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Page 1: CBT Today Vol 44 No 1 (Feb 2016)

Volume 44 Number 1 | February 2016

IAPT services join forces - page 8

Page 2: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 20162

CBT Today is the official magazine of the BritishAssociation for Behavioural & CognitivePsychotherapies, the lead organisation for CBT in theUK and Ireland. The magazine is published fourtimes a year and posted free to all members.Back issues can be downloaded fromwww.babcp.com/cbttoday.

Submission guidelinesUnsolicited articles should be emailed as Wordattachments to [email protected]. Publicationcannot be guaranteed.

An unsolicited article should be approximately 500words written in magazine (not academic journal)style. Longer articles will be accepted by prioragreement only.

In the first instance, potential contributors areadvised to send a brief outline of the proposedarticle for a decision in principle.

The Editors reserve the right to edit any articlesubmitted, including where copyright is owned by athird party.

DisclaimerThe views and opinions expressed in this issue ofCBT Today are those of the individual contributors,and do not necessarily reflect the views of BABCP, itsTrustees or employees.

Next deadline9.00am on 7 March 2016 (for distribution weekcommencing 8 April 2016)

AdvertisingFor enquiries about advertising in CBT Today, pleaseemail [email protected].

© Copyright 2016 by the British Association forBehavioural & Cognitive Psychotherapies unlessotherwise indicated. No part of this publication maybe reproduced, stored in a retrieval system nortransmitted by electronic, mechanical, photocopying,recordings or otherwise, without the prior permissionof the copyright owner.

Volume 44 Number 1February 2016

Managing EditorPeter Elliott

ContributorsHoward Lomas, Adrian Whittington

InsideInside4 New year, new President

Rob Newell and Chris Williams write to members

6 2016 ConferenceinformationEverything you need to know about this year’s BABCP Spring and Annual Conferences

8 IAPT services co-ordinate to help thoseaffected by the Shoreham Disaster Adrian Whittington gives CBT Today readers an insight into the response following theShoreham Air Disaster in August 2015

10 Providing care with a personality disorderA current PWP writes for CBT Todayabout their life as a clinician with Borderline Personality Disorder

11 News itemUniversity of Bristol depression study findings

13 Obituary - Dr Toni WhiteheadHoward Lomas pays tribute to former BABP Chair

This issue of CBT Today has been distributed tomembers slightly later than the original planned date.

Please accept our apologies, as normal service willresume from the April issue.

Page 3: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 2016 3

Applications are invited from BABCP members for the position of

Accreditation Liaison Officer

Closing date for applications - 13 March 2016Interviews will be held in Bury during week commencing 4 April 2016

Salary from £43,096 per annum pro-rata 15 Hours per week

As BABCP membership has exceeded 10,000 - and with a rapidlyincreasing proportion of accredited members - the Accreditation Team islooking to recruit an additional Accreditation Liaison Officer to increaseoverall resource in order to further develop the services we provide.

This position will involve a commitment of 15 hours per week workingfrom the BABCP Office in Bury.Therefore, please note this role will only suitsomeone prepared to be predominantly working from the Bury HeadOffice. Appointments will initially be for 12 months but will lead to apermanent contract following a satisfactory 12 months in post.

The newly appointed member of the team will assist the SeniorAccreditation Liaison Officer and the existing Accreditation LiaisonOfficers in developing the Accreditation Register; assisting in overseeingprocesses for accreditation; being responsible for supporting a team ofaccreditors processing applications, and providing impartial andinformed advice to BABCP members.

Applicants will have been Accredited BABCP practitioners for at least twoyears, and have a thorough understanding of the Accreditation process.

An application form and further details are available to download atwww.babcp.com/ALO2016. If you wish to make any informal role-specific enquiries then please contact the Senior Accreditation LiaisonOfficer, Charlie McConnochie at [email protected] organisation-specific queries contact Company Secretary Ross Whiteat [email protected], where you can also submit your completedapplication form and Equal Opportunities Monitoring Form. Please notethat a copy of all questions asked by shortlisted candidates andrespective answers will be made available to all short-listed candidatesfollowing short-listing.

It is with regret that the Board has to announce that Stephen Gregson hasleft his post as BABCP Communications Manager. Stephen worked hardover his time with the organisation to promote effective communicationswithin and beyond the organisation. He worked diligently to develop newrelationships with other stakeholders in all areas that the BABCP isinvolved in, and especially in his work developing links with branchesacross the UK and Ireland.

Stephen will be missed and his departure will be marked by theconsiderable loss of his input and skills across the organisation.

Dr Stephen Gregson

Save the date!March 2017Dublin

The Irish Association forBehavioural & CognitivePsychotherapies are pleased toannounce that they will beholding a ‘CBT in Ireland’ eventin Dublin, in March 2017.

The aim of the event will be topromote CBT across Ireland,as an evidence-based talkingtherapy, through bringingtogether individuals and relevantstakeholders from the public,community and voluntary sector.

More details will be included inthe April issue of CBT Today

Page 4: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 20164

New year, new PresidentWith BABCP members informed of Rob Newell’s resignation as BABCP President in December 2015,President Elect Chris Williams has stepped in to the role of President earlier than anticipated.

