Annual Congress on Psychiatric & Mental Health Nursing, November 19-20, 2018. Paris, France. Abstract By combining aspects of Applied Cognitive, Clinical, Coaching and Positive Psychology together and adding elements of tried and tested growth and leadership techniques from world leading authorities such as John Maxwell, a practical approach to improving wellbeing, happiness and success has been created in the SMARTER-life-GROWTH approach. This integrative, trans-functional and holistic approach, adopts a practical skills-based way of helping individuals restore, maintain and improve their sense of wellbeing, happiness and personal, professional and performance success. Further by integrating different aspects of an individual’s experience (e.g., the Biological, Psychological, Social and Spiritual) and through applying a stepped staging framework, a single coherent understanding of an individual's life journey is created. This allows the approach to support individuals along the wellness continuum, from struggling and suffering through to flourishing, thriving and meeting their potential. This presentation outlines the theoretical and applied underpinnings of the SMARTER-life-GROWTH approach as well as how wellbeing, happiness, and success performance indicators, and goals can be identified and fulfilled through a variety of evidence-based interventions. The approach acknowledges the unique potential that all human beings have, the natural flutations in welleness that occur and empowers individuals to have greater autonomy over their life so they can be more resilient, and successful in the separate (but interconnected) aspects of their life. Thus allowing them to create and lead the life they want to lead, and to have the confidence, skills and ability to protect this against the natural adversities that we all face.

1. The SMARTER-life-GROWTH approach to wellbeing,
happiness and success
Dr Pat Gwyer PhD DClinPsych MSc
Associate Fellow of the British Psychological Society, Chartered Psychologist, Clinical Psychologist, Chartered
Scientist
Annual Congress on Psychiatric & Mental Health Nursing
November 19-20, 2018
Paris, France
SMARTER-life-GROWTH Slide 1

2. What is SMARTER-life-GROWTH
• Cross diagnostic
• Depression, Anxiety, Trauma, Self esteem, Stress, Eating Disorders, Substance use
• Applicable to Therapists, Coaches, Positive Psychologists, Skilled helpers, Helping professionals
• Transfunctional
• A basic set of skills that can be applied across situations
• Integrative & Holistic
• Draws from a number of theoretical approaches (e.g., Applied Cognitive, Clinical, Coaching and
Positive Psychology
• Looks at the whole person (e.g., the Biological, Psychological, Social and Spiritual)
• Practical problem solving skills based approach
• Improving wellbeing, happiness and success is simply a problem to be solved
SMARTER-life-GROWTH Slide 2

3. A transdiagnostic approach needs an Integrative approach that links
theory, evidence, and technique
SMARTER-life-GROWTH Slide 3

4. Different approaches integrated
• Acceptance & Commitment Therapy - Hayes
• BioPsychoSocialSpiritual - Engel
• Cognitive Analytic Therapy - Ryle
• Cognitive Behavioural Therapy - Beck, Ellis, Padesky
• Compassion based - Gilbert, Neff
• Dialectical Behavior Therapy - Linehan
• Gestalt - Perls
• Holons - Koestlera
• Humanistic - Rogers
• Meaning (Logo) - Frankl
• Mindfulness - Kabat-Zinn
• Personal Construct - Kelly
• Positive Psychology - Seligman
• Schema - Young
• Time Perspective Therapy - Zimbardo
Connected through the common factors
• Ability to regulate emotions
• Collaboration towards agreed goals
• Enhancing self-compassion, acceptance, forgiveness and
kindness
• Explanation for current difficulties and a solution for
resolving
• Improve interpersonal relationships
• Modelling
• Non-judgemental acceptance, understanding and empathy
• Normalisation of experience
• Possibility of alternative perceptions and actions
• Provision of hope
• The helping relationship (Therapeutic working alliance /
Reparative / developmentally needed / Person-to-person/
Transpersonal)
(Bergin, Clarkson, Frank, Garfield, Grencavage, Lambert, Lazarus, Luborsky,
Rogers, Rosenzweig, Norcross)
SMARTER-life-GROWTH Slide 4

5. What is SMARTER-life-GROWTH
SMARTER life GROWTH
Specific
Measurable
Achievable
Relevant
Time-framed
Evaluated
Reflected upon
The things you Love and are
passionate about
The things that Interest, motivate and
are meaningful to you
Remembering to be Fair, kind and
companionate to yourself and others
And to include the things you Enjoy
and that give you a sense of
connection
Growth orientated goals
Realistic
Obstacles, Options, Opportunities
Way to achieve
Tactics
Habits
SMARTER-life-GROWTH Slide 5
Improving wellbeing, happiness and success through goal setting

6. SMARTER-life-GROWTH Slide 6
Awareness, Reflection and Insight, leading to Wise Action
a cycle of continuous learning and growth

7. SMARTER-life-GROWTH Slide 7
Best
Possible
Self
Potential
Actual Ideal
SMARTER-life-GROWTH Slide 7
The greater the disparity between our Potential and
our ability to achieve our dreams and aspirations (our
Ideal self) the lower our sense of wellbeing, happiness
and success.
When this occurs we may find ourselves;
• Struggling or suffering
• Languishing, indifferent or coasting
At such times not only will wellbeing, happiness and
success be lower, but we will be less resilient, more
vulnerable and our ability to flourish and thrive will be
greatly reduced.

