What Is High Intensity Cbt Therapy

Working as a high intensity therapist is a rewarding career and you will have the opportunity to make a difference to people's wellbeing and quality of life by providing a range of evidence-based interventions.

Once you have qualified as a high intensity therapist, there are a wide range of opportunities. You could move into roles which include more senior responsibility such as providing clinical leadership, supervision, quality improvement and service management/leadership . Or you could contribute to future service developments and the development of the profession through research and teaching.

Trainee high intensity therapist vacancies can be found on the NHS Jobs website or may be advertised locally within newspapers or local job sites. Vacancies may also be advertised on charity websites - such as Mind, Rethink and TurningPoint.

Therapy is focused on the present rather than the past; it is orientated towards solving the client's current problems and initiating behavioural change so that the client can function better in the future. Goals and strategies of how to achieve them, are set and regularly reviewed.The therapy is aimed at encouraging empowerment of the client so that they can solve their problems using their own resources. The client will learn specific skills that they can use for the rest of their lives. This is the main advantage of CBT over medication. 'Homework' is set so that the client can apply what they have learnt in their sessions to real life.

You will use a range of high-intensity psychological interventions. The most common being CBT (Cognitive Behavioural Therapy). This is a globally recognised treatment method which is proven to be highly effective.

To practise as a high intensity therapist you'll usually need to complete a British Association for Behavioural and Cognitive Psychotherapies (BABCP) Level 2 accredited postgraduate diploma in cognitive behavioural therapy - high intensity IAPT.

To access the training, you'll need to apply for a post as a trainee high intensity therapist with an organisation providing IAPT services (either an NHS organisation or a charity commissioned by the NHS). The IAPT service and course provider will decide together whether you're suitable and you'll be offered a job and training place if successful.

You'll need post-qualification professional experience of working with people with mental ill health in mental health services to secure a trainee high intensity therapist role. Consider looking for opportunities in primary care services.

It's sometimes possible to arrange to talk to a high intensity therapist or do some work shadowing in your local IAPT service to get a feel for the role. Find your local psychological therapies (IAPT) service.

As a newly-qualified high intensity therapist, you'll be expected to identify your own continuing professional development (CPD) needs, which may include a range of in-service and external training opportunities provided by the BABCP and other relevant organisations.

With experience, you may be encouraged to undergo training in supervisory, management and leadership skills to oversee the work of other high intensity therapists. You can also undergo further training to work with specific groups of clients, such as those with post-traumatic stress disorder (PTSD), an eating disorder, trauma or body dysmorphic disorder, or in a specialist area such as in a prison.

Alternatively, you could develop specialist research skills and knowledge through getting a clinical doctoral research fellowship and completing a PhD. Whichever route you choose, expertise beyond the core high intensity therapist role is required and you'll need to undertake relevant training.

There are two types of CBT: low intensity and high intensity. Low intensity CBT is often offered as the first step in the NHS and is usually only 4-8 sessions, which are delivered weekly or fortnightly, over the telephone, videocall, online or occasionally face to face. These sessions usually focus on one or two key techniques due to the limited time of the treatment. These sessions are delivered by Psychological Wellbeing Practitioners (PWPs), Children Wellbeing Practitioners (CWPs) or Educational Mental Health Practitioners (EMHPs), who have normally trained for 6-12 months at a graduate/postgraduate certificate or diploma level at university. These positions are not currently accredited by the governing body.

International students need to show they have the required level of English language to study this course. The required test scores for this course fall under Profile . Please visit our English language requirements page to view the required test scores and equivalencies from your country. Course content High intensity therapists assess and treat primary care patients with common mental health problems (principally anxiety and depression) using cognitive behavioural therapy (CBT). CBT is recommended in the National Institute for Health and Clinical Excellence (NICE) guidelines as part of the stepped-care approach. The approach works to alleviate symptoms and have a positive impact on social inclusion, employment and productivity. Practitioners will work closely with other agencies to assess and maximise employment opportunities for each client.

