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WHAT ARE WE ALL
ABOUT?

WHO EXACTLY WE ARE, AND WHY ARE WE BEST EQUIPPED TO PROVED THIS SERVICE

So, what exactly are we all about?

Well, pretty much what it says on the tin really. We are offering a range of free online resources to help doctors to become more competent with CBT theory and practice.  

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But beyond that, we also......

Want doctors to really appreciate the value of CBT and how it can benefit their patients. It is the gold standard of treatment for so many mental health problems after all.
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Want doctors to see patients as people and not mere disorders and to therefore appreciate the psychological and social aspects that contribute to a patient's well-being.

Want to champion the patient-centred values that underpin CBT philosophy. And to help doctors realise that collaboration, communication, and compassionate care are not just rhetorical terms. 

Want to keep the connection between psychiatry and CBT alive and flourishing. Indeed, as psychotherapy CCT training posts are very much on the demise its important to ensure that as psychiatrists we still see its value in our practice. 

And what makes us so special?

What makes us so equipped to provide these resources and how can we do it for free? Well, there's no one better than our founder to elaborate.

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Choosing psychiatry as a specialty for me was an absolute no-brainer. I went into medical school wanting to do it. Left medical school wanting to do it. Completed my foundation training and wanted to do it. And so, no surprise, that's what I did. And, to this day, I do not regret it.  On the whole I've loved my psychiatry training. The range of psychiatric disorders I see and treat. The range of placements I've been exposed to. The teachings I have listened to and undertaken. The research teams I have been privileged to be part of. But, the one thing I love most of all about being a psychiatrist is the patients themselves. Indeed, psychiatry has provided me with the pleasure of building relationships with the most amazing people, and being now a CAMHS Consultant, I am given the honour of being trusted with the youngest in society. Being lucky enough to be invited into a child's subjective world, to be trusted with their vulnerabilities and difficult circumstances, and be in a position where I can offer help - there is nothing in this world I would rather be doing.        However, as I came to the end of my training, it was becoming increasingly clear that there was something missing. Something I felt that the psychiatry specialty training programme was not offering. And that was a real insight into the psychological aspects that underpin much of the psychiatric disorders that we treat. Now, I know what many will now think. But we do a short and long case. We have teachings in CBT, family therapy, psychoanalysis etc, etc.... Sure, we do, but in my experience (and largely due to logistical and time pressures) these provisions at best only scratch the surface, and at worse leave trainees feeling underwhelmed by what these amazing psychotherapies can truly ofter. This unfortunately manifests in trainees regarding such psychotherapies negatively. As Simplistic. Unscientific. Expensive. Which, given the efficacy of CBT for so many of the disorders we treat, as backed up by it being offered as first line treatment accordingly, we know that is far from the case.  ​​   ​​​ And what led me to this realisation? To be honest (and largely helped by completing a BSc in Psychology) I was convinced of most of this throughout most of my training and certainly after I had finished my psychotherapy cases expected of us. There was just no way I felt equipped to confidently undertake therapy with patients subsequently as expected of by Royal Collage competencies. And even drawing it into everyday psychiatric practice seemed a world away. But it wasn't until my yearning interest in psychotherapy was recognised by my trust who offered to sponsor me to undertake a PGDip in Cognitive Behaviour Therapy at Newcastle University did this realisation come into its own. Indeed, this programme with the expectation to complete hundreds of therapy hours, supervision records, assignments, weekly video-recording scrutiny by peers, as well as weekly intensive seminars and lectures over two years completely turned my world on its head. And it was as a consequence of this diploma that I learned that although I was far from the collaborative, patient-centred psychiatrist that I thought I was. Sure, I may be touching on these 'soft' skills in my everyday practice but it is not until you are scrutinised in delivering therapeutic practice do you realise that you have a lot to learn. And a lot of learning I did.  From building a strong therapeutic relationship and Socratic questioning, through to dealing with ruptures and repairs in a relationship and empowering a patient to manage their problems longitudinally, I learned the true power in these 'soft skills'. Skills that may even augment our more traditional psychiatry training to maximise patient relationships and offset medication adherence challenges.    And now being a Consultant with an accredited PGDip CBT diploma I believe this more than ever which is why I set up this resource. And I am offering all of the resources for free I suppose not just as a way of giving back after I was kindly sponsored by my NHS trust to undertake the diploma (something I must add has fundamentally changed my life and the way I now practice psychiatry) but also to support the championing of CBT practice throughout our field and to flag its critical importance to the way we must be perceiving our patients. As complex individuals, made up of social, emotional, and cognitive elements as well as biological, and that we should be appreciating every one of these aspects if we are to give them the best care that they deserve.  ​

What exactly do we provide?

