Mental Health is Everyone’s Business Autumn 2015 Newsletter Next meeting of The CBT’ers Club: Working with Anxiety Eating Disorders Special Interest Group (Scotland) BABCP Accreditation Workshop in Glasgow Wrestling with Self-Doubt as a Therapist Book Review CPD Events and lots more! .... ! Copyright 2015 by Alexandra O'Brien © All rights reserved
The CBT’ers Club Meeting: August 2015
Hello everyone, Hope you are well. Thank you to those who came along to the last meeting at the beginning of June. We met in a new venue since the No Bodies Perfect Centre is no longer available. This new venue was right in the heart of Glasgow city centre and so quite convenient for many of us living outside Glasgow to get to. It was a good venue overall – the decor was a little oldfashioned, although it was comfortable and suited our needs. It may be an option for those of you looking for new or alternative consulting rooms in which to practice, especially if you are looking for somewhere that is in the heart of Glasgow city centre. This meeting explored the use of psychological assessment scales and inventories in CBT therapy. A few people had requested this topic, which is why it was the focus for this gathering. It was a really interesting meeting involving discussion around some handouts that I had prepared and which included looking at the pros and cons of using assessment scales in CBT. We also discussed some of the scales we use in our own practice, as well as those we have found to be not so helpful. We looked
at various other points related to using assessment scales in CBT, some of which was covered in the handouts. It was really interesting to find out how differently many of us work and practice, as well as a range of experiences regarding the use of assessments in our own practice. There was no film/documentary footage this time because there isn’t really any on the use of assessment scales in CBT. The topic, therefore, focused on some academic points about assessments as well as our own experiences, practice and opinions. The second half of the meeting consisted of peer group supervision and talking over some issues that we needed some support with. As always, it is very helpful and validating to hear about other member’s practice as a psychotherapist too. I personally find this a valuable part of The CBT’ers Club and I do hope other members find it just as useful. We also managed some news and updates. We even treated ourselves to some lovely lunch at a nearby Italian restaurant, which was a really nice thing to do. It was great to see everyone there. Thank you to those who came along and participated. The next meeting of The CBT’ers Club will take place on Saturday 29th August 2015, 11am-1.15pm. The cost of this meeting will be £7.50. This will go towards the cost of room hire and tea/coffee/biscuits, printing/ preparation of handouts and certificates. So please note the change of venue – we no longer meet in Byres Road. I have booked the venue we used for the meeting in June again. The location for this meeting
is right in the middle of Glasgow city centre. Given costs, places will be limited to 6/7 people as I don’t want to rent a larger, more expensive room if I don’t know who is attending. I have used the training suite at this venue, but it’s too large and I have opted for a small meeting room. The venue is very central and next to Queen Street Station. It is also a minute’s walk from Buchanan Street Subway, 5 minute’s walk from Buchanan Bus Station and Central Station and 5-10 minute’s walk from High Street Station. The address is: The Meeting Rooms/The Training Suite, Petal, The Connal Building, 4th Floor, 34 West George Street, Glasgow City Centre, Glasgow, G2 1DA. I have also included the link to Google maps here: https://www.google.co.uk/maps/place/The+Training+Sui te/@55.86200564.252489,18z/data=!4m2!3m1!1s0x4888469 ffb32aae9:0xb2e328afa150171b I will bring CPD Certificates of Attendance for those attending this meeting. Please give 3 days’ notice if you can’t make the meeting as I don’t want to get Certificates printed and then you don’t turn up - a fee will apply for wasted Certificates (I don’t want to have to do this, but it does cost me money to print them etc) so please give plenty of notice if you can’t attend, thank you. I have been informed by COSCA that meetings of The CBT’ers Club will contribute towards your CPD hours (which is currently 54 for accreditation as far as I can remember). Remember, there are CBT-related things posted on Fa-
cebook by us, so if you are on Facebook, please feel free to ‘Like’ The CBT’ers Club. We did have a profile until recently, but Facebook converted it to a page, so many posts were lost, as were ‘friends’. Here is the new link: https://www.facebook.com/pages/TheCBTers-Club-Scotland/915816201766650?ref=aymt_homepage_panel I have looked through the ‘suggestions’ notes that some of you have provided on the note-cards over the last few meetings and the theme of ‘anxiety’ has come up a few times. Consequently, the theme of this meeting will be ‘anxiety’. Anxiety is presented quite a lot in therapy, even by those who are not attending therapy specifically for anxiety-related issues, so it would be helpful to all of us to explore and discuss this presentation. Please feel free to bring along any worksheets, articles, books, tools, assessments, links etc that you wish to discuss or share with the group in relation to anxiety. If there is anything else in particular you would like to discuss or share at the meeting in relation to this topic, please also bring this to the group. Consequently, here is the Agenda for the next meeting: * Working with Anxiety in CBT (video footage/powerpoint followed by discussion, samples/examples and experiences) * Peer Group Supervision (for trainee and qualified counsellors and psychotherapists) * General discussion and updates
* Topics/Themes/Activities for the next meeting If you can’t make a meeting for whatever reason, please do let me know in as much advance as possible, as other people may wish to come and I also need to ensure Certificates are done in advance. Hopefully this sounds reasonable.
