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Contents of It's not All in Your Head by Asmundson and Taylor

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CBT has been modified to make the treatment more efficient, <strong>in</strong>expensive, <strong>and</strong><br />

expedient. M<strong>in</strong>imal contact therapies (MCs) are effective treatments that reduce the need<br />

for therapy hours with health providers (Mead et al., 2005; Newman, Erickson,<br />

Przeworski, & Dzus, 2003). Guided self-help is an MC where a therapist <strong>in</strong>troduces<br />

bibliotherapy materials <strong>and</strong> the effective use <strong>of</strong> those materials (Mead et al., 2005;<br />

Newman et al., 2003). Cl<strong>in</strong>ical psychologists rout<strong>in</strong>ely provide or suggest self-help<br />

materials to their clients <strong>and</strong> self-help exists for a multitude <strong>of</strong> personal, social, <strong>and</strong><br />

behavioural problems <strong>in</strong>clud<strong>in</strong>g DSM-IV-TR mental disorders (Norcross, 2000).<br />

Individuals can utilize materials alone, with the guidance <strong>of</strong> tra<strong>in</strong>ed pr<strong>of</strong>essionals, or the<br />

materials can be deliberately <strong>in</strong>corporated <strong>in</strong>to psychotherapy <strong>in</strong>terventions (Campbell &<br />

Smith, 2003). For example, psychoeducation, a key component <strong>of</strong> CBT treatments for<br />

health anxiety, can be addressed <strong>in</strong> part us<strong>in</strong>g self-help books or similar materials (Barsky<br />

et al., 2004; Bleichhardt et al., 2005; Bouman, 2002; Wattar et al., 2005).<br />

The research literature supports the use <strong>of</strong> guided self-help <strong>in</strong> the treatment <strong>of</strong><br />

several anxiety disorders (Gould & Clum, 1993; Marrs, 1995). Self-help treatments have<br />

medium to large effect sizes for the reduction <strong>of</strong> fear <strong>and</strong> anxiety (average d = 0.74) <strong>and</strong><br />

the effect sizes may be ma<strong>in</strong>ta<strong>in</strong>ed post-treatment <strong>and</strong> at follow-up (Gould & Clum,<br />

1993; Marrs, 1995). Despite the various methods used, self-help <strong>and</strong> MCs appear to be<br />

valid <strong>and</strong> beneficial treatments for anxiety disorders such as specific phobia, OCD,<br />

generalized anxiety disorder (GAD), panic disorder, <strong>and</strong> mixed anxiety states (Newman<br />

27

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