Cognitive Behavioural Therapy Essay

Cognitive Behavioural Therapy (CBT) is recommended by the NICE guidelines as an effective interference for many affable health problems, specifically imprint and all of the anxiety disorders. But is it a therapy open to all? When prof Lord Layard wrote his paper Mental Health Britains Biggest Social puzzle? in 2005, he noted that 16% of adults of head for the hillsing age subject field a mental illness Of these 16%, he stated that, merely a quarter were utilising any type of treatment. It was this area of finding that live on to his recommendation to increase aditibility to proven therapies much(prenominal) as CBT.This was achieved with the orbit out of the Improved Access to Psychological Therapy (IAPT) computer programme. The diagram below shows how the IAPT programme has been divided up into 3 steps It is this stepped move up that will domiciliate to overcoming well-nigh of the barriers that societies diversity whitethorn prolong with accessing CBT. What might these barriers be? single of the first barriers an single faces may be around the concern of existence stigmatised. It may be too hard for them to think near accessing CBT therapy for fright of what others may think.They may not want to take time sullen work to attend sessions for fear of it impacting negatively on their explosive chargeer prospects. The stepped care model means they are able to receive the lowest assume service tier support. This may mean that an individual is able to access therapy using guided self-help, allowing them to work through the programme in their stimulate time and at their own pace. Online programmes such as Fearfighter and Beating the blue allow the individual to access therapy where and when they like.Not only do these sort of programmes overcome the fear of stigma but they also overcome the unblock of long waiting lists meaning that the individual can access treatment on their terms almost instantaneously. Only if this level of support pr oves scoreless will the individual then be stepped up to the high potency support. These internet CBT programmes also overcome geographical difficulties, as long the individual has access to the internet and phone. In my opinion the internet is one of the chief(prenominal) federal agencys in which barriers may be removed.Morland et al (2011) conducted a study on the effectiveness of CBT delivered via video conferencing compared to the conventional in- individual. The results indicated that the outcomes were just as effective. A promising move for those that are unable to access traditional CBT as a result of their location or possible mental health issue, for example those suffering agoraphobia. At the core of CBT is the individuals motivation to learn and change. This in itself can lead to difficulties, especially in children and puppyish people. Often this group is being taken to therapy rather than choosing to go.Hudson (2005) name that large numbers of offspringsters wer e not responding to the CBT treatment that they were receiving. As far as children and young people are concerned there seems to strike been special research onto the success of CBT treatment. The first controlled trials did not take place until the archean 1990s and the majority of research has foc procedured on the impact of CBT on adults. Even so the NICE guidelines on Depression in Children and adolescent People recommended the use of CBT, firstly, rather than pharmacological interventions.So how has CBT been adapted to take children and young people, whose very cognition and emotional stages differs from that of adults? There have been some creative adaptations to the CBT model such as Think Good olfactory perception good. Here the concept of CBT is broken down into easy to carry on bites. There is also a lot of use of cartoons and speech bubbles, allowing the young person to access their thoughts and feelings in a safe vogue. The need to use more non-verbal techniques to help the young person to pledge in the offshoot such as, storytelling, drawing and games is also highlighted in this book.OReilly et al (2009) have also developed an interesting approach to using CBT with children and young people. They have created a game called gNAtenboroughs Island which is contend by the youngster alongside a therapist. Each session introduces another core CBT concept to the young person, such as the connection between thoughts, feelings and behaviours. These are presented in a non-threatening way and also a way that may be more loving to this age group. Cerangolu (2010) found that video games could enhance the therapeutic experience.They could help drive on the therapeutic relationship as young people may be more willing to relate to a therapist that is ready to engage and understand their normal way of playing. Also sitting side by side rather than at the conventional ten to two background also may make the young person relax. How the game is played c an also reveal the young person cognitive style. As technology develops so do the opportunities to engage young people in therapy. Apps for smartphones are constantly being developed that allow the young person to access their homework in a more user genial way, to record their thoughts and emotions instantaneously.To allow them to engage in therapy in the same way that they engage in their life. Homework may be a part of CBT therapy that causes a young person to disengage, especially as the very intelligence may cause them to have negative connotations. Gaynor et al (2006) found that respectfulness toward completing homework dropped the further into therapy a young person was. It is crucial that the therapist and client work together to agree the homework and that the young person is encouraged to set their own, as this may encourage a buy in to its importance.It may be that the therapist stays outside(a) from using the language of school and calls it practise work or work for self. Initially I saw CBT treatment as control and unmoving, but the more I have researched the barriers that different people may encompass when thinking of embarking on treatment the more I acknowledge that CBT is indeed structured but there is an innate flexibility about how it is delivered. It is this flexibility that allows people from different backgrounds to engage in a CBT approach that sees them as an individual rather than specific disorder.