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Click to access the FSI, a questionnaire developed at the SFBACCT.
Click to download the obq44 scoring program.
 The Case Formulation Approach to Cognitive-Behavior Therapy
By Jacqueline B. Persons, PhD
Guilford Press (2008)
This eagerly awaited book shows how skillful case formulation addresses a critical challenge in psychotherapy today: how to use empirically supported therapies (ESTs) in real-world clinical contexts. The author explains the basic theories of cognition, learning, and emotion that underlie available ESTs and shows how the theories also guide systematic case formulation. By crafting a sound formulation and continually refining and monitoring it as treatment progresses, the therapist can smoothly "shift theoretical gears" and weave together elements of different ESTs to meet the needs of individual patients, who typically present with multiple problems. Hands-on tools, reproducibles, and many concrete examples are included.
"This excellent book describes treatment formulation and the therapeutic process well, from a cognitive-behavioral framework. The reproducible forms are extremely helpful, especially for new therapists who are beginning a private practice. All-in-all, the author helps us to look at the therapeutic process in cognitive-behavioral terms and design it with each specific client in mind, and not in terms of a general protocol. This is very refreshing, to say the least....4 stars!" Doody's Review Service
"Persons's insights into case formulation are second to none. This book brilliantly demonstrates that you don't have to sacrifice good science to be an excellent clinician, and vice versa. I recommend it to psychotherapists and students at all levels of experience who are interested in using the best theories and clinical techniques to help their patients achieve real and lasting change. Persons's rare combination of clinical practicality and scientific dedication makes her a role model for every young scientist-clinician." Marsha M. Linehan, PhD, ABPP Professor and Director, Behavioral Research and Therapy Clinics University of Washington
"This groundbreaking volume will train the next generation of cognitive-behavioral therapists. Its sophisticated blending of case-level formulation with empirical principles of behavior change is a threshold event in CBT's ongoing engagement with clinical complexity, comorbidity, and nonadherence." Zindel V. Segal, PhD, CPsych Morgan Firestone Chair in Psychotherapy University of Toronto
"Decades of research and clinical experience meet in this seminal book. Persons provides a guide for both the novice and experienced practitioner to deal with even the most complex of cases. This significant work will no doubt become the shining light by which the idiographic approach to CBT will be guided in the future. One of the few books that is worth even more than the purchase price!" Nicholas Tarrier, PhD, FBPsS Department of Clinical Psychology University of Manchester, UK
"There is no greater challenge facing mental health professionals than moving from scientific theory and research to clinical practice. Persons has addressed this critical issue for many years, and has come up with solutions that demand the attention of serious health professionals. She convincingly shows how to analyze complex cases in ways that are both scientifically sound and practically feasible and effective. Persons is the consummate scientist-practitioner. This book is a 'must read' for students, academics, and practitioners." Gerald C. Davison, PhD William and Sylvia Kugel Dean's Chair, and Professor of Gerontology and Psychology University of Southern California
My Anxious Mind: A Teen's Guide to Managing Anxiety and Panic
by Michael A. Tompkins and Katherine Martinez
Magination Press (2009)
Anxiety can make everything seem unmanageable - from dealing with family and friends to managing schoolwork and extracurricular activities. It's been estimated that between nine and 15 million teens in the United States suffer from phobias, panic attacks, or extreme worry or anxiety. That's a lot of teens!
"My Anxious Mind" helps teens take control of their anxious feelings by providing cognitive - behavioral strategies to tackle anxiety head-on and to feel more confident and empowered in the process. "My Anxious Mind" also offers ways for teens with anxiety to improve their inter-personal skills, whether it be with friends, family, or teachers; manage stress; handle panic attacks; use diet and exercise appropriately; and decide whether medication is right for them.
"The strategies discussed in 'My Anxious Mind' are firmly grounded in the latest research on treating anxiety. At the same time, the book is highly accessible, engaging, and easy to follow. I highly recommend 'My Anxious Mind' to any teen who struggles with high levels of anxiety. Their parents should read it too!"
