. Good Morning Monster offers an almost novelistic, behind-the-scenes look into the therapist's office, illustrating how the process can heal even the most unimaginable wounds.

    Many people with BPD excel in academics and careers while revealing erratic, self-destructive, and sometimes violent behavior only to those withwhom they are intimate. Others have trouble simply holding down a job or staying in school.Overcoming Borderline Personality Disorder is a compassionate and informative guide to understanding this profoundly unsettling--and widely misunderstood--mental illness, believed to affect approximately 6% of the general population. Rather than viewing people with BPD as manipulative opponents in abitter struggle, or pitying them as emotional invalids, Valerie Porr cites cutting-edge science to show that BPD is a true neurobiological disorder and not, as many come to believe, a character flaw or the result of bad parenting. Porr then clearly and accessibly explains what BPD is, whichtherapies have proven effective, and how to rise above the weighty stigma associated with the disorder. Offering families and loved ones supportive guidance that both acknowledges the difficulties they face and shows how they can be overcome, Porr teaches empirically-supported and effective copingbehaviors and interpersonal skills, such as new ways of talking about emotions, how to be aware of nonverbal communication, and validating difficult experiences. These skills are derived from Dialectical Behavior Therapy and Mentalization-based Therapy, two evidence-based treatments that have provenhighly successful in reducing family conflict while increasing trust. Overcoming Borderline Personality Disorder is an empowering and hopeful resource for those who wish to gain better understanding of the BPD experience--and to make use of these insights in day-to-day family interactions.Winner of the ABCT Self Help Book Seal of Merit Award 2011

    You can plan and strategize and keep your eye on the horizon, watching for trouble. And nothing you can do will protect you from the fact that things might, when you least expect it, go terribly, horribly wrong. If you're anxious about this, it's not like you don't have a reason. If you're very anxious about this, you're certainly not alone. In fact, even if your whole life feels like it's about anxiety, your story is a lot more common that you might imagine.If you could just get your anxiety to go away, you could get on with the business of living your life, right? Well, maybe — or maybe not. Does anxiety need to go away in order for you to live your life fully, vitally, with richness and purpose?This book approaches the problem of anxiety a little differently than most. Instead of trying to help you overcome or reduce feelings of anxiety, Things Might Go Terribly, Horribly Wrong will help you climb inside these feelings, sit in that place, and see what it would be like to have anxiety and still make room in your life to breathe and rest and live — really and truly live — in a way that matters to you.Although it's grounded in a research-supported form of psychotherapy called acceptance and commitment therapy, also known as ACT, Things isn't especially technical or stepwise. Rather, the book starts a conversation about why we all sometimes feel anxious and what role that anxiety serves in our lives. It connects the experience of anxiety to the essential experience of human suffering. And then, in sometimes unexpected ways, Things explores some basic ways of being in the world that can change the role anxiety plays in your life.This book has been awarded The Association for Behavioral and Cognitive Therapies Self-Help Seal of Merit — an award bestowed on outstanding self-help books that are consistent with cognitive behavioral therapy (CBT) principles and that incorporate scientifically tested strategies for overcoming mental health difficulties. Used alone or in conjunction with therapy, our books offer powerful tools readers can use to jump-start changes in their lives.

    Death and illness touch us all, but even the everyday sufferings of loneliness and fear are traumatic. In The Trauma of Everyday Life renowned psychiatrist and author of Thoughts Without a Thinker Mark Epstein uncovers the transformational potential of trauma, revealing how it can be used for the mind’s own development.Western psychology teaches that if we understand the cause of trauma, we might move past it while many drawn to Eastern practices see meditation as a means of rising above, or distancing themselves from, their most difficult emotions. Both, Epstein argues, fail to recognize that trauma is an indivisible part of life and can be used as a lever for growth and an ever deeper understanding of change. When we regard trauma with this perspective, understanding that suffering is universal and without logic, our pain connects us to the world on a more fundamental level. The way out of pain is through it. Epstein’s discovery begins in his analysis of the life of Buddha, looking to how the death of his mother informed his path and teachings. The Buddha’s spiritual journey can be read as an expression of primitive agony grounded in childhood trauma. Yet the Buddha’s story is only one of many in The Trauma of Everyday Life. Here, Epstein looks to his own experience, that of his patients, and of the many fellow sojourners and teachers he encounters as a psychiatrist and Buddhist. They are alike only in that they share in trauma, large and small, as all of us do. Epstein finds throughout that trauma, if it doesn’t destroy us, wakes us up to both our minds’ own capacity and to the suffering of others. It makes us more human, caring, and wise. It can be our greatest teacher, our freedom itself, and it is available to all of us.

