Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

OCD Action - Making CBT work – Satwant Singh

1,092 views

Published on

OCD Action - Making CBT work – Satwant Singh

Published in: Health & Medicine
  • Be the first to comment

OCD Action - Making CBT work – Satwant Singh

  1. 1. Making CBT work Satwant Singh Nurse Consultant in CBT & MH
  2. 2. Aims for today  Understanding  What is CBT  What does it involve  Maximising engagement in CBT  Working with your therapist  Identifying difficulties and finding solutions  Role of homework  Issues surrounding homework and dealing obstacles  Being creative in therapy to maximise therapy impact
  3. 3. Why have therapy? Group exercise- spend a few moments as to why would you or someone want to have therapy and what is about?
  4. 4. Change Individual work- what does change mean to you and what does it involve?
  5. 5. CBT Cognitive Behavioural Therapy is a evidence based psychotherapy that address our beliefs systems, thoughts, emotions and behaviours. The cognitive hypotheses that the way we interpret or give meaning to a situation affects us emotionally and the way we behave or react The interpretations we make are based on our beliefs and assumptions that we hold e.g. If I am don’t check then something bad will happen
  6. 6. CBT It is: Empirically based Short term Collaborative Formulation driven The patient is not a passive recipient Involves in between session work tasks (homework) Aim of therapy to make patient their own therapist- skills acquisition
  7. 7. What does it involve?  Assessment and use of measures  A collaborative formulation of the presenting problems  Uncovering beliefs, behaviours that maintain the problems (coping strategies)  Testing out those beliefs through behavioural experiments  Undertaking home between sessions  Blue print and relapse prevention
  8. 8. Maximising your engagement  Be open in therapy and work collaboratively with your therapist  Develop an attitude of curiosity it is a process of discovery e.g. like a cat  Be willing to try things e.g. testing out behavioural experiments  If there are difficulties develop a hierarchy to work the easier to the more difficult
  9. 9. Working with your therapist  Your therapist is there to work with you and help you  If there are difficulties be honest and open about the difficulties e.g. style of therapy, pace of session  Explore together how to over come some of the difficulties- it may be related to your problems  Give feedback at the end of each session what was helpful and not helpful
  10. 10. Identifying difficulties and finding solutions  Therapy is not smooth sailing it is sailing a boat there are moments it is smooth and at times it rough  Identify what are the difficulties and what are the steps to over come the problem  Identify what is the role of the difficulty e.g. is it avoidance? It is a presentation of my problem?  Remember every problem has a function and a solution
  11. 11. Role of homework  Crucial for developing skills and becoming adapt in dealing with your problem (own therapist)  Practice makes perfect e.g. cooking  Helps to test out assumptions and beliefs  Helps identification of obstacles and areas of difficulties  Allows you to take responsibility in your treatment and achieving your goals
  12. 12. Issues surrounding homework and dealing with obstacles Obstacles are normal in therapy  Identify the obstacle and ask yourself what is happening here- what is the difficulty  Check on the function of the obstacle e.g. avoidance and develop an understanding how avoidance keeps the problem going  Discuss with your therapist about the obstacle and identify patterns of what happens and look at ways of dealing with the patterns
  13. 13. Being creative in therapy to maximise therapy impact Sometimes it may be difficult to carry out the homework  Be flexible and creative  Work at different area that may be easier and go back to the difficult part  Develop steps to get there working consistently  Widen the band width of area that you are working on
  14. 14. Self help  If you have no therapist there a range of self help material available  Can be used whilst waiting for therapy or in conjunction  Helpful to provide an understanding about therapy and what it involves  Has exercises that can aid understanding and aid starting to deal with the difficulties
  15. 15. Conclusion  Your participation in therapy is crucial and therapy is not a passive process  The therapy is your therapy- take responsibility for your therapy  Identify the change you want to take place to help with motivation and goals of where you would like to get to  Deal with obstacles as they arise  Be flexible and creative

×