CBT Today Vol 44 No 1 (Feb 2016)

Volume 44 Number 1 | February 2016

- page 8 s e c r o f in jo s e IAPT servic

Volume 44 Number 1 February 2016 Managing Editor Peter Elliott

Inside 4

New year, new President

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2016 Conference information

Contributors Howard Lomas, Adrian Whittington

CBT Today is the official magazine of the British Association for Behavioural & Cognitive Psychotherapies, the lead organisation for CBT in the UK and Ireland. The magazine is published four times a year and posted free to all members.

Back issues can be downloaded from www.babcp.com/cbttoday.

Submission guidelines Unsolicited articles should be emailed as Word attachments to editorial@babcp.com. Publication cannot be guaranteed.

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

In the first instance, potential contributors are advised to send a brief outline of the proposed article for a decision in principle.

The Editors reserve the right to edit any article submitted, including where copyright is owned by a third party.

Rob Newell and Chris Williams write to members

Everything you need to know about this year’s BABCP Spring and Annual Conferences

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

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Providing care with a personality disorder A current PWP writes for CBT Today about their life as a clinician with Borderline Personality Disorder

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News item

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Obituary - Dr Toni Whitehead

University of Bristol depression study findings

Howard Lomas pays tribute to former BABP Chair

Disclaimer The views and opinions expressed in this issue of CBT Today are those of the individual contributors, and do not necessarily reflect the views of BABCP, its Trustees or employees.

Next deadline 9.00am on 7 March 2016 (for distribution week commencing 8 April 2016) Advertising For enquiries about advertising in CBT Today, please email advertising@babcp.com. Š Copyright 2016 by the British Association for Behavioural & Cognitive Psychotherapies unless otherwise indicated. No part of this publication may be reproduced, stored in a retrieval system nor transmitted by electronic, mechanical, photocopying, recordings or otherwise, without the prior permission of the copyright owner.

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CBT Today | February 2016

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

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

Dr Stephen Gregson It is with regret that the Board has to announce that Stephen Gregson has left his post as BABCP Communications Manager. Stephen worked hard over his time with the organisation to promote effective communications within and beyond the organisation. He worked diligently to develop new relationships with other stakeholders in all areas that the BABCP is involved in, and especially in his work developing links with branches across the UK and Ireland.

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

Save the date!

March 2017 Dublin The Irish Association for Behavioural & Cognitive Psychotherapies are pleased to announce that they will be holding a ‘CBT in Ireland’ event in Dublin, in March 2017.

The aim of the event will be to promote CBT across Ireland, as an evidence-based talking therapy, through bringing together individuals and relevant stakeholders from the public, community and voluntary sector.

Applications are invited from BABCP members for the position of

Accreditation Liaison Officer Salary from £43,096 per annum pro-rata

15 Hours per week

As BABCP membership has exceeded 10,000 - and with a rapidly increasing proportion of accredited members - the Accreditation Team is looking to recruit an additional Accreditation Liaison Officer to increase overall resource in order to further develop the services we provide.

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

The newly appointed member of the team will assist the Senior Accreditation Liaison Officer and the existing Accreditation Liaison Officers in developing the Accreditation Register; assisting in overseeing processes for accreditation; being responsible for supporting a team of accreditors processing applications, and providing impartial and informed advice to BABCP members.

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

An application form and further details are available to download at www.babcp.com/ALO2016. If you wish to make any informal rolespecific enquiries then please contact the Senior Accreditation Liaison Officer, Charlie McConnochie at charlie.mcconnochie@babcp.com.

For organisation-specific queries contact Company Secretary Ross White at ross.white@babcp.com, where you can also submit your completed application form and Equal Opportunities Monitoring Form. Please note that a copy of all questions asked by shortlisted candidates and respective answers will be made available to all short-listed candidates following short-listing.

More details will be included in the April issue of CBT Today

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

CBT Today | February 2016 3

New year, new President With 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 of reflection, I regret that I have no alternative but to tender my resignation as BABCP President, effective from now. If the Board agrees, I will continue only in an advisory Past-President role until June 2016, to ensure an orderly transfer of business to the current President-elect Chris Williams, and offer advice to him as needed, but will not deal with other BABCP business.

