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Workshops

Pre-Conference Workshops will be run as full-day workshops on Tuesday 23rd July 2023.

All pre-conference workshops will be run for in person attendance only. Further details, including about registration, will follow soon.

Workshop One

Ron Rapee

Working with complex cases in CBT

Stephen Barton, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, UK

“Complex case” is an often-used phrase in CBT but what do we mean by it?  Do we have a shared understanding of what it is?  This workshop will explore what a complex case is and provide guidance on how to identify, formulate and respond to clinical complications.  Rather than seeing “complex” as a fixed property of a client, the workshop will explore treatment processes as influenced by clients, therapists, healthcare systems and the broader context.

The key question is:  does a particular course of therapy proceed in the usual way, or do complications arise that obstruct or strain the process?  The emphasis is on identifying and addressing complications within treatment, rather than ascribing levels of complexity to individual clients.

Working with this understanding of what complexity is, the workshop will explore two types of complication:

A. Problem complexity: when clients have multiple interacting problems.  This can occur with co-morbid disorders when it’s difficult to know what to prioritise.  It can be hard to stay focused on one target problem when other difficulties come to light (“unknown unknowns”).  Concurrent social and/or bio-medical problems can also disrupt the usual CBT process.

B. Relational complexity: when there are complications in the therapeutic relationship that act as barriers to the collaboration needed for CBT to be effective.  By definition, both client and therapist factors need to be considered, including the personal and task-orientated aspects of the alliance.  Sometimes alliance barriers are obvious, and sometimes they go un-noticed and have an insidious effect on the process.

Key learning objectives

  • Reflect on one of their complex cases, past or current
  • Receive practical guidance on how to identify clinical complications, with respect to client problems and the working alliance
  • Discuss practical strategies in pairs or small groups
  • Learn how to address clinical complications with clients, once they have been identified

Stephen Barton is a clinical psychologist and CBT therapist based in Newcastle in the North East of England.  He is an experienced therapist, supervisor, trainer, researcher and author, with interests in mood disorders, supervision and complex cases.  He was formerly programme director of the Newcastle CBT Diploma and Head of Training and Research at the Newcastle CBT Centre.  He is currently based at the Regional Affective Disorders Service in Newcastle, where he is conducting treatment research into difficult-to-treat depression and bipolar disorder.

References

Barton, S & Armstrong, P. (2019).  CBT for Depression: An Integrated Approach.  Part IV, Complex Cases (pages 201-265)

Barton, S., Armstrong, P., Wicks, L., Freeman, E. & Meyer, T.D. (2017) Treating complex depression with cognitive behavioural therapy. The Cognitive Behavioural Therapist. Vol. 10. http://dx.doi:10.1017/S1754470X17000149

The Cognitive Behavioural Therapist (2017). Vol. 10: Special Issue – Working with Complexity in CBT

Workshop Two

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Imagery based emotion regulation for the treatment of anxiety and mood difficulties in complex cases?

Susie Hales and Craig Steel, University of Oxford, UK

Workshop Three

Ron Rapee

Overcoming distressing voices

Mark Hayward, University of Sussex, UK

This workshop will introduce attendees to Guided self-help CBT for distressing voices (the so called ‘GiVE intervention’). Consistent with the development of the interventionist-causal approach, GiVE is a blended intervention that targets some of the mechanisms associated with the maintenance of voice-related distress (low self-esteem, beliefs about voice power, control and truthfulness, and negative relating). An emerging evidence base suggests that the GiVE intervention can be helpful to clients across diagnoses and can be delivered by practitioners with a range of experience.

Attendees will be provided with the learning materials that support the delivery of the GiVE intervention: the published workbook (‘An introduction to Self-help CBT for distressing voices’), self-help book (‘Overcoming Distressing Voices’) and mobile phone app. The workshop will consider the principles and techniques of the intervention and utilise experiential learning opportunities to develop familiarity with the materials and the process of delivering the intervention. A review of findings from recently completed trials and routine clinical practice will stimulate discussions about the place and role of the GiVE intervention within a pathway of interventions for clients who are distressed by hearing voices and associated experiences.

Key learning objectives

At the conclusion of the workshop attendees will:

  • be familiar with the principles of the GiVE intervention
  • have some experience of using the techniques of the GiVE intervention
  • have access to all of the materials required to support the delivery of the GiVE intervention
  • be curious about the possible role of the GiVE intervention in increasing access to CBT for clients who are distressed by hearing voices.