8. SMARTER-life-GROWTH Slide 8
Best
Possible
Self
Potential
Actual Ideal
SMARTER-life-GROWTH Slide 8
Wellbeing and happiness comes from having the
greatest amount of overlap between your Potential,
your Ideal and where you actually are.
When you achieve this and are your best possible self,
success naturally occurs.
True success is measured not in materialistic
possessions nor should these be the goal.
True success occurs - as a by product - when you are
able to balance these areas through your ability to
utilize your strengths, abilities and talents to
successfully navigate the pleasant and unpleasant
aspects of life and be the best possible version of
yourself.

9. The common themes associated with wellbeing, happiness and success
Meaning Educational or occupational satisfaction
Resilience Enjoyment and pleasure
Self efficacy Interpersonal relationships
Self satisfaction Acceptance of the past
Self awareness Presentness
Emotional regulation Anticipation the future
Physical wellbeing Sleep
Manage unhelpful thoughts Diet
Daily living skills Physical activity
Purpose Routine
SMARTER-life-GROWTH Slide 9

10. Themes allow . . .
• A collaborative, diagnostic free formulation, based upon individual’s whole experience to be created
• Specific and Measurable goal directed actions (e.g., Wellbeing, happiness & success goals) to be identified
• The parts and the whole to be integrated whole
• The person to self monitoring their wellbeing, and the parts and the whole that contribute to it
• Use as a mindfulness exercise (similar to body scan)
SMARTER-life-GROWTH Slide 10

11. The common themes associated with wellbeing, happiness and success
My sense of meaning and purpose in life My sense of satisfaction with my occupational situation
My ability to set and achieve goals The amount of enjoyable and pleasurable activities I do
My ability to overcome setbacks (resilience) The quality of my relationships with others
My contentment with who I am My ability to accept or let go of difficult experiences
My ability to stay in the present moment My ability to look forward to and anticipate the future
The extent to which I have achieved my potential My ability to manage daily life tasks
My ability to; My ability to;
Manage my Body sensations Get a good night’s of sleep
Manage my Emotions Maintain a healthy diet
To Act wisely with planning, insight and awareness Be physically active and partake in exercise
Manage my Thoughts Adhere to a consistent daily routine
SMARTER-life-GROWTH Slide 11

12. Using the SCOPE measure to explore themes
• Provide a baseline for pre and post assessment and session-by-session monitoring
• Identifies areas to focus upon and informs the severity*complexity matrix. Risk assessed separately
• Use as outcome measure (reasonably well correlated to CORE-OM)
SMARTER-life-GROWTH Slide 10
Clinical Outcomes in Routine Evaluation Outcome
Measure (CORE) 34
Severity&Complexityof
PresentationEvaluation(SCOPE)
r = +0.58
Commonthemesscore
SMARTER-life-GROWTH Slide 12

13. Severity*Complexity matrix used to place Positive Psychology, Wellbeing
coaching, Peer support and Clinical approaches
Allocation to PP, Coaching, Peer support, Lay counselling or Skilled helper (blue shading) following appropriate assessment (Severity, Complexity & Risk)
Complexity
Overall
Presentation
Severity upon functioning. Overall presentation
Mild impact upon functioning Moderate impact upon
functioning
Severe impact upon
functioning
Low
Signpost appropriate agency
Watchful waiting
Bibliotherapy
CCBT /Course
Positive Psychology
Wellbeing coaching
Peer support
“Lay counselling/Skilled helpers"
Counselling
CBT
EMDR
CCBT /Course
Positive Psychology
Wellbeing coaching
"Lay counselling/Skilled helpers"
CBT
CAT
EMDR
Medium
CCBT/Course
Counselling
EMDR
CBT
Positive Psychology
Wellbeing coaching
"Lay counselling/Skilled helpers"
Counselling
CBT
EMDR
CAT
CBT
Schema / CAT
EMDR
High
Counselling
CBT
EMDR
Schema / CAT
CBT
Schema / CAT
DBT
CBT
Schema / CAT
DBT
SMARTER-life-GROWTH Slide 13

