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Optimizing Evidence-Based Treatment for Body Dysmorphic Disorder: CBT: Science Into Practice

Editat de Jennifer L. Greenberg, Hilary Weingarden
en Limba Engleză Hardback – 2 dec 2024

Subliniem contribuția esențială a editorilor Jennifer L. Greenberg și Hilary Weingarden, care reunesc în acest volum expertiza clinică necesară abordării tulburării dismorfice corporale (BDD), o patologie marcată de o suferință psihologică profundă și o rată alarmantă a morbidității. Putem afirma că această lucrare, publicată în prestigioasa serie CBT: Science Into Practice, reprezintă un ghid metodologic indispensabil pentru practicienii care se confruntă cu o afecțiune adesea subdiagnosticată, în ciuda impactului său devastator asupra funcționării sociale și profesionale.

Notăm cu interes structura riguroasă a volumului, care ghidează cititorul de la criteriile de diagnostic și evaluare, până la intervențiile complexe de tip cognitiv-comportamental. Primele capitole stabilesc cadrul clinic și diagnosticul diferențial, în timp ce secțiunile centrale aprofundează modelul CBT și managementul farmacologic. Un element de noutate absolută este Capitolul 8, dedicat tratamentelor nerecomandate, oferind medicului o busolă etică și clinică în evitarea intervențiilor ineficiente. Acolo unde Body Dysmorphic Disorder de David Veale oferă o privire de ansamblu asupra cadrului de tratament, acest volum aprofundează optimizarea protocoalelor pentru populații specifice, incluzând variante precum dismorfia musculară și BDD-by-proxy.

Progresia materialului este logică, adresând succesiv barierele de tratament, rolul familiei în cazul adolescenților și perspectivele cross-culturale. Integrarea studiilor de caz permite o înțelegere nuanțată a pacienților care prezintă un nivel scăzut de introspecție sau rezistență la schimbare. Optimizing Evidence-Based Treatment for Body Dysmorphic Disorder nu este doar un manual teoretic, ci un instrument de lucru care transformă datele științifice în pași clinici concreți, esențiali pentru îmbunătățirea calității vieții pacienților.

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Specificații

ISBN-13: 9783031653384
ISBN-10: 3031653386
Pagini: 240
Ilustrații: Approx. 310 p.
Dimensiuni: 160 x 241 x 18 mm
Greutate: 0.57 kg
Ediția:2024
Editura: Springer
Colecția CBT: Science Into Practice
Seria CBT: Science Into Practice

Locul publicării:Cham, Switzerland

De ce să citești această carte

Această resursă se adresează psihologilor clinicieni și psihiatrilor care doresc să stăpânească protocoalele de ultimă oră pentru BDD. Cititorul câștigă o înțelegere profundă a tehnicilor CBT specifice și a managementului riscului de suicid, frecvent în această patologie. Este o lectură necesară pentru a diferenția corect BDD de alte tulburări și pentru a implementa strategii terapeutice validate, evitând intervențiile estetice sau dermatologice care pot agrava simptomatologia.


Despre autor

Dr. Jennifer L. Greenberg și Dr. Hilary Weingarden sunt experți recunoscuți în psihologia clinică, cu o activitate susținută în cadrul unor instituții academice și clinice de prestigiu afiliate domeniului sănătății mintale. Jennifer L. Greenberg are o vastă experiență în cercetarea și tratamentul tulburărilor de imagine corporală, publicând numeroase articole despre eficacitatea terapiei cognitiv-comportamentale. Hilary Weingarden se specializează în mecanismele psihologice ale BDD și în dezvoltarea intervențiilor digitale și clinice pentru această populație. Ambii editori sunt afiliați seriei CBT: Science Into Practice, contribuind la traducerea cercetării empirice în protocoale de tratament aplicabile imediat în cabinet.


Descriere scurtă

This book provides an understanding of body dysmorphic disorder (BDD), a psychiatric classification that is characterized by a preoccupation with a perceived or slight imperfection in physical appearance. This disorder lowers quality of life due to time-consuming compulsions intended to hide, fix, or check appearance concerns.  Although relatively common, BDD. is often not treated appropriately. When untreated, BDD is chronic, severe, and associated with substantial psychosocial impairment and morbidity, including unemployment rates of roughly 40-50%, suicide attempts in 22-28%, and lifetime housebound rates of roughly 30%.
 