Martin M. Antony, Ph.D., ABPP
Professor of Psychology, Ryerson University, Toronto
Author of The Anti-Anxiety Workbook
"'My Anxious Mind' is a terrific book--but not just for teens! It contains easy-to-understand information and practical, straight-forward steps anyone can take to reduce undue anxiety. It's a must read for anxious teens, their parents and teachers but will be helpful to individuals of any age who have an 'anxious mind.'"
Judith S. Beck, Ph.D.
Director, Beck Institute for Cognitive Therapy and Research
Clinical Associate Professor of Psychology in Psychiatry, University of Pennsylvania
Past President, Academy of Cognitive Therapy
"This wonderful book is a must-buy for adolescents and their families with severe anxiety. Its two voices--the recently affected adolescent and the experienced clinician--offer invaluable insights into the potentially devastating effects of untreated anxiety while describing in detail proven strategies for taking charge of fears and obsessions".
Glen R. Elliott, Ph.D., M.D.
Chief Psychiatrist and Medical Director, The Children's Health Council, Palo Alto, CA
Author of Medicating Young Minds: Can Psychiatric Drugs Help Your Child
"Up to one in five teens suffer from a significant anxiety disorder while countless others experience milder fears and worries. Tompkins and Martinez offer a step-by-step guide to anxiety management written specifically for adolescents. Along with proven techniques for dealing with anxious thoughts, physical symptoms of anxiety, and avoidance behaviors, this valuable book also addresses the important areas of sleep, nutrition, and exercise.
John Piacentini Ph.D., ABPP
Professor of Psychiatry and Director, Child OCD, Anxiety and Tic Disorders Program
UCLA David Geffen School of Medicine
"My Anxious Mind: A Teen’s Guide to Managing Anxiety, is a marvelous book for teens who feel anxious or shy sometimes, like all of us, or find that anxiety or shyness is becoming too frequent and too painful. If anxiety is interfering with making friends, doing what they want to, asserting themselves, or asking for help, this is the book for them. Michael Tompkins and Katherine Martinez have written this guide with precision and clarity, while communicating warmth to their young readers, and a real understanding of the challenges of the teen-age years. This is a book we all might have found helpful as kids. How great to have had a personal guide to handling our adolescent worries, our thoughts about what looked like impending social disasters; and to solving the inevitable interpersonal problems and challenges of dealing with those we loved, liked, couldn’t stand, and learned to like, as we knew them better. I liked the examples of teens describing problems that troubled them. These problems are human and universal, but when anxiety gets too intense, the authors show how anxiety and avoidance can be reduced and one’s behavior changed. I also liked the visual images, like the worry wheel. The diagrams and homework sheets are clear and helpful. Teens can all learn from these authors’ experience and wisdom".
Lynn Henderson, Ph.D.
Director, Shyness Institute, Palo Alto, California
Author of the Social Fitness Training Manuals
 Digging Out: Helping Your Loved One Manage Clutter, Hoarding, and Compulsive Acquiring
by Michael A. Tompkins and Tamara L. Hartl
New Harbinger Press (2009)
If you have a friend or family member who acquires an excessive amount of stuff (newspapers, old scraps of cloth, unworn clothes), has difficulty discarding things, lives in a cluttered space, and whose life is impaired by all of this stuff, it's likely that he or she is a hoarder. People who hoard often live in unsafe and unsanitary conditions because they are unable to throw anything away. Although hoarding negatively affects their quality of life, social relationships, and safety, people who hoard are often unwilling to end their behavior.
Digging Out is the first book to help friends and family members keep their loved ones safe from the dangers of compulsive acquiring. Using a technique called harm reduction, which aims to reduce safety risk rather than force a hoarder to discard possessions, readers will be able to set small, achievable goals for their loved ones. The realistic exercises in the book focus on helping a loved one live safely and comfortably at home. Readers will work together with hoarders to set valid and meaningful goals and incentive to work toward them.
Because it can be difficult to maintain a positive relationship with a person who compulsively hoards, readers will learn to take the focus off of that behavior and concentrate instead on the qualities they enjoy about the person. The book also includes advice for roommates and romantic partners who live with hoarders, and engaging case stories from hoarders and their loved ones.