“

...I have been very proud of being able to do my bit for BABCP and for CBT, both of which have given so much to my professional and personal life.

”

I have been on the BABCP Board for over four years, as an elected member and then as President. During that time I have been very proud of being able to do my bit for BABCP and for CBT, both of which have given so much to my professional and personal life.

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

Partly because of the amount of time spent over the past four years by myself and the Board on administrative matters, I can see little change in these areas to date. I regard them as of great importance to the organisation and to CBT, which has always prided itself on collaboration with clients.

At our most recent Board meeting I saw very positive signs that these agendas might be moving at last.

Unfortunately, I concluded that, after years of trying to press these matters, I am not the person with sufficient energy to drive these issues forward.

I also regret that this slow pace has been a feature of other areas of work we have tried to develop.

Also, over the years, there has also been an ongoing high level of demand on the President because of the current design and governance of the organisation, and this is at a level I feel no single person should be asked to bear. It is time therefore to look again at new governance and decisionmaking processes within BABCP. I do want to use this resignation letter both to push again for the real involvement of the public in CBT and in BABCP, and to thank you all for your kind support of me during my time as President.

I hope you will understand the reasons behind my decision, and will support my successor in all aspects of his work for BABCP and wish Chris every success.

It will be a challenging job as there are a number of long-term issues that needs to change, and I will offer him any support that I can.

With best wishes Rob Newell

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CBT Today | February 2016

Dear Colleagues, Rob Newell emailed our members in December 2015 to let them know that after a period of reflection he had decided to resign from his role as BABCP President.

I am also keen to be proactive, and to consider with the Board why Rob reached a position where he felt he needed to resign Two key things ring out from his letter:

Rob had considered stepping down for several months, and as with all hard decisions there were multiple reasons for this.

He did not do so lightly and I wanted to make sure that he knows how much I, the Board and members valued him and his hard work.

I am pleased to say that Rob agreed to be co-opted back onto the Board on an advisory basis until the Annual General Meeting in June 2016, and his ongoing support will be incredibly helpful as he knows so much about the organisation, having been on the Board for the last four years.

There are some practical issues that arise from this. The Board met after Rob informed us of his decision, and we agreed that I would start my role as President early, and will then run through the usual two-year term after the AGM. We will advertise for a Board member to start after June to cover the oneyear term Rob would have served as Past President. But these responses are reactive.

Firstly, we have moved over recent years from being a small but growing organisation, to a large body with a significant staff and rising demands.

Our governance, decision-making and processes have not developed in the same way.

For example, the default has been that the President has ended up in a central role for all sorts of business that is probably best dealt with in other ways.

A second issue is that much decisionmaking is made by the Board during relatively few face-to-face meetings spread across the year. This makes it very difficult to plan, monitor and deliver change. It also slows down decision-making which can be frustrating for all.

these challenges were present.

Like lots of BABCP members I did so because I feel an affection and commitment to BABCP and to CBT. No-one else stood for the position, so my personal statement that would have been used in the event of an election was unused. I thought it might be helpful to reproduce it below, as it outlines the position I would like to bring to BABCP. This hopefully builds on the approach Rob has wanted to foster – being inclusive, and reaching out. I wish Rob well and thank him again for his work, wisdom and knowledge. It really has been appreciated.

We met in early January 2016 to discuss these issues, and have agreed to move to monthly telephone Board meetings in addition to our face-toface meetings.

I also know the Board wants to work on your behalf so that CBT and BABCP grow in helpful ways. Do think about ways you might be part of this also when future Board elections occur - as the Board is there to represent all members of this great organisation.

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

Best wishes Chris Williams - President BABCP

Professor Chris Williams’ Personal Statement My background is firmly multidisciplinary. I’m a doctor, but also a member of the British Psychological Society. BABCP has always felt like a professional home – an organisation that is fun, interesting – a place for learning and development. I was delighted to be President in 2001/02.

A lot has happened since then - I’m certainly older and greyer. BABCP has changed also – and faced lots of challenges – but along the way some of that sense of fun seems to have been lost. There have been tensions around - perhaps reflecting the

inevitable changes that occur as organisations grow.

I think now is a good time to reflect on certain key questions. How to run an organisation that is growing so quickly? What size and shape or organisation is really needed? How to offer quality accreditation but avoiding being overly burdensome?