Thanks to the generosity of the publishers (Little, Brown Book Group), attendees will be provided with free copies of the workbook (‘An introduction to Self-help CBT for distressing voices’) and self-help book (‘Overcoming Distressing Voices’).

The workshop will be facilitated by Mark Hayward, a Clinical Psychologist who has been learning with and from people who hear voices for the past 25 years. Mark is the lead for the Sussex Voices Clinic, a clinical and research service that is committed to increasing access to helpful interventions for clients who are distressed by hearing voices https://www.sussexpartnership.nhs.uk/our-research/mental-health-dementia-research/research-clinics/sussex-voices-clinic

References

Hayward, M., Strauss, C. & Kingdon, D. (2018). Overcoming Distressing Voices (2nd Edition). London: Robinson.

Hazell, C., Hayward, M, Strauss, C. & Kingdon, D. (2018). An introduction to self-help for distressing voices. London: Robinson.

Hayward, M., Berry, K., Bremner, S., Jones, A., Robertson, S., Cavanagh, K., . . . Strauss, C. (2021). Increasing access to cognitive–behavioural therapy for patients with psychosis by evaluating the feasibility of a randomised controlled trial of brief, targeted cognitive–behavioural therapy for distressing voices delivered by assistant psychologists: The GiVE2 trial. BJPsych Open, 7(5).

Workshop Four

Ron Rapee

Integrating mindfulness into CBT

Stirling Moorey, South London and Maudsley NHS Trust, UK

The effectiveness of 3rd wave therapies which employ mindfulness either as a formal practice as in Mindfulness Based Cognitive Therapy (MBCT) or as an informal method for being in the present moment as in Acceptance and Commitment Therapy (ACT) is recognised. Many therapists are now integrating mindfulness practices into 2nd wave CBT. Is this possible? Is it safe? This workshop will look at the similarities and differences between mindfulness in second and third wave therapies. For therapists who are not trained as mindfulness teachers we will explore how simple mindfulness practices such as the breathing space, and mindfulness of everyday experience such as mindful eating, mindful showering etc. can be safely weaved into standard CBT practice. Mindfulness can be a useful tool, but needs to be practised regularly outside periods of distress. The workshop will give links to self help resources that can assist this use of mindfulness. The importance of having our own mindfulness practice will be emphasised. For therapists who are trained mindfulness teachers, the workshop will offer the opportunity to consider how mindfulness can be used in CBT to address problems such as rumination, avoidance of emotional experience and maladaptive habits. The experiential part of this workshop will include practising mindfulness ourselves and guiding short mindfulness practices with each other. For therapists who are not experienced mindfulness practitioners the workshop will offer an introduction and direction to resources for further training.

Key learning objectives

 After attending this workshop participants will:

  • have experienced the effects of mindfulness for themselves and recognise the importance of personal practice in supporting the use of mindfulness in CBT.
  • be able to describe the core features of mindfulness and the difference between mindfulness and attention control.
  • be able to use the CBT conceptualisation to decide when mindfulness practices might benefit particular patients.
  • be aware of possible adverse effects of mindfulness.
  • be able to employ some brief mindfulness exercises in CBT and direct patients to resources for supporting their mindfulness practice.
  • be confident in helping patients transition from CBT to a mindfulness group such as MBCT and vice versa.

Stirling Moorey is a retired consultant psychiatrist and BABCP accredited practitioner, trainer and supervisor. He is a registered mindfulness teacher with BAMBA and a Mindfulness Based Compassionate Living teacher. He has over 40 years experience as a CBT therapist and teacher and 17 years experience of teaching Mindfulness Based Cognitive Therapy for recurrent depression, OCD and health anxiety. He was external examiner for the Oxford MSt in MBCT and, with Dr Florian Ruths, was instrumental in setting up daily online ‘Mindfulness 4 All’ sessions during the pandemic for NHS staff.

References

Feldman, C., & Kuyken, W. (2019). Mindfulness: Ancient wisdom meets modern psychology. Guilford Publications.
Crane, R. (2017). Mindfulness-based cognitive therapy: Distinctive features. Taylor & Francis.
Michalak, J., Crane, C., Germer, C. K., Gold, E., Heidenreich, T., Mander, J., … & Segal, Z. V. (2019). Principles for a responsible integration of mindfulness in individual therapy. Mindfulness10, 799-811.

