Novel Approaches Toward Studying Change
In this article, the authors critically evaluate contemporary models of psychopathology and therapies, underscoring the limitations of traditional symptom-based classification approaches in mental health. The authors introduce a paradigm shift in the field, toward a process-oriented and dynamic systems approach to psychotherapy that offers deeper insights into the complex interplay of symptoms and individual experiences in psychopathology. These approaches offer a more personalized and effective understanding and treatment of mental health issues, moving beyond static and 1-dimensional views. The authors discuss the implic...
Source: The Psychiatric Clinics of North America - March 24, 2024 Category: Psychiatry Authors: Saida Heshmati, Marlon Westhoff, Stefan G. Hofmann Source Type: research

Advancements in Cognitive Behavioral Therapy
Cognitive behavioral therapy (CBT) represents a collection of treatment approaches designed to address and overcome mental health problems. CBT stands out as the most extensively studied psychological treatment for depression1 and anxiety disorders,2,3 and it is recommended in most treatment guidelines worldwide. Beyond these prevalent mental health issues, CBT programs have been tailored to address nearly all psychiatric symptoms.4 Despite its demonstrated effectiveness, there remains room for improvement, as not all patients respond positively to treatment. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - March 24, 2024 Category: Psychiatry Authors: Rianne A. de Kleine, Jasper A.J. Smits, Stefan G. Hofmann Tags: Preface Source Type: research

Technology-based Cognitive Behavioral Therapy Interventions
This study provides an overview of the most common types of technology-delivered CBT, including Internet-delivered, smartphone app, and telehealth CBT, as well as their evidence for the treatment of a range of mental health conditions. We discuss gaps in the existing evidence and future directions in the field for the use of technology CBT interventions. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - March 23, 2024 Category: Psychiatry Authors: Jill M. Newby, Emily Upton, Elizabeth Mason, Melissa Black Source Type: research

Southampton Adaptation Framework to Culturally Adapt Cognitive Behavior Therapy
Cultural values, traditions, and norms influence the practice of psychotherapy. It is now widely accepted that modern evidence-based therapies such as CBT need to be culturally adapted for them to be successfully applied to clients from a non-Western background. There are multiple factors to support cultural adaptations, such as evidence from research and an increase in cultural awareness and globalization. A number of meta-analyses supporting culturally adapted interventions have been published across the globe. A review of these meta-analyses reported that culturally adapted interventions have moderate to high effect siz...
Source: The Psychiatric Clinics of North America - March 23, 2024 Category: Psychiatry Authors: Farooq Naeem, Peter Phiri, Nusrat Husain Source Type: research

An Overview of Research on Acceptance and Commitment Therapy
This review summarized recent systematic reviews and meta-analyses on randomized controlled trials evaluating acceptance and commitment therapy (ACT). Although the strength of evidence varies, overall there is plausible evidence for the efficacy of ACT for a wide range of areas including depression, anxiety disorders, obsessive-compulsive and related disorders, psychosis, substance use disorders, chronic pain, coping with chronic health conditions, obesity, stigma, and stress and burnout. ACT is also efficacious when delivered in digital self-help formats. Reviews of mediation research indicate ACT works through increasing...
Source: The Psychiatric Clinics of North America - March 21, 2024 Category: Psychiatry Authors: Michael E. Levin, Jennifer Krafft, Michael P. Twohig Source Type: research

Improving Exposure Therapy
This article discusses directions for expanding the consortium ’s activities and its impact on a global scale. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - March 21, 2024 Category: Psychiatry Authors: Jasper A.J. Smits, Jonathan S. Abramowitz, Joanna J. Arch, Santiago Papini, Rebecca A. Anderson, Laura J. Dixon, Bronwyn M. Graham, Stefan G. Hofmann, J ürgen Hoyer, Jonathan D. Huppert, Jolene Jacquart, David Johnson, Peter M. McEvoy, Dean McKay, Jill N Source Type: research

Psychedelics and Evidence-based Psychotherapy
Administration of psychedelics for mental health treatment, typically referred to as “psychedelic-assisted therapy,” is a broad term with a very heterogeneous implementation. Despite increasing interest in the clinical application of psychedelic compounds for psychiatric disorders, there is no consensus on how to best integrate the psychedelic experience with evidence-based psyc hotherapeutic treatment. This systematic review provides a timely appraisal of existing approaches to combining psychotherapy with psychedelics and provides clear recommendations to best develop, optimize, and integrate evidence-based psychothe...
Source: The Psychiatric Clinics of North America - March 18, 2024 Category: Psychiatry Authors: Lewis Leone, Bryan McSpadden, Annamarie DeMarco, Lauren Enten, Rachel Kline, Gregory A. Fonzo Source Type: research