How to support work in IAPT, but to balance this with CBT practitioners working more widely too - and across the UK? How can BABCP provide a sense of fun and goodwill locally and nationally?

None of these issues can change without large numbers of people wishing it. BABCP has always been somewhere that’s stimulating and creative, a place where people want to volunteer and help, giving their time, talents and goodwill because it’s something they value.

If elected, I want to encourage discussion and consensual agreement within BABCP about these issues – and a wider consideration of how BABCP relates to itself and to others.

CBT Today | February 2016 5

Diversity and CBT in Practice

BABCP Spring and Annual Conferences, 2016 With this copy of CBT Today, you will have received a copy of the programme for the BABCP Spring Conference, to be held in London on 7 and 8 April The theme this year is ‘Diversity and CBT in Practice’, and the meeting organiser is Andrew Beck, from the University of Manchester and Salford Cognitive Therapy Training Centre.

These two days will be a great opportunity to revisit our skills and learn how we can adapt them to be more responsive and effective in everyday practice.

The first day consists of a set of allday workshops, delivered by skilled practitioners, addressing how to work more effectively with trauma in refugee populations and depression among individuals from South Asian cultures, and cultural adaptations of CBT for those with serious mental illnesses, for individuals with a range of gender and sexual identities, and for those with obsessive compulsive disorder.

And then we have our Annual Conference to be held for the first time in the beautiful city of Belfast.

The second day consists of a series of keynotes, talks and panel discussions on issues regarding widening access to CBT and adapting therapy for those from different cultural backgrounds, considering issues such as spiritual background, homelessness, and ethnicity.

The Scientific Committee have a fantastic range of keynote speakers from the UK including David Clark, Kerry Young, Freda McManus, Michael Duffy, Shirley Reynolds, and from around the globe, speakers such as Christine Padesky, Lars Goran Ost, Carolyn Becker, Robert Leahy and Merel Kindt.

The pre-conference workshops (delivered by some of the speakers listed above, among others) address a range of core skills for a variety of disorders, including exposure therapy, working with emotions among adults and adolescents, treating phobias,

working with complicated PTSD, and the development of metacompetences.

Then there is a wide range of symposia and open papers. In response to feedback, we have added more short clinical skills classes to this year’s programme, so that you can add to your specific skills base.

There are far too many symposia, open papers, posters and skills classes for me to begin to list them here – go look at the website, and start choosing. Finally, the most important stuff…the social programme.

This integral part of the conference is being kept deliberately ‘loose’, particularly on the final night, when the Irish Branch are choosing from a range of events around the city so that we can each choose from them and organise our own itineraries, all ending at a single farewell party venue. Just try not to bump into each other too hard on the way there.

Glenn Waller Chair, Scientific Committee

For more information, visit www.babcpconference.com

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CBT Today | February 2016

www.babcpconference.com

BABCP Spring Conference & Workshops 2016

Diversity and CBT in Practice Full Day Workshops, Thursday 7 April Workshop 1 Delivering evidence-based interventions for asylum seekers and refugees: working with trauma across IAPT and complex PTSD services Shikainah Champion, South West London and St Georges NHS Trust and Sarah Heke, East London NHS Foundation Trust Workshop 2 Working 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 3 Cultural adaptation of CBT for Serious Mental Illness Peter Piri, Southern Health NHS Trust Workshop 4 Queering CBT: Working with people who do not identify as straight or cisgender Matt Bristow, Tavistock and Portman Gender Identity Clinic Workshop 5 Cultural Adaptation of CBT in the treatment of OCD Andrew 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 Glasgow BABCP Presidential Address: Widening Access to CBT: How classes and online resources can improve access for BME communities Dr Shanaya Rathod, University of Southampton Cultural Adaptation of Cognitive Behaviour Therapy: Possibilities and Challenges Dr Nick Maguire, University of Southampton Psychological 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 Manchester Lessons 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

CBT Today | February 2016 7

IAPT Services reach out after the Shoreham Air Show disaster When the unthinkable happens, and with no local precedence, what happens when services need to join together to offer mental health support in the aftermath of a disaster?