Workshop Five

Ron Rapee

Culturally Adapted CBT: From Theory to Practice

Farooq Naeem, University of Toronto

It is now widely accepted that modern evidence-based therapies such as CBT (Cognitive Behaviour Therapy) need to be culturally adapted for them to be successfully applied to clients from a non-Western background.  We developed the Southampton Adaptation Framework to Culturally adapt CBT (SAF-CaCBT). The framework was developed through a series of qualitative studies and continues to evolve. More than 25 RCTs have been conducted using this framework. The framework has been used to adapt CBT in South Asia, the Middle East, China, England, Africa, and Canada. More than 20 studies have used the framework to adapt CBT culturally. The framework consists of three major areas of concern: (1) awareness of culture and religion, (2) assessment and engagement and (3) adjustments in therapy. Each area has 8 sub-areas to consider when culturally adapting CBT. This workshop will use SAF-CaCBT as a reference to help participants enhance their skills to work effectively with clients from ethnic minority backgrounds. The practice of cultural consultation will be illustrated in this interactive workshop with case studies- video role plays, and experiential exercises.

Key learning objectives

 At the conclusion of this workshop, the participants will be able to

  • Recognize cultural factors that need to be addressed when working with diverse population
  • understand the barriers in applying culturally adapted CBT and how to address these barriers
  • Learn some of the basic techniques that they can use to improve engagement with clients from a diverse background

 

Farooq Naeem is a full Professor of Psychiatry at the University of Toronto and a clinician scientist at the Centre for Addiction & Mental Health. He has published more than 200 peer-reviewed articles, 6 books and numerous therapy manuals and chapters. Farooq pioneered techniques for culturally adapting CBT. He developed the Southampton Adaptation Framework to culturally adapt CBT, which has been used to adapt CBT in South Asia, England, North Africa, the Middle East, Kenya, China and Canada. His significant contribution to implementation science is establishing a national organization to train and accredit CBT therapists, deliver therapy, promote research and educate the general public- the Pakistan Association of Cognitive Therapists (https://pact.com.pk/). This remains the only example of national implementation of CBT in a low-income country. 

References

Farooq Naeem, Peter Phiri, Shanaya Rathod, Muhammad Ayub: Cultural adaptation of cognitive–behavioural therapy. 04/2019;, DOI:10.1192/BJPsych Advances.2019.15

Naeem F, Sajid S, Naz S, Phiri P. Culturally adapted CBT – the evolution of psychotherapy adaptation frameworks and evidence. The Cognitive Behaviour Therapist. 2023;16:e10.

Workshop Six

Ron Rapee

The Single-Session Consultation: A Brief Approach to Bridging Gaps in Systems of Mental Health Care

Jessica Schleider, Northwestern University, USA

Demand for mental health services outpaces the number of available providers. As a result, wait-times for therapy can span weeks to months, and waiting for treatment itself may cause harm. There is a pressing need to offer interim, low-intensity supports to people seeking care. Doing so can help buffer the harms of long, frustrating waits for care. This workshop will serve as an introduction to an evidence-based, highly flexible program that directly addresses the need to support people when they seek care, rather than weeks-to-months later: the Single-Session Consultation (SSC). The SSC is a provider-delivered program, designed for delivery in a single 30-to-90-minute session, that can support people precisely when they reach out for psychological support—bolstering their motivation for change and buffering against symptom declines while people wait for longer-term care. The SSC draws from principles of Solution-Focused Brief Therapy (SFBT), an evidence-based approach to identifying and mobilizing a person’s present goals, strengths, and hopes. Within one SSC meeting, therapists can help their patient identify the capabilities they already possess to solve a problem at hand, and to take steps, however small, toward a future in which that problem is less influential. In multiple real-world trials, the SSC has successfully reduced mental health problems among teens and adults waiting for longer-term treatment—while strengthening their sense of hope, fostering a sense of agency, and boosting their motivation for change. Today, the SSC is delivered as part of routine clinical care in outpatient-, school-, community-, and emergency room-based clinics within and beyond the United States (e.g., in Australia, and Canada).