Mindfulness Based Compassion Workshop in Edinburgh with Erik van der Brink and Frits Koster
Thank you for your time and interest in The CBT’ers Club. Closing date for confirming attendance is: Friday 21st August 2015. Please RSVP via email if you wish to attend the next meeting on Saturday 29th August 2015 by the date above. Please email cbtersclub@yahoo.co.uk to confirm your attendance.
When: Where: Cost:
If you know anyone who would be interested in joining the Club, please feel free to let them know about us - they are welcome to email us for more information. Similarly, if you know someone who would like to be on our mailing list or if you would like to be removed from your mailing list and updates, please do let us know and I/we shall do that too.
Mindfulness Based Compassionate Living (MBCL) is a mindfulnessbased programme in the form of an 8-week course that supports the development and training of compassion to enhance mental and physical health. MBCL supports individuals to cultivate a friendly and compassionate attitude toward themselves and others. MBCL exercises also help individuals to experience key aspects of emotional wellbeing including warmth, security, acceptance and connectedness with oneself and others.
Thanks for your time and I look forward to hearing from you soon. Best wishes,
Learning
Alexandra O’Brien Chair and Facilitator The CBT’ers Club Chair Eating Disorders Special Interest Group (Scotland) Former Director and Chair of Trustees No Bodies Perfect (Scotland’s Charity for Eating Disorders)
Friday 11th – Sunday 13th December 2015 Crowne Plaza, 18 Royal Terrace, Edinburgh, EH7 5AQ £285 (includes workshops, refreshments and lunches)
A new programme to deepen mindfulness with heartfulness in association with the Institute for Mindfulness Based Approaches.
Objectives
of
the
MBCL
Foundation
Course:
• Participants will practice the main exercises of the MBCL programme as well as engage in mindful dialogue (inquiry) with the teachers. • The 8 sessions of the MBCL programme will be reviewed in terms of the content and themes of each session. • Students will receive a brief overview of the scientific foundation of Compassion Training and the theoretical background in west ern and Buddhist psychology. More information is available here: http://www.compassionatewellbeing.co.uk/workshops/mindfulnessbased-compassionate-living/
Abuse, Trauma and Dissociation: Understanding and Working Towards Recovery When: Saturday 26th September 2015, 9.30am -4.30pm Where: Broughton/St Mary’s, 12 Bellevue Crescent, Edinburgh, EH3 6NE Cost: early bird: £65, thereafter: £75 A rare opportunity to work with trainers with both personal and professional experience, awareness and skills in the understanding and treatment of complex trauma. Learning outcomes: • Enhanced confidence, responsiveness and awareness for supporting survivors of trauma and abuse. • Increased knowledge of working therapeutically with dissociative experiences and use of the DES-11. • Greater understanding of the clinical relevance of dissociation. • Awareness of effective short and long-term strategies for reducing distress and gaining control. • Acquired skills and knowledge to work collaboratively with survivors of trauma and abuse to help them reclaim ownership of their experiences and work towards recovery.
