Book excerpt: The journey of understanding and managing X-Linked Adrenoleukodystrophy (ALD) is one marked by complexity, resilience, and a profound emotional toll on individuals and families alike. As a genetic disorder that impacts both the body and the mind, ALD presents not only physical challenges but also psychological burdens that require a thoughtful, compassionate approach. This book, Psychological Support by Cognitive Behavioral Therapy for X-Linked Adrenoleukodystrophy, was born out of a deep commitment to bridge the gap between genetic understanding and mental health support, providing patients, families, and mental health professionals with practical tools to navigate the emotional landscape of living with ALD. Our approach centers on the powerful benefits of Cognitive Behavioral Therapy (CBT), a proven therapeutic framework known for its versatility in addressing both emotional and behavioral aspects of chronic conditions. Through CBT, individuals can build resilience, develop healthy coping strategies, and find meaning even in the face of genetic challenges. This book integrates foundational knowledge about genetics and ALD with detailed CBT strategies, tailored specifically to the psychological needs that arise when living with this rare disorder. This work is intended as a supportive companion for those grappling with the realities of ALD, from patients and caregivers to healthcare providers. By beginning with essential background on ALD and genetic principles, we aim to equip readers with the knowledge needed to fully appreciate the psychological aspects of this condition. Subsequent sections explore the nuances of CBT, providing step-by-step guidance, actionable tools, and case-based examples to illustrate how CBT can be adapted to support individuals at every stage of their journey. The book also includes practical pain management strategies and a range of CBT techniques aimed at helping patients manage symptoms, navigate the healthcare system, and address the social and emotional challenges unique to ALD. To those facing the challenges of ALD, we hope this book provides not only therapeutic support but also a sense of empowerment. While genetic conditions may alter the path of one’s life, they do not define it. With the right support, patients and families can build resilience, nurture hope, and pursue a meaningful life. In these pages, may you find tools, insights, and encouragement for the journey ahead.