Abstract: |
The cognitive behavioral therapy (CBT) framework facilitates patient insight into the relationships among cognitions, emotions, and behaviors, as well as how these relationships function to exacerbate or attenuate symptoms of psychopathology. CBT has a robust evidence base for treating many psychological disorders, including depression, generalized anxiety, health anxiety, social anxiety, panic disorder, and obsessive-compulsive disorder. These psychological disorders-and other psychological challenges, including prognostic uncertainty and existential distress-are highly prevalent in patients with serious, life- limiting illness and can be the precipitating reason behind a palliative care referral. This chapter offers a comprehensive summary of CBT as it is applied to patients with palliative care needs and provides a series of structured but adaptable recommendations for implementing a CBT approach in palliative settings. It provides background on the theoretical underpinnings of CBT, offers recommendations for providing CBT to patients across the palliative trajectory, and enumerates special considerations for practicing CBT with patients receiving palliative care using illustrative case examples. The chapter acknowledges the limitations of CBT in palliative care settings and offers recommendations for simple modifications to maximize the utility of CBT with this patient population. (PsycInfo Database Record (c) 2023 APA, all rights reserved) |