Here, both Rob and Chris let CBT Today readers know about these recent moves

Dear Colleagues,After a considerable period ofreflection, I regret that I have noalternative but to tender myresignation as BABCP President,effective from now. If the Boardagrees, I will continue only in anadvisory Past-President role untilJune 2016, to ensure an orderlytransfer of business to the currentPresident-elect Chris Williams, andoffer advice to him as needed, but willnot deal with other BABCP business.

I have been on the BABCP Board forover four years, as an elected memberand then as President. During thattime I have been very proud of beingable to do my bit for BABCP and forCBT, both of which have given somuch to my professional andpersonal life.

I became involved with the Board,and ultimately stood for President,because I hoped to see change withinthe organisation, predominantly inthe areas of increased public and user involvement.

Partly because of the amount of timespent over the past four years bymyself and the Board onadministrative matters, I can see littlechange in these areas to date. I regardthem as of great importance to theorganisation and to CBT, which hasalways prided itself on collaborationwith clients.

At our most recent Board meeting Isaw very positive signs that theseagendas might be moving at last.Unfortunately, I concluded that, afteryears of trying to press these matters,I am not the person with sufficientenergy to drive these issues forward.I also regret that this slow pace hasbeen a feature of other areas of workwe have tried to develop.

Also, over the years, there has also beenan ongoing high level of demand onthe President because of the currentdesign and governance of theorganisation, and this is at a level I feelno single person should be asked tobear. It is time therefore to look againat new governance and decision-making processes within BABCP.

I do want to use this resignation letterboth to push again for the realinvolvement of the public in CBT andin BABCP, and to thank you all for your kind support of me during mytime as President.

I hope you will understand thereasons behind my decision, and willsupport my successor in all aspects ofhis work for BABCP and wish Chrisevery success.

It will be a challenging job as thereare a number of long-term issues thatneeds to change, and I will offer himany support that I can.

With best wishesRob Newell

“”

...I have been very proud ofbeing able to do my bit forBABCP and for CBT, both ofwhich have given so much to my professional and personal life.

Page 5: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 2016 5

Dear Colleagues,Rob Newell emailed our members inDecember 2015 to let them knowthat after a period of reflection hehad decided to resign from his role asBABCP President.

Rob had considered stepping downfor several months, and as with allhard decisions there were multiplereasons for this.

He did not do so lightly and I wantedto make sure that he knows howmuch I, the Board and membersvalued him and his hard work.

I am pleased to say that Rob agreedto be co-opted back onto the Boardon an advisory basis until the AnnualGeneral Meeting in June 2016, andhis ongoing support will be incrediblyhelpful as he knows so much aboutthe organisation, having been on theBoard for the last four years.

There are some practical issues thatarise from this. The Board met afterRob informed us of his decision, andwe agreed that I would start my roleas President early, and will then runthrough the usual two-year term afterthe AGM.

We will advertise for a Board memberto start after June to cover the one-year term Rob would have served asPast President. But these responsesare reactive.

I am also keen to be proactive, and toconsider with the Board why Robreached a position where he felt heneeded to resign

Two key things ring out from his letter:

Firstly, we have moved over recentyears from being a small but growingorganisation, to a large body with asignificant staff and rising demands.Our governance, decision-making andprocesses have not developed in thesame way.

For example, the default has beenthat the President has ended up in acentral role for all sorts of businessthat is probably best dealt with inother ways.

A second issue is that much decision-making is made by the Board duringrelatively few face-to-face meetingsspread across the year. This makes itvery difficult to plan, monitor anddeliver change. It also slows downdecision-making which can befrustrating for all.

We met in early January 2016 todiscuss these issues, and have agreedto move to monthly telephone Boardmeetings in addition to our face-to-face meetings.

Finally, I put my hat in the ring for thePresident-elect role knowing some of

these challenges were present.Like lots of BABCP members I did sobecause I feel an affection andcommitment to BABCP and to CBT.

No-one else stood for the position,so my personal statement that wouldhave been used in the event of anelection was unused. I thought itmight be helpful to reproduce itbelow, as it outlines the position Iwould like to bring to BABCP.

This hopefully builds on the approachRob has wanted to foster – beinginclusive, and reaching out. I wish Robwell and thank him again for hiswork, wisdom and knowledge. Itreally has been appreciated.

I also know the Board wants to workon your behalf so that CBT andBABCP grow in helpful ways. Do thinkabout ways you might be part of thisalso when future Board electionsoccur - as the Board is there torepresent all members of this greatorganisation.

Best wishesChris Williams - President BABCP

My background is firmly multi-disciplinary. I’m a doctor, but also amember of the British PsychologicalSociety. BABCP has always felt like aprofessional home – an organisationthat is fun, interesting – a place forlearning and development. I wasdelighted to be President in 2001/02.

A lot has happened since then - I’mcertainly older and greyer. BABCP haschanged also – and faced lots ofchallenges – but along the way someof that sense of fun seems to havebeen lost. There have been tensionsaround - perhaps reflecting the

inevitable changes that occur asorganisations grow.

