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

This module builds upon the foundations from earlier modules within the award which focus on fundamental CBT principles and the application of these in work with people with common mental health difficulties. In this module consideration is given as to how these strategies may be adapted and developed in work with people with more complex and sometimes treatment resistant depression and anxiety disorders. In addition to a review of the theoretical frameworks which underpin CBT formulations for further disorders such as Bulimia Nervosa and Body Dysmorphic Disorder there is a reflection on the practical issues that arise in work with people with more complex difficulties and how these may be addressed. Work is undertaken to understand the impact of previous trauma on the development and maintenance of these condition and on complex reactions to trauma. There is an emphasis on the development of idiosyncratic formulations to take account of the particular experiences of individual clients and of co morbid problems. There is also an emphasis on the application of problem solving strategies to identify and address potential barriers to the achievement of effective clinical outcomes. Through a combination of didactic teaching sessions, skills demonstration and case examples the following are addressed:-

- Developing the required therapeutic and interpersonal style for work with people with complex depression and anxiety
- Overcoming engagement difficulties with clients
- The use of standardised measures and the development of idiosyncratic measures
- Formulation when working with clients with co-morbid diagnoses
- Working with clients with personality disorders
- Body Dysmorphic Disorder
- Bulimia Nervosa
- Complex reactions to trauma
- Ethical considerations when conducting CBT with vulnerable people experiencing complex depression and anxiety
- The evidence base for CBT with complex depression and anxiety
- Problem solving strategies to identify and address potential barriers to therapeutic change
- Utilization of current practice guidelines from the research literature to develop and deliver innovative and collaborative CBT interventions
- Identification of appropriate targets for intervention based on individualised formulations

1) 3000 word case study based on material from clinical experience (50%)
Addresses learning outcomes 1,2,3 and 4

2) Audio tape of client session and 1000 word process report (50%)
Addresses learning outcome 5

To pass the module it is necessary for both of the above assignments to be passed

Additional Assessment Details:
Formative feedback on sections of tapes of client sessions is offered during award-based supervision groups

Lectures - 31.5 - spread over nine half day sessions over an eight week period
Skills Workshops - 31.5 - spread over nine half day sessions over an eight week period

Independent Study Hours:
Reading and research - 30
Listening to therapy tapes - 20
Assessment preparation - 37

Butler, G., Fennell, M. & Hackmann, A. (2008). Cognitive Behavioural Therapy for Anxiety Disorders. Mastering Clinical Challenges. Guilford Press.

Clark,D. (2004) Cognitive-Behavioural Therapy for OCD. Guilford Press

Grey, N. (2009) A Casebook of Cognitive Therapy for Traumatic Reactions. Routledge

Whisman, M.A. (2008), Adapting Cognitive Therapy for Depression: Managing Complexity and Comorbidity Guilford Press.