The impact of living with a long term condition is being increasingly recognised in the Transforming Community Services programme (Department of Health 2011). There is a developing emphasis on helping people with long term conditions (LTC) such as chronic obstructive pulmonary disease (COPD), diabetes and cancer to manage the psychological and practical consequences of their illness. This programme will enable students to help people with LTC to be as independent as possible and in control of their lives (up to and including the end of life). Long term conditions include both physical and psychological factors, which can actually lead to mental illness such as stress and anxiety. The aim of this module is to develop students' competency in applying a Cognitive Behaviour Therapy (CBT) framework for anxiety in common physical and psychological health problems. Students will be encouraged to reflect upon the theoretical underpinnings for using a Cognitive Behaviour Therapy (CBT) framework with stress and anxiety in common physical and psychological health problems relating it to their practice context.
Module learning outcomes
By the end of the module, students will be able to:
Demonstrate knowledge of the nature and types of anxiety experiences in common physical and psychological health problems including diagnostic classification and key characteristics.
Consider suitability factors for undertaking a cognitive behavioural approach with people experiencing anxiety in common physical and psychological health problems, including contra-indications for treatment, the role of pharmacological interventions, substance misuse, co-morbidity, how to refer on to other agencies if unsuitable.
Use a cognitive behavioural framework to assess, formulate and treat anxiety in individuals with common physical and psychological health problems.
Demonstrate understanding of the role of the therapeutic relationship in working with individuals presenting with anxiety in common physical and psychological health problems.
Demonstrate a systematic understanding of evidence for selection of specific cognitive for behavioural approaches when working with people with LTCs who are experiencing in a range of practice contexts.
Written feedback for summative assessment is provided on the standard proforma, within the timescale specified in the programme handbook.
Butler, G., Fennell, M., Hackmann, A. (2008). Cognitive Behavioural Therapy for Anxiety Disorders: Mastering Clinical Challenges. London: Guilford Press.
Clark, D.M. and Salkovskis, P.M. Panic disorder. To appear in K. Hawton, P.M. Salkovskis, J. Kirk, and D.M. Clark. (Eds.). Cognitive Behaviour Therapy: A Practical Guide. 2nd edn. Oxford: Oxford University Press.
Department of Health (2011). Delivering better mental health outcomes for people of all ages. London: HMSO
Sage, N., Sowden, M, Chorlton, E. and Edeleanu, A. (2008). CBT for Chronic Illness and Palliative Care: A workbook and Toolkit. Chichester: Wiley and Sons
Wilkinson, A., Meares, K. and Freeston, K. (2011). CBT for Worry and Generalised Anxiety Disorder. Chapter 2. London: Sage.