"Digging Out is a remarkable book. Michael Tompkins and Tamara Hartl walk the reader step by step through the difficult process of letting go of unrealistic expectations, healing old wounds, and helping loved ones get much-needed help for compulsive hoarding. This book is likely to become a "must-read" for family members of people with significant hoarding problems".
David F. Tolin, Ph.D., ABPP
Director, Anxiety Disorders Center
The Institute of Living
Adjunct Associate Professor of Psychiatry
Yale University School of Medicine
"An essential guide for loved ones of those who compulsively hoard. Digging Out takes a compassionate approach to both the hoarder and family member's perspective and offers practical tools that really work to reduce harm associated with clutter and improve family relationships".
Belinda Lyons
Executive Director
Mental Health Association of San Francisco
"This excellent book is a boon to people that hoard, their families, and mental health professionals. It provides a clear method -- "harm reduction" -- that has been proven effective in reducing the dangerous consequences of hoarding, while promoting positive relationships between the hoarder and their loved ones. The authors are to be commended for the benefits offered by Digging Out to the many people who have to cope with this disabling disorder".
Paul R. Munford, Ph.D.
Clinical Psychologist & Center Director
Cognitive Behavior Therapy Center for OCD & Anxiety
"If your loved one has a problem with compulsive saving, this book can help you both save what really counts: yourselves! With equal parts compassion, wisdom, and practicality, Michael Tompkins and Tamara Hartl offer step-by-step instructions for helping family members and friends with hoarding challenges. The authors' passion for their work comes through on every page, and their extensive experience is evident in every nugget of advice they offer".
Jeff Bell
Author, When in Doubt, Make Belief: An OCD-Inspired Approach to Living with Uncertainty
"Undoubtedly, Digging Out is one of the best available texts for assisting the families of those suffering from Hoarding and Cluttering declutter and help their loved ones live in a healthy environment. The authors Michael Tompkins and Tamara Hartl provide a systematic approach to understanding the problem of hoarding and cluttering that will equally be useful for other service providers such as Public Health Inspectors involved with code enforcement, Social Workers and Adult Protective Services who work with clients especially in our Single Room Occupancy Hotels and Shelters in San Francisco. I highly recommend the book for all who work with or may come across people struggling with hoarding and cluttering in their respective job functions".
Dr. Johnson Ojo, a Registered Environmental Health Specialist (REHS) is Special Programs Manager, who also regulate the hotels and shelters used to house the homeless and GA clients in the City and County of San Francisco, Dept. of Public Health.
"Digging Out is a wonderful book for those who have family members or other loved ones with compulsive hoarding and cluttering problems. It provides a practical, realistic, in-depth, and empathic approach for helping to manage this serious and often debilitating problem using harm-reduction techniques. This book manages that most difficult of combinations—to provide hope and guidance without minimizing the potential obstacles to success".
Carol A Mathews M.D.
Associate Professor of Psychiatry
Co-Director, Anxiety Disorders Clinic
University of California, San Francisco School of Medicine
Guides to Individualized Evidence-Based Treatment Series
Series Edited by Jacqueline B. Persons
Guilford Press, (2005, 2004)
Providing evidence-based roadmaps for managing real-world cases, volumes in this series help the clinician develop treatment plans using interventions of proven effectiveness. With an emphasis on systematic yet flexible case formulation, these hands-on guides provide powerful alternatives to one-size-fits-all approaches. Each book addresses a particular disorder or presents cutting-edge intervention strategies that can be used across a range of clinical problems.
