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Avoiding Treatment Failures in the Anxiety Disorders pp 317–346Cite as

Resolving Treatment Complications Associated with Comorbid Medical Conditions

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Part of the book series: Series in Anxiety and Related Disorders ((SARD))

Abstract

In this chapter, we discuss various treatment complications clinicians encounter in cognitive-behavioral therapy (CBT) with patients who have anxiety disorders and comorbid medical conditions. Specifically, we first provide an overview of the diagnostic and therapeutic challenges as well as introduce a treatment algorithm to assist clinical decision-making for medically complex patients with impairing anxiety. To illustrate the types of difficulties that generally emerge when providing CBT for anxiety related to medical illness, we then review relevant literature on the symptoms, epidemiology, correlates, and psychological treatment of anxiety comorbid with three disease states: cancer, coronary heart disease, and asthma. Finally, we offer specific recommendations for resolving these treatment complications, which clinicians may apply more broadly to patients coping with a variety of medical conditions.

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Authors and Affiliations

  1. Department of Psychology, Bronfman Science Center, Williams College, Williamstown, MA, USA

    Joseph Greer

  2. Department of Psychology, University of Massachusetts, Boston, MA, USA

    Jessica Graham

  3. Harvard Medical School, Boston, MA, USA

    Steven Safren ABPP

  4. Behavioral Medicine, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA

    Steven Safren ABPP

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  1. Joseph Greer
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  2. Jessica Graham
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Correspondence to Joseph Greer .

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  1. Dept. Psychology, Boston University, Beacon St. 648, Boston, 02215, Massachusetts, USA

    Michael Otto

  2. Dept. Psychology, Boston University, Beacon St. 648, Boston, 02215, Massachusetts, USA

    Stefan Hofmann

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Greer, J., Graham, J., Safren, S. (2010). Resolving Treatment Complications Associated with Comorbid Medical Conditions. In: Otto, M., Hofmann, S. (eds) Avoiding Treatment Failures in the Anxiety Disorders. Series in Anxiety and Related Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0612-0_17

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