• Knowledge and awareness of the risks of vicarious trauma, and how to keep ourselves safe when supporting distressed individuals. Suitable for anyone wishing to understand more about healing from trauma and working with dissociation, including mental/ health-social service professionals, psychotherapists and counsellors, voluntary sector workers, survivors and their friends and family. Jacqui Dillon is a respected speaker, writer and activist, and has lectured and published world wide on trauma, psychosis, dissociation and recovery. Jacqui is the national Chair of the Hearing Voices Network in England, Honorary lecturer in Clinical Psychology at the University of East London, Honorary Research Fellow in the School of Medicine, Pharmacy and Health, Durham University and Visiting Research Fellow at The Centre for Community Mental Health Birmingham City University. See www.jacquidillon.org Demand is expected to be high-so please book early to avoid disappointment. For more information/to book, please see the following: http:// www.pctscotland.co.uk/event/national/3763-jacqui-dillon
Therapist Tools: Controlling Anxiety with a ‘Worry Script’
Many people spend hours each day trying to avoid worrying about things that upset them. People distract themselves by watching TV, focusing on a new worry to avoid thinking about an old one, or even self-medicating with drinking, drugs, or over-eating. None of these things help reduce worrying. In fact, most people find that the harder they try and avoid the thoughts that make them anxious, the worse they get. Trying to push something out of your mind is a little like trying to push a beach ball under water: it takes a lot of work to keep it down, and the minute you let it go, it pops right back up again. Rather than putting all of your energy into avoiding upsetting thoughts and images, you can instead face your fears, and writing worry scripts is one way to help you do this. By writing a worry script about your biggest worry, you will be facing your negative thoughts and upsetting feelings rather than trying to avoid them. Writing scripts will also help you get a clear picture of what is really upsetting you. Many people who write a worry script for a few weeks report that they feel less anxious about the things they were worrying about.
How to write a worry script:
•
Choose a place where you won’t be interrupted. Turn off your phone, music and television. Set aside about 30 minutes to complete each script.
•
Write about one thing you are worrying about.
• Write about the worst-case scenario of one of your worries. For example, if you are worrying about your child getting bullied in school, write about the worst events that could happen to your child and the worst ways he or she might react. • Write a script that is vivid and include how things look, sound,and feel. Include your feelings and reactions. • Write a new script on the same subject each day, going deeper into your feelings with each script. •
After about two weeks, you can move to the next worry.
NOTE: If you feel anxious and even tearful while you are writing, keep at it! Experiencing these feelings means you are on the right track. Even though it may be difficult, the more you face your fears and worries, the more likely they will eventually fade.
Book Review: Bodies
By Alexandra O’Brien
(January 2011)
I picked up ‘Bodies’ not really knowing what to expect, as I have read some books of a similar nature and found them either to be too feminist in their viewpoint, too patronising or found that the issues raised did not apply to me. However, I found this an enjoyable book, which I feel had many insights and promoted some stimulating thought regarding our relationship with our bodies. The renowned psychotherapist and psychoanalyst examined the current ‘beauty terror’ and how it manifests itself in various forms of eating disorder, body dysmorphia, body image distress and most disturbingly, the body shame that many of us experience. I admit that some of the issues and arguments raised were not for me: the topic of the mother-child relationship is not something I am sure I agree with. However, it was interesting to read about some very extreme examples of body shame and the actions people take in order to try and ‘re-connect’ or come to terms with their body. Orbach tells us tales of people who are uncomfortable in their skin - uncomfortable in the sense that they look into a mirror and say “that’s me?’’ with some astonishment, anxiety, shame, hatred and disgust. The seamstress who feels so unreal she scratches her breasts with a needle to remember her physicality. The person who can’t have sex unless packed into a car or in a public restroom. The body builder who spend hours in the gym to prove they are alive. The man who feels so alien from his legs that he fights for years to have them amputated in order to feel some ‘connection’ with his body. It is a powerful insight into the world of body shame: not just feeling a bit unhappy about how you look; but feeling and knowing that something is ‘not right’ with how you see, feel and experience your body and occupy it. A disconnection; a dissociation; a feeling that your body in not yours or that you are occupying something so alien to you that you either
wish not to ‘exist’ or that you feel a strong desire and wish to change it in every way possible. The book offers some insight into how such body shame and hatred has become a phenomenon that torments and debilitates the lives of so many people - people who look seemingly ‘normal’ and able from the outside, but who are struggling with the shame of their body on the inside. ‘Bodies’ is a universal look at bodily anxiety, body shame and the body distress that, undoubtedly, influences not only our view of our physical body, but our view of our ‘self’ as a whole. It is a compelling and interesting examination of those difficulties that arise from such shame and anxiety over one’s physical self. Through her case studies, Orbach shows how subtle influences in childhood and later life can shape the mind’s conception of the body to the point that it turns against itself. It is fascinating to read just how destructive such body shame and anxiety can be. Reading about such torment makes me unhappy: it is sad to know that there are people out there who feel such a need to self-destruct in often extreme ways because they cannot connect with their body, cannot accept it, and feel such self-hatred towards themselves because of their body. It makes me sad to think about it, because I was one of those people too. This book is definitely worth a read and actually made me think about my own past and present issues differently. While there are some things I don’t agree with, I think that it is a valuable book to read if you are struggling with body shame and anxiety or have issues regarding body image or body dysmorphia. While some of the focus is on women’s bodies, I think that it is also valuable to men experiencing similar issues. This is a worthwhile book to read if you work with clients who present body image problems, body shame, low body esteem or body dysmorphia. I think it’s also a useful book to read if you are working with clients who self-harm, as I think some of the points raised in the book also apply to some people who experience self-harm, in particular, self-injury and self-violence.