Cognitive Behavioral Therapy for Anxiety and Depression in Children and Adolescents
Anxiety and depression are prevalent and impairing psychiatric problems for children and adolescents. In this review, the authors summarize information about their prevalence and impact, the most common assessment methods, the main components of cognitive behavioral therapy (CBT), and research on the effectiveness of CBT for these disorders. Future directions, including improving access to CBT through technology-based approaches and increasing personalization of treatment, are discussed. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - March 15, 2024 Category: Psychiatry Authors: Orri Sm árason, Gudmundur Skarphedinsson, Eric A. Storch Source Type: research

A Review of Transdiagnostic Mechanisms in Cognitive Behavior Therapy
Cognitive behavior therapies (CBTs) are the gold standard treatment for many psychiatric conditions. However, relatively little is known about how CBTs work. By characterizing these mechanisms, researchers can ensure CBTs retain their potency across diagnoses and delivery contexts. We review 3 classes of putative mechanisms: CBT-specific skills (eg, cognitive restructuring, behavioral activation), transtheoretical mechanisms (eg, therapeutic alliance, treatment expectancies, self-efficacy beliefs), and psychopathological mechanisms (aversive reactivity, positive affect, attachment style). We point to future research within...
Source: The Psychiatric Clinics of North America - March 15, 2024 Category: Psychiatry Authors: Matthew W. Southward, Madeline L. Kushner, Douglas R. Terrill, Shannon Sauer-Zavala Source Type: research

Cognitive-Behavioral Therapy Enhancement Strategies
We review the literature on various strategies to augment cognitive-behavioral therapy (CBT). Although traditional pharmacotherapy has only a small additive effect, research demonstrates that it is possible to select interventions that potentiate known mechanisms of CBT. D-cycloserine appears to potentiate activity at the N-methyl D-ethyl aspartate receptor and thereby facilitates fear extinction. Exercise may increase neural plasticity and thereby increase the efficacy of CBT for depression and anxiety. Noninvasive brain stimulation is thought to target the specific cortical regions needed for CBT response, but results ha...
Source: The Psychiatric Clinics of North America - March 15, 2024 Category: Psychiatry Authors: David F. Tolin, Kayla A. Lord, Kelly A. Knowles Source Type: research

Psychiatric Clinics of North America
Cognitive Behavioral Therapy (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - March 1, 2024 Category: Psychiatry Source Type: research

Normal Sleep in Children and Adolescence
This article describes normal sleep across childhood and adolescence and discusses some of the most common barriers to adequate sleep, including early school start times, technology use, and changes to circadian rhythms, and sleep homeostasis across puberty. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Alex Agostini, Stephanie Centofanti Source Type: research

Sleep and Technology in Early Childhood
Research suggests that technology use is associated with poorer sleep outcomes among children less than 6  years of age. These associations are evident regardless of the type of technology studied, although evening exposure may have the greatest impact compared with technology use during other parts of the day. More work is needed, particularly given that technology use is relatively high among young c hildren. Clinicians should assess patients’ technology exposure, including before bedtime, to assess whether sleep issues stem from children’s technology use. Moreover, clinicians should educate caregivers about the ass...
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Amy I. Nathanson Source Type: research

Neurocognitive Effects of Sleep Disruption in Children and Adolescents
A main childhood task is learning. In this task, the role of sleep is increasingly demonstrated. Although most literature examining this role focuses on preadolescence and middle adolescence, some studies apply napping designs in preschoolers. Studies overall conclude that without proper sleep a child ’s cognitive abilities suffer, but questions on how and to what extent linger. Observational studies show the hazards of potential confounders such as an individual’s resilience to poor sleep as well as developmental risk factors (eg, disorders, stressors). A better understanding of cognitive sl eep neuroscience may have ...
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Karen Spruyt Source Type: research

Classification and Epidemiology of Sleep Disorders in Children and Adolescents
Sleep disturbances are common in children and adolescents but still remain unrecognized and undertreated. Several classification systems of sleep disorders are available, which include recent attempts to develop more specific nosologic categories that reflect developmental aspects of sleep. The prevalence of sleep disorders has been studied across various samples of healthy, typically developing children and those with special medical, psychiatric, and neurodevelopmental needs. Sleep disorders are highly prevalent in children and adolescents with psychiatric disorders, making it important for mental health professionals to...
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Irina Trosman, Anna Ivanenko Source Type: research