I think now is a good time to reflecton certain key questions. How to runan organisation that is growing soquickly? What size and shape ororganisation is really needed? How to offer quality accreditation butavoiding being overly burdensome?How to support work in IAPT, but tobalance this with CBT practitionersworking more widely too - and acrossthe UK? How can BABCP provide asense of fun and goodwill locally and nationally?

None of these issues can changewithout large numbers of peoplewishing it. BABCP has always beensomewhere that’s stimulating andcreative, a place where people wantto volunteer and help, giving theirtime, talents and goodwill because it’s something they value.

If elected, I want to encouragediscussion and consensual agreementwithin BABCP about these issues –and a wider consideration of howBABCP relates to itself and to others.

Professor Chris Williams’ Personal Statement

Page 6: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 20166

Diversity and CBT in Practice

BABCP Spring and AnnualConferences, 2016With this copy of CBT Today, you will have received a copy of the programme for the BABCP SpringConference, to be held in London on 7 and 8 April

The theme this year is ‘Diversity andCBT in Practice’, and the meetingorganiser is Andrew Beck, from theUniversity of Manchester and SalfordCognitive Therapy Training Centre.

The first day consists of a set of all-day workshops, delivered by skilledpractitioners, addressing how to workmore effectively with trauma inrefugee populations and depressionamong individuals from South Asiancultures, and cultural adaptations of CBT for those with serious mentalillnesses, for individuals with a rangeof gender and sexual identities,and for those with obsessivecompulsive disorder.

The second day consists of a series ofkeynotes, talks and panel discussionson issues regarding widening accessto CBT and adapting therapy forthose from different culturalbackgrounds, considering issues suchas spiritual background,homelessness, and ethnicity.

These two days will be a greatopportunity to revisit our skills andlearn how we can adapt them to bemore responsive and effective ineveryday practice.

And then we have our AnnualConference to be held for the first timein the beautiful city of Belfast.

The Scientific Committee have afantastic range of keynote speakersfrom the UK including David Clark,Kerry Young, Freda McManus, MichaelDuffy, Shirley Reynolds, and fromaround the globe, speakers such asChristine Padesky, Lars Goran Ost,Carolyn Becker, Robert Leahy andMerel Kindt.

The pre-conference workshops(delivered by some of the speakerslisted above, among others) address arange of core skills for a variety ofdisorders, including exposure therapy,working with emotions among adultsand adolescents, treating phobias,

working with complicated PTSD, andthe development ofmetacompetences.

Then there is a wide range ofsymposia and open papers. Inresponse to feedback, we have addedmore short clinical skills classes tothis year’s programme, so that youcan add to your specific skills base.

There are far too many symposia,open papers, posters and skills classesfor me to begin to list them here – go look at the website, and startchoosing. Finally, the most importantstuff…the social programme.

This integral part of the conference isbeing kept deliberately ‘loose’,particularly on the final night, whenthe Irish Branch are choosing from arange of events around the city sothat we can each choose from themand organise our own itineraries, allending at a single farewell partyvenue. Just try not to bump into eachother too hard on the way there.

Glenn WallerChair, Scientific Committee

For more information, visitwww.babcpconference.com

Page 7: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 2016 7

www.babcpconference.com

BABCP Spring Conference & Workshops 2016

Diversity and CBT in PracticeFull Day Workshops, Thursday 7 April Workshop 1Delivering evidence-based interventions for asylum seekers and refugees:working with trauma across IAPT and complex PTSD servicesShikainah Champion, South West London and St Georges NHS Trust and Sarah Heke,East London NHS Foundation Trust

Workshop 2Working with depression across cultures Farooq Naeem, Queen’s University, Canada, Farah Lunat, Lancashire Care NHS Foundation Trust and Nadeem Gire, University of Central Lancashire

Workshop 3Cultural adaptation of CBT for Serious Mental Illness Peter Piri, Southern Health NHS Trust

Workshop 4Queering CBT: Working with people who do not identify as straight or cisgenderMatt Bristow, Tavistock and Portman Gender Identity Clinic

Workshop 5 Cultural Adaptation of CBT in the treatment of OCDAndrew Beck, University of Manchester and Salford Cognitive Therapy Training Centre

BABCP Spring Conference Day, Friday 8 April Keynote speakers include

Professor Chris Williams, University of GlasgowBABCP Presidential Address: Widening Access to CBT: How classes and online resources can improve access for BME communities

Dr Shanaya Rathod, University of SouthamptonCultural Adaptation of Cognitive Behaviour Therapy: Possibilities and Challenges

Dr Nick Maguire, University of SouthamptonPsychological approaches for people who are homeless: What do we need to do,why do we need to do it and does it work?

Dr Nusrat Hussain, University of ManchesterLessons learnt on cultural adaptation of psychological treatments for British South Asians

REGISTRATION IS NOW OPEN! Visit www.babcpconference.com to register and for more information

Page 8: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 20168

When the unthinkable happens,and with no local precedence,what happens when servicesneed to join together to offermental health support in theaftermath of a disaster? Adrian Whittington gives CBT Today readers an insightinto the response following theShoreham Air Disaster inAugust 2015

Thousands of people gathered in WestSussex on 22 August 2015 to mark the75th Anniversary of the Battle ofBritain at the annual Shoreham AirShow.The display ended in disasterwhen a 1950s vintage jet crashed ontothe A27 having failed to complete aloop-the-loop manoeuvre.