Adrian Whittington gives CBT Today readers an insight into the response following the Shoreham Air Disaster in August 2015 Thousands of people gathered in West Sussex on 22 August 2015 to mark the 75th Anniversary of the Battle of Britain at the annual Shoreham Air Show.The display ended in disaster when a 1950s vintage jet crashed onto the A27 having failed to complete a loop-the-loop manoeuvre.

Eleven people were killed, either watching the show or travelling down the road. Over a hundred people witnessed the crash and its aftermath at close quarters, and many more at the show and in the local community saw the jet go down.

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CBT Today | February 2016

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

These may include grief for loved ones lost, as well as a range of other experiences linked to what we have witnessed or been through ourselves.

People often have very vivid and upsetting memories, have trouble sleeping, feel jumpy or numb, and can start feeling like they should avoid reminders of what happened.

These are all normal reactions, and for most these resolve themselves through a natural process of healing over time. For some, however, these experiences become more persistent and if they continue for over a month may constitute Post Traumatic Stress Disorder (PTSD). As we know, this is a condition for which there are two evidence-based psychological treatments: Trauma Focused CBT and Eye Movement Desensitisation and Reprocessing (EMDR).

Learning from the London Bombings in July 2007 suggested that the majority of those who do develop

PTSD following a major incident are unlikely to arrive through usual referral and self-referral routes, but can do so if actively encouraged to come forward for treatment. In the aftermath of the Air Show incident, West Sussex County Council co-ordinated a multi-agency emergency response, which included attention to the psychological treatment needs of adults and children who were affected.

The local IAPT service at Time to Talk in West Sussex joined forces with other local IAPT services (Brighton and Hove Wellbeing Service and the Health in Mind service in East Sussex) to put out helpful public health messages about natural healing following trauma, alongside proactively inviting people to come forward for treatment if they remained significantly affected after six to eight weeks.

West Sussex Police wrote to all closequarters witnesses with information about PTSD and how to get psychological therapy, and local media outlets were used to spread the message more widely that IAPT services would like people to come forward.

“

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

The IAPT sites rapidly established telephone lines staffed by experienced psychological therapy staff to take calls from the public for themselves and for their loved ones.

These dedicated lines provided those affected by the air show incident an opportunity to talk through their experiences with staff trained to listen, without debriefing, and to validate and normalise the experiences reported. The staff were able to provide the caller with key psychoeducational information, signposting information and immediate access to children and young person’s services if required, through an agreed link scheme following the incident.

The initial contact on the telephone also allowed services to identify people who had been re-traumatised following an earlier trauma and to also encourage people to seek help at a later date if required. Providing them with the appropriate information required, during the call and in a letter, to contact the services again for a further trauma focused assessment if necessary.

”

EMDR in their local IAPT service, and at least six children and young people whose families contacted the ‘phone lines have been followed up by their local Children and Young Peoples’ mental health service.

This has been an example of responding to a disaster through careful co-ordination of existing services, provided by three different organisations across multiple sites.The linkage to police, public health and social services allowed a timely and proactive response which we hope will mean more people receive treatment for PTSD now, rather than waiting.

Post Traumatic Stress Disorder can go untreated for many years, with devastating impact on relationships and other aspects of functioning, and we hope that through this proactive and co-ordinated approach all those affected by this disaster will come forward for one of the psychological treatments that we know can help.

Adrian Whittington, Deborah Barnett, Emma Russell, Damien Brennan, Nick Lake, Juliet Couche and Jo Hillier together with many others co-ordinated the efforts of IAPT and other Mental Health services across West Sussex, Brighton and Hove and East Sussex to respond to the Shoreham disaster.

More details can be found at: www.sussexcommunity.nhs.uk/ services/servicedetails.htm.

DirectoryID-16358 www.bics.nhs.uk/patientinformation/brighton-and-hovewellbeing-service/ www.healthinmind.org.uk/ www.sussexpartnership.nhs.uk/

This feedback received during these calls was wholly positive from the general public and from professionals who also accessed this line for advice on how to support their patients. For the staff who took the calls the key aspect identified by them was the support provided through clinical supervision to allow them to process the information shared with them which was, at times, highly distressing.