14. The whole remains in the background providing
the context for the parts.Emotions
Actions
Thoughts
Body
sensations
Anticipation of
Outcomes
(Future)
Current
experience
(Present)
Past experiences
Interpretations
of experiences
Creation, Utilization, Depletion of
Biological, Psychological, Social, Spiritual
Resource Capital
Mindful
Awareness
Reflection
Insight
Action
The area of intervention (the part) has moved to
the foreground and is the focus of current
attention. The other parts create the background
(the whole) to the part.
Maintaining a healthy
diet and activity
The reciprocal connection between the parts,
mean that change in one, leads to change in
others.
The constructive nature of memory means that
past, current and future experiences alter
recollection. The event is fixed but the meaning,
recollection and impact is flexible. Meaning and
emotional impact of experiences alter.
SMARTER-life-GROWTH Slide 14

15. SMARTER-life-GROWTH Slide 15
Emotions
Actions
Thoughts
Body
sensations
Anticipation of
Outcomes
(Future)
Current
experience
(Present)
Past experiences
Interpretations
of experiences
Creation, Utilization, Depletion of
Biological, Psychological, Social, Spiritual
Resource Capital
Mindful
Awareness
Reflection
Insight
Action
Insight based
(top down)
Skills based
(bottom up)
A Socratic Paradox
It is not human nature to choose to act in a way
that is harmful, instead of a way that is good.
Harmful actions are only undertaken out of
ignorance (Awareness, Reflection, Insight and
ability to Act wisely).
Without the skills to create alternative ways of
thinking, acting or managing emotions it is easy to
act in unskilled or harmful ways - towards ourselves
and others.
We have no choice when we have no alternatives
to choose - it's a Hobson's choice.

16. Confusion to ….
Clarity ….SMARTER-life-GROWTH Slide 16

17. Childhood
trauma
SMARTER-life-GROWTH Slide 17

18. PTSD
SMARTER-life-GROWTH Slide 18

19. Low mood
and anxiety
SMARTER-life-GROWTH Slide 19

20. Complex
trauma
SMARTER-life-GROWTH Slide 20

21. SMARTER-life-GROWTH Slide 21

22. Resource Capital
Natural and developed Strengths, Talents and Abilities
Biological Psychological Social Spiritual
Ability to effectively manage and
maintain sleep, diet, routine and
physical activity and manage
physical health (these are skills that
are learned)
Acuity of physical senses
Agility
Dexterity
Eye-hand co-ordination
Kinaesthesia
Muscle and ligament flexibility
Natural fitness
Physical co-ordination
Physical resilience
Physical stamina
Physical strength
Physical supple
Sense of balance
Spatial awareness
Adaptability
Assertiveness
Creativity
Critical thinking
Curiosity
Decision making
Determination
Emotional intelligence
Flexibility
Humour
Imagination
Innovation
Intelligence
Intuition
Knowledge
Love of learning
Memory
Open-mindedness
Ownership of actions
Patience
Perseverance
Persistence
Phycological Resilience
Planning
Pragmaticism
Problem solving
Responsibility for actions
Self-awareness, reflection and
insight
Self-control
Versatility
Balancing own and others needs
Communication skills
Convincing others
Empathy
Helping others
Inspiring others
Leadership
Listening to others
Making friendships
Maintaining relationships
Negotiating
Networking
Public Speaking
Reciprocal awareness
Respectfulness of people &
difference
Sharing
Social connection & belonging
Social intelligence
Sympathy
Teaching others
Team work
Understanding others
Acceptance
Biophilia
Charity
Compassion
Courage
Ethical
Fairness
Forgiveness
Honesty
Hope, Faith, Optimism
Humanity
Humility
Integrity
Justice
Love
Meaning
Mercy
Morality
Perspective
Purpose
Self-Transcendence
Selflessness
Trustworthiness
Volunteering
Wisdom
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SMARTER-life-GROWTH Slide 22

23. SCOPE data (n = 27)
SMARTER-life-GROWTH
200 . . . . . . . . . .
190 . . . . . . . . . .
180 . . . . . . . . . .
170 . . . . . . . . . .
160 . . . . . . . . . .
150 . . . . . . . . . .
140 . . . . . . . . . .
130 . . . . . . . . . .
120 . . . . . . . . . .
110 . . . . . . . . . .
100 . . . . . . . . . .
90 . . . . . . . . . .
80 . . . . . . . . . .
70 . . . . . . . . . .
60 . . . . . . . . . .
50 . . . . . . . . . .
40 . . . . . . . . . .
30 . . . . . . . . . .
20 . . . . . . . . . .
10 . . . . . . . . . .
0 . . . . . . . . . .
Assessment
Baseline
Session
1
Session
2
Session
3
Session
4
Session
5
Session
6
Session
7
Session
8
Follow
up
SMARTER-life-GROWTH Slide 23

24. Clinical Outcome Routine Evaluation data
SMARTER-life-GROWTH Slide 24
0
0.5
1
1.5
2
2.5
Wellbeing Problems Functioning Risk
CORE-OM
Pre Post Cut off (Clinically Significant if above red line)

25. Thank you for your time and attention
SMARTER-life-GROWTH Slide 25