Eleven people were killed, eitherwatching the show or travelling downthe road. Over a hundred peoplewitnessed the crash and its aftermathat close quarters, and many more atthe show and in the local communitysaw the jet go down.

We know that raw and powerfulemotions are common amongstthose who are involved in tragicevents such as this as we struggle tomake sense of what has happened.These may include grief for lovedones lost, as well as a range of otherexperiences linked to what we havewitnessed or been through ourselves.People often have very vivid andupsetting memories, have troublesleeping, feel jumpy or numb, and canstart feeling like they should avoidreminders of what happened.

These are all normal reactions, and formost these resolve themselvesthrough a natural process of healingover time. For some, however, theseexperiences become more persistentand if they continue for over a monthmay constitute Post Traumatic StressDisorder (PTSD). As we know, this is acondition for which there are twoevidence-based psychologicaltreatments: Trauma Focused CBT andEye Movement Desensitisation andReprocessing (EMDR).

Learning from the London Bombingsin July 2007 suggested that themajority of those who do develop

PTSD following a major incident areunlikely to arrive through usual referraland self-referral routes, but can do so ifactively encouraged to come forwardfor treatment. In the aftermath of theAir Show incident, West Sussex CountyCouncil co-ordinated a multi-agencyemergency response, which includedattention to the psychologicaltreatment needs of adults andchildren who were affected.

The local IAPT service at Time to Talkin West Sussex joined forces withother local IAPT services (Brightonand Hove Wellbeing Service and theHealth in Mind service in East Sussex)to put out helpful public healthmessages about natural healingfollowing trauma, alongside pro-actively inviting people to comeforward for treatment if theyremained significantly affected after six to eight weeks.

West Sussex Police wrote to all close-quarters witnesses with informationabout PTSD and how to getpsychological therapy, and local mediaoutlets were used to spread themessage more widely that IAPT serviceswould like people to come forward.

IAPT Services reach out after theShoreham Air Show disaster

Page 9: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 2016 9

“ ”The IAPT sites rapidly establishedtelephone lines staffed byexperienced psychological therapystaff to take calls from the public forthemselves and for their loved ones.These dedicated lines provided thoseaffected by the air show incident anopportunity to talk through theirexperiences with staff trained tolisten, without debriefing, and tovalidate and normalise theexperiences reported. The staff wereable to provide the caller with keypsychoeducational information,signposting information andimmediate access to children andyoung person’s services if required,through an agreed link schemefollowing the incident.

The initial contact on the telephonealso allowed services to identifypeople who had been re-traumatisedfollowing an earlier trauma and toalso encourage people to seek help ata later date if required. Providingthem with the appropriateinformation required, during the calland in a letter, to contact the servicesagain for a further trauma focusedassessment if necessary.

This feedback received during thesecalls was wholly positive from thegeneral public and from professionalswho also accessed this line for adviceon how to support their patients. Forthe staff who took the calls the keyaspect identified by them was thesupport provided through clinicalsupervision to allow them to processthe information shared with themwhich was, at times, highly distressing.

There were 10 to 15 calls a week intothe telephone lines services over thefirst two months, and It is estimatedthat about 20 to 30 members of thepublic could come forward with PTSDtriggered by the crash. Adults arebeing offered Trauma Focused CBT or

EMDR in their local IAPT service, andat least six children and young peoplewhose families contacted the ‘phonelines have been followed up by theirlocal Children and Young Peoples’mental health service.

This has been an example ofresponding to a disaster throughcareful co-ordination of existingservices, provided by three differentorganisations across multiple sites.Thelinkage to police, public health andsocial services allowed a timely andproactive response which we hope willmean more people receive treatmentfor PTSD now, rather than waiting.

Post Traumatic Stress Disorder can gountreated for many years, withdevastating impact on relationshipsand other aspects of functioning, andwe hope that through this proactiveand co-ordinated approach all thoseaffected by this disaster will comeforward for one of the psychologicaltreatments that we know can help.

Adrian Whittington, DeborahBarnett, Emma Russell, DamienBrennan, Nick Lake, Juliet Coucheand Jo Hillier together with manyothers co-ordinated the efforts of IAPT and other Mental Healthservices across West Sussex,Brighton and Hove and EastSussex to respond to theShoreham disaster.

We know that raw and powerful emotions are commonamongst those who are involved in tragic events such asthis as we struggle to make sense of what has happened.

More details can be found at:

www.sussexcommunity.nhs.uk/services/servicedetails.htm.DirectoryID-16358

www.bics.nhs.uk/patient-information/brighton-and-hove-wellbeing-service/

www.healthinmind.org.uk/

www.sussexpartnership.nhs.uk/

Page 10: CBT Today Vol 44 No 1 (Feb 2016)

10 CBT Today | February 2016

Breaking down the divideIn an attempt to encourage debate around stigma, we invited a current PWP to write for CBT Todayabout their life as a clinician with Borderline Personality Disorder

I'm a Psychological WellbeingPractitioner. I was diagnosed in myearly twenties with BorderlinePersonality Disorder (BPD).

