Computer with internet access
Text books and learning materials as suggested
Opportunity to carry out supervised CBT assessment, formulation and intervention with clients with complex mental health needs in a clinical setting
A workplace-based clinical supervisor who works according to a CBT framework

Beck, J. (2011). Cognitive Therapy: Basics and Beyond. Second Edition. Guilford

Beck, J.(2011). Cognitive Therapy for Challenging Problems - What to do when the basics don't work. Second Edition.Guilford

Hays, P.A., & Iwasama, G.Y. (2006). Culturally Responsive Cognitive-Behavioral Therapy: Assessment, Practice, and Supervision. Washington, DC: American Psychological Association

Tarrier, N. (ed.) (2006). Case Formulation in Cognitive Behaviour Therapy. The treatment of Challenging and Complex Cases. East Sussex. Routledge.

21 hours - seminars - spread over three day long sessions over an eight week period
16.5 hours - lectures - spread over five half days over an eight week period
21 hours - skills workshops - spread over three day long sessions over an eight week period
37.5 hours - clinical supervision sessions - spread over twenty five supervision sessions each lasting ninety minutes over the first ten months of the award.

Independent Study Hours:
Reading and research- 29 hours
Assessment preparation - 40 hours
Workplace supervision - 35 hours
Workplace clinical practice - 100 hours

This module focuses on the further development of the advanced clinical skills necessary to work with individuals with a range of complex mental health difficulties. It builds on work undertaken as part of the Developing CBT Practice Module and the option modules to further facilitate the integration of theory and practice in work with clients with more complex difficulties. It is expected that for the purposes of this module trainees will undertake CBT assessment and therapy with either clients with complex depression and anxiety or clients with complex mental health disorders such as psychosis or bipolar disorder depending on which of the two optional modules has been studied. The module includes further teaching on the applications of CBT with people with complex mental health difficulties. Depending on which of the option modules studied previously trainees will attend a further series of more specialised workshops covering both the contemporary models of a range of complex conditions and the use of CBT as a means of intervention with individuals with those conditions. Within these sessions there is a focus on the process of further skills development through opportunities to role play specific skills and to receive structured feedback on the application of these skills. There are regular clinical supervision sessions in which trainees are able to work on the resolution of difficulties and dilemmas that inevitably arise in work with people with more complex mental health difficulties. The following topics are covered over the course of the module:-

- The development of integrative formulations when complexity is defined by comorbidity
- The application of contemporary models of a range of complex conditions
- The application of specific CBT techniques and approaches in people with complex mental health difficulties
- Working with individuals with chronic and treatment resistant depression
- Working with individuals with complex OCD - chronicity, comorbidity and perfectionism
- Mindfulness, compassionate mind, working with guilt and shame
- Working with individuals with complex PTSD and trauma related difficulties
- Working with individuals with Body Dysmorphic Disorder
- Working with hallucinations
- Working with delusions
- Working with thought disorder, negative symptoms and drug misuse
- Working with people with bipolar disorder
- Working with low motivation and ambivalence associated with complex symptomatology
- Effective use of supervision in working with people with complex mental health needs to enhance & regulate good practice
- The implications of values, culture and diversity for work as a CBT therapist

Portfolio to include the following (100%):-
- Clinical log showing evidence of having delivered 200 hours of CBT assessment and treatment with a minimum of 8 clients and of having received 70 hours of supervision
- Evidence of having self-rated 6 client sessions using the CTS-R including a brief reflective analysis of each session
- Anonymised assessment and treatment reports to referrers for at least 2 clients
- A reflection on how CBT has been adapted to take account of diverse cultures & value systems
- A 3000 word case study giving details of a CBT assessment, formulation and intervention with a client with complex mental health needs and detailing how clinical supervision shaped learning and the development of this work

Addresses learning outcomes 1,2,3,4 and 5

It is necessary to submit and to pass all elements of the portfolio to pass the award

Additional Assessment Details:
Formative feedback is offered on plans for all elements of the portfolio. Formative feedback is also offered on the content and format of clinical letters and reports as part of regular supervision sessions.