When the going gets tough: overcoming common challenges to progress in CBT when treating persistent treatment resistant depression: ZOOM WORKSHOP PRESENTATION


Registration closes @12 noon on 04.11.2024

The workshop will focus on four common areas that can present as obstacles to implementing CBT treatment for persistent, treatment resistant depression which arise in the context of Adverse Childhood Events (ACES) and their resonance in adult life:

• Interpersonal processes and the therapeutic relationship
• Subjugation
• The role of avoidance and dependency as coping strategies
• Working with self-conscious emotions: shame, guilt, embarrassment, pride and hubris.

The workshop will concentrate on defining the parameters of these factors and the challenges they present, illustrated with clinical case examples. How to adapt CBT interventions when working with these factors will be presented. Consideration will be given to therapist factors in patient engagement and the role of the therapeutic relationship and CBT formulation as the bedrock for in engaging the client in approaching these obstacles. Workshop participants will have opportunity to bring their own clinical cases for discussion.

 

References

Morriss, R., Garland, A., Nixon, N., Boliang Guo., James, M., Kaylor-Hughes., C., Moore, R., Ramana, A., Sampson, C., Sweeney, T. and Dalgleish, T. (2016) The Efficacy and cost effectiveness of a specialist depression service versus specialist mental healthcare to manage persistent depression: a randomised controlled trial. The Lancet Psychiatry 3 (9): pp. 821-831.

Newman, C.F. (2020). Principle-informed CBT in a complex case. Cognitive and Behavioral Practice. https://doi.org/10.1016/j.cbpra.2020.04.001

Thomson, L., Barker, M., Kaylor-Hughes, C., Garland, A., Ramana, R., Morriss, R., Hammond, E., Hopkins, G. and Simpson, S. (2018) How is a specialist depression service effective for persistent moderate to severe depressive disorder? a qualitative study of service user experience BMC Psychiatry, 18 (1) 194

Crandall, A.A’; Miller, J.R., Cheung, A., Novilla, K., Glade, R., Novilla, M.L., Magnusson, M., Leavitt, B.L., Barnes, M.D., and Hanson, L. (2019) ACEs and counter-ACEs: How positive and negative childhood experiences influence adult health Child Abuse and Neglect, vol. 96
https://doi.org/10.1016/j.chiabu.2019.104089

 

New: Workshop recording is now available to attendees

By attending this workshop I understand I am giving my consent for the workshop to be video recorded and for this video recording to be available to people attending the workshop live and for it to be sold separately, for the amount of time determined by OCTC and outlined in the purchase agreement. My name, if displayed onscreen, and my image will make up part of this recording. Recordings are the property of OCTC and making copies of these recordings or sharing login details is not permitted. Please do not reveal details which may compromise the anonymity of clients.

The recording will be available to view for a period of three months.

Presenter

Anne Garland, Consultant Cognitive Behavioural Psychotherapist

Anne Garland

Dr Anne Garland, Consultant Psychotherapist is the lead for depression at OCTC. Anne is a mental health nurse by profession, trained in both behavioural and cognitive psychotherapy. Anne has 32 years’ experience of working clinically using CBT and has specialised in treating persistent, treatment resistant depression for the last twenty-five years. Anne has a national and international reputation as a CBT trainer and has published widely in the field of CBT for depression. Anne has been involved both as a collaborator and grant holder in funded RCT’s the most recent of which (Morriss, Garland, Nixon, Guo et al 2016) tested the clinical and cost effectiveness of CBT in the treatment of depression delivered via the Nottingham Specialist Depression Service, established in 2009. This is a unique service within England offering NICE recommended pharmacological and psychological treatments for persistent, treatment resistant depression within a collaborative care model. Anne is also trained in MBCT and Compassion Focused Therapy. Anne has both a clinical and academic interest in the role of shame, self-criticism and self-compassion in depression.

Anne established the University of Manchester and University of Nottingham postgraduate diploma/MSc in CBT and contributes to a number of IAPT Hi intensity training courses and Doctorate in Clinical Psychology courses. Anne is a past president and Honorary fellow of the British Association of Behavioural and Cognitive Psychotherapies (BABCP).