People suffering with BPD are oftendescribed as manipulative, violent,attention-seeking, or near-impossibleto treat. The label is itself is a problem,appearing to suggest someone’spersonality; who they are, isinherently disordered. Growing up inan invalidating environment orexperiencing prolonged trauma inyour early years doesn’t mean you areuntreatable. It is possible to recover.

With the right treatment and supportpeople who have experience ofpersonality disorders can go on to becompetent, self-reflective and caringclinicians. Lived experience of mentalhealth problems and using services isbecoming more and more recognisedas a positive attribute when providingtherapy. With the right level of insightand self-management, experiences ofsuffering and overcoming adversitycan enrich and inform your practice.

I grew up in a house blighted bydomestic violence. At 15 I was in asexually and emotionally abusiverelationship. At 18 I left him andmanaged a year at university, butthen my mental health deterioratedsignificantly. Intense emotionsappeared seemingly out of nowhereand kept me in a state of intense fearand hopelessness I felt like my bodywas about to explode and my terrorand shame would kill me.

To cope I would self-harm or takeoverdoses, these were rarely lifethreatening, more an act ofdesperation in not knowing how tocope with my suffering and theempty void in my chest that wasunbearably painful. The depths of thehopeless desperation are difficult toconvey in words.

Trips to A&E occurred frequently. Iwas often treated as a nuisance. Somestaff were very kind, but overall Iexperienced a shocking lack ofcompassion. I was told I was being “asilly little girl” and was untreatable, ahopeless case. For five years I waspassed from one mental healthprofessional to another, I wasn’toffered any treatment but diagnosedwith five disorders.

After my mum constantly demandedhelp for me I was eventually offeredDialectical Behaviour Therapy (DBT). Istill don’t know why the decision wasmade to refer me. BPD was nevermentioned. I feel it could have easilybeen a lucky guess.

I’ll be forever grateful to the NHS as itsaved me and utterly changed mylife. I was finally being offered thetreatment I needed. It was the hardestbut most rewarding thing I’ve everdone. DBT taught me that it ispossible to have a curious, accepting,non-judgemental attitude towardsmyself. Although sitting withemotions felt very counterintuitive,there was a great sense of peace andmastery to be found in sitting withhow I felt, allowing it to pass and nothaving to resort to self-destructivemethods to try and cope.

Simply having someone(continuously) say “that sounds like areally understandable reaction” wasincredibly healing. I learnt to validatemyself. I faced my demons and learnthow to soothe myself. I was able tomanage my life without going fromcrisis to crisis. I’ll always struggle withthe consequences of beingtraumatised, but I’m able to managemy life and my emotions, mysuffering is significantly reduced.

I was able to complete my degreeand started work as a mental healthsupport worker. I loved it but I

wanted to work for the NHS in a moreclinical role, to give something back.I’ve been a PWP for nearly four yearsand enjoy my job beyond measure. Iam lucky to be in a very supportiveservice that offers fantasticsupervision and support. However, Iam selective in who I tell at work, Ifeel the assumption can be made thatI could cause harm. Who would trust a“manipulative, violent, attention-seeking” person to provide decent,beneficial care?

But I feel that my lived experience ofsuffering, the mental health system,and therapy makes me a morecompassionate clinician. No patienthas ever complained and I dischargepeople every week who havebenefited. No one can ever fullyunderstand someone else’s uniqueexperience of suffering, but I canrelate and that puts me in a positionto empathise, validate and have anon-judgemental attitude towardsmy patients, so we can work togetheron helping them feel better.

Mental health problems still carrystigma and having a personalitydisorder stigmatises you even further.We need to keep breaking down the“us and them” barriers. Being humanwe all suffer at times, there is nodivide between “ill” patients and“normal” professionals.

Page 11: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 2016 11

Dr Nicola Wiles, from the University’sSchool of Social and CommunityMedicine said: ‘Antidepressants areoften prescribed for people withdepression, but we know that manypeople don’t fully respond to suchtreatment.

‘We previously found that CBT was aneffective treatment reducingdepressive symptoms and improvingquality of life over 12 months forpatients who hadn’t responded toantidepressants, but before this study, there was very little evidenceabout the effectiveness of CBT overthe long term.’

The study found when CBT was given,in addition to usual care that

included antidepressants, it waseffective in reducing depressivesymptoms and improving quality oflife over the long term - on average46 months - for patients whosedepression had not responded tomedication. These benefits werefound, on average, 40 months afterthe end of therapy.

Over the course of 46 months, 43 percent of those who had received CBThad improved, reporting at least a 50per cent reduction in symptoms ofdepression, compared with 27 percent who continued with their usualcare alone.

The research - which was funded bythe National Institute for Health

Research HealthTechnologyAssessment (NIHRHTA) - wasconducted byacademics at theUniversity ofBristol, along withcolleagues from the Universities ofExeter, Oxford, Glasgow, andUniversity College London.

Their paper, Long-term effectivenessand cost-effectiveness of cognitivebehavioural therapy as an adjunct topharmacotherapy for treatmentresistant depression in primary care:follow-up of the CoBalT trial waspublished in the February 2016 issueof The Lancet Psychiatry.

