IAPT Evidence-Based CBT Formulations
IAPT Evidence-Based CBT Formulations
Hi
I know that IAPT high intensity workers do cbt formulations (case conceptualisation) for dep, anxiety, social phobia...etc. But I have heard that they only use certain CBT formulations approved by IAPT.
Does anyone know any websites or books that give further information on which formulation ?
I know that IAPT high intensity workers do cbt formulations (case conceptualisation) for dep, anxiety, social phobia...etc. But I have heard that they only use certain CBT formulations approved by IAPT.
Does anyone know any websites or books that give further information on which formulation ?
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Re: IAPT Evidence-Based CBT Formulations
within lectures we were taught the protocols from the cbt core competencies document (if you google that plus ucl plus Roth and Pilling, it should come up). However, we still individualise any formulation, plus the use of transdiagnostic formulation, in actual practice. As regular cbt therapists would do!
At least I'm not as mad as that one!
Re: IAPT Evidence-Based CBT Formulations
Thanks for reply...are there any recommended disorder specific models
Re: IAPT Evidence-Based CBT Formulations
the recommended models are linked to the protocols within the core competencies document e.g. Dugas/borkovec/wells - GAD, Beck -depression, Clark or Craske and Barlow - panic. If you look in the disorder specific competencies, then it'll have them referenced in there.
At least I'm not as mad as that one!
Re: IAPT Evidence-Based CBT Formulations
If God invented marathons to keep people from doing anything more stupid, the triathlon must have taken Him completely by surprise.
Re: IAPT Evidence-Based CBT Formulations
However be warned about get sekf help as not all of these are IAPT approved!! I am looking for the IAPT approved social phobia/anxiety model. thanks for your pointers!! 

Re: IAPT Evidence-Based CBT Formulations
Clark and Wells, or Wells and Clark. Depending on whether you're reading Clark's or Wells' book 

At least I'm not as mad as that one!
Re: IAPT Evidence-Based CBT Formulations
Yeah, Roth and Pilling is the best for checking this out. It says for social phobia: Heimberg or Clark.baa wrote:within lectures we were taught the protocols from the cbt core competencies document (if you google that plus ucl plus Roth and Pilling, it should come up). However, we still individualise any formulation, plus the use of transdiagnostic formulation, in actual practice. As regular cbt therapists would do!
(The use of transdiagnostic formulations, self-esteem for one, is very interesting...given that part of what IAPT is doing is to be a massive experiment to see if the efficacy form evidenced based models are effective in clinical settings. When we stray from the models, we are messing that up.)
Dorothy: Now which way do we go?
Re: IAPT Evidence-Based CBT Formulations
In our service very few of the Step3s stay strictly to the models (I know this from asking them about how they work), they bring in elements from their other trainings or previous core professions so any conclusions made about these models, if based purely on numbers through IAPT and a tick box that the session was CBT will be based on seriously flawed evidence. I'm sure our service is not unusual in that. In fact, I expect the ones sticking mostly to the models are the ex PWPs who did not have a core training outside of CBT.Dr.Dot wrote: (The use of transdiagnostic formulations, self-esteem for one, is very interesting...given that part of what IAPT is doing is to be a massive experiment to see if the efficacy form evidenced based models are effective in clinical settings. When we stray from the models, we are messing that up.)
Re: IAPT Evidence-Based CBT Formulations
Dr.Dot wrote:Yeah, Roth and Pilling is the best for checking this out. It says for social phobia: Heimberg or Clark.baa wrote:within lectures we were taught the protocols from the cbt core competencies document (if you google that plus ucl plus Roth and Pilling, it should come up). However, we still individualise any formulation, plus the use of transdiagnostic formulation, in actual practice. As regular cbt therapists would do!
(The use of transdiagnostic formulations, self-esteem for one, is very interesting...given that part of what IAPT is doing is to be a massive experiment to see if the efficacy form evidenced based models are effective in clinical settings. When we stray from the models, we are messing that up.)
Given the lack of evidence for Fennell's self esteem model in IAPT, is there any documentation/research about how best to work with low-self esteem?
Re: IAPT Evidence-Based CBT Formulations
I am interested when people say trans-diagnostic formulations, what does this look like? Are they just vicious flowers or something else? If there is any literature/reference, I would be interested in reading it.
Re: IAPT Evidence-Based CBT Formulations
Self-Compassion or self-esteem might be a more important question.
Re: IAPT Evidence-Based CBT Formulations
This is one example of a trans diagnostic formulation... http://www.getselfhelp.co.uk/docs/model ... Esteem.pdfAlex wrote:I am interested when people say trans-diagnostic formulations, what does this look like? Are they just vicious flowers or something else? If there is any literature/reference, I would be interested in reading it.
Re: IAPT Evidence-Based CBT Formulations
Most IAPT services use Fennell's self esteem model, if thinking about it from a CBT perspective.Beaut wrote:Dr.Dot wrote:Yeah, Roth and Pilling is the best for checking this out. It says for social phobia: Heimberg or Clark.baa wrote:within lectures we were taught the protocols from the cbt core competencies document (if you google that plus ucl plus Roth and Pilling, it should come up). However, we still individualise any formulation, plus the use of transdiagnostic formulation, in actual practice. As regular cbt therapists would do!
(The use of transdiagnostic formulations, self-esteem for one, is very interesting...given that part of what IAPT is doing is to be a massive experiment to see if the efficacy form evidenced based models are effective in clinical settings. When we stray from the models, we are messing that up.)
Given the lack of evidence for Fennell's self esteem model in IAPT, is there any documentation/research about how best to work with low-self esteem?
Re: IAPT Evidence-Based CBT Formulations
There is quite alot of literature out there on transdiagnostic processes in disorders such as OCD, depression and anxiety. Low self esteem and perfectionism are two transdiagnostic processes where the evidence base is emerging and looking positive. I've used both before, with varying results. For one client whilst their symptoms were low mood and anxiety they wouldn't have related to either of those labels, and instead described their problem as stress and needing to succeed. So when we looked at the perfectionism model (by Roz Shafran) it hit the nail on the head.Alex wrote:I am interested when people say trans-diagnostic formulations, what does this look like? Are they just vicious flowers or something else? If there is any literature/reference, I would be interested in reading it.
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