Additional Information

Cancellation & changes policy

If you cancel more than 14 days prior to your booked event, we will refund your fee minus a charge of 15% to cover our administration costs. We regret that cancellations 14 days or less before the booked event cannot be refunded or changed/transferred.

If you wish to change/transfer your booking after confirmation we will do our best to accommodate you if you notify us 14 days prior to your booked event, and if there is space to do so. However there will be an administration charge of £15 per change/transfer.

Confidentiality

Workshops often contain clinical material. This is always anonymised as far as possible but delegates are none the less reminded to respect confidentiality.

All that is discussed in your therapy sessions will be treated as confidential, with the following exceptions.
We are required to seek supervision by our professional body (The British Psychological Society or equivalent) as a means of ensuring good practice. We will usually inform your referrer of your progress, but the details that we disclose will be discussed with you. We do have a statutory obligation to break confidentiality under rare circumstances, namely, if we believe that a client is of danger to themselves or to others (under the Mental Health Act, 2001) or if we believe that a child is at actual risk of physical or sexual abuse (The Children Act, Section 47, 1989).

If we felt that it would be helpful to request additional medical, social or legal information, we could only do this with your consent. Similarly, should another medical, social or legal professional request information from us, we would not release this without your consent.

Disclaimer

OCTC makes every effort to ensure that this programme is delivered as advertised. However, should a presenter have to cancel, we will endeavour to find another suitable presenter. We will inform attendees as soon as is reasonably practical and, if requested, will offer a refund. In the rare event that we are unable to substitute a presenter, we may cancel a workshop and refund payments already made by attendees. OCTC will not refund travel and accommodation costs that attendees may incur.
All the workshops in this programme are carried out by highly experienced therapists and trainers. The individual presenter is responsible for the content of the workshop and any views expressed do not necessarily represent those of OCTC.
Although highly informative, none of the open workshops or workshop series confer a formal qualification or assurance of competence in CBT (or a specialist area of CBT) since we are unable to assess attendee competency within the training event. However, credit and award-bearing courses that lead to formal qualifications are offered by OCTC in conjunction with the University of Oxford. More about these courses is available on our website www.octc.uk

Levels of competence

Before booking a place on a workshop, please ensure that it is pitched at the appropriate level of competence for you. The guide to levels is as follows:

Basic

Basic workshops are for people from a variety of backgrounds, who have at least one year’s clinical experience. Cognitive behavioural knowledge is not necessary for attendance at these workshops, though in practice, a number of attendees will have some skills in the area, and are refreshing/updating their knowledge.

Intermediate

Intermediate workshops are directed towards people who already have knowledge of CBT, and experience in using cognitive formulations and treatment methods – for instance, they are able to identify and test automatic thoughts, and design behavioural experiments. Most participants will be using CBT as part of their clinical practice, and may still be acquiring new CBT skills.

Advanced

Advanced courses are directed towards those professionals who use CBT routinely as part of their clinical practice. They have probably undertaken a significant number of training courses and/or workshops, and use a broad range of cognitive behavioural strategies to work with a range of presentations at varying levels of complexity.

Making reservations

Bookings can only be considered confirmed after we have received your online registration or application form and payment (or invoicing details, including an official purchase order document).

The registration closing date for each workshop is shown on the workshop description page.  Please note that no applications received after this deadline will be permitted.

If you are booking a workshop place for someone else, you must complete your own details in the billing field, but ENTER THE WORKSHOP PARTICIPANTS NAME/ADDRESS in the shipping field. If you wish to order items using a paper order form instead of online, you can view or download an order form in Adobe Acrobat (PDF) format. Once downloaded, print it out, fill it in, and send off with your payment [cheque made payable to OXFORD HEALTH NHS FOUNDATION TRUST] to the address on the form.

Refreshments

The cost of the workshops includes hot drinks on arrival, mid-morning and mid-afternoon, but not usually lunch unless stated. However, for workshops that do include lunch, if you have any special dietary requirements please let us know at the time of application.

Accessibility requirements

We welcome applications from diverse backgrounds. If you have any particular needs, please contact us
prior to booking.