Study findings on combining medicationand CBT for depressionResearchers at the University of Bristol have released findings of a study that says CBT is beneficial to people with depression who are also taking antidepressant medication

Page 12: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 201612

Clinical Skills Building Intensive inAcceptance & Commitment Therapy

Professor Steven C. Hayes

For more information on how to register, go to: www.contextualconsulting.co.uk

Friday 2nd and Saturday 3rd of September, 2016Park Crescent Conference Centre, 229 Great Portland Street, London W1W 5PN

This acceptance and commitment therapy (ACT) workshop is a single-track program covering two full days that is designed tosupport clinical-skills building in acceptance and commitment therapy (ACT) and relational frame theory (RFT).

What You Will Get out of the Workshop

• Develop fluid and flexible functional analysis skills

• Enhance essential skills in case conceptualisation

• Learn cutting edge defusion and acceptance techniques

• View live client video role plays

• Skills practice opportunities

Steve is one of the key originators of ACT and RFT. He bringstogether the “head” and “heart” of ACT with his highly engagingand charismatic presenting style. Don’t miss this uniqueopportunity to see one of the world leading ACT trainers in action!This training presents ACT theoretical and practical information atan intermediate level. Participants should have had some formal

training in ACT and should bereasonably familiar with mid-level ACT terms, specificallythe six core ACT processes(mindfulness, self-as-context,acceptance, defusion, values, and commitment).

About the PresenterSteven C. Hayes, PhD, is Nevada Foundation Professorat the Department of Psychology at the University ofNevada. An author of more than thirty-five books and500 scientific articles, his career has focused on ananalysis of the nature of human language andcognition and the application of this to theunderstanding and alleviation of human suffering.

RatesEarly bird: £220 (ends 12th August)Special “Bring a Friend” 30% discount - book 2 places:£154 per person - £308 total (ends 12th August)Limited Student places available

High quality training, supervision and therapy in Acceptance &Commitment Therapy and Contextual Cognitive Behaviour Therapies.

Acceptance and Mindfulness for CBT & Psychological Therapists

London 29th Feb - 1st March with Joe OliverBirmingham 21-22nd March, with Joe Oliver

& Richard BennettManchester 25-26th April with Joe Oliver

Glasgow 16-17th May with Joe Oliver

ACT for Psychosis Skills workshop with Joe OliverLondon 4th & 5th July

Living with the Enemy: ACT for physical health(intermediate level) with Ray Owen

London 10-11th October

ACTivate Your Coaching – ACT for Coaches andOrganisational Psychologists with

Jon Hill and Joe OliverLondon November (dates to be confirmed)

Check out our other upcoming 2016 Workshops!

Page 13: CBT Today Vol 44 No 1 (Feb 2016)

CBT Today | February 2016 13

Dr Antonia (Toni) Whitehead 1939-2015I am very sad to report that Dr Antonia Whitehead (known to her friends as Toni),died on 12 October 2015 aged 75 after suffering from cancer. Toni was the firstfemale Chair of BABP (later to become BABCP)

Toni completed her undergraduatedegree at University College (London)and then did clinical training(Postgraduate Diploma in Psychology- Section D, Abnormal Psychology asit was in those days), at the Instituteof Psychiatry and Maudsley Hospital.

After qualifying, she spent a yearworking at Warlingham Parkpsychiatric hospital, before returningto the Institute of Psychiatry as anAssistant Lecturer. While there, shebegan her research career in earnest,completed her PhD, and then movedto the University of Oxford as aMental Health Foundation SeniorResearch Fellow for three years.

Toni became a member of the Oxfordbehaviour therapy interest group, oneof several such groups around the UKwhich led to the foundation of BABPin 1972. Toni became a BranchRepresentative for the Oxford branchand was very active in that role,promoting change in the structure of BABP.

In 1974, Toni began a five-year stint asLecturer and Tutor in Psychology atthe University of Reading. Toni'sprofessional service career began in1976 as Chair of the BABP (theposition which is now known asPresident of BABCP), and during thistime she also became a member ofthe Joint Professions Working Partyon the Statutory Registration ofPsychotherapists.

Toni was the third Chair of BABPfollowing H Gwynne Jones and IsaacMarks. Prior to this, the BABPcommittee was 100 per cent male so,after four years, this was a verywelcome election result. As Chair, Tonihad a very able and astute mind,tough when she had to be, with a

great capacity to get things done. Shealso came across as an unassuming,warm, relaxed and frequently jovialindividual with an infectious laugh.Toni was the last person to serve atwo year period of office as Chair untilit was reinstated 30 years later in2006. She was superseded by JohnMarzillier in 1978.

In 1979, she joined what was tobecome the Kingston and EsherCommunity NHS Trust as Head of thePsychology Service, simultaneouslyholding an Honorary SeniorLectureship in St. George's HospitalMedical School (University ofLondon). She headed the TrustPsychology Service until she retired.

Toni published or was co-author ofover 25 papers and book chapters(including Behavioural Psychotherapy1991). Her publications cover memoryin older people, dementia, depressionand sexual dysfunction in womenand a number of papers concernedwith clinical psychology training.

