ABSTRACT
This chapter attempts to broaden the discussion of the role that psychotherapy may play in the general practice of clinical neuropsychology, where the emphasis is primarily on neuropsychological assessment and secondarily on providing individual psychotherapy for patients who might benefit from such services. It reviews empirical findings and presents case vignettes that illustrate the potential value of psychotherapy to help reduce depression after stroke as well as to lessen anxiety and depression in patients with multiple sclerosis (MS). The chapter also discusses common issues encountered when attempting to provide psychotherapy for patients who have a reduced awareness of their neuropsychological disturbances following severe traumatic brain injury (TBI). The neuropsychological examination provides a unique opportunity to provide feedback to patients that helps clarify the cognitive, behavioral, and affective disturbances that are directly or indirectly related to a known or suspected underlying brain disorder. This process fosters an initial sense of trust and understanding that is crucial to begin psychotherapeutic dialogue.