There were 10 to 15 calls a week into the telephone lines services over the first two months, and It is estimated that about 20 to 30 members of the public could come forward with PTSD triggered by the crash. Adults are being offered Trauma Focused CBT or

CBT Today | February 2016 9

Breaking down the divide In an attempt to encourage debate around stigma, we invited a current PWP to write for CBT Today about their life as a clinician with Borderline Personality Disorder I'm a Psychological Wellbeing Practitioner. I was diagnosed in my early twenties with Borderline Personality Disorder (BPD).

People suffering with BPD are often described as manipulative, violent, attention-seeking, or near-impossible to treat. The label is itself is a problem, appearing to suggest someone’s personality; who they are, is inherently disordered. Growing up in an invalidating environment or experiencing prolonged trauma in your early years doesn’t mean you are untreatable. It is possible to recover.

With the right treatment and support people who have experience of personality disorders can go on to be competent, self-reflective and caring clinicians. Lived experience of mental health problems and using services is becoming more and more recognised as a positive attribute when providing therapy. With the right level of insight and self-management, experiences of suffering and overcoming adversity can enrich and inform your practice.

I grew up in a house blighted by domestic violence. At 15 I was in a sexually and emotionally abusive relationship. At 18 I left him and managed a year at university, but then my mental health deteriorated significantly. Intense emotions appeared seemingly out of nowhere and kept me in a state of intense fear and hopelessness I felt like my body was about to explode and my terror and shame would kill me.

To cope I would self-harm or take overdoses, these were rarely life threatening, more an act of desperation in not knowing how to cope with my suffering and the empty void in my chest that was unbearably painful. The depths of the hopeless desperation are difficult to convey in words.

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Trips to A&E occurred frequently. I was often treated as a nuisance. Some staff were very kind, but overall I experienced a shocking lack of compassion. I was told I was being “a silly little girl” and was untreatable, a hopeless case. For five years I was passed from one mental health professional to another, I wasn’t offered any treatment but diagnosed with five disorders.

After my mum constantly demanded help for me I was eventually offered Dialectical Behaviour Therapy (DBT). I still don’t know why the decision was made to refer me. BPD was never mentioned. I feel it could have easily been a lucky guess.

I’ll be forever grateful to the NHS as it saved me and utterly changed my life. I was finally being offered the treatment I needed. It was the hardest but most rewarding thing I’ve ever done. DBT taught me that it is possible to have a curious, accepting, non-judgemental attitude towards myself. Although sitting with emotions felt very counterintuitive, there was a great sense of peace and mastery to be found in sitting with how I felt, allowing it to pass and not having to resort to self-destructive methods to try and cope.

Simply having someone (continuously) say “that sounds like a really understandable reaction” was incredibly healing. I learnt to validate myself. I faced my demons and learnt how to soothe myself. I was able to manage my life without going from crisis to crisis. I’ll always struggle with the consequences of being traumatised, but I’m able to manage my life and my emotions, my suffering is significantly reduced.

I was able to complete my degree and started work as a mental health support worker. I loved it but I

wanted to work for the NHS in a more clinical role, to give something back.

I’ve been a PWP for nearly four years and enjoy my job beyond measure. I am lucky to be in a very supportive service that offers fantastic supervision and support. However, I am selective in who I tell at work, I feel the assumption can be made that I could cause harm. Who would trust a “manipulative, violent, attentionseeking” person to provide decent, beneficial care?

But I feel that my lived experience of suffering, the mental health system, and therapy makes me a more compassionate clinician. No patient has ever complained and I discharge people every week who have benefited. No one can ever fully understand someone else’s unique experience of suffering, but I can relate and that puts me in a position to empathise, validate and have a non-judgemental attitude towards my patients, so we can work together on helping them feel better.

Mental health problems still carry stigma and having a personality disorder stigmatises you even further.

We need to keep breaking down the “us and them” barriers. Being human we all suffer at times, there is no divide between “ill” patients and “normal” professionals.

Study findings on combining medication and CBT for depression Researchers 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 Dr Nicola Wiles, from the University’s School of Social and Community Medicine said: ‘Antidepressants are often prescribed for people with depression, but we know that many people don’t fully respond to such treatment.

‘We previously found that CBT was an effective treatment reducing depressive symptoms and improving quality of life over 12 months for patients who hadn’t responded to antidepressants, but before this study, there was very little evidence about the effectiveness of CBT over the long term.’

