Nearly half of people at the end of life will receive hospice care, but few psychologists, nurses, physicians, chaplains, and hospice workers have been trained specifically to recognize and address the psychological, social, and emotional issues that may arise in patients who are dying. Patients in the midst of advanced terminal illness may experience a variety of distressing emotions, and may feel anxious, frightened, regretful, or desperate. This guide was created specifically to guide helping professionals of all kinds through the process of working through patients' psychological issues to allow them peace and comfort in their final moments.
The Helping Professional's Guide to End-of-Life Care clarifies the spiritual and emotional care that patients need and presents an evidence-based approach integrating cognitive behavioral therapy (CBT), transpersonal psychotherapy, hypnosis, mindfulness, and guided imagery to help patients manage emotional distress at the end of life. Through case conceptualizations and detailed treatment planning guidance, readers learn to formulate comprehensive assessment and treatment plans for patients and gain skills that will help them manage the emotional intensity of this work. This secular, professional treatment model can be applied to patients of any religious or spiritual background. The book also addresses integrating the patient's therapeutic team with the medical team, addressing the emotional needs of friends and family of the dying, crisis intervention for suicidal patients, working with clients on psychotropic medications, and how helping professionals can manage their own emotions to become more effective clinicians.
About the Author: E. Alessandra Strada, PhD, FT, MSCP, is an adjunct associate professor at the California Institute of Integral Studies, and adjunct faculty in the post-doctoral psychopharmacology program at Alliant University, San Francisco. She is a staff psychologist at Mendocino Coast Hospital and a fellow in thanatology. In addition, she is a former assistant professor of neurology and psychiatry at the Albert Einstein College of Medicine and attending psychologist in the department of pain medicine and palliative care at Beth Israel Medical Center in New York City, where she developed and directed the psychology fellowship in pain, palliative, and hospice care. Her clinical work and research focus on psychological care in advanced illness, end-of-life, grief, bereavement in the palliative care setting, and chronic pain. She has worked extensively to promote stress management and burnout prevention for clinicians. Her treatment approaches include integrative use of psychodynamic, existential, and insight-oriented approaches with cognitive behavioral therapy, hypnosis, guided imagery, mindfulness, and meditation. She lives in Northern California.