Cognitive Therapy of Schizophrenia
by David G. Kingdon and Douglas Turkington
Guildford Press (2004)
Treating Bipolar Disorder: A Clinician's Guide to Interpersonal and Social Rhythm Therapy
by Ellen Frank
Guildford Press (2005)
Using Homework in Psychotherapy: Strategies, Guidelines, and Forms
by Michael A. Tompkins
Guilford Press (2004)
Paperback
A step-by-step guide for therapists who want to start implementing homework or to increase the effectiveness of assignments, this hands-on book is ideal for clinicians from any theoretical orientation. Presented are creative strategies for developing meaningful homework assignments, enhancing compliance, and overcoming typical homework obstacles. Nearly 50 reproducible forms are featured along with detailed recommendations for using them to accomplish five broad therapeutic goals: increasing awareness, scheduling activities, improving emotion regulation and interpersonal effectiveness, and testing assumptions. Also provided are tips for working with special populations, including adolescents, older adults, couples, and clients with severe depression or anxiety. Bursting with helpful tools, tips, and examples, the volume is designed in a convenient 8 1/2" x 11" format with lay-flat binding for ease of photocopying.
"Dr. Tompkins expertly explains how to collaboratively design effective homework assignments for patients and clients of all ages with a wide range of psychiatric disorders and psychological problems-and how to dramatically increase the likelihood that patients will carry out their assignments and learn from them."
Judith S. Beck, Ph.D.
"This is the most comprehensive and helpful guide available for assuring that your clients will get the most benefit out of therapy homework. Tompkins provides a three-step approach that can be used with all homework assignments - the appendices are a virtual treasure trove of self-report forms."
Robert. L. Leahy, Ph.D.
Essential Components of Cognitive-Behavior Therapy for Depression
by Jacqueline B. Persons, Joan Davidson, and Michael A. Tompkins
American Psychological Association (2001)
Hardcover
This volume presents the essential components of cognitive-behavior therapy for depression. Throughout, the authors emphasize the theory and practices of Aaron T. Beck to create a book that is grounded in the best of CBT's traditions but that refines and fleshes out the practical aspects of its application. The method described is flexible enough to be used in disorders other than depression, including eating disorders and anxiety.
Intended for both trainees and practitioners in the mental health professions, the book details the five basic components of the therapy in practice: developing an individualized case formulation, session structuring, activity scheduling, the thought record, and the schema change method. A thorough case study is included to illustrate how the therapist uses the case formulation to plan and carry out treatment. Examples of each major intervention are also provided as well as a demonstration of how the assessment and intervention strategies are woven together over the course of treatment. This is the perfect teaching tool for those working in clinical, counseling, and health psychology as well as social work, psychiatry, psychiatric nurses, marriage and family counseling, and pastoral counseling.
A complete video series is also available that illustrates the techniques described in the book.
Videos Series: Essential Components of Cognitive-Behavior Therapy for Depression
by Jacqueline B. Persons, Joan Davidson, and Michael A. Tompkins
American Psychological Association (2001)
The American Psychological Association's (APA) Cognitive-Behavior Therapy for Depression Video Series is a 5-part demonstration of theory-driven, empirically supported interventions. The series is designed for mental health professionals and is appropriate for both new and experienced clinicians. The tapes teach important clinical skills in a systematic, step-by-step manner, providing hands-on demonstrations and clear guidelines for replicating the skills shown in the demonstrations. Each video includes an instructional booklet intended to facilitate the use of the assessment or intervention method taught in the video. The booklet is formatted for easy reproduction and clinical use.
Each video in the series demonstrates a fundamental component of cognitive-behavior therapy for depression. These components are also used in cognitive-behavioral therapies for many other common psychiatric and medical disorders and problems, including anxiety disorders, substance abuse, chronic pain, eating disorders, and marital problems.
An important goal of the series is to teach empirically supported methods. Four of the tapes in the series teach central components of empirically supported cognitive-behavioral therapies for depression (Activity Scheduling, Using the Thought Record, Schema Change Methods, and Structure of the Therapy Session). The Individualized Case Formulation and Treatment Planning tape offers methods for adapting the standardized, empirically supported methods to an individual case in a systematic, empirically driven manner.
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Individualized Case Formulation and Treatment Planning
Jacqueline B. Persons, Michael A. Tompkins, Joan Davidson
Jacqueline B. Persons describes and demonstrates the fundamental steps involved in developing an individualized cognitive-behavioral case formulation and in using it to devise a treatment plan for a depressed patient.
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Structure of the Therapy Session
Joan Davidson, Jacqueline B. Persons, Michael A. Tompkins
Joan Davidson describes the eight components of a structured session of cognitive-behavioral therapy. Dr. Davidson demonstrates agenda-setting and assigning homework, two of the most important components of a structured therapy session.