     Acceptance and commitment therapy (ACT) is a new, scientifically based psychotherapy that takes a fresh look at why we suffer and even what it means to be mentally healthy. What if pain were a normal, unavoidable part of the human condition, but avoiding or trying to control painful experience were the cause of suffering and long-term problems that can devastate your quality of life? The ACT process hinges on this distinction between pain and suffering. As you work through this book, you’ll learn to let go of your struggle against pain, assess your values, and then commit to acting in ways that further those values.ACT is not about fighting your pain; it’s about developing a willingness to embrace every experience life has to offer. It’s not about resisting your emotions; it’s about feeling them completely and yet not turning your choices over to them. ACT offers you a path out of suffering by helping you choose to live your life based on what matters to you most. If you’re struggling with anxiety, depression, or problem anger, this book can help—clinical trials suggest that ACT is very effective for a whole range of psychological problems. But this is more than a self-help book for a specific complaint—it is a revolutionary approach to living a richer and more rewarding life.Learn why the very nature of human language can cause suffering Escape the trap of avoidance Foster willingness to accept painful experience Practice mindfulness skills to achieve presence in the moment Discover the things you really value most Commit to living a vital, meaningful life This book has been awarded The Association for Behavioral and Cognitive Therapies Self-Help Seal of Merit — an award bestowed on outstanding self-help books that are consistent with cognitive behavioral therapy (CBT) principles and that incorporate scientifically tested strategies for overcoming mental health difficulties. Used alone or in conjunction with therapy, our books offer powerful tools readers can use to jump-start changes in their lives.

    

    At the same time, trauma remains a fact of life: the majority of us will experience a traumatic event in our lifetime, and up to 20% of us will develop posttraumatic stress. This means that anywhere mindfulness is being practiced, someone in the room is likely to be struggling with trauma.At first glance, this appears to be a good thing: trauma creates stress, and mindfulness is a proven tool for reducing it. But the reality is not so simple.Drawing on a decade of research and clinical experience, psychotherapist and educator David Treleaven shows that mindfulness meditation—practiced without an awareness of trauma—can exacerbate symptoms of traumatic stress. Instructed to pay close, sustained attention to their inner world, survivors can experience flashbacks, dissociation, and even retraumatization.This raises a crucial question for mindfulness teachers, trauma professionals, and survivors everywhere: How can we minimize the potential dangers of mindfulness for survivors while leveraging its powerful benefits?Trauma-Sensitive Mindfulness offers answers to this question. Part I provides an insightful and concise review of the histories of mindfulness and trauma, including the way modern neuroscience is shaping our understanding of both. Through grounded scholarship and wide-ranging case examples, Treleaven illustrates the ways mindfulness can help—or hinder—trauma recovery.Part II distills these insights into five key principles for trauma-sensitive mindfulness. Covering the role of attention, arousal, relationship, dissociation, and social context within trauma-informed practice, Treleaven offers 36 specific modifications designed to support survivors’ safety and stability. The result is a groundbreaking and practical approach that empowers those looking to practice mindfulness in a safe, transformative way.

    These five core capacities are associated with biologically based core needs that are essential to our physical and emotional well-being: the needs for connection, attunement, trust, autonomy, and love-sexuality. Recognizing these needs as well as five Adaptive Survival Styles set in motion when the core needs are not met early in life, authors Laurence Heller and Aline LaPierre cut through the seeming complexity of life’s problems.   Explaining that an impaired capacity for connection to self and to others and the ensuing diminished aliveness are the hidden dimensions that underlie most psychological and many physiological problems, they introduce the NeuroAffective Relational Model® (NARM), a resource-oriented, psychodynamically informed approach that, while not ignoring a person’s past, emphasizes working in the present moment. NARM uses somatic mindfulness to re-regulate the nervous system and to resolve identity distortions—such as low self-esteem, shame, and chronic self-judgment—caused by developmental and relational trauma. Heller and LaPierre demonstrate how this therapy helps clients establish connection to the parts of self that are organized, coherent and functional, integrating the role of connection on all levels of experience as it affects a person's physiology, psychology, and capacity for relationship.From the Trade Paperback edition.

    You’ve learned to cherish the small things. You’re past keeping up with the Joneses.And yet, anxieties over grown children, worries about money and health, and feelings of disappointment can challenge even the best marriages.In Married and Still Loving It, renowned relationship expert Gary Chapman and Harold Myra, longtime CEO of Christianity Today International, offer wise counsel and practical insight on making your marriage thrive during the later years. Real couples share honestly about their joys and struggles, including Jerry and Dianna Jenkins and Ken and Joni Eareckson Tada, who talk movingly about their marital journeys.Married and Still Loving It feels like a gathering of kindred spirits. It will inspire and equip you to embrace the adventures yet ahead, hand in hand with the one you love.

