When we first feel unwell with pain we may rest ourselves, perhaps taking time out from our usual activities. Hopefully we recover and gently resume our actvities. But what if the pain doesn’t go away, when the weeks and months and sometimes years pass with no significant reduction in pain?
Often people who experience chronic pain have greatly reduced actvities, and many people can become unemployed and socially isolated. Continue reading
I have written in a previous blog about relapse prevention plans. Once a person is feeling better, no longer unduly anxious or clinically depressed, it is important to look at ways of keeping well. This can include how to respond if the anxiety re-emerges or the mood dips again, but hopefully we can go further than this and consider what for us constitutes living well. Continue reading “Staying Well”
Dorothy Rowe, well known for her books on depression, says ‘If you make happiness your goal, then you’re not going to get to it. Philosophers have been saying it for thousands of years. The goal should be an interesting life.” Continue reading “Happiness will come when it comes”
The idea of facing our fears has always been with us and has been much written about in ancient and modern scripts. Jim Morrison, of The Doors, said “Expose yourself to your deepest fear; after that, fear has no power, and the fear of freedom shrinks and vanishes. You are free.” I like this quote as it acknowledges the existential fear of freedom and is in keeping with a CBT approach to facing fears. Continue reading “Some tips for facing our fears”
We all want to know that when we choose to speak with a therapist about intimate aspects of ourselves this will be treated with confidentiality. But if our therapist is unable to talk about us then how can we be assured that the therapy is going as well as possible? Continue reading “Will my therapist talk to other people about me?”
A strong principle for the practice of CBT is the facing of our fears. There is good reason for this, and avoidances can certainly cause us more trouble in the long run, but is there a place for avoidance too? Continue reading “Is it always best to face our anxiety?”
If you are alert to the presence of spiders you will know that there are still plenty of them around in the home and garden. And if you are alert to their presence this may be because you love them or because you are afraid of them. If you are afraid of them you are not alone, many of us find spiders’ long legs and their hairs brings up a feeling of disgust and anxiety which then renders us unable to cope, and with the best thing seeming to be to avoid the leggy arachnid.
Continue reading “Arachnophobia”
How helpful are the NICE Guidelines when it comes to psychological therapies?
The National Institute for Clinical Excellence provides guidelines for good practice in all health care based on systematic reviews of randomised controlled trials. In the world of mental health some therapies have been very on the ball with outcome measures and lend themselves well to being developed into treatment protocols for specific sets of problems, or diagnoses. CBT is one of these, which is why CBT is still the main therapy on the menu in the NHS. CBT does not have to be delivered in protocol fashion, but to be NICE Guideline compliant it does. Continue reading “CBT and NICE Guidelines – a good thing?”
Using the right keywords for CBT web pages may not be the best way to describe the therapy.
Of the BABCP accredited cognitive behavioural therapists in East Sussex, I am one of those who have been accredited the longest. This is not me blowing my own trumpet; I know many of those whose websites appear before the Brighton Therapy Works website with a Google search, and can vouch that there are many good therapists to choose from. No, my Googlepride is hurt. Continue reading “CBT keywords or a description of psychotherapy?”
We all know what anxiety feels like, and often we understand why we are feeling anxious at particular times. But what about when we feel it nearly all of the time, when we do not understand our feelings, or when it becomes overwhelming? If this carries on for too long many areas of our life will be affected and we may also become depressed
Why do we get anxiety? Continue reading
CBT can be used on different levels of “depth” depending on who is using it and the problem for which it is being used. Essentially it is a way of understanding how a problem works and the ways in which this problem is maintained, thus enabling us to work out ways of working with the problem. Continue reading “Cognitive Behavioural Therapy (CBT)”