Key learning objectives:

  • Participants will be able to summarize the benefits and limitations of using the Single Session Consultation (SSC) with clients
  • Participants will be able to deliver the SSC with clients
  • Participants will be able to assess how the SSC will be useful in their own clinical practice and implement it in an ethical way

 

Dr. Jessica L. Schleider is the Director of the Lab for Scalable Mental Health and Associate Professor of Medical Social Sciences, Pediatrics, and Psychology at Northwestern University. Her professional mission is to build, test, and disseminate scalable, evidence-based mental health solutions that bridge gaps in mental health ecosystems, with a focus on single-session interventions (SSIs) for underserved youth. In support of her work in this area, she has secured >$8 million in federal, foundation, and industry funding as PI or Project Lead. She has published >110 peer-reviewed articles and has created seven open-access mental health SSIs, which have reached >50,000 people to date. Based on these programs, Dr. Schleider wrote a self-help workbook, The Growth Mindset Workbook for Teens. She also co-edited the Oxford Guide to Brief and Low-Intensity Interventions for Children and Young People and wrote a nonfiction book, LITTLE TREATMENTS, BIG EFFECTS on how single-session interventions can transform mental health. Dr. Schleider completed her PhD in Clinical Psychology at Harvard University and her Doctoral Internship in Clinical & Community Psychology at Yale School of Medicine.

References:

Sung, J. Y., Buggati, M., Vivian, D., & Schleider, J. L. (2023). Evaluating a telehealth single-session consultation service for clients on psychotherapy wait-lists. Practice Innovations, 8, 141-161.

Schleider, J. L., Sung, J. Y., Bianco, A., Gonzalez, A., Vivian, D., & Mullarkey, M. C. (2021). Open pilot trial of a single-session consultation service for clients on psychotherapy waitlists. The Behavior Therapist, 44, 8-15.

Workshop Seven

Ron Rapee

An evidence based approach to fear of recurrence and disease progression in cancer and chronic physical conditions

Louise Sharpe, University of Sydney, Australia

In our ageing society, the presence of chronic physical conditions is becoming more common and anxiety is a common sequalae of living with chronic disease. However, while cognitive-behavioural treatments for anxiety are associated with large effects, in the context of chronic illness, treatments have been shown to produce small changes or be ineffective. The concerns of those living with chronic illness, differ from those of people without chronic illnesses. It has recently been proposed that fear of the illness recurring or progressing is a fundamental fear that underlies anxiety in a range of conditions and is a transdiagnostic construct that impedes quality of life for people with chronic disease.

This workshop will describe models of fear of disease recurrence and progression, and examine the evidence that fear of progression is a transdiagnostic construct amongst those with chronic physical illness. This workshop will outline ways to help patients to be able to think about their future with uncertainty and live a life that has meaning and value to them, using a program called ‘Conquer Fear’.  Conquer fear draws from acceptance commitment therapy, meta-cognitive therapy and behavioural strategies. Conquer Fear was shown in a large randomized controlled trial to be superior to relaxation training in reducing fear of cancer recurrence (FCR). The program includes values clarification and strategies from metacognitive therapy, that examine whether worry is helpful, harmful or controllable specifically in the context of FCR will be explored. Response prevention for checking behaviours and bodily monitoring will be described and demonstrated. Although this program was developed specifically for working with people living with or beyond cancer, the applicability for working with other illnesses in which fear of progression will be addressed.

Key learning objectives:

By attending this workshop, attendees will be able to:

  • Understand and describe the theories for why some individuals develop clinically significant concerns about their disease recurring and progressing
  • Identify effective treatment components, including values clarification, attention retraining, meta-cognitive therapy and behavioural response prevention and apply them to people with cancer and other chronic diseases;
  • Provided with the ‘Conquer Fear’ treatment manual, an evidence-based intervention targeted to treating fear of cancer recurrence in the context of early stage cancer treated with curative intent; and
  • Understand how to adapt the treatment and its manual to different chronic illnesses.

Professor Louise Sharpe is a clinical psychologist by training and led clinical services in the National Health Service in the UK in the 1990s before taking up an academic position. She is well known for her work on adjustment to illness and internationally renowned for her work in pain and fear of disease recurrence and progression. She has written more than 300 peer-reviewed papers and been continuously supported by grant funding from either the Australian Research Council or National Health and Medical Research Council (the two major Australian funding systems) since 2002.

 She has been awarded distinguished career awards from the Australian Psychological Society, The Australian Association for Cognitive Behavioural Therapy (AACBT) and is a Fellow of both the AACBT and the Association for Social Scientists in Australia. She is regularly invited to speak about her work in keynotes, plenary sessions and invited workshops, including workshops at World Congress of Cognitive Behaviour Therapy and International Psycho-Oncology Society conferences.

