The authors describe an intensive outpatient dialectical behavior therapy (DBT) program for multidiagnostic clients with eating disorders who had not responded adequately to standard, empirically supported treatments for eating disorders. The program integrates DBT with empirically supported cognitive behavior therapy approaches that are well…

School counselors play a crucial role in the prevention, assessment, treatment, and overall management of eating-related problems among children and adolescents. This article provides a framework for conceptualizing these difficulties on a continuum of severity and includes recommendations at each level for intervention and consultation.…

There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the…

Eating disorders are serious mental illnesses affecting a significant proportion of women and a smaller number of men. Approximately half of those with an eating disorder (ED) will not meet the criteria for anorexia or bulimia nervosa, and will be diagnosed with an eating disorder not otherwise specified (EDNOS). Until recently, there were no…

The experience of chronic pain is largely influenced by core schemas and cognitive processes, including those that are religious in nature. When these schemas are negative, they contribute to the exacerbation of pain and related problems. A framework is presented for the identification of problematic religious schemas and their modification…

The authors propose a person-centered relational framework in which C. R. Rogers's (1957) core conditions remain the primary catalyst of therapeutic change and cognitive-behavioral work is accomplished while adhering to person-centered principles. Important ideas asserted include the following: Cognitive-behavioral tasks occur naturally within the…

Describes the roles of the counselor as a team member in working with cancer patients. Those roles vary from encouraging good health habits on the prevention and detection end of the continuum to active involvement with behavioral interventions during medical treatment on the opposite end of the continuum. (BL)

Describes aggression replacement training (ART), a multimodal, psychoeducational intervention for assaultive, hostile adolescents and children who are either institutionalized or pose severe, disruptive behaviors in communities. Presents the research evaluating ART efficacy, planned efforts in program development, and ART's relevance for…

Provides guidelines for counselors interested in developing their own assessment procedure to evaluate child and adolescent sleep disturbance. Guidelines include reviewing the developmental and medical history, screening for parental psychopathology, obtaining a child behavior rating scale and sleep diary, and conducting a semistructured clinical…

Describes a telephone counseling intervention for smoking cessation, with attention to the clinical issues of client assessment, motivation, self-efficacy, planning, coping, relapse-sensitive call scheduling, and self-image. Outlines counselor training and supervision issues, ethical and legal considerations regarding this form of service…

Undergraduate paraprofessionals were trained to administer behavioral interventions to university counseling center clients through a cost-effective program that stressed skill acquisition and paraprofessional personal growth. (Author)