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

included antidepressants, it was effective in reducing depressive symptoms and improving quality of life over the long term - on average 46 months - for patients whose depression had not responded to medication. These benefits were found, on average, 40 months after the end of therapy.

Over the course of 46 months, 43 per cent of those who had received CBT had improved, reporting at least a 50 per cent reduction in symptoms of depression, compared with 27 per cent who continued with their usual care alone.

The research - which was funded by the National Institute for Health

Research Health Technology Assessment (NIHR HTA) - was conducted by academics at the University of Bristol, along with colleagues from the Universities of Exeter, Oxford, Glasgow, and University College London.

Their paper, Long-term effectiveness and cost-effectiveness of cognitive behavioural therapy as an adjunct to pharmacotherapy for treatment resistant depression in primary care: follow-up of the CoBalT trial was published in the February 2016 issue of The Lancet Psychiatry.

CBT Today | February 2016 11

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

Clinical Skills Building Intensive in Acceptance & Commitment Therapy Professor Steven C. Hayes Friday 2nd and Saturday 3rd of September, 2016 Park 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 to support 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

About the Presenter Steven C. Hayes, PhD, is Nevada Foundation Professor at the Department of Psychology at the University of Nevada. An author of more than thirty-five books and 500 scientific articles, his career has focused on an analysis of the nature of human language and cognition and the application of this to the understanding and alleviation of human suffering.

Steve is one of the key originators of ACT and RFT. He brings together the “head” and “heart” of ACT with his highly engaging and charismatic presenting style. Don’t miss this unique opportunity to see one of the world leading ACT trainers in action!

This training presents ACT theoretical and practical information at Rates an intermediate level. Participants should have had some formal Early bird: £220 (ends 12th August) training in ACT and should be Special “Bring a Friend” 30% discount - book 2 places: reasonably familiar with mid£154 per person - £308 total (ends 12th August) level ACT terms, specifically Limited Student places available the six core ACT processes (mindfulness, self-as-context, acceptance, defusion, values, and commitment).

Check out our other upcoming 2016 Workshops!

Acceptance and Mindfulness for CBT & Psychological Therapists London 29th Feb - 1st March with Joe Oliver Birmingham 21-22nd March, with Joe Oliver & Richard Bennett Manchester 25-26th April with Joe Oliver Glasgow 16-17th May with Joe Oliver

ACT for Psychosis Skills workshop with Joe Oliver London 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 and Organisational Psychologists with Jon Hill and Joe Oliver London November (dates to be confirmed)

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

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Dr Antonia (Toni) Whitehead 1939-2015 I 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 first female Chair of BABP (later to become BABCP) Toni completed her undergraduate degree at University College (London) and then did clinical training (Postgraduate Diploma in Psychology - Section D, Abnormal Psychology as it was in those days), at the Institute of Psychiatry and Maudsley Hospital.

After qualifying, she spent a year working at Warlingham Park psychiatric hospital, before returning to the Institute of Psychiatry as an Assistant Lecturer. While there, she began her research career in earnest, completed her PhD, and then moved to the University of Oxford as a Mental Health Foundation Senior Research Fellow for three years.

Toni became a member of the Oxford behaviour therapy interest group, one of several such groups around the UK which led to the foundation of BABP in 1972. Toni became a Branch Representative for the Oxford branch and was very active in that role, promoting change in the structure of BABP. In 1974, Toni began a five-year stint as Lecturer and Tutor in Psychology at the University of Reading. Toni's professional service career began in 1976 as Chair of the BABP (the position which is now known as President of BABCP), and during this time she also became a member of the Joint Professions Working Party on the Statutory Registration of Psychotherapists.

Toni was the third Chair of BABP following H Gwynne Jones and Isaac Marks. Prior to this, the BABP committee was 100 per cent male so, after four years, this was a very welcome election result. As Chair, Toni had a very able and astute mind, tough when she had to be, with a

great capacity to get things done. She also came across as an unassuming, warm, relaxed and frequently jovial individual with an infectious laugh.

Toni was the last person to serve a two year period of office as Chair until it was reinstated 30 years later in 2006. She was superseded by John Marzillier in 1978.