Workshop Eight

Ron Rapee

Brief cognitive therapy for panic disorder in adolescents

Polly Waite, University of Oxford, UK

Panic disorder occurs in 1-3% of adolescents, commonly co-occurs with other mental health difficulties, and has a negative impact on functioning at school and with friends. In adults, individual cognitive therapy based on Clark’s (1986) cognitive model for panic disorder has been shown to be highly effective, including in a brief format. We have recently evaluated the brief version of this treatment, adapted for use with adolescents, within a feasibility randomised controlled trial and found it to be both effective and acceptable. This half-day workshop will provide attendees with an overview of how to identify and assess adolescents with panic disorder and deliver the brief form of cognitive therapy. This workshop is aimed at clinicians with prior experience using CBT for the treatment of anxiety disorders (in young people or adults). The workshop will involve demonstration of techniques, and practical activities. There will opportunities for discussion and to ask questions throughout.

Key learning objectives:

At the end of the workshop, attendees will have an understanding of:

  • The characteristics of panic disorder in adolescents
  • How to assess panic disorder in adolescents and use sessional measures to guide treatment
  • The key elements of brief cognitive therapy for panic disorder (including the involvement of family members and school staff)
  • How to undertake panic-specific behavioural experiments

Dr Polly Waite is an Associate Professor of Clinical Psychology in the Department of Experimental Psychology at the University of Oxford. She is also an Honorary Consultant Clinical Psychologist at Oxford Health NHS Foundation Trust. Her primary clinical and research interest is the treatment of anxiety disorders in adolescents. She has authored over 70 papers, as well as books and book chapters on anxiety and related difficulties for professionals, young people, and their families. She co-edits the Little, Brown Book Group ‘Helping Your Child’ for parents and carers and ‘Overcoming’ books series for adolescents with common mental health problems.

References:

Clark, D. M., Salkovskis, P. M., Hackmann, A., Wells, A., Ludgate, J., & Gelder, M. G. (1999). Brief cognitive therapy for panic disorder: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 67(4), 583. https://doi.org/10.1037/0022-006X.67.4.583

Waite, P. (2022). Protocol for a randomised controlled feasibility study examining the efficacy of brief cognitive therapy for the treatment of panic disorder in adolescents (PANDA). Pilot and feasibility studies8(1), 49.

Waite, P. & Clark, D. M. (2023). Brief Cognitive Therapy for Panic Disorder in Adolescents: Clinician Manual and Session-by-Session Guide. Oxford: University of Oxford. https://oxcadatresources.com

Workshop Nine

Ron Rapee

Rumination-focused CBT for anxiety and depression

Ed Watkins, University of Exeter, UK

Workshop Ten

Ron Rapee

How to feel more confident treating PTSD in survivors of rape and sexual assault

Kerry Young, Central and North West London NHS Foundation Trust, UK

CBT practitioners often feel uncertain about how to treat Post-traumatic Stress Disorder (PTSD) following rape and sexual assault. There are many myths and rumours about what you should and should not do. All too frequently, this uncertainty results in therapists avoiding doing trauma-focused work with these clients. Whilst understandable, this means that the survivor continues to re-experience being raped over and over again. Moreover, it means that survivors of rape are denied effective treatment for their PTSD.

This workshop outlines an evidence-based CBT approach to treating PTSD following a rape in adulthood. It aims to be a practical, ‘how to’ guide for therapists, drawing on decades of clinical experience in this area. I will share film links to demonstrate how to undertake each step of the treatment pathway.

We will consider how to assess and formulate PTSD following a rape in adulthood, then how to deliver Cognitive Therapy for PTSD (CT-PTSD; Ehlers and Clark, 2000). I will cover both client and therapist factors when working with memories of rape, as well as some legal, social, cultural, and interpersonal considerations.

To aid learning, the focus will be on a single rape in adulthood. However, much of what we cover will also be useful for working PTSD to multiple rapes in adulthood, and with adult survivors of childhood sexual abuse presenting with PTSD and other co-morbid psychological difficulties, such as psychosis, depression and substance misuse.

Key learning objectives:

  • To understand the importance of providing effective, trauma-focused therapy for survivors of rape in adulthood who are experiencing symptoms of PTSD.
  • To be able to assess and formulate PTSD following a rape in adulthood.
  • To be able to deliver CT-PTSD with this client group.
  • To find out how to manage the dissociation common in this client group.
  • To be able to select and choose appropriate cognitive, behavioural and imagery techniques to help with feelings of shame, responsibility, anger, disgust, and contamination.
  • To know where to find out more about psycho-sexual, interpersonal, cultural, and legal difficulties following rape.
  • For therapists to learn how best to support their own ability to cope with working in a trauma-focused way with survivors of rape and sexual violence.