Having become initiated in "political"roles through BABP and hermembership of the Working Party onStatutory Registration, Toni then hadseveral periods of office concernedwith other professional activities. Sheworked as an examiner for the BPSDiploma in Clinical Psychology,became a member of the Board ofExaminers and was eventuallyappointed Chief Examiner. Herconcern with training also led to hermembership of the Committee onTraining in Clinical Psychology and in1986, she went on to chair theWorking Party on National TrainingNeeds in Clinical Psychology.

Toni held several other officesincluding Chair of Board of Examiners

for Qualifications in ClinicalPsychology, and she was a member ofthe Membership and QualificationBoard of the BPS and the BPSFellowships Committee. She was alsoa founder tutor for the HarrogateCourse, a training programme forpsychologists aspiring to more seniormanagerial roles in the. It is worthnoting her long service on theRegional Research Committee of theSouth West Thames Regional HealthAuthority, the first psychologist to beinvolved in this way in the Region.

Outside her professional life, Toni hada wide-ranging list of interests andactivities. She was an outstandingvegetarian cook, a cat and theatrelover, country walker, very interestedin music and was part of a local choir.She was an eco-friendly gardenermanaging her big garden to greateffect, which she kept semi-wild toencourage the local bird populationnear her home in Wheatley, Oxford.

She was an enthusiastic bird watcherand expert on local species andtravelled to exotic places to extendher knowledge and sightings. Toni’sacademic and research skills servedher well; she developed amethodology for annual surveys oflocal bird populations that are still on-going and co-authored a book on TheBirds of Shotover, a sanctuary nearOxford, among her other activities.

Toni is survived by her older sister,Juliet Clark, now aged 80 who hassaid that Toni stayed determinedtowards the end, and achieved her “courageous” ambition to be self-caring.

Howard LomasJanuary 2016

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Compassion SIGpresents

Building Resilience in Therapistswith Dr Mary Welford

Friday 24 June 2016Wakefield

As therapists we are really unusual. We choose to spend our time, dayin day out, engaging with the emotional suffering of others with theaim of alleviating their distress. This has an impact on us. If we lookafter our wellbeing, and feel we have skills that will be of assistance,we can feel very privileged to do the job we do. Our wellbeing is good.

Unfortunately busy lives and work pressures often mean that we donot look after ourselves to the extent that we should. In addition,sometimes we feel we just do not have the skills or approach to assistthe people we see. Our wellbeing suffers.

This workshop will aim to enhance psychological resilience indelegates by building a compassionate relationship with themselvesand addressing shame and self-criticism. Individuals will have directexperience of applying Compassion Focused methods to their ownlives and a secondary outcome will be a greater understanding of howthey may use it within their teams and with their clients.

Registration fees

BABCP members: £85, Non-members: £95

www.babcp.com

Control Theory SIGpresents

The Method of Levels: A transdiagnostic approach toeffective and efficient patient-perspective treatmentwith Professor Tim Carey

30 March - 1 April 2016London

5 – 7 April 2016Manchester

This three-day workshop will include presentations, group discussions,and therapeutic demonstrations to help participants understand boththe theoretical principles and therapeutic practices of MOL. Ampletime will be spent covering both the therapy and the theory so thatparticipants will leave the workshop feeling able to use MOLtechniques in their very next session.

The workshop will address common effective elements of therapy andtime will be spent practicing techniques in the workshop andevaluating the techniques using a reflection tool that will be provided.MOL is an exciting and innovative approach to therapy and throughthis workshop participants will become aware of the ways they canuse MOL to enhance their own therapeutic effectiveness.

Registration fees

BABCP members:Day 1 - £65 Days 2 & 3 - £130 All 3 days - £180

Non-members:Day 1 - £75 Days 2 & 3 - £140 All 3 days - £200

www.babcp.com

Medics SIGpresents

Inaugural Conference

Thursday 17 March 2016Leeds

Speakers

Dr Graeme Whitfield & Dr Ali AlfarajThe role of the consultant psychiatrist in CBT

Dr Steve MoorheadCBT competencies for the Outpatient Department

Dr Lynne DrummondRecent advances in the treatment of OCD

Dr David VealeCBT treatment of Vomit Phobia

Dr Saju PadakkaraPsychological issues of transgender and gender non-conforming people

Registration fees

BABCP members: £45 Non-member: £50 Student/Trainee: £20

To register, email [email protected]

www.babcp.com

To find out more about these workshops, or to register, please visit www.babcp.com/events or email [email protected]

Scotland Branchpresents

CBT and Coupleswith Marion Cuddy

and Dan Kolubinski

Friday 26 February 2016Perth

This workshop will provide anintroduction to the theory andapplication of Cognitive-BehaviouralCouple Therapy. The theoreticalunderpinnings of the model will be described,along with the main intervention techniques.Materials will cover assessment, formulation,and outcome measurement. The challenges ofworking with distressed couples will bediscussed. The workshop will be interactiveand role play exercises - as well as groupdiscussions - will be used to practice clinicalskills throughout the day. The evidencesupporting couple therapy will be presentedand participants will have plenty ofopportunities to ask questions.