BABCP Accreditation Workshop in Glasgow When: Saturday 22nd August 2015, 9.30am – 3.30pm Where: The Centre of Therapy, 8 Newton Place, Glasgow, G3 7PR Who: New graduates or experience dCBT therapists Cost: £50 for professionals, £40 for members of the Centre of Therapy & recent graduates Booking/More Information: O141 331 0750 or contact via website http://www. centreoftherapy.org/news-events/accreditation-workshop This one day Accreditation Workshop will be led by Sandra McKenzie at the Centre of Therapy & Counselling Studies on Saturday 22nd August 2015 from 9.30am to 3.30pm. Sandra has been accredited by BABCP as a CB Psychotherapist since April 2007. In 2012 Sandra was also accredited as a Supervisor and Trainer by BABCP. The workshop will offer support and information to new graduates, or experienced CBT therapists who are thinking about or are nearly ready to submit their accreditation application. Participants should expect help and guidance regarding all aspects of the BABCP Knowledge, Skills and Attitudes route to accreditation. The workshop aims are: • • • •
Understand the KSA application from start to finish Understand the Knowledge, Skills and Attitudes paperwork Understand the importance of your previous knowledge, experience and history, and how this relates to the accreditation process Understand the importance of written case studies with submitted audio recordings in line with BABCP case study guidelines
Due to criteria for BABCP Accreditation, the workshop is only open to members of the BABCP.
NSP Higher Certificate in Creative Action Methods 2016 When: Saturday 9th January 2016 - September 30th 2018 at Weekend workshops run Saturday 9:30am-6pm & Sunday 9:30am- 4pm as well as two residential gatherings per year. Where: Glasgow In NSP aims to make Psychodrama training available over a wide geographical area. Training events are held in a number of areas including Glasgow, York and Hexham, Northumberland. Training is organised by Northern School of Psychodrama This course would suit qualified counsellors and psychotherapists in other disciplines who want to develop creative action methods within their practice, but do not want to be qualified psychodramatists. An entry requirement would be that the person was already qualified in a therapeutic discipline: counselling, dramatherapy, art therapy, group analysis, or other psychotherapy such as CBT. Further information and booking: http://www.psychodramansp. co.uk/ or http://www.pctscotland.co.uk/event/3819-nsp-highercertificate-in-creative-action-methods-2016
Between Sessions: Therapeutic Tools
BetweenSessions.com gives you immediate access to 100’s of professional resources to help your clients, including therapeutic homework, assessment tools, data collection worksheets, e-books, and so much more. Resources working with children, teenagers and adults included. Management forms and general clinical resources also available. Website: http://betweensessions.com/
Eating Disorders Special Interest Group (Scotland) FREE MEMBERSHIP FOR 1 YEAR!
September/October 2015 witnesses the relaunch of the Eating Disorders Special Interest Group (Scotland) or EDSIG. This was formerly EDCINS (Eating Disorders Community Interest Network Scotland) which then ceased operating following the closure of the national eating disorder charity, No Bodies Perfect, in April 2015. EDCINS is now re-launching as this special interest group and will re-develop over time, at a much slower rate than ECINS.
Following a discussion with some individuals, we decided to give this another go, yet albeit, more slowly this time. The Eating Disorders Special Interest Group (Scotland) began following EDCINS before it and will have almost the aims, objectives etc but taking things a little more slowly, with no funding and with some different people involved – some of us from EDCINS and No Bodies Perfect are still involved in this though! Some groups do some of the things we hope to do to some extent although it is mostly professionals who are part of the group. We feel that it’s important to be as inclusive as possible, as we can all learn from each other, whether professional, volunteer, sufferer, ex-sufferer, carer, or someone just with an interest in eating disorders.