In 1979, she joined what was to become the Kingston and Esher Community NHS Trust as Head of the Psychology Service, simultaneously holding an Honorary Senior Lectureship in St. George's Hospital Medical School (University of London). She headed the Trust Psychology Service until she retired.

Toni published or was co-author of over 25 papers and book chapters (including Behavioural Psychotherapy 1991). Her publications cover memory in older people, dementia, depression and sexual dysfunction in women and a number of papers concerned with clinical psychology training.

Having become initiated in "political" roles through BABP and her membership of the Working Party on Statutory Registration, Toni then had several periods of office concerned with other professional activities. She worked as an examiner for the BPS Diploma in Clinical Psychology, became a member of the Board of Examiners and was eventually appointed Chief Examiner. Her concern with training also led to her membership of the Committee on Training in Clinical Psychology and in 1986, she went on to chair the Working Party on National Training Needs in Clinical Psychology.

Toni held several other offices including Chair of Board of Examiners

for Qualifications in Clinical Psychology, and she was a member of the Membership and Qualification Board of the BPS and the BPS Fellowships Committee. She was also a founder tutor for the Harrogate Course, a training programme for psychologists aspiring to more senior managerial roles in the. It is worth noting her long service on the Regional Research Committee of the South West Thames Regional Health Authority, the first psychologist to be involved in this way in the Region.

Outside her professional life, Toni had a wide-ranging list of interests and activities. She was an outstanding vegetarian cook, a cat and theatre lover, country walker, very interested in music and was part of a local choir.

She was an eco-friendly gardener managing her big garden to great effect, which she kept semi-wild to encourage the local bird population near her home in Wheatley, Oxford.

She was an enthusiastic bird watcher and expert on local species and travelled to exotic places to extend her knowledge and sightings. Toni’s academic and research skills served her well; she developed a methodology for annual surveys of local bird populations that are still ongoing and co-authored a book on The Birds of Shotover, a sanctuary near Oxford, among her other activities.

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

Howard Lomas January 2016

CBT Today | February 2016 13

Scotland Branch

Compassion SIG

presents

presents www.babcp.com

www.babcp.com

CBT and Couples

Building Resilience in Therapists

with Marion Cuddy and Dan Kolubinski

with Dr Mary Welford

Friday 24 June 2016 Wakefield

Friday 26 February 2016 Perth

As therapists we are really unusual. We choose to spend our time, day in day out, engaging with the emotional suffering of others with the aim of alleviating their distress. This has an impact on us. If we look after 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.

This workshop will provide an introduction to the theory and application of Cognitive-Behavioural Couple Therapy. The theoretical underpinnings of the model will be described, along with the main intervention techniques.

Materials will cover assessment, formulation, and outcome measurement. The challenges of working with distressed couples will be discussed. The workshop will be interactive and role play exercises - as well as group discussions - will be used to practice clinical skills throughout the day. The evidence supporting couple therapy will be presented and participants will have plenty of opportunities to ask questions.

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

This workshop will aim to enhance psychological resilience in delegates by building a compassionate relationship with themselves and addressing shame and self-criticism. Individuals will have direct experience of applying Compassion Focused methods to their own lives and a secondary outcome will be a greater understanding of how they may use it within their teams and with their clients.

Registration fees

Registration fees

BABCP members: £85, Non-members: £105

BABCP members: £85, Non-members: £95

To find out more about these workshops, or to register, please visit www.babcp.com/events or email workshops@babcp.com Control Theory SIG

Medics SIG

presents

presents www.babcp.com

The Method of Levels: A transdiagnostic approach to effective and efficient patient-perspective treatment with Professor Tim Carey 30 March - 1 April 2016 London

www.babcp.com

Inaugural Conference Thursday 17 March 2016 Leeds

5 – 7 April 2016 Manchester

Speakers

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

The workshop will address common effective elements of therapy and time will be spent practicing techniques in the workshop and evaluating the techniques using a reflection tool that will be provided.

MOL is an exciting and innovative approach to therapy and through this workshop participants will become aware of the ways they can use MOL to enhance their own therapeutic effectiveness.