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Activity Scheduling
Jacqueline B. Persons, Joan Davidson, Michael A. Tompkins
Jacqueline B. Persons demonstrates the use of activity scheduling to treat suicidality, passivity, immobilization and other behavioral problems commonly seen in depressed patients. The video outlines clinical situations in which activity scheduling is useful and describes six guidelines for success and demonstrates their use.
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Using the Thought Record
Joan Davidson, Jacqueline B. Persons, Michael A. Tompkins
Jacqueline B. Persons describes and demonstrates the use of the Thought Record to help patients identify and challenge distorted thinking that drives negative moods and maladaptive behavior.
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Schema Change Methods
Michael A. Tompkins, Jacqueline B. Persons, Joan Davidson
The video describes the role of schema change methods in the treatment of depression. Michael A. Tompkins demonstrates the use of the Positive Data Log to restructure maladaptive schema.
"This tape series and companion book offer an excellent overview on how to conduct cognitive-behavior therapy for depression. The rationales for the various interventions are given in a straightforward, easy-to-understand manner. The interventions are well presented, and the authors offer specific instructions as to how to deliver the interventions. The accompanying booklets are also very useful. I highly recommend this program for beginning therapists."
Aaron T. Beck, M.D.
"Jackie Persons and her colleagues Joan Davidson and Michael Tompkins have produced what is probably the best set of materials to date for teaching proven cognitive-behavioral approaches to depression. Every clinician should be aware of these materials."
David H. Barlow, PhD
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Cognitive Therapy in Practice: A Case Formulation Approach
by Jacqueline B. Persons
Norton & Co. (1989)
Hardcover
This book gives a nitty-gritty account of cognitive behavior therapy in practice. The author introduces us to her patients, shares her thinking about their problems, and outlines interventions based on her understanding.
At the heart of this cognitive therapy model is the case formulation-the therapist's hypothesis about the psychological mechanism underlying the patient's problems. The book opens with a discussion of this model, emphasizing the connections between overt difficulties and underlying psychological problems, often encapsulated in such irrational beliefs as "I must be perfect or I am a failure," or "I don't deserve happiness." Using the strategies outlined here, the therapist will be ready to tackle the first therapeutic task: developing a detailed case formulation based on a problem list.
The central chapters describe numerous behavioral and cognitive strategies for ameliorating the problems anxious and depressed patients bring to treatment, as well as for changing underlying beliefs. As the author demonstrates, these techniques are not used haphazardly; rather, the case formulation guides the therapist's understanding of the patient's difficulties, decisions about where and how to intervene, and the management of any difficulties that arise.
"This book fills a major need in the field of cognitive therapy. Dr. Persons provides a comprehensive guide to formulating the case and selecting appropriate behavioral and cognitive strategies. The text is replete with illustrative case material, anecdotes, and dialogue. Any person who wants to practice cognitive therapy should read this book."
Aaron T. Beck, M.D.
"An outstanding book which should be invaluable to the novice and to the advanced practitioner as well.
"One of the strengths of Cognitive Therapy in Practice is the balanced focus on the therapeutic relationship as well as on the techniques of cognitive therapy. Drawing on many examples from her own practice, Dr. Persons illustrates cognitive interventions for a wide variety of emotional difficulties in a clear and understandable manner.
"Dr. Persons brings to this book a clinical perspective of a seasoned therapist and highly esteemed teacher, as well as the discipline of an outstanding researcher. I anticipate that Cognitive Therapy in Practice will illuminate your clinical practice and provide you with the latest developments in this promising therapeutic modality."
David D. Burns, M.D.
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Video Series: APA Psychotherapy Videotape Series I: Systems of Psychotherapy
Specialty: Cognitive-Behavior Therapy
Psychotherapist: Jacqueline B. Persons
Jacqueline B. Persons is featured in this videotape demonstrating techniques and interventions of cognitive-behavior therapy as part of The APA Psychotherapy Videotape Series on different orientations to psychotherapy.
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