This groundbreaking book explains the whats & how-tos of metacognitive therapy (MCT) an innovative form of cognitive-behavioral therapy with a growing empirical evidence base MCT developer Adrian Wells shows that much psychological distress results from how a person responds to negative thoughts & beliefs-for example by ruminating or worrying-rather than the content of those thoughts He presents practical techniques & specific protocols for addressing metacognitive processes to effectively treat generalized anxiety disorder obsessive-compulsive disorder posttraumatic stress disorder & major depression Special features include reproducible treatment plans & assessment & case formulation tools plus a wealth of illustrative case material