EDSIGs are offering free membership for 1 year. You will be issued with a Membership Pack and Membership Card and invited to gatherings, events, discussions etc over the next year of your Membership. EDSIG has a committee who help organise meetings and gatherings. The group currently has a temporary email address while it develops its new website etc. Here’s some information about EDSIG:
Eating Disorders Special Interest Group (Scotland) or ED-SIG will be small to begin with but will grow over the next year. It’s important to link up with other people, find out their opinions, their experiences, research that’s happening, have discussions and so on to keep this topic alive and hopefully generate more interest and support for eating disorders awareness, education, support and help.
A few people in Scotland became interested in starting a group for people who are interested in eating disorders, whether they worked/ volunteered in eating disorders; have maybe recovered, are a sufferer, family or friend, professional etc - just a group of people from different parts of Scotland who would like to network with each other and meet for discussions, maybe do events or small projects, share new research, opinions or information and lots more.
EDSIG are offering FREE Membership for 1 year, from October 2015 – October 2016. You will receive invites to events, gathering etc and we hope to see you there – you are most welcome. EDSIG is for ANYONE with an interest in eating disorders – whether you know about eating disorders or not, have experience or not – if you are interested in eating disorders, we would love you to join!
Such a group did start in 2011, following several meetings, but never met again for various reasons. EDCINS (Eating Disorders Community Eating Disorders Network Scotland) then started in late 2013 and was successful, organising various gatherings, events and networking events until May 2015 when EDCINS was disbanded following the dissolution of No Bodies Perfect, Scotland’s Charity for Eating Disorders (EDCINS was associated and funded by No Bodies Perfect).
Please note that this is NOT a support group for sufferers , carers or for providing help and support to people with eating disorders. Anyone with an interest in eating disorders is most welcome to join. If you would like to join Eating Disorders Special Interest Group, please email us for a Membership Form to complete and return to us. You will then receive your Membership Pack and Membership Card. Email us today for your 1-year FREE Membership: eatingdisordersig@yahoo.co.uk
3 Confidence Tips For Therapists Wrestling With Self Doubt By Mike Tyrell From Mike Tyrell’s Therapy Skills And why increasing your own confidence will help your clients too! “I feel like I’m a fake. A fake therapist!” John was chatting to me on Skype. I reassured him that he was not alone in sometimes wondering whether he was collecting cash from troubled souls on a false pretence. “I have a PhD and years of clinical practice. I plan out what I’m going to say to my clients and always seek to connect their experience to my theoretical training. “But sometimes – often, in fact – if things don’t go according to plan, I feel lost and lack the confidence to try something new!”
Self-doubting Therapists
So, how can you, if you need to, become a more confident therapist? Well, here are three ways.
Lately, I seem to be hearing often from therapists who tell me how they just don’t feel confident enough to try different approaches with their clients. Quite a few hypnotherapists, for instance, have admitted they always read ready-made ‘one size fits all’ scripts to their clients. It’s like those scripts are the therapist’s security blanket. And this can be a problem, since we impact our clients by the way we are, not just by what we say or do. Because emotions are infectious. Through minimal and unconscious facial, vocal, and bodily expressions, people can feel our hesitancy, anxiety, and doubt. Which means, happily, that positive emotions such as confidence and calm can also be transmitted from mind to mind. So, becoming a confident therapist not only benefits your own state of mind, it also directly impacts your clients’ welfare. Becoming a confident therapist benefits your own state of mind and also directly impacts your clients’ welfare.
What Exactly is Confidence? Confidence is the feeling that whatever happens, you can handle it. It’s not necessarily a sense of absolute certainty that you know exactly what to do and how to progress from the very beginning with your client. It’s more a sense that you can handle any uncertainty and that, pretty soon, things will become clearer. A great painter may not know exactly how her picture will develop, but she will sense that it will develop as she continues to work on it.
