Thursday, 25 November 2010

The 1st CBT Session - What To Expect

First Appointment
Your Psychologist will offer you weekly (50 minute). Your treatment will begin with a period of assessment which will last between 1-3 sessions. Here you will be able to discuss in detail the problems that have led you to seek therapy. Your Psychologist will also ask you more general questions about your family, work and home life in order to build a complete picture of you and how and why your problems have developed and persisted. There will also be an opportunity to discuss how Cognitive Behavioural Therapy (CBT) will be helpful for you and your psychologist will be able to give you an estimate of the number of sessions that you will need.
In order to get the most out of this first session we suggest that you spend some time before your appointment thinking about what you would like to achieve during your treatment by considering the following questions:
1. What aspects of your life would you like to change?
2. What aspect would you like to stay the same?
3. What needs to happen for these changes to occur?
4. What might get in the way of making these changes?
5. How will I know when my treatment has been worthwhile?
Treatment
Once your treatment has begun you will meet with your Psychologist once a week at the same time for a session lasting 50 minutes. Cognitive Behavioural Therapy (CBT) aims to enable you to become your own therapist and so a key part of the work you do will be to facilitate this end. In line with this goal, as treatment progresses and you become more confident in your own capacity to manage your problems, the frequency of your sessions will gradually reduce (e.g. from weekly to fortnightly to monthly) with appropriate follow-up sessions offered (e.g. 3 monthly & 6 monthly).

CBT - The Basics

Cognitive Behavioural Therapy (CBT) is not about correcting faulty thinking as is often simplistically suggested in the press; rather it is about helping people to understand how they have become trapped by their attention, reasoning and current coping strategies and how to find ways out of these traps. The focus is on helping people to find helpful ways of thinking and behaving- it is not just about accuracy. Thinking one will die if one falls whilst trying to escape from the top floor of a burning house might be ‘true’, but it is not a helpful focus.

CBT does this by describing how we respond to the world in a way that gives us a strategy to modify our experiences when these are causing us distress. First it divides our experience in to three components; THOUGHTS, FEELINGS AND BEHAVIOURS, then it explores the interactions between them. Initially these distinctions may seem obvious. However, they are not ones that we use on a day-to-day basis as generally we respond to the world in a reasonably automatic way. So breaking our experience down in this way takes some practice.

Thursday, 11 November 2010

How To Find A Good CBT Therapist

Evidence suggests that CBT is currently the most effective treatment for a range of mental health problems including depression, anxiety, eating disorders, OCD, PTSD. As such it is recommended as the treatment of choice by The National Institute for Clinical Excellence (NICE) and therefore by the government. However, despite the recent introduction of IAPTs (Improving Access to Psychological Therapies), the government initiate to ensure that CBT is provided to everyone who needs it, NHS waiting lists are still up to 12months long. As a result people are increasingly seeking treatment in the private sector, however, currently the title ‘CBT Therapist’ is not protected and practice is not regulated meaning that anyone can offer CBT regardless of qualifications or experience. This leaves many people who need the best treatments delivered by the most experienced practitioners exposed. When looking for a CBT Therapist the following guidelines should therefore be followed:

1. Look for a Clinical or Counselling Psychologist. They have been trained over seven to nine years either to Doctoral or Masters level to enable people to overcome their emotional difficulties. They will have been trained to use a wide range of therapeutic techniques, one of these being CBT.

2. Make sure the Clinical/Counselling Psychologist holds a practicing certificate with The British Psychological Society. The British Psychological Society is the representative body for psychology and psychologists in the UK. The Society was formed in 1901 and has more than 45,000 members. Through its Royal Charter, the Society is charged with overseeing psychology and psychologists. It has responsibility for the development, promotion and application of pure and applied psychology for the public good. Practicing certificates are only issued to Chartered Psychologists which is the benchmark of professional recognition for psychologist. It reflects the highest standards of knowledge and expertise.

3. Make sure the Clinical/Counselling Psychologist is registered with The Health Professionals Council which monitors and regulates the practice of health care professionals.

4. Make sure the Clinical /Counselling Psychologist is accredited to practice by The British Association for Cognitive and Behavioural Psychotherapies . The BABCP is the lead organisation for the theory, practice and development of Cognitive Behavioural Therapy in the UK. BABCP Accreditation is the “Gold Standard” that every CBT Practitioner is striving to achieve. Any practitioner can be a member but to achieve accreditation with the BABCP demonstrates that the practitioner has met the rigorous criteria outlined in their core profession, qualifications and clinical experience and ensures that they are continually updating and developing their skills through ongoing training.

At The British CBT & Counselling Service all therapist fulfil the above criteria so you can be sure you are getting the Best from the Best

CBT - How It Works

Cognitive Behavioural Therapy (CBT) is not about correcting faulty thinking as is often simplistically suggested in the press; rather it is about helping people to understand how they have become trapped by their attention, reasoning and current coping strategies and how to find ways out of these traps. The focus is on helping people to find helpful ways of thinking and behaving- it is not just about accuracy. Thinking one will die if one falls whilst trying to escape from the top floor of a burning house might be 'true', but it is not a helpful focus.
CBT does this by describing how we respond to the world in a way that gives us a strategy to modify our experiences when these are causing us distress. First it divides our experience in to three components; THOUGHTS, FEELINGS AND BEHAVIOURS, then it explores the interactions between them. Initially these distinctions may seem obvious. However, they are not ones that we use on a day-to-day basis as generally we respond to the world in a reasonably automatic way. So breaking our experience down in this way takes some practice.