Treating Impulse Control Disorders: A Cognitive-Behavioral Therapy Program, Therapist GuideImpulse control disorders (ICDs) include pathological gambling, kleptomania, trichotillomania, intermittent explosive disorder, and pyromania, and are characterized by difficulties resisting urges to engage in behaviors that are excessive or ultimately harmful to oneself or others. ICDs are relatively common among adolescents and adults, carry significant morbidity and mortality, and can be effectively treated with behavioral and pharmacological therapies. This guide includes all the information and materials necessary to implement a successful cognitive behavioral therapy program for impulse control disorders (CBT-ICD). This evidence-based intervention was developed for the treatment of pathological gambling, kleptomania, compulsive buying, and pyromania. Originators of interventions for impulse control disorders, the authors review the background and diagnostic information for each ICD as well as available treatment outcome studies; the assessment process for each ICD problem and the individual therapy sessions are also reviewed. This format affords you the flexibility to treat one or more ICD problem, and since they co-occur, this approach is essential. This therapist guide and its corresponding workbook form a complete treatment package. It is a resource that no clinician specializing in these disorders can do without. |
Contents
Introductory Information for Therapists | 1 |
Assessment | 13 |
Session 1 Education and Motivational Enhancement | 21 |
Session 2 Financial Planning ICD Trigger Planning Plan for Managing Stolen Goods | 31 |
Session 3 Behavioral Interventions | 39 |
Session 4 Imaginal Exposure | 49 |
Session 5 Impulsive Beliefs Cognitive Therapy | 67 |
Session 6 Relapse Prevention | 79 |
Session 7 Family Involvement Optional | 83 |
Appendix of Assessment Measures | 89 |
| 153 | |
About the Authors | 159 |
Other editions - View all
Common terms and phrases
ABC Log American Psychiatric Association Antisocial Personality Disorder anxiety appropriate number better accounted bipolar disorder budget casino CB client circle cognitive-behavioral therapy comorbidity complete Compulsive buyers compulsive buying Criterion Daily ICD Behavior deal Severe problems debt diagnostic distress DSM-IV-TR engage in impulsive excitement family members feel fire-setting form in Chapter friends gamblers hrs/day ICD Behavior Diary ICD triggers identify Impulse Control Disorders impulse control problem impulsive behavior interference with social Intermittent Explosive Disorder kleptomania Ladouceur little Somewhat Moderately managing Manic Episode criteria Mild Minimal Moderate mood motivational interviewing negative consequences NOTE TO INTERVIEWER past WEEK pathological gambling PG and CB problem behavior PY Client Pyromania relapse resist Review the client’s Score ______ self-monitoring set a fire set fires social or occupational stolen strategies therapist thoughts treatment urge ratings urge to engage urges/thoughts Week and Homework workbook