You want to help you clients and we want you to have the right tools to do your job. We’re delighted to announce some fantastic new resources to support your therapy practice this month.
- If you want a graphical explanation of the sympathetic and parasympathetic nervous system then we’re here to help
- If you’re after a straightforward explanation of transdiagnostic processes in CBT then look no further
- And if you’re working with clients who GAD then it might be time to talk about worry postponement
In this newsletter you will also find a roundup of the latest research to support your clinical development.
New On Psychology Tools
Many clients have body sensations which they do not fully understand and experience as aversive. The Autonomic Nervous System handout is designed to help your clients understand their body reactions as a function of their nervous system. Therapeutic approaches such as compassion focused therapy (CFT) increasingly integrate ideas from neuroscience and clinicians will find it helpful to be able to offer explanations for client experience at biological levels.
Rather than thinking of mental health diagnoses as separate ‘disease entities’ it is helpful to think about common ‘processes’ that maintain client problems across disorders. Transdiagnostic processes are found in the domains of attention, memory/imagery, thinking, reasoning, and behavior. They can helpfully be thought of a the ‘building blocks’ which underpin disorders. The Transdiagnostic Processes worksheet is designed to help clinicians and their clients to understand core processes which are operating to prolong distress.
Worry postponement can be offered as a standalone ‘technique’ or used a behavioral experiment to explore client beliefs about the uncontrollability of worry. The Worry Postponement worksheet gives an overview of the technique, and be used with either approach. Many therapists find it helpful because it allows clients to discover that postponed worries often feel irrelevant by the time they are revisited.
Introduce your clients to CBT
We have had an amazing response to the first part of our new eBook Psychology Tools for Living Well. We wanted to make a beautiful self-help resource for your clients that gives them everything they need to develop their understanding of CBT. We’re really pleased with the result. Members can download it for free here.
COMPLEXITY WITHIN COGNITIVE BEHAVIOR THERAPY
Definitely worth reading is the special issue of the Cognitive Behaviour Therapist journal with a focus on complexity within cognitive behavioural therapy. Even better, the articles are open access.
There is a special issue podcast with Claire Lomax interviewing Paul Salkovskis which you can download here.
Choice articles include:
- Complexity in eating disorders: a case for simple or complex formulation and treatment
Victoria Mountford, Madeleine Tathamm Hannah Turner, Glenn Waller
- Complexity in obsessive-compulsive and body dysmorphic disorder – a functional approach to complex difficulties
Oliver Sündermann, David Veale
- Treating complex depression with cognitive behavioural therapy
Stephen Barton, Peter Armstrong, Louise Wicks, Elizabeth Freeman, Thomas D. Meyer
CASE CONCEPTUALIZATION COMPETENCE
Everybody knows how important it is for CBT practitioners to develop formulation skills. So it is surprising that studies examining the relationship between the quality of therapist case conceptualisations and therapy outcome in CBT have indicated only modest associations. Previous research has tended to focus on written case formulations but a new study from Michael Easden & Richard Fletcher took a different approach. Independent raters watched video recordings of clinical sessions and rated case conceptualizations using a newly developed scale. They found that “between 40% … of within patient variance in depression scores (i.e., a measure of how much on average the individual patient tended to change or vary over time) was attributed to therapist competence in case conceptualization”.
- Link to the full version
Easden, M. H., Fletcher, R. B. (2018). Therapist competence in case conceptualisation and outcome in CBT for depression. Psychotherapy Research.