Kerry Young is a Consultant Clinical Psychologist and Clinical Lead of the Woodfield Trauma Service in London, a leading centre for the treatment of asylum seekers and refugees suffering from PTSD. She also works at the Oxford Rose Clinic, a service for the medical and psychological treatment of women who have experienced Female Genital Mutilation. She has worked in specialist PTSD services for 27 years and has advised national bodies on how to train clinicians to work with refugees, PTSD and Complex PTSD. She has co-created and delivered two NHSE-funded national ‘top-up’ training programmes for NHS Talking Therapies to work with PTSD and with refugees and asylum seekers. Kerry trains nationally and internationally on how to treat PTSD, Complex PTSD and working with refugees, as well as on using mental imagery techniques. She has published in the field of both trauma and mental imagery.

References:

Murray, H., Grey, N., Warnock-Parkes, E., Kerr, A., Wild, J., Clark, D., & Ehlers, A. (2022). Ten misconceptions about trauma-focused CBT for PTSD. The Cognitive Behaviour Therapist, 15, E33. doi:10.1017/S1754470X22000307

Starzynski, L. L., Ullman, S. E., & Vasquez, A. L. (2017). Sexual assault survivors’ experiences with mental health professionals: A qualitative study. Women & Therapy, 40(1-2), 228-246

Young, K., Chessell, Z.J., Chisholm A, et al. A cognitive behavioural therapy (CBT) approach for working with strong feelings of guilt after traumatic events. The Cognitive Behaviour Therapist. 2021;14: e26. doi:10.1017/S1754470X21000192

Workshop Eleven

Making sense of the senses: Transdiagnostic techniques for sensory sensitivity

Jane Gregory, University of Oxford, UK

Two In-Conference Half-Day Workshops will run during the full conference programme.

Workshop

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Wednesday 24th July:

An Introduction to PBS and the Positive Behavioural & Active Support (PBAS) App

Sandy Toogood, Bangor University, UK & Nick Gore, University of Kent, UK

Workshop 

Thursday 25th July:

Cognitive behavioural therapy for adult ADHD

Antonia Dittner, South London and Maudsley NHS Trust, UK

ADHD in adulthood is associated with high levels of functional impairment and psychological distress.  There is growing evidence that psychological treatments can address both the core symptoms themselves and the associated emotional distress.

This workshop presents a cognitive-behavioural approach to formulation and treatment of ADHD in adults.  It will consider some of the challenges for individuals with ADHD in accessing CBT and how to adapt the style and content to overcome them.  It will cover techniques to address core symptoms of the condition as well as adaptations that can be helpful when using CBT to treat common mental health problems in adults with ADHD.

This workshop aims to improve therapist knowledge, skills and confidence in working with adults with ADHD. The intended learning outcomes may also be helpful in adapting practice for people with difficulties with inattention, hyperactivity or impulsivity but who do not have a formal diagnosis of adult ADHD.

Key learning objectives:

To become familiar with the impact of ADHD on functioning and the associated psychological distress

To become familiar with a cognitive behavioural conceptualisation of adult ADHD

To become familiar with the main ways to adapt CBT for adults with ADHD

To become more confident to adapt CBT practice for adults with ADHD

Dr Antonia Dittner is a Consultant Clinical Psychologist at South London and Maudsley NHS Trust where she leads the National Adult ADHD and Autism Psychology service, a national service specialising in psychological therapies for adults with neurodevelopmental conditions.  She has worked in the NHS for 20 years in a range of settings, and for many of those years with adults with neurodevelopmental conditions.  Antonia has carried out research investigating cognitive behavioural aspects of Adult ADHD, including a randomised controlled trial investigating a cognitive behavioural formulation-driven approach to treating adults with ADHD. 

References:

Dittner A, Hodsoll J, Rimes K, Russell A, Chalder T. Cognitive-behavioural therapy for adult attention deficit hyperactivity disorder: a proof of concept randomized controlled trial. Acta Psychiatrica Scandinavica 2018 Feb 1;137(2):125-137

Ramsay, J. R., & Rostain, A. L. (2015). Cognitive behavioral therapy for adult ADHD: An integrative psychosocial and medical approach (2nd ed.). New York, NY: Routledge