    Frances E. Jensen, a mother, teacher, researcher, and internationally known expert in neurology, introduces us to the mystery and magic of the teen brain. One of the first books to focus exclusively on the neurological development of adolescents, The Teenage Brain presents new findings, dispels widespread myths, and provides practical suggestions for negotiating this difficult and dynamic life stage for both adults and adolescents.Interweaving easy-to-follow scientific data with anecdotes drawn from her experiences as a parent, clinician, and public speaker, Dr. Jensen explores adolescent brain functioning and development, including learning and memory, and investigates the impact of influences such as drugs, multitasking, sleep, and stress. The Teenage Brain reveals how: Adolescents may not be as resilient to the effects of drugs as we previously thought. Occasional use of marijuana has been shown to cause lingering memory problems, and long-term use can affect later adulthood I.Q. Multi-tasking causes divided attention and can reduce learning ability. Emotionally stressful situations in adolescence can have permanent effects on mental health, and may lead to higher risk for certain neuropsychiatric disorders such as depression.Rigorous yet accessible, warm yet direct, The Teenage Brain sheds new light on young adults, and provides practical suggestions for how parents, schools, and even the legal system can better help them during this crucial period.

    with JUST 15 MINUTES in the morning ANXIETY AND STRESS are epidemic in today’s fast-paced world. In response, many turn to meditation and related practices with limited long-term success.Oscar Segurado, MD, PhD, understands why. Meditation worked well for thousands of years, but can’t counter the effects of life in the twenty-first century. Instead, you need a new approach to control anxiety, especially given the proven connection between stress and serious diseases, including cancer, caused by a dysfunctional immune system. A mere fifteen minutes of mindful framing in the morning creates a solid mental framework for the rest of the day. You are the screenwriter and director of a lifestyle movie leading to a calm mind, healthy relationships and a vigorous body.It’s a modern world. We need a modern way to transform anxiety into vital energy. Segurado offers the way: mindful framing. Five steps towards a NEW FRAME OF MIND Recognize your TRIGGERS OF ANXIETY while riding an imaginary bus Leverage your FIVE SENSES while experiencing virtual sensations Connect with MOTHER NATURE while traveling through a fictional landscape Harmonize your EMOTIONS with those of others while watching a symbolic "emotional tree" Invigorate your immune system while exploring your ORGANISM with your "mind's eye" Scroll up and grab a copy today.

    In Scared Sick, Robin Karr-Morse connects psychology, neurobiology, endocrinology, immunology, and genetics to demonstrate how chronic fear in infancy and early childhood -- when we are most helpless -- lies at the root of common diseases in adulthood. Compassionate and based on the latest research, Scared Sick will unveil a major public health crisis. Highlighting case studies and cutting-edge scientific findings, Karr- Morse shows how our innate fight-or-flight system can injure us if overworked in the early stages of life. Persistent stress can trigger diabetes, heart disease, obesity, depression, and addiction later on.

    —DR. ROBIN ZASIO, Psy. D., LCSW, director of The Anxiety Treatment Center of Sacramento, featured doctor on the A&E series Hoarders Cognitive Behavioral Therapy (CBT) has proven to be the tipping point through which many people are finally able to make significant changes and break free of anxiety and depression. Cognitive Behavioral Therapy in 7 Weeks is an interactive workbook that outlines a simple, practical plan that occurs over the course of 7 weeks, and offers real, tangible relief from anxiety and depression. This is a cumulative workbook—the work you do each week builds upon that of the last and, ultimately, creates a lasting CBT “tool kit” that will prepare you to handle future challenges as they come. In his private practice, licensed psychologist Dr. Seth Gillihan specializes in the use of cognitive-behavioral treatment for anxiety and depression. He concentrates on the specific needs of each patient by using the evidence-based, solution-focused treatment principles of CBT—the fundamentals of which at the core of Cognitive Behavioral Therapy in 7 Weeks. With Cognitive Behavioral Therapy in 7 Weeks you will: Become familiar with the basic principles of CBT and understand how it works Define specific goals that you’ll work toward over the course of 7 weeks Learn fundamental CBT skills through guided writing exercises that apply to your current, real-life challenges Cognitive Behavioral Therapy in 7 Weeks is the most comprehensive yet efficient workbook available for using CBT to address anxiety and depression.