Cognitive Behaviour Therapy July 2011

CBTMONTHLY July 3rd 2011

!

The worry monster

Trauma-how can imagery help?

NATs and how to assess them

1 CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited

CBTMONTHLY July 3rd 2011

!

Contents trauma-what is it and how can it be treated?Matt Page 3

Worry Monster?

What is it and how it affected meFrancesco Page 4

diagnosis of GADfactcorner Page 4

testimoniallucile Page 7 2011

CBT in the City Ltd Registered company in UK:6709268.

2 CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited

CBTMONTHLY July 3rd 2011

what is imagery rescripting and reprocessing therapy? an approach within the cbt tradition

By Matt Broadway-Horner

IRRT is the Cognitive Behavioural Treatment (CBT) for those who have experienced a situation in relation to a trauma or suffering from the repeat memories concerning a Post Traumatic Stress Disorder (PTSD) Imagery Re-Scripting and Reprocessing Therapy has long been a element of Cognitive Behaviour Therapy (CBT) although in more recent years there has been an increase in the use of imagery re scripting interventions in CBT, utilised for the majority of CBT treatments for people who suffer the distressing struggle against an intrusive imagery from within.

Core Principles of IRRT: Reduce and/or eliminate the PTSD symptoms in relation to your personal situation Modify the patients trauma-related beliefs, which may be relating to an anger, fears, guilt or shame Encourage the individuals capacity to control and improve self-nurture and calm To promote personal development of adaptive schemas. This approach is useful for dealing with and overcoming problems like anxiety, Panic attacks, anger, self loathing as the approach brings about a long forgotten ingredient of compassion towards one self. People who have had IRRT have said that they

Imagery Re-Scripting and Reprocessing Therapy has long been a element of Cognitive Behaviour Therapy (CBT) although in more recent years there has been an increase in the use of imagery re scripting interventions in CBT, utilised for the majority of CBT treatments for people who suffer the distressing struggle against an intrusive imagery from within.

Matt Broadway-Horner

are better and enjoying life again. They never thought it possible to overcome their difficulties but they are glad they took the journey of self discovery.

CBT in the City provide focused treatments for patients suffering from trauma, stress, anxiety, bullying for more information contact us 020 7558 8894 and speak with Matt

Imagery Rescripting and Reprocessing Therapy Can be arranged today you for or your loved ones 020 7467 1508

For Employee Assistance Program please call 0207 467 1508

3 CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited

CBTMONTHLY July 3rd 2011

my journey in overcoming worry the doctors called it generalised anxiety disorder

“Through a number of reallife experiments together with the therapist I started to re-educate my mind. The practical element was paramount as it showed me the lack of real substance of most of those beliefs that were responsible for causing states of anxiety”

By Francesco

When I first considered doing CBT I was going through a very tough time characterised by excessive worrying and states of extreme anxiety. This was severely impacting on the quality of my life to the point that even simple, ordinary tasks felt like a big burden which in turn led to inaction.

When I started the CBT it was important for my motivation to set clear and specific objectives and attach a timeline to them.

Through a number of real-life experiments together with the therapist I started to re-educate my mind. The practical element was paramount as it showed me the lack of real substance of most of those beliefs that were responsible for causing states of anxiety. I soon realised that it was mainly down to me what I wanted to achieve and got rid of the erroneous conviction that the success of the therapy mainly depended on the therapist.

A combination of raising-awareness discussions and real-life experiments gradually softened my mind and my approach to problems. Progressively I was taking ownership of my life whiles at the same time excessive worrying and anxiety were fading in the background.

Francesco

By the time I finished my 14/15 sessions over a period of 4 months I felt much better, however the full benefit of the therapy only emerged further down the line when I realised that I had gained a new, more flexible approach to my life on a permanent basis and not simply a quick win on the wave of the therapy."

For more information on treatment for worry/Generalised Anxiety Disorder call now on 020 7558 8894 or email matt@cbtinthecity.com

pit stop exercise

By Matt Broadway-Horner

CBT skills lesson in pack of 6 lessons for more information contact

4

Once you have assessed your Automatic Negative Thoughts (ANT’s) then you need to reduce conviction in them. Rate you conviction level of how much you really believe it out of 100% this being the highest level of convictionDispute you ANT’s or core beliefs by using empirical, logical and practical disputing questions. For this exercise see how many practical disputes you can discover.

Let me start you now with the following: How does thinking this way help me?

What are the advantages of thinking this

way? What are the disadvantages of thinking this way?

Now rate you conviction level again and hopefully there will be a reduction.

Continue to do this until the level is as low as 30%. Now you need to find an Alternative Realistic Thought (ART’s) or helpful core belief and ask yourself practical questions to develop conviction it. So in the beginning conviction is 0% but then after the exercise then rate again your conviction level. Repeat until conviction level has been built upto 70%.

For CBT skills lesson pack then contact the office on 020 7558 8894

CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited

!

