Adult IAPT Additional Modalities for Depression Supplementary Programme

Patient Centred Experiential Counselling for Depression

Dr Peter Pearce, Faculty Head, Applied Social and Organisational Sciences, Metanoia Institute

Monday, 14 November 2022


PCE-CfD is one of the four, NICE approved, high intensity ‘additional modalities’ licensed to be provided within IAPT services to support ‘patient choice’ and ensure a range of therapies are available to meet patients’ needs. PCE-CfD targets the emotional problems underlying depression along with the intrapersonal processes, such as low self-esteem and excessive self-criticism, which often maintain depressed mood. PCE-CfD therapy aims to help clients contact underlying feelings, make sense of them, and reflect on the new meanings which emerge. This, in turn, provides a basis for psychological and behavioural change. It is a manualised model of practice specifically devised for counsellors working in the IAPT programme. Dr. Pearce led the Metanoia Institute team that collaborated with BACP on the development of the National Curriculum for PCE-CfD. He continues to be heavily involved in the ongoing delivery and development of this modality, providing expert advice to the IAPT programme on the training and delivery of Counselling for Depression through his membership of the IAPT National Expert Advisory Group.

The event will be equivalent to 5.1/2hrs of CPD.


The workshop will take a practice development focus, exploring some of the ‘emotion focused’ elements of this model, working with emotion regulation from a PCE-CfD perspective.
Key areas of practice will also be reviewed including: -
• impasse and clients who are finding it hard to access emotion
• anxiety from a PCE-CfD perspective
• Long term conditions and long covid
• Neurodiversity and autism
• Mechanisms of change
• Endings/’relapse prevention’ or making change last
Outcomes and effectiveness for the approach will also be reviewed and the approach will be illustrated with video clips and exercises.

Learning Objectives

By the end of this event attendees will deepen their understanding of the PCE-CfD model including :
1. the emotion focused elements
2. working with emotion regulation
3. its application for long term conditions and long covid
4. the approach to anxiety
5. Responding to neurodiversity and autism
6. Endings and supporting lasting change

Training Modalities

The presenter will use a range of teaching methods: case illustration and discussion, video clips, experiential exercises and opportunities to ask questions.

Key References

Murphy, D. (2019) Person-Centred Experiential Counselling for Depression. London: BACP/Sage.
Pearce, P., et al. (2012) Evaluating counselling for depression. Therapy Today 23 (10)
Pearce, P., et al. (2013) Counselling for depression: the perceptions of trainees. Health Couns Psychother J. 8–13.
Pearce, P. (2014) Forty years on from Rogers APA address, ‘Some new challenges for the helping professions.’ Self & Society, 41 (2), 38-44.
Sanders, P., & Hill, A. (2014) Counselling for depression. A person-centred and experiential approach to practice. London: BACP/Sage.

About the presenter

Peter is a senior counselling and psychotherapy professional, researcher and trainer in the psychological professions. He has a long background as both, a clinician within NHS multi-disciplinary teams in disability and mental health and, as an academic and trainer, developing and delivering curriculums and competence frameworks in collaboration with a variety of NHS, professional and statutory body and academic and research HEI colleagues.

Peter has been active in the development of counselling, psychotherapy and the broader psychological professions for many years. He led the Metanoia Institute team that wrote the National Curriculum for Counselling for Depression (now PCE-CfD) in collaboration with the research and professional conduct departments at BACP. He has continued to be instrumental in the ongoing development of PCE-CfD, as Faculty Head for this programme at Metanoia and as a member of the IAPT National Expert Advisory Group. He has been a lecturer and leader in HEI for more than 20 years, has published several books and book chapters and co-authored a variety of journal articles.

Who should attend

This one-day workshop is for PCE-CfD clinicians who have completed the five-day IAPT PCE-CfD and who are completing or have completed the assessed practice hours