1) Understand the fundamentals Most clients are not interested in psycho-jargon or academic theories about why they have their problems. They just want to be relieved of their suffering. So make sure you understand how emotions work through pattern matching and have a good grasp of what everybody needs in their life – and how problems arise when those primal human needs are not met. Understand also the roles of problem formation, problem maintenance, and possible problem resolution. When the basics are there, confidence and clarity are not far behind. But you need to be right in yourself, too. 2) Practise what you preach I could hear tears in his voice as John told me he sometimes felt like a fake because he had a few pressing personal problems of his own. “How can I claim to be able to sort out other people when my marriage is in a bad way and my teenage son has been taking drugs?” Some therapists have the idea that they have to be
somehow perfect. Or at least not subject to stresses and problems themselves. This can lead to the discomfort of imposter syndrome. If you have problems of your own, congratulations! You are a human being as well as a therapist. The fact is, you can still help others even when you and your life are not perfect. When I first started out 20 years ago, I would sometimes have a client tell me about their financial or other worries and I would catch myself thinking, for a second, “That’s nothing like as bad as the mess I’m in… so who am I to help them?” Placing your own subjectivity aside feels almost like a physical act sometimes, but I learned to put such thoughts aside and focus on their situation and needs. But if I can barely breathe myself, I won’t be able to help revive someone else. So, to be the best we can be for our clients, our own needs must be met as well as possible. Practise stress management, consciously seek to meet your primal human needs as best you can, and cut yourself some slack. You are human. And to avoid burnout, you need to have therapeutic spare capacity – that extra energy you have from at least adequately meeting your own emotional and physical needs. Spare capacity also gives you confidence, as will as my next tip.
just the wrong approach, or too soon, as we desperately try to squeeze our client to fit our theory. That’s not to say that having some ideas ahead of time isn’t helpful or that we should never plan. It’s more that we need to be ready to flexibly adapt as we go, like a bird adjusts its wings and direction in flight to suit the unique pattern of air currents in the moment. Real therapeutic confidence comes in the form of relaxing with the uncertainties of the therapeutic encounter. Once you have good knowledge and experience (and we all have long experience of being human), then you need to just go with the flow and trust your unconscious mind to give you insights and inspiration. Being calm and clear-headed enough to wait until the clouds of confusion clear, while having faith that you and your client together will find a good path to follow into the realms of health, is really the key to therapeutic confidence. Just the idea of starting to relax with uncertainty, trusting his unconscious mind more, and always going back to basics (“What does this person really need?”) helped John become more confident when doing therapy.
3) Trust yourself As I said earlier, confidence isn’t just about certainty. We may be the professionals, but we are not all-knowing seers. Too much meticulous planning before seeing a client can end up feeling clunky, inappropriate, or forced when we come face-toface with the real, live person. Or it may become clear that it’s
Put these three tips into practise and I think, if you need it, your therapeutic confidence will skyrocket, too.
d o ry .
Therapist Tools:
De-Catastrophising Anxiety
1. Shafran R, Brosan L and Cooper P (2013). The Complete CBT Guide for Anxiety. Robinson. 2. Myles P and Shafran R (2015). The CBT Handbook: a Compre hensive Guide to Using CBT to Overcome Depression, Anxiety, Low Self-Esteem and Anger. Robinson.
De-Catastrophizing Worksheet
Catastrophizing often has two cognitive distortions: 1) overestimating how bad a negative event will be, and 2) underestimating how much control you will have in dealing with the event.
Automatic Thoughts About Lack of Control
Event that seems Catastrophic: ___________________________________________________
Automatic Thoughts About Negative Event
How much control I have over dealing with event (0-100): _____ Evidence for Thought(s) Evidence Against Thought(s)
How much control I have over dealing with event (0-100): _____
Š 2003
www.sbh-sd.com
How bad the negative event will be (0-100): _____ Evidence for Thought(s) Evidence Against Thought(s)
How bad the negative event will be (0-100): _____
On the Bookshelf ...........
3. Wilkinson A, Meares K and Freeston M (2011). CBT for Worry and Generalised Anxiety Disorder. Sage Publications. 4. Tyrer, H (2013). Tackling Health Anxiety: A CBT Handbook. RCPsych Publications. 5. Stallard, P (2008). Anxiety: Cognitive Behaviour Therapy with Children and Young People. Routledge. 6. Hughes C, Herron S and Younge J (2014). CBT for Mild to Mod erate Depression and Anxiety: A Guide to Low Intensity Inter ventions. Open University Press. 7. Leahy, R (2011). Treatment Plans and Interventions for Depres sion and Anxiety Disorders. Guilford Press. 8. Butler, G (2009). Overcoming Social Anxiety and Shyness. Rob inson