Title SHE Level SCQ F Level Module Descriptor MODULE 4: Cognitive Behavioural Therapy for Anxiety and Depression Level M Level 11 Semester & Mode of Study Code (if known) Part Time Credit Rating 15 Module Co-ordinator Theresa Kelly Module Team Melanie Sharp, Prof. Andrew Gumley, Dr Rob Durham, Dr Andy Summers, Dr Liz Drewett, Kevin Noon, Dr Leeanne Nicklas, Fiona Switzer Modules 1-3 Pre-requisites Co-requisites Prohibited Combinations To provide students with an overview of the main CBT theories related to low intensity anxiety and depression disorders and the application of CBT interventions appropriate to these disorders. Learning Outcomes On successful completion of the module the student will be able to: L1 Engage with and critically assess the evidence base for the use of CBT in low intensity anxiety and depression. L2 L3 L4 L5 L6 Assessed in this module A B C D √ √ √ Diagnose, assess and interpret anxiety and depression disorders using standard diagnostic criteria and psychometric measures in clinical practice. √ √ √ √ Drawing on evidence base, assess, plan and apply in practice a CBT programme for mild anxiety and depression. √ √ √ √ Evaluate and critically reflect on CBT treatment for mild anxiety and depression carried out within your practice. √ √ √ √ √ √ √ √ √ √ Critically reflect on therapeutic alliance throughout therapy. Demonstrate application to therapy of learning gained through supervision process. A – Knowledge and Understanding B – Intellectual Skills C – Practical Skills D – Transferable Skills Learning Experiences The module will engage the student in the following types of learning experiences: 6 direct teaching days Tutorial Clinical supervision Case study write up Background reading/self directed study Tape rating and discussion Direct therapy contact Total = 42 hours = 7 hours = 7 hours = 25 hours = 74-77 = 8 hours = 12 – 15 hours = 150 hours Assessment Pattern Audio recording of therapy session assessed by supervisor and two independent raters. Weighting 40% L3 L4 L5 Case study (3,000 words) Review the literature on CBT for anxiety or depression and apply theory to develop a plan for therapy on a case treated in clinical practice. (Marked by two independent raters). Weighting 30% L1 L3 L4 L6 Supervisors’ assessment. Weighting 30% L2 L3 L4 L5 Can this Module be Anonymously marked? **Yes/No explanation. ** Supervisors assessment is not anonymous by necessity. Content Models and theories in CBT for anxiety and depression Models for guided self help for anxiety and depression and brief CBT. Diagnostic classifications. Therapeutic principles and alliance. The structure, content and purpose of brief, low intensity CBT. Communication strategies and skills Principles of supervision. If No please provide an Main Texts Reading about self-help Gellatly JL, Bower PJ, Hennessy S, Richards DA, GilbodyS, Lovell K. (2007). What makes self help interventions effective in the management of depressive symptoms? Meta analysis and meta regression. Psychological Medicine, 37 (9), 1217-1228 Whitfield, G., Williams, CJ. If the evidence is so good why doesn’t anyone use them? Current uses of computer-based self-help packages. Behavioural and Cognitive Psychotherapy, 2004, 32:1, 5765. Behavioural Activation Kanter, J. Busch, A & Rusch, L. (2009). Behavioural Activation-CBT Distinctive Features series. Routlege. Kanter, J., Manos, R., Bowe, W. et al. (2010) What is behavioural activation? A review of the empirical literature. Clinical psychology review. 30. 608-620. Martell, C.R., Dimidjian, S., Herman-Dunn, R. (2010) Behavioural Activation: A Clinician’s Guide. Guilford Press, New York Mazzucchelli T, Kane R, and Rees C, (2009) Behavioural Activation Treatments for Depression in Adults: A Meta-analysis and Review. Clinical Psychology Science and Practice. 16 (4) 383-411 Depression Gilbert, P. (1997) Overcoming Depression: A self-help guide using Cognitive-Behavioural Techniques Constable Robinson, London Scott,J. (2001) Overcoming Mood Swings Constable Robinson, London Scottish Intercollegiate Guidelines Network (2010) Non-pharmaceutical management of depression in adults A national clinical guideline. Available at: http://www.sign.ac.uk/pdf/sign114.pdf. Accessed on 21st September 2012 National Institute for Health and Clinical Excellence (2009) Treatment and Management of Depression in Adults. Available at: http://guidance.nice.org.uk/CG90 Accessed on 21st September 2012 Anxiety Butler, G., Fennell, M., Hackmann, A., (2010) Cognitive Behavioural Therapy for Anxiety Disorders. Mastering Clinical Challenges. The Guilford Press. New York. Wells, A. (1999) Cognitive Therapy of Anxiety Disorders. A Practice Manual and Conceptual Guide. John Wiley & Sons Ltd. England. Panic Disorder Barlow, D.H. and Craske M.G. (2007) Mastery of Your Anxiety and Panic: Therapist Guide for Anxiety, Panic, and Agoraphobia (4th edition) Oxford University Press Inc, USA Salkovskis and Clark (1991) Cognitive therapy for panic disorder Journal of Cognitive Psychotherapy 5 215-226 Social Phobia Acarturk C et al., (2009) Psychological treatment of social anxiety disorder: a meta-analysis. Psychological Medicine, 39, 241-254. Morgan J. (2010) Autobiographical memory biases in social anxiety. Clinical Psychology Review, 30, 288-297. Schultz LT & Heimberg RG (2008) Attentional focus in social anxiety disorder: Potential for interacting processes. Clinical Psychology Review, 28, 1206-1221. Specific Phobia Butler, G. (1989) Phobic disorders pp97-128 in K. Hawton, P.M. Salkovskis, J. Kirk and D.M. Clark Cognitive Behaviour Therapy for psychiatric problems: A practical guide Oxford: OUP Craske, M.G., Antony, M. and Barlow D.H. (1997) Mastery of your specific phobia: Therapist Guide New York: OUP Other relevant details Signed Dr. Leeanne Nicklas Registry use only Date 12/03/14 Date received