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

Dr Steve Moorhead CBT competencies for the Outpatient Department

Dr Lynne Drummond Recent advances in the treatment of OCD

Dr David Veale CBT treatment of Vomit Phobia

Dr Saju Padakkara Psychological issues of transgender and gender non-conforming people

Registration fees BABCP members: Day 1 - £65 Days 2 & 3 - £130 Non-members: Day 1 - £75

Days 2 & 3 - £140

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Registration fees All 3 days - £180 All 3 days - £200

BABCP members: £45

Non-member: £50

To register, email anne.cooper3@nhs.net

Student/Trainee: £20

CBT Today | February 2016 15

ACT SIG Branch

Midlands Branch

presents

presents www.babcp.com

www.babcp.com

CBT for the Elderly Therapists’ use of self in ACT With Dr Helen Bolderston

with Professor Ken Laidlaw

27 & 28 April 2016 Derby

Wednesday 9 March 2016 Bournemouth This workshop, drawing on understanding from ACT, Mindfulness, Functional Analytic Psychotherapy, and humanistic approaches such as 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 inter and intra-personal abilities within the context of ACT. Attention will be paid in the workshop both to the therapeutic relationship and to psychological self-support for therapists.

Participants should have a basic familiarity with ACT and be working with people. This event will be suitable for intermediate and advanced practitioners.

Registration fees Early bird: payments received up to 29 February BABCP members: £100, Non-members: £120 Full registration fee from 1 March BABCP members: £150, Non-members: £170

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

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

West Branch

presents

presents www.babcp.com

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

4 March 2016 Dublin The purpose of this workshop is to explain why CBT is an appropriate treatment for insomnia, to describe CBT methods for treating insomnia, and to summarise the evidence regarding its effectiveness.

In the first part of the workshop, we will describe clinical features of insomnia, outline assessment procedures for evaluating sleep complaints, and discuss differential diagnostic issues. In the second part, we will focus on treatment, with a practical emphasis on CBT. Psychological and behavioural procedures will be described and clinical case examples will be used to illustrate their applications.

Clinical and practical issues regarding the implementation of a CBT protocol for insomnia will be discussed, and models of service development/delivery will be considered.

Continuing your ACT Journey Next steps to enhancing your ACT work with Dr David Gillanders

Thursday 3 & Friday 4 March 2016 Bristol

This training is suitable for people from any professional background who have experience of delivering structured psychological interventions and strategies. This includes but is not limited to applied psychologists, cognitive behavioural therapists, counsellors, psychotherapists, physiotherapists, occupational therapists, nurses, social workers, coaches, psychological well-being practitioners and medical practitioners.

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

Registration fees

Registration fees

BABCP members: £90, Non-members: £100

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

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Devon & Cornwall Branch

South East Branch

presents

presents www.babcp.com

Working with Tics and Tourette’s

www.babcp.com

Compassion for Schools Workshop

with Dr Tara Murphy 29 April 2016 Registration fees

with Dr Mary Welford

Early bird: payments received up to 18 March BABCP members: £60, Non-members: £80 Full registration fee from 19 March BABCP members: £70, Non-members: £90

Thursday 3 March 2016 Sevenoaks

Acceptance and Commitment Therapy: Experiential Introduction with Skills Training

Registration fees BABCP members: £50, Non-members: £60

with 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 PTSD

CBT for Couples

Presented by Dr Nick Grey 3 June 2016

with Marion Cuddy and Dan Kolubinski

Registration fees:

9 & 10 May 2016 Sevenoaks

Early bird: payments received up to 29 April BABCP members: £60, Non-members: £70 Full registration fee from 30 April BABCP members: £80, Non-members: £90

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

All workshops are held in Buckfast

To find out more about these workshops, or to register, please visit www.babcp.com/events or email workshops@babcp.com North West Wales Branch

Manchester Branch

presents

presents www.babcp.com

www.babcp.com

Cognitive Therapy for Social Anxiety Disorder (SAD) and Panic Disorder

CBT for Adults with Eating Disorders: Aiming for recovery

with Dr Nick Grey

12 & 13 April 2016 - Manchester

with Professor Glenn Waller

29 April 2016 Bangor

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

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

18 CBT Today | February 2016

Best Practices: CBT for Depression & Suicide with Dr Christine Padesky

10 & 11 June 2016 - Manchester Registration fees Early 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

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