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Understanding and Treating Psychogenic Voice Disorder: A CBT Framework

Understanding and Treating Psychogenic Voice Disorder: A CBT Framework

Peter Butcher, Annie Elias, Lesley Cavalli

ISBN: 978-0-470-06122-0 April 2007 238 Pages


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This book provides a step-by-step guide to understanding and treating psychogenic voice disorder by combining speech and language therapy with skills drawn from the field of cognitive behaviour therapy (CBT).

Beginning with a new classification of psychogenic voice disorder, the authors then provide a description of the CBT model and give helpful and systematic guidelines on using this approach in combination with speech and language therapy skills. They provide invaluable guidance on how to extend the standard voice case history to include a psychosocial assessment, and how to apply symptomatic voice therapy principles and techniques for this patient population.

Later chapters show how to assess and work with patients suffering from symptoms of anxiety and lowered mood, and how to understand and respond to various forms of psychopathology that may present in association with voice disorder. Finally, detailed case studies illustrate how an experienced therapist might respond to individual assessment and treatment challenges.

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About the Authors ix

Foreword xi

Foreword xiii

Preface xv

Acknowledgements xvii

1 Psychogenic Voice Disorders – A New Model 1

2 Introducing the Cognitive Behaviour Therapy Model 31

3 Cognitive Behaviour Therapy: Essential Assessment Principles and Therapist Skills 39

4 Assessment of Voice and Personal History 57

5 Symptomatic Voice Therapy Approaches 89

6 Assessing Anxiety in Voice Patients 105

7 Treating Anxiety in Voice Patients 119

8 Treating Lowered Mood in Voice Patients 139

9 Psychological Disorders: Deciding When Not to Treat 157

10 Case Studies 175

References 207

Index 213

""This text is value for money, easy to dip into and a comprehensive resource for any level of experience.... Its style is accessible and it is widely referenced with an invaluable summary at the end of each chapter."" (Speech & Language Therapy in Practice, Summer 2009)

""This book fleshes out areas which have been ignored and malnourished in the understanding and treatment of voice."" (Doody's Health Services)