Treating Complex Cases

Treating Complex Cases: The Cognitive Behavioural Therapy Approach

Patients with complex problems, including co-morbidity, chronic conditions, enduring vulnerabilities, psychotic conditions, persistent difficulties with social relationships and destabilizing social environments, are increasingly recognised as the reality ofthe therapist's case load. The cognitive behavioural caseformulation approach can be particularly suited to the treatment of such complex cases.

This book brings together some of the most experienced and expert cognitive behavioural therapists to share their specialist experience of formulation and treatment of these complex cases. The experienced clinician will find in these accounts:

• Evidence-based approaches to assessment and formulation of complex cases
• A wide range of problems not restricted to disorder categories, including anger, low self-esteem, abuse and shame
• A concern with the realities of clinical practice which involves complex cases that do not fit neatly into simple case conceptualisations or diagnostic categories

Many of these chapters highlight the difficulties and complexitiesencountered by the clinician in conceptualising and treating these cases. However, they go beyond raising awareness of issues and provide, where appropriate, specific guidance on dealing withproblems of engagement, socialisation, and implementation of treatment in complex cases.

Dame Hilary Margaret Wykes is an English academic, author and editor. She is Professor of Clinical Psychology and Rehabilitation at King's College London, Director of the NIHR Clinical Research Network: Mental Health, and President and Secretary of Schizophrenia International Research Society.

Nicholas Tarrier is Professor of Clinical Psychology, Head of the Division of Clinical Psychology and Research Director of the School of Psychological Sciences, University of Manchester, UK, and Honorary Consultant Clinical Psychologist in the Manchester Mental Health and Social Care NHS Trust. He has held academic posts at universities in Brazil and Australia.He has a long-standing interest in the practice and evaluation of Cognitive-Behaviour Therapy and its application to a wide range of disorders.