Book excerpt: Psychological Support by Cognitive Behavioral Therapy for Pontocerebellar Hypoplasia aims to provide a specialized resource for individuals, families, and healthcare professionals dealing with the challenges of Pontocerebellar Hypoplasia (PCH). This rare genetic disorder, which impacts motor skills, cognition, and overall quality of life, requires not only medical care but also robust psychological support to address the mental and emotional burdens associated with its symptoms. This book integrates Cognitive Behavioral Therapy (CBT) techniques with an understanding of genetic, biological, and psychological aspects of PCH. Each chapter is designed to explore foundational knowledge about genetics, hereditary diseases, and the specific impacts of PCH, followed by detailed sections on trauma, mental health, and coping strategies. By addressing the multifaceted needs of PCH patients, the book equips caregivers, patients, and therapists with practical tools to manage pain, emotional difficulties, and other daily challenges that arise due to this condition. The CBT approach in this book is designed with sensitivity to the specific emotional and psychological needs of those affected by PCH. In the therapy-focused sections, I have aimed to address common issues encountered in living with a chronic condition, such as social isolation, fears about cognitive decline, and the stigma associated with genetic disorders. Tools such as Acceptance and Commitment Therapy (ACT), relaxation techniques, and resilience-building exercises have been included to provide a well-rounded psychological toolkit. The book also seeks to validate the experiences of individuals with PCH and their families by acknowledging the emotional toll of navigating a rare disease. I hope that by combining cognitive-behavioral strategies with insights into the biological and genetic foundations of PCH, this book will serve as a compassionate, practical, and informative guide to promoting psychological well-being and resilience. Ultimately, this book is a dedication to those facing Pontocerebellar Hypoplasia and the professionals working tirelessly to support them. May it offer hope, practical guidance, and emotional relief for all who walk this challenging path.