 
This book provides an overview of body dysmorphic disorder (BDD), a psychiatric classification that is characterized by excessively impaired perception of physical attributes that can lead to acute disruption of life activities.  BDD is a common disorder, but few clinicians are trained in its assessment and treatment. This volume provides an evidence-based review of the literature for a greater understanding of the nature of the disorder.  Most important, it  demonstrates how to effectively assess and treat BDD. Evidence-based psychological and pharmacological treatments are presented, and importantly, ineffective treatments are also reviewed. To optimize CBT for BDD, guidelines are provided to address the most common challenges in diagnosis and treatment, including common comorbidities, differential diagnoses with similar disorders, safety management, addressing low insight or motivation, and modifying treatment for special populations including youth, patients from under-represented backgrounds, and BDD variants. Case examples throughout illuminate for practitioners the theoretical and clinical aspects of this complex problem.  This an essential volume for practitioners and clinicians-in-training for gaining perspective on the disorder and its efficacious treatment

Cuprins

Chapter 1.  Diagnostic and Clinical Features.- Chapter 2. Comorbidity and Differential Diagnosis.- Chapter 3.  Assessment of BDD.- Chapter 4. Barriers to Treatment.- Chapter 5. CBT Model.- Chapter 6. Overview of Evidence-Based Treatment: Psychotherapy.- Chapter 7. Overview of Evidence-Based Treatment: Medication.- Chapter 8. Non-Recommended Treatment.- Chapter 9. Under-Represented Populations and Cross-Cultural Considerations.- Chapter 10. Variants: Muscle Dysmorphia.- Chapter 11. Variants: BDD-by-Proxy.- Chapter 12. Adolescent BDD and the Role of Family in Treatment.

Notă biografică

Jennifer L. Greenberg, PsyD, is Director of Translational Research in the Center for OCD and Related Disorders (CORD) at Massachusetts General Hospital (MGH), Assistant Director of the MGH Psychiatry Center for Digital Mental Health, and Assistant Professor of Psychology (Psychiatry) at Harvard Medical School. Dr. Greenberg is a licensed clinical psychologist, recognized internationally for her expertise in the treatment of body image and obsessive compulsive and related disorders (OCRDs) across the lifespan. Her research has focused on developing, testing, and personalizing evidence-based treatments for body dysmorphic disorder (BDD) and related disorders. She has published extensively on cognitive-behavioral therapy, BDD, and OCRDs, and is frequently invited to speak nationally and internationally on these topics. She serves on the Editorial Board of Cognitive and Behavioral Practice. Dr. Greenberg’s current work focuses on using digital solutions to improve access to care.
Hilary Weingarden, PhD, is a psychologist in the Center for OCD and Related Disorders at Massachusetts General Hospital (MGH), Assistant Director of the MGH Psychiatry Center for Digital Mental Health, and Assistant Professor of Psychology (Psychiatry) at Harvard Medical School. Dr. Weingarden is a licensed psychologist with expertise in evidence-based treatments for OCD, body dysmorphic disorder (BDD), and related disorders. She also conducts clinical research funded by the National Institute of Mental Health and Harvard Medical School, focused on the harmful role of shame in BDD and obsessive compulsive related disorders (OCRDs) and on leveraging technology to enhance the assessment and treatment of BDD and OCRDs. She has published widely on BDD and OCRDs and has been invited to speak nationally and internationally, as well as to media outlets, about BDD, OCRDs, and body image. Dr. Weingarden serves on the grant review committee for the International OCD Foundation and editorial board for the Journal of Obsessive Compulsive Related Disorders.
 

Textul de pe ultima copertă

This book provides an understanding of body dysmorphic disorder (BDD), a psychiatric disorder that is characterized by a preoccupation with a perceived or slight imperfection in physical appearance and time-consuming compulsions intended to hide, fix, or check appearance concerns. BDD is relatively common, occurring in approximately 2-3% of the population, and typically begins in adolescence. When untreated, BDD is chronic, severe, and associated with substantial psychosocial impairment and morbidity, including unemployment rates of roughly 40-50%, suicide attempts in 22-28%, and lifetime housebound rates of roughly 30%. Cognitive behavioral therapy (CBT) and serotonin reuptake inhibitors are frontline treatments for BDD, shown to be safe and efficacious. However, the vast majority of people with BDD do not receive appropriate care. Many individuals with BDD first seek out non-psychiatric cosmetic treatments, which are ineffective and can be harmful. Moreover, few mental health providers are trained in assessing or treating BDD.  This volume demonstrates how to effectively assess and treat BDD. Evidence-based psychological and pharmacological treatments are presented, and importantly, ineffective treatments are also reviewed. To optimize CBT for BDD, guidelines are provided to address the most common challenges in diagnosis and treatment, including common comorbidities, differential diagnoses with similar disorders, safety management, addressing low insight or motivation, and modifying treatment for special populations including youth, patients from under-represented backgrounds, and BDD variants. Case examples throughout illuminate for practitioners the theoretical and clinical aspects of this complex problem.
Integrating research and clinical wisdom of some of the world's leading BDD experts, this book comprehensively covers the foundational as well as more nuanced approaches to treatment. Clinicians from all experience and skill levels who treat BDD will find this book to be a go-to guide to delivering high quality, evidence-based, and individually tailored care.”
Jamie Feusner, MD
Professor of Psychiatry, University of Toronto

Caracteristici

Includes treatment of co-morbidities and working with special populations Examines both psychological and pharmacological treatments Covers the most important challenges in treating body dysmorphic disorder