!"#$%&%'()*(+,'%"-.)/+(.,01 !*/)E"4-C(C)"$)&+()2,1)0("07()&+%$F),$D),4&)%$)".D(.)&")+(70) &+(6)"'(.4"6()&+(%.)(6"&%"$,7),$D)5(+,'%"-.,7)0."57(6C /+()47%$%4)+,C)&.(,&(D)C-44(CCE-7718 !"#$"%%&'( )(*&"+, -.%"%%&'(/012'3#40%&5"1!&%'$6"$ 7'6,1!,%3'$#8&91!&%'$6"$ :;&(1<&9;&(= >$&98'0'3/(&/ ?"/0+81)(*&"+, @'3&+1<8'.&/ )66&9+&'(% :'9&/01<8'.&/ <"$A'$3/(9"1)(*&"+, :+$"%% <'%+1>$/43/+&91:+$"%%1!&%'$6"$ )(="$1<$'.0"3% 28$'(&91B/+&=4"1:,(6$'3" C"/0'4%, 6OHHS 'LI多FXOWLHV :"*4/01!,%A4(9+&'(

222345&%$&+(4%&134"6 &(78)99::);9<)=9>)??@)@@A: (6,%78)6,&&B45&%$&+(4%&134"6

London Clinics are situated in Harley Street, Angel/Islington and Southgate.

Outside London Clinics are in St Albans, Essex and Norwich

5

CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited

CBTMONTHLY July 3rd 2011

is characterized by excessive, uncontrollable and often irrational worry about everyday things that is disproportionate to the actual source of worry. This excessive worry often interferes with daily functioning,

Matt Broadway-Horner

generalised anxiety disorder worry monster

By Matt Broadway-Horner

Generalized anxiety disorder (GAD) is an anxiety disorder that is characterized by excessive, uncontrollable and often irrational worry about everyday things that is disproportionate to the actual source of worry. This excessive worry often interferes with daily functioning, as individuals suffering GAD typically anticipate disaster, and are overly concerned about everyday matters such as health issues, money, death, family problems, friend problems, relationship problems or work difficulties.

Individuals often exhibit a variety of physical symptoms, including fatigue, fidgeting, headaches, nausea, numbness in hands and feet, muscle tension, muscle aches, difficulty swallowing, bouts of difficulty breathing, difficulty concentrating, trembling, twitching, irritability, agitation, sweating, restlessness, insomnia, hot flashes, and rashes and

6

inability to fully control the anxiety. (ICD-10, a bible for diagnosis for Professional health practitioners).

These symptoms must be consistent and on-going, persisting at least six months, for a formal diagnosis of GAD to be introduced.[Approximately 6.8 million American adults experience GAD,) and 2% of adult Europeans, in any given year, experience GAD. For more information on therapy for Worry call 020 7467 1508 and find out individual therapy. Our group therapy is called The Worry group which can be a option that can be combined with 121 therapy

CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited

CBTMONTHLY July 3rd 2011

cognitive behaviour therapy made a difference the human condition

By Lucile

I was in a pretty bad way when I first walked into the clinic. I was suffering from constant anxiety, angry to others and acting unpredictably with those who loved me. I owe a debt of gratitude to my CBT therapist and I am more than happy to write this short testimonial as my hope is that others use CBT in the City to address their problems. I and my family are in a more consistent space in my life and with the use of IRRT I was able to address my troubling issues that did plague me and contaminate my experiences.

The IRRT helped me to rest some of my torment that I had suffered for many years. I am now able to enjoy my sleep and enjoy and allow myself to be happy. I am a mother and I now feel that I will not repeat the troubles my mother had with me. My mother would constantly beat me at times when things in the house were out of order. Order was very important to my mother and I never had a warm relationship with her because she was so frightening and cold. My relationship with my daughter has been hot and cold but mainly cold and she is 4 yrs old. I am in a better space now and for the last 6 months I have had fun and enjoyed being a mother and long may it continue. Thank you

For more information on Imagery Rescripting and Reprocessing Therapy then contact the office 020 7467 1508 or email matt@cbtinthecity.com Remember we are here to help

CBTMONTHLY Head office 10 Harley Street London W1G 9PF

Wellness Centre CBT in the City Ltd 10 Harley Street London W1G 9PF

CBTMONTHLY July 3rd 2011

remember we are here to help contact the CBT in the City 0207 467 1508 or email matt@cbtinthecity.com

one 2 onecounselling one 2 onecounselling telephonecounselling emailsupport managementsupport webcounselling home basedcounselling workshopseducation groupcounselling informationservices onlineresources mindfulnessprograms wellnessprograms

telephonecounselling emailsupport managementsupport webcounselling home basedcounselling workshopseducation groupcounselling informationservices onlineresources mindfulnessprograms wellnessprograms professionalsupport

one 2 onecounselling telephonecounselling emailsupport managementsupport webcounselling home basedcounselling workshopseducation groupcounselling informationservices onlineresources mindfulnessprograms wellnessprograms professionalsupport

professionalsupport CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited