Health-related behavioral counseling offers the clinician a new and effective method for dealing with those chronic conditions--hypertension, ischemic heart disease, obesity, and respiratory disorders, among others--that are responsible for the vast majority of office visits. Behavioral Counseling in Medicine provides a practical, jargon-free introduction to the field, giving clinicians step-by-step guidance to collaborating with patients in identifying and changing at-risk behavior. The first part of the book provides readers with a solid understanding of the counseling process, presenting a model for assessing behavioral problems, reviewing the common difficulties in changing self-care behavior, and showing how behavioral counseling can help resolve these problems. The second part shows how to apply behavioral counseling to the most common behavioral-change programs, such as adherence to a medication regimen, adherence to a therapeutic diet, initiation of a physical fitness program, cessation of cigarette smoking, and reduction of stress reactions. In addition, the author discusses how to refer patients requiring more advanced assessment or treatment, showing how to recognize such patients, how to discuss the referral with them, and how to select a therapist. Direct, practical, and illustrated with numerous clinical vignettes, Behavioral Counseling in Medicine is an essential resource for clinicians in behavioral medicine, family practitioners, health psychologists, behavior therapists, physician's assistants, occupational nurses, and dieticians.
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