Cognitive-Behavioral Therapy for Adult Asperger Syndrome, First Edition

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Edition: 1st
Format: Hardcover
Pub. Date: 2007-08-10
Publisher(s): The Guilford Press
List Price: $44.80

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Summary

An invaluable resource for therapists, this lucidly written book provides research-based strategies for addressing the core problems of Asperger syndrome (AS) and helping clients manage frequently encountered comorbidities, such as anxiety disorders and depression. Detailed case examples illustrate the complexities of AS and the challenges it presents in daily life, relationships, and the workplace. The author presents a cogent rationale for cognitive-behavioral intervention and offers clear guidelines for conducting assessments and designing and implementing individualized treatment plans. Throughout, the emphasis is on helping people with AS decrease distress while preserving and building on their unique strengths. Special features include a case formulation worksheet and other helpful reproducibles.

Author Biography

Valerie L. Gaus, PhD, has been a practicing cognitive-behavioral therapist serving adults and adolescents with dual diagnosis (intellectual disability with comorbid psychiatric disorder), autism spectrum disorders, mood disorders, and anxiety disorders since she received her doctorate in clinical psychology from Stony Brook University in 1992. Since then she has maintained a private practice on Long Island, New York, and serves as the staff psychologist for the Vincent Smith School in Port Washington, New York. Dr. Gaus is on the advisory board of the Asperger Syndrome and High Functioning Autism Association, the grant review committee of the Organization for Autism Research, and the adjunct faculty at Long Island University/C. W. Post. She was also a founding board member of the New York Metro chapter of the National Association for the Dually Diagnosed. Dr. Gaus has written numerous articles and book chapters on mental health issues in developmental disabilities and has lectured extensively on these topics across the United States and abroad.

Table of Contents

Introductionp. 1
The Book's Intended Audiencep. 1
Terminologyp. 2
Mental Health Needs of Adults with Asperger Syndromep. 3
Removing Barriers and Bridging Gapsp. 4
Origins of My Ideasp. 4
A Philosophy of Changep. 11
Defining Asperger Syndrome in Adulthoodp. 13
What Is Asperger Syndrome?p. 13
How Does Asperger Syndrome Present in Adulthood?p. 15
Understanding the Symptom Picture in Adults with Asperger Syndromep. 28
Strengths and Assetsp. 36
Chapter Summary and Conclusionsp. 38
Conceptualization of Mental Health Problems in Adult Asperger Syndromep. 39
General Conceptual Modelp. 39
Core Cognitive Dysfunction in Asperger Syndromep. 43
Cognitive Dysfunction and Risk for Mental Health Problemsp. 60
CBT for Asperger Syndromep. 65
Chapter Summary and Conclusionsp. 66
The Initial Assessmentp. 67
Intake Issuesp. 67
Diagnosis and Definition of Target Problemsp. 79
Chapter Summary and Conclusionsp. 96
Individualized Case Formulation and Treatment Planp. 99
Case Formulationp. 99
Treatment Planp. 109
Chapter Summary and Conclusionsp. 119
Psychoeducation and Orientation to Treatmentp. 120
Psychoeducationp. 120
Orientation to Treatmentp. 124
Chapter Summary and Conclusionsp. 131
Intervention: Increasing Skills to Address the Core Problems of Asperger Syndromep. 132
Review of Nomothetic Formulationp. 132
"Habilitation" for Core Problemsp. 133
Increasing Social Skillsp. 135
Increasing Coping Skillsp. 152
Chapter Summary and Conclusionsp. 161
Intervention: Addressing Comorbid Mental Health Problemsp. 162
Introducing the Cognitive Model to the Patientp. 164
Identifying and Responding to Dysfunctional Automatic Thoughtsp. 169
Recognizing and Modifying Intermediate Beliefsp. 177
Modifying Schemasp. 186
Chapter Summary and Conclusionsp. 192
Adjunctive Therapies and Interdisciplinary Collaborationp. 194
Guidelines for Referral and Collaboration with Other Service Providersp. 194
Adjunctive Services and Their Rolesp. 196
Chapter Summary and Conclusionsp. 203
Obstacles to Treatment and How to Address Themp. 204
Social Interaction Difficulties as Challenges in the Psychotherapy Sessionp. 204
Executive Function Problems Interfering with Homework Completionp. 207
Low Motivation to Be in Treatment or Rejection of the Cognitive Modelp. 208
Family Issues That Interfere with Treatmentp. 208
Substance Abusep. 209
Isolation and Lack of Supportsp. 210
Financial Problemsp. 210
Untreated Health Problemsp. 212
Polypharmacy: Multiple Psychiatric Medications without a Rationalep. 213
Lack of Cooperation from Other Providersp. 213
Chapter Summary and Conclusionsp. 214
Ending Treatment and Looking Aheadp. 215
When the Goals of Treatment Are Metp. 215
When Treatment Is Interrupted before Goals Are Metp. 217
Looking Ahead for Adults with Asperger Syndromep. 220
Concluding Commentsp. 222
Therapy Resourcesp. 223
Referencesp. 227
Indexp. 237
Table of Contents provided by Ingram. All Rights Reserved.

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