Registration fees

BABCP members: £85, Non-members: £105

www.babcp.com

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To find out more about these workshops, or to register, please visit www.babcp.com/events or email [email protected]

ACT SIG Branchpresents

Therapists’ use of self in ACTWith Dr Helen Bolderston

Wednesday 9 March 2016Bournemouth

This workshop, drawing on understanding from ACT, Mindfulness,Functional Analytic Psychotherapy, and humanistic approaches suchas Gestalt, will emphasise the use of therapist self-exploration,experiential exercises, small group work, and facilitator demonstration,to support participants in beginning to consider these important interand intra-personal abilities within the context of ACT. Attention will bepaid in the workshop both to the therapeutic relationship and topsychological self-support for therapists.

Participants should have a basic familiarity with ACT and be workingwith people. This event will be suitable for intermediate and advancedpractitioners.

Registration fees

BABCP members: £75, Non-members: £85, Student/Trainee: £65** Evidence to be sent with application

www.babcp.com

IABCPpresents

Sleep well and live better:overcoming insomnia using CBTwith Professor Colin Espie

4 March 2016Dublin

The purpose of this workshop is to explain why CBT is an appropriatetreatment for insomnia, to describe CBT methods for treatinginsomnia, and to summarise the evidence regarding its effectiveness.In the first part of the workshop, we will describe clinical features ofinsomnia, outline assessment procedures for evaluating sleepcomplaints, and discuss differential diagnostic issues. In the secondpart, we will focus on treatment, with a practical emphasis on CBT.Psychological and behavioural procedures will be described andclinical case examples will be used to illustrate their applications.Clinical and practical issues regarding the implementation of a CBTprotocol for insomnia will be discussed, and models of servicedevelopment/delivery will be considered.

Registration fees

BABCP members: £90, Non-members: £100

www.babcp.com

Midlands Branchpresents

CBT for the Elderlywith Professor Ken Laidlaw

27 & 28 April 2016Derby

Registration fees

Early bird:payments received up to 29 FebruaryBABCP members: £100,Non-members: £120

Full registration fee from 1 March

BABCP members: £150,Non-members: £170

West Branchpresents

Continuing your ACT Journey -Next steps to enhancing yourACT workwith Dr David Gillanders

Thursday 3 & Friday 4 March 2016Bristol

This training is suitable for people from any professional backgroundwho have experience of delivering structured psychologicalinterventions and strategies. This includes but is not limited to appliedpsychologists, cognitive behavioural therapists, counsellors,psychotherapists, physiotherapists, occupational therapists, nurses,social workers, coaches, psychological well-being practitioners andmedical practitioners.

In addition, you must have attended an introductory training in ACTthat covers both a conceptual and experiential introduction to theACT model (the six processes of psychological flexibility).

Registration fees

BABCP members: £150, Non-members: £170

www.babcp.com

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South East Branchpresents

Compassion forSchools Workshopwith Dr Mary Welford

Thursday 3 March 2016Sevenoaks

Registration fees

BABCP members: £50, Non-members: £60

CBT for Couples with Marion Cuddy and Dan Kolubinski

9 & 10 May 2016Sevenoaks

Registration fees

BABCP members: £100, Non-members: £120

www.babcp.com

Devon & Cornwall Branchpresents

Working with Tics and Tourette’swith Dr Tara Murphy

29 April 2016

Registration fees

Early bird: payments received up to 18 MarchBABCP members: £60, Non-members: £80

Full registration fee from 19 MarchBABCP members: £70, Non-members: £90

Acceptance and Commitment Therapy:Experiential Introduction with Skills Trainingwith Martin Wilks and Henry Whitfield

12-13 May & 21-22 July 2016 - 4 Day workshop

Registration fees:

BABCP members: £340, Non-members: £400

Trauma Focused Cognitive Therapy for PTSDPresented by Dr Nick Grey

3 June 2016

Registration fees:

Early bird: payments received up to 29 AprilBABCP members: £60, Non-members: £70

Full registration fee from 30 AprilBABCP members: £80, Non-members: £90

All workshops are held in Buckfast

www.babcp.com

Manchester Branchpresents

CBT for Adults with EatingDisorders: Aiming for recoverywith Professor Glenn Waller

12 & 13 April 2016 - Manchester

Registration fees

BABCP members: £125, Non-members: £135

Best Practices:CBT for Depression & Suicidewith Dr Christine Padesky

10 & 11 June 2016 - Manchester

Registration feesEarly Bird rate for payment received by 31 March

BABCP Members: £170, Non-members: £185

Full rate for payment received from 1 April

BABCP members: £185, Non-members: £200

www.babcp.com

To find out more about these workshops, or to register, please visit www.babcp.com/events or email [email protected]

North West Wales Branchpresents

Cognitive Therapy for Social Anxiety Disorder (SAD)and Panic Disorderwith Dr Nick Grey

29 April 2016Bangor

This workshop will highlight the core skills such as the use of discussion techniques, behavioural experiments and imagery. It will clarify the differences in diagnosis,formulation and treatment methods. There will be a greater focus on the clinical approaches needed to address SAD, including the use of video,and the role of attentional processes.The workshop will include reflecting on tapes of actual sessions, experiential exercises, and the opportunity to consider one’s one cases.

Registration fees

BABCP members: £80,Non-members: £90

www.babcp.com

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