Bespoke Members
Introduction
The workshop will provide an overview of Cognitive-Behavioural Therapy for psychosis (CBTp). Specifically, the application of CBT to the symptoms of auditory hallucinations and delusions will be addressed. Topics such as engaging and assessing patients who present with psychosis; developing collaborative CBTp formulations; and applying appropriate CBT techniques will be covered.
The event will be equivalent to 2.3/4 hrs of CPD.
Content
Cognitive Behaviour Therapy for psychosis (CBTp) is an adaptation of standard CBT, informed by research into the psychological mechanisms underpinning psychotic symptoms, and tailored to accommodate the difficulties of people with psychosis. Cognitive models highlight that it is not unusual experiences themselves which are problematic, but their appraisal as external, personally significant and threatening. Maladaptive coping and safety behaviours also maintain distress and disability. CBTp aims to break these vicious cycles by helping people to understand their psychotic experiences, promote coping and self-regulation, and counter negative appraisals of self and difficulties.
CBTp includes a combination of elements and therapeutic activities and requires a very explicit focus on engagement, with a trusting relationship being a crucial foundation. The specific model used depends on what the primary difficulties are (e.g., delusions, voices, emotional difficulties). Each model emphasises the important role of appraisals of, and responses to, particular experiences, as well as a person’s previous experiences and their beliefs about themselves, the world, and others.
Successful implementation of CBTp involves both skilful application of therapy techniques and adherence to the underlying values and principles of offering hope and a recovery-oriented perspective; listening to and collaborating with the service user; and validating and supporting the ‘making sense’ process of the service user’s experiences.
Learning Objectives
• To develop knowledge and confidence in conducting a CBTp assessment
• To gain an understanding of formulations for individuals with psychosis
• To learn CBTp skills and techniques for changing delusions and voices
Training Modalities
The workshop will include: didactic content, stories from an individual with lived experience of CBTp, Q&A, live role play and video content.
Key References
Brabban, A., Byrne, R., Longden, E., & Morrison, A. P. (2017). The importance of human relationships, ethics and recovery-orientated values in the delivery of CBT for people with psychosis. Psychosis, 9(2), 157-166.
Garety, P. A., & Hardy, A. (2017). The clinical relevance of appraisals of psychotic experiences. World Psychiatry, 16(2), 140-141.
Johns, L., Jolley, S., Keen, N. & Peters, E.R. (2013) CBT for people with psychosis. In A. Whittington & N. Grey (Eds) The Cognitive Behaviour Therapist: From Theory to Clinical Practice (Wiley) ) (‘How to’ chapter)
Kelly R., Cohen A. & Peters E. (2018) Psychosis. In S Moorey and A. Lavender (Eds) The Therapeutic Relationship in Cognitive Behavioural Therapy. Sage (How to develop and maintain a good therapeutic relationship in CBTp)
Morrison A, P. (2017). A manualised treatment protocol to guide delivery of evidence-based cognitive therapy for people with distressing psychosis: learning from clinical trials. Psychosis, 9, 1-11.
About the presenter
Dr Harriet Mellotte is a Senior Clinical Psychologist currently working in the Psychological Interventions Clinic for Outpatients with Psychosis (PICuP) in South London & Maudsley NHS Foundation Trust. She has over 10 years experience working in psychosis in both community and in-patient settings delivering CBTp. She has completed a post graduate diploma in cognitive behavioural therapy and is a qualified EMDR practitioner. Harriet specialises in working with individuals with complex mental health difficulties who have experienced trauma and psychosis.
Harriet was recently a therapist on the STAR trial which is a randomised controlled trial investigating the effectiveness of trauma focused CBTp for people experiencing PTSD and co-morbid psychosis at the Institute of Psychiatry, Psychology and Neuroscience. She previously worked for the Grenfell Health and Wellbeing Service which provided psychological support to people affected by Grenfell Tower fire.
Harriet has provided teaching and supervision for a range of professionals including trainee and qualified psychologists, and professionals from other disciplines undertaking specialist training in CBTp.
Cici Jakobsson is a third-year trainee clinical psychologist at the Institute of Psychiatry, Psychology and Neuroscience, Kings College London and currently on placement with Harriet at the PICuP Clinic.
Zoe Thomas is an expert by experience and used mental health services for psychosis and post-traumatic stress disorder including CBT for psychosis.
Zoe is now a qualified ISVA (Independent Sexual Violence Advocate) and the the founder of HIPS, an organisation that delivers sexual violence prevention and response training to various communities.
Who should attend
This workshop is suitable for delegates who are already familiar with basic CBT principles and techniques.
Low Intensity clinical contact hours survey - BABCP Low Intensity Special Interest Group
Please click below if you are interested in contributing to the survey.
The BACP Low Intensity SIG are interested in the impact of clinical contact hours on Low Intensity/Wellbeing Practitioner wellbeing. This questionnaire contains six multi-choice questions and a free text box for you to share your experiences. The answers to these questions will help the BABCP SIG plan how to meet CPD topics and other developments within the SIG. The SIG hope to produce a write up of the answers to this questionnaire to be shared with SIG members and to be used in training.
This FREE conference is for Psychological Wellbeing Practitioners working in Talking Therapies for Anxiety and Depression services and is brought to you by Bespoke Mental Health in collaboration with the NHS National PWP Leads Network.