What makes us so equipped to provide these resources and how can we do it for free? Well, there's no one better than our founder to elaborate.

Let's get into some specifics

We all remember the examinations and assessments we did as trainees - feels like only yesterday (eek!). We also remember trying to scrap together resources that would help us through them all. The books, the video simulations, the workshops, the peer support. List goes on.

 

Yes, they all helped. But finding them all under one roof was not happening. With that in mind we have put together a programme that we feel we would have benefited from if starting out in CBT all of again. Now these resources are still a working process so do bare with us. And please, for the benefit of us all, let us know how we can improve.      

A Podcast

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Before we get into the real nuts and bots of CBT, we think that having a bit of a chat about some of the concepts and ideas that make up the CBT process is a great way of introducing the body of knowledge that makes up the CBT therapeutic process. Yes, much of the terminology and the steps behind CBT will be new to many (they certainly were for me), especially if you are already trained in a different discipline. Therefore, fleshing these things out between us certainly seems like a good way to ease one into it all. 

 

We are going to start with the very basics, including:

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        What is Cognitive behavioural therapy?

        How to build an effective therapeutic relationship?

        What are the traits expected of a good therapist?

        What is the overall structure of the sessions?

        How to set up an agenda?

        What is goal setting?

        What is a therapeutic formulation?

        What is a behavioural experiment? 

        How significant is homework?

        How to deal with ruptures in the relationship?

        What is relapse prevention?

        How significant is reflection?

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​​​​Before moving onto the actual application of CBT with respect to some of the psychiatric disorders we are regularly faced with, including: 

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        Generalised Anxiety

        Social Anxiety

        Specific Anxiety

        PTSD

        OCD

        Depression

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In time we will be looking to invite some CBT experts to dive into some of these area a little bit more who will no doubt have some great insights into how we can all build a solid foundation from which to proceed with our practical skills.​

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Role-plays

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And talking about practical skills, we feel that role-plays are one of the best ways to facilitate learning and growth. No, don't worry, we are not going to ask you to go away and film yourself with a partner and send it back into us so we can scrutinise it to bits (a brutal process to say the least). Instead we are going to do the heavy lifting and do the role playing between us. 

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And what do we mean by that exactly? Well, through the podcast you will learn about things such as what is CBT and how to build a therapeutic relationship etc, etc.... Now, it's all good and well knowing these things in theory but when it comes to application that's a different matter. What our role-playing videos will show is how to now apply this foundational knowledge through for example:

 

         Explaining to a patient what is CBT

         Establishing a strong therapeutic relationship 

         Setting up an appropriate agenda

         Establishing goals/subgoals with a patient

         Collaborating on the most appropriate therapeutic framework

         Pre-empting challenges when setting up a behavioural experiment

         Reviewing homework and progress

         Exploring any ruptures in a relationship and managing them

         Setting up a relapse prevention plan

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Again, these role-plays are very much a work in progress so do bare with us. And of course they are not exhaustive either. We welcome any scenarios that you would like to be played out between ourselves that you are finding difficulty with. Indeed, if you're finding something challenging there is no doubt that a lot of us out there are also facing a similar issue. So please let us know. 

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News and research 

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And of course we will do our best to keep you all up to speed with the latest news and research within the CBT field. The world of psychotherapy across all domains is changing extremely fast these days thankfully because there is less of a taboo regarding having mental health challenges. And with that the scientific world is finally undertaking much needed research that is increasingly showing the efficacy of the amazing array of psychotherapies that we see today.

 

Moreover, rather than viewing psychotherapeutic domains in silo or even as competing interventions the scientific community are realising that they all have qualities that may be of benefit given the circumstances of a given patient. Equally, it is great to see that even the most biological of psychiatric journals and bodies are seeing psychology and psychotherapy as synergistic companions to the psychiatric medication we provide, and that both have there place in the effective treatment of so many psychiatric disorders. 

 

Needless to say, we will keep you up to date with the latest clinical trials, editorials reviews, key speakers, podcasts, and more when it comes to any big newsworthy events across the now extensive CBT world.

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