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 to include working with individuals with: chronic and treatment resistant depression; complex OCD - chronicity, comorbidity and perfectionism; working with guilt and shame; complex PTSD and trauma related difficulties; Body Dysmorphic Disorder; hallucinations and delusions; thought disorder, negative symptoms; drug misuse; people with bipolar disorder
¿ Mindfulness and compassionate mind
¿ 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 and regulate good practice
¿ The implications of values, culture and diversity for work as a CBT therapist

Trainees will be required to complete one piece of portfolio containing:
• Clinical log showing evidence of having delivered 200 hours of CBT assessment & treatment with a minimum of 8 clients& of having received 70 hours of supervision (Across this module and the Developing CBT Practice module). Addresses learning outcomes 1, 2 and 4
• Evidence of having self-rated 6 client sessions using the CTS-R including a brief reflective analysis of each session. Addresses learning outcome 4
• Anonymised assessment and treatment reports to referrers for at least 2 clients. Addresses learning outcome 3
• A reflection on how CBT has been adapted to take account of diverse cultures & value systems. Addresses learning outcome 5
• End of placement evaluation completed by supervisor. Addresses learning outcome 1, 2 and 4

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

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

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.

Computer with Internet Access
Text books and learning materials as suggested

Participants attend full days of experiential skills development workshops entailing:
¿ The opportunity to develop and practice a range of CBT techniques using role play and video feedback – 55 hours
¿ The opportunity to reflect on the interaction between the personal and the professional in undertaking CBT and on the use of supervision – 50 hours

Participants spend a minimum of 15 days undertaking supervised cognitive therapy practice within a human service setting:
¿ They are required to undertake a minimum of 100 hours of face to face cognitive behavioural therapy with clients. They should work with a minimum of 4 clients, two with predominantly anxiety-related symptoms and two with depression - 100 hours
Participants attend a supervision group lasting 1.5 hours which takes place on a weekly basis and is run by an experienced CBT supervisor - 35 hours

1. Systematically and creatively practice CBT with people with complex mental health difficulties with the aim of producing positive clinical outcomes (APPLICATION)

2. Develop insightful and professional specific CBT intervention plans for people with complex mental health needs that are consistent with CBT conceptualisations (APPLICATION)

3. Effectively communicate the outcomes of CBT assessments and Interventions at both an academic level and to a range of audiences including referrers and members of the multidisciplinary team (COMMUNICATION)

4. Reflect insightfully on the ways in which clinical supervision has been used to effectively manage own learning in work with people with complex mental health needs (REFLECTION)

5. Demonstrate an ability to sensitively adapt CBT and ensure equitable access across diverse cultures and value systems (REFLECTION)

Opportunity to carry out CBT assessment and formulation with clients in a clinical setting

A clinical supervisor who works according to a CBT framework and is BABCP accredited