The programme prepares you to provide high-intensity CBT within Improving Access to Psychological Therapies services. It adheres to the national curriculum published by the Department of Health (2008). The School maintains a firm commitment to evidence-based clinical practice and as such we endeavour to ensure all of our training programmes are firmly embedded within current research.

Citation: Lovell K, Bower P, Gellatly J, Byford S, Bee P, McMillan D, et al. (2017) Low-intensity cognitive-behaviour therapy interventions for obsessive-compulsive disorder compared to waiting list for therapist-led cognitive-behaviour therapy: 3-arm randomised controlled trial of clinical effectiveness. PLoS Med 14(6): e1002337.

Conventional ways of delivering psychological therapy are being challenged. Health systems under financial pressure need to manage demand more effectively through new methods of delivery [4], and innovation is needed to meet the needs of diverse patient populations with complex needs. Research has shown how conventional therapist-led CBT can be delivered effectively in low-intensity forms including guided self-help (written CBT materials with limited telephone or face-to-face support) or computerised CBT (cCBT; web-based CBT materials and limited telephone support). Both forms are potentially cheaper and more accessible than conventional therapist-led CBT and demonstrate evidence of effectiveness in a range of disorders [5,6]. Low-intensity CBT interventions for OCD may provide more rapid relief of symptoms, reduce the need for more expensive therapist-led CBT, and encourage more efficient use of healthcare resources when delivered as part of a stepped care system [7].

To our knowledge, we conducted the largest trial of psychological therapy for OCD worldwide. We achieved acceptable levels of retention. When patients were not able to provide the primary clinical outcome using the observer-reported version, we used self-report as a proxy. These different measures show high associations [30,31], with some evidence of lower scores in the self-reported version, but proxy measures were only used in 8% and 11% of cases at 3 and 12 months, with minimal differences in rates of use between arms. In this pragmatic trial, recruitment was over multiple sites and involved a large number of psychological well-being practitioners. This enhances external validity, as delivery was not restricted to a small number of specialised sites or highly selected professionals. However, many psychological well-being practitioners only saw a few patients, which restricted the opportunity to practice their skills. Uptake of the interventions was reasonable (65% guided self-help and 59% cCBT). Collecting detailed data on fidelity proved difficult, but analysis of the data provided some evidence that delivery of guided self-help and cCBT was in line with protocols.

Putting the experiences with the treatment in a wider context, one quintessence was the relevance of the low-intensity CBT for the personal treatment path. The impact of the therapy concept is ascribed to an immediate, and to a more comprehensive, overarching dimension. Parallel to the narratives on concrete CBT strategies, on the content level patients reported on a tangible, directly available, and individualised outcome resulting from the treatment:

Ultimately, for three patients with previously unsatisfying psychotherapy experience, the current treatment presented a corrective experience. For two patients, participating in tel-CBT served as a steppingstone to a regular, high-intensity evidence-based psychotherapy.

Hi Nilza, to do a PhD in psychotherapy it would depend on what the requirements of your specific PhD supervisors/department/offer required. To do a ClinPsyD or DClin to qualify as a Clinical Psychologist, you would need to complete a conversion course.

Post-holders must be able to attend university as required, which will include up to four blocks of teaching of up to four days. Most teaching will be 2 days per week in conjunction with a minimum period of high intensity CBT clinical practice per week within the service. You will also be required to attend course induction days in Exeter.

We collected throughput data on 7,698 patients referred. Patient pathways were highly complex and very variable within and between sites. The ratio of low (e.g., self-help) to high-intensity (e.g., cognitive behaviour therapy) treatments delivered varied between sites from 22:1, through 2.1:1, 1.4:1 to 0.5:1. The numbers of patients allocated directly to high-intensity treatment varied from 3% to 45%. Rates of stepping up from low-intensity treatment to high-intensity treatment were less than 10%. 2b1af7f3a8