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Practicing Cognitive Behavioral Therapy with Children and Adolescents

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Practicing Cognitive Behavioral Therapy with Children and Adolescents

SKU# 9780826131188

A Guide for Students and Early Career Professionals

Author: David J. Palmiter, Jr. PhD, ABPP

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Even the best grounding in the science and principles of psychotherapy can leave students poorly prepared for actual face-to-face work with clients. This important resource is dedicated specifically to increasing the confidence and professional competence of graduate students and early career professionals who use cognitive behavioral therapy (CBT) with children and adolescents. With accessible language, engaging humor, and step-by-step guidance on what to do and when to do it, the author walks learners through the entire clinical process from initial consultation with young clients and their caregivers through the conclusion of treatment. With a focus on promoting joy and meaning, the book also integrates interventions from positive psychology literature with CBT techniques.

The guide is replete with procedural instructions for each step of treatment along with suggested sample language and flexible scripts that can be tailored to the needs of individual clients. Brief rationales for each procedure describe how therapeutic interactions and statements support effective and ethical practices. Evidence-based CBT techniques address issues ranging from mood disorders to anxiety disorders and other internalizing problems and include such skills as externalizing the problem, behavioral activation, physiological calming and mindfulness, and happy/coping thoughts. Strategies that engage families in the therapeutic process are included, providing guidance on how to coach parents and other caregivers to participate in certain interventions, respond well to defiance in youth, and create a supportive environment. Pointers for dealing with common types of resistance from youth and caregivers include specific steps and sample scripts. As a special feature, the use of close-up magic as a tool to facilitate an alliance, overcome resistance, and teach clinical concepts to youth is illustrated throughout the book. Chapters offer ready-to-use forms, templates, worksheets, and client handouts. An ideal resource for the needs of trainees and early career professionals, this engaging text will also interest more seasoned professionals who wish to learn how to do CBT with youth.

Key Features:

  • PresentsCBT-based and positive psychology techniques specifically for practicum and internship students and other early career professionals
  • Fosters the development of confidence and competence in practicing CBT with youth
  • Provides easy-to-read, step-by-step guidance including sample scripts that can be easily adapted
  • Offers proven strategies for engaging families in the therapeutic process
  • Delivers pointers for dealing with common treatment challenges

Product Details 

  • Publication Date June 22, 2016
  • Page Count 392
  • Product Form Paperback / softback
  • ISBN 13 9780826131188
  • EISBN 9780826131195

About The Author(s) 

David J. Palmiter, PhD, ABPP, is Professor, Department of Psychology and Counseling, and Director, Psychological Services Center at Marywood University, Scranton, PA. He is a Board Certified clinical psychologist with over 20 years of experience working with children, adults, and families. He is a Fellow of the American Psychological Association, American Academy of Clinical Psychology, and the Pennsylvania Psychological Association, for whom he is a Past President. Dr. Palmiter is the author of more than 30 publications in peer-reviewed journals, newsletters, and invited book chapters, including such publications asProfessional Psychology: Research and Practice, Teaching of Psychology, Psychological Reports, The Pennsylvania Psychologist, and American Journal of Orthopsychiatry, He was also a regular contributor to APA Division 42 newsletter, The Independent Practitioner, where he wrote a weekly column on practice with children and on internet applications and social media. Additionally he authored Working Parents, Thriving Families: 10 Strategies That Make a Difference (2011). Dr. Palmiter has given over 300 presentations at national professional conferences, local professional meetings, and continuing education workshops. He has worked extensively with local and national media on parenting, including NPR, CBS, USA Today, Parenting magazine, and local media. Dr. Parmiter maintains a website, hecticparents.com, as well as an active Twitter presence, @helpingparents.

Table of Contents 

Foreword by Edward J. O'Brien


1 Introduction

Remarks for Trainees and Early Career MHPs

Conventions in This Volume


Positive Ethics


Section I: Establishing the Foundation

2 The Initial Evaluation

The Framework of the Evaluation

The Preinterview Work

The Office

The Initial Interview

Individual Interview With the Kid

Work in Between Sessions

Evaluating Suicidal Ideation

3 Feedback and Treatment Planning

Feedback Session

Treatment Planning

Types of Treatment Contracts

4 Techniques for Facilitating Adherence and Responding to Resistance

Facilitating Adherence

Responding to Resistance

Section II: Engaging the Youth

5 Externalizing the Problem


Additional Commentary

Intervention Tracking Log

6 Behavioral Activation and Sleep Hygiene

The Modular Treatment Approach

Behavioral Activation

Sleep Hygiene

7 Physiological Calming and Mindfulness

Physiological Calming

Measuring Relaxation

Mindfulness Strategies

8 Coping/Happy Thoughts, Gratitude, and Crisis = Pain + Opportunity

Beginning Sessions

Coping Thoughts


Crisis = Pain + Opportunity

Section III: Engaging the Parent(s)

9 Parent Integration and Special Time

Timing of the Parent Session

Preparing the Kid for the Parent Session

The Parent Consultation

Funeral Exercise

Additional Parent Sessions

10 Thought Testing and the Serenity Prayer

Thought Testing

Serenity Prayer

11 Problem Solving

Problem Solving in a Family Session

Problem Solving in an Individual Session

12 Establishing and Growing Strengths and Acts of Kindness

Establishing a Foundation

Strengths Development Plan

Teaching About WAIT

Acts of Kindness

13 Defiant Kids

Setting a Context

Parent Work With Kids Age 12 and Under

Parent Work With Kids Age 13 and Older


Section IV: Final Phase and Termination

14 Using Exposures

Engaging the Kid

Engaging the Parent

Exposure Nuances

Sessions Going Forward

Nuances With Other Populations

15 Termination and Booster Sessions


Introducing Termination to a Kid

Introducing Termination to the Parents First

Introducing Termination to Parents Second

The Last Session Prior to Starting Booster Sessions

Booster Sessions

Section V: Surprising Events and Special Circumstances

16 Surprising Events With Kids

17 Surprising Events With Parents

A Pattern of Interfering Transference

18 Should You or Should You Not?


A Intake Forms

B Family Psychiatric History Forms

C Developmental History Form

D Interpersonal Inventory

E Sentence Completion Tasks

F Individual Interview With the Youth

G Lethality Evaluation Form

H Treatment Plan Form

I Intervention Tracking Log

J Recommended Resources