Cognitive Behavioural Therapy Essay Example for Free

Cognitive behavioural Therapy EssayCognitive Behavioural Therapy (CBT) is recommended by the NICE guidelines as an effective treatment for many kind health problems, specifically depression and all of the anxiety disorders. But is it a therapy open to all? When professor Lord Layard wrote his paper Mental Health Britains Biggest Social Problem? in 2005, he far-famed that 16% of adults of working age begin a mental illness Of these 16%, he verbalize that, only a quarter were utilising any type of treatment. It was this sort of finding that lead to his recommendation to outgrowth admittanceibility to proven therapies such as CBT. This was achieved with the roll out of the Improved Access to Psychological Therapy (IAPT) programme. The draw below shows how the IAPT programme has been divided up into 3 steps It is this stepped approach that will contribute to overcoming round of the barriers that societies diversity may put on with accessing CBT. What might these barriers be? One of the first barriers an some unity faces may be around the concern of being stigmatised. It may be too hard for them to think about accessing CBT therapy for devotion of what others may think.They may not want to take time off work to attend sessions for fearfulness of it impacting negatively on their c atomic number 18er prospects. The stepped care model means they are able to receive the worst appropriate service tier support. This may mean that an individual is able to access therapy using head self-help, allowing them to work through the programme in their own time and at their own pace. Online programmes such as Fearfighter and Beating the Blues allow the individual to access therapy where and when they like.Not only do these sort of programmes kill the fear of stigma but they similarly cross the issue of long waiting lists meaning that the individual fucking access treatment on their terms almost instantaneously. Only if this level of support proves goalles s will the individual then be stepped up to the high intensity support. These internet CBT programmes alike overcome geographical difficulties, as long the individual has access to the internet and phone. In my opinion the internet is one of the main manners in which barriers may be removed.Morland et al (2011) conducted a study on the say-so of CBT delivered via video conferencing compared to the traditional in- soulfulness. The results indicated that the outcomes were just as effective. A promising move for those that are unable(p) 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 untested people. Often this group is being taken to therapy rather than choosing to go.Hudson (2005) give that large numbers of earlysters were not responding to the CBT treatment th at they were receiving. As far as children and new people are concerned there seems to have been limited research onto the success of CBT treatment. The first controlled trials did not take luff until the early 1990s and the majority of research has focused on the impact of CBT on adults. Even so the NICE guidelines on Depression in Children and Young People recommended the use of CBT, firstly, rather than pharmacological interventions.So how has CBT been adapted to incorporate children and young people, whose very cognition and emotional stages differs from that of adults? There have been some germinal adaptations to the CBT model such as Think Good Feel good. Here the supposition of CBT is tough down into easy to manage 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 way. The need to use more non-verbal techniques to help the young person to engage in the process 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 played by the youngster alongside a healer. 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 engaging to this age group. Cerangolu (2010) found that video games could resurrect the therapeutic experience.They could help facilitate 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 ii setting also may make the young person relax. How the game is played can 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 friendly 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 reveal of CBT therapy that causes a young person to disengage, especially as the very word may cause them to have negative connotations. Gaynor et al (2006) found that compliance toward completing homework dropped the further into therapy a young person was. It is important that the therapist and client work together to agree the homework and that the young person is advance to set their own, as this may encourage a buy in to its importance.It may be that the therapist stays away from using the language of school and calls it practise work or work for self. Initially I saw CBT treatment as regimented and unmoving, but the more I have researched the barriers that contrary people may encompass when thinking of embarking on treatment the more I fool 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.