CBT for Managing Non-cardiac Chest Pain is an evidence-based guide and workbook for clinicians working with people with non-cardiac chest pain (NCCP). NCCP affects around 25–30% of people in the UK, USA, and Europe and is associated with high levels of health care use and compromised quality of life. This is the first book to describe a treatment programme to fill the gap in care for patients.

The authors have developed and researched a novel approach that demonstrates how physiological, cognitive, behavioural and social factors all contribute to the negative experience of chest pain. With the help of exercises and downloadable handouts for the patient, the book aims to provide the necessary information and clinical skills and approaches for clinicians to use in health care settings.

CBT for Managing Non-cardiac Chest Pain will appeal to anyone involved in the care of patients with NCCP, including nurses; general practitioners; cardiologists; acute medical physicians and psychologists. Common terms and phrases: abdominal breathing abnormal activity ladder agenda angina anxiety assessment atheroma beliefs about chest biopsychosocial approach biopsychosocial model body breathing exercises cardiac cardiac nurse cardiologist causes of chest Chambers changes chest breathing chest pain clinic chest pain cycle chest wall chronic pain clinician cognitive behavioural cognitive behavioural therapy cognitive restructuring comorbid cope coronary angiogram coronary angiography coronary arteries coronary disease depression diary disorders distress emotions example experience explain factors fear feel flashcard focus focusing guided self-help handout happen heart attack heart disease helpful thoughts hyperventilation identified increase individual’s ischaemia manage muscles musculoskeletal myocardial infarction non-cardiac chest pain normal coronary notice Nurse oesophageal overbreathing patients with NCCP persistent chest pain physical practise problems psychological psychologist psychosocial questionnaires reduce reflux relaxation score sensations session social strategies stress stressors symptoms tension therapy thoracic threat triggers understand unhelpful week workbook worry