Emotional Well Being with Daoism and Chinese Medicine

What has become apparent in clinical practice is the amount of people who are struggling with emotional pain and lack of direction, contentment or purpose in their life. Taoism, Buddhism which was part of Chinese Medicine history have developed tools, concepts and beliefs in the understanding of self and emotional well-being, which can give people a more compassionate view with the complexities of life for themselves and others. What is alarming is the amount of people on medication for depression and anxiety, which has increased considerably over the last few years. Cognitive Behavioural Therapy (CBT), self- help books and mindful meditation incorporate principles of Daoism and Buddhism in there techniques and theories.

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Treating Depression and Anxiety with Digital Cognitive Behavioural Therapy for Insomnia: A Real World NHS Evaluation Using Standardized Outcome Measures

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465816000369 ◽

2016 ◽

Vol 45 (1) ◽

pp. 91-96 ◽

Cited By ~ 22

Author(s):

Annemarie I. Luik ◽

Sophie Bostock ◽

Leanne Chisnall ◽

Simon D. Kyle ◽

Nicky Lidbetter ◽

...

Keyword(s):

Mental Health ◽

Anxiety Disorder ◽

Cognitive Behavioural Therapy ◽

Generalized Anxiety Disorder ◽

Behavioural Therapy ◽

Generalized Anxiety ◽

Depression And Anxiety ◽

Psychological Therapies ◽

Self Help ◽

Cognitive Behavioural

Background: Evidence suggests that insomnia may be an important therapeutic target to improve mental health. Aims: Evaluating changes in symptoms of depression and anxiety after supported digital cognitive behavioural therapy (dCBT) for insomnia delivered via a community-based provider (Self Help Manchester) of the Improving Access to Psychological Therapies (IAPT) service. Method: Supported dCBT for insomnia was delivered to 98 clients (mean age 44.9 years, SD 15.2, 66% female) of Self Help Manchester. All clients received six support calls from an eTherapy coordinator to support the self-help dCBT. During these calls levels of depression (Patient Health Questionnaire, PHQ-9) and anxiety (Generalized Anxiety Disorder, GAD-7) were determined. Results: Depression (Mdifference-5.7, t(70) = 12.5, p < .001) and anxiety [Generalized Anxiety Disorder-7 (GAD-7), Mdifference-4.1, t(70) = 8.0, p < .001] were reduced following supported dCBT for insomnia. This translated into an IAPT recovery rate of 68% for depression and anxiety. Conclusions: These results suggest that dCBT for insomnia alleviates depression and anxiety in clients presenting with mental health complaints in routine healthcare.

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A qualitative exploration of the acceptability of a cognitive behavioural therapy self-help book for people with psychosis in Nicaragua

Psychosis ◽

10.1080/17522439.2021.1912814 ◽

2021 ◽

pp. 1-10

Author(s):

Minna Lyons ◽

Roberto Berrios ◽

Jorge Castro ◽

Sara Castro ◽

Ross G. White ◽

...

Keyword(s):

Cognitive Behavioural Therapy ◽

Behavioural Therapy ◽

Self Help ◽

Cognitive Behavioural ◽

Qualitative Exploration

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Assessing competence in cognitive-behavioural therapy

The British Journal of Psychiatry ◽

10.1192/bjp.bp.107.038588 ◽

2008 ◽

Vol 193 (1) ◽

pp. 60-64 ◽

Cited By ~ 37

Author(s):

Andrew J. A. Keen ◽

Mark H. Freeston

Keyword(s):

Clinical Practice ◽

Case Studies ◽

Cognitive Behavioural Therapy ◽

Clinical Work ◽

Behavioural Therapy ◽

High Stakes ◽

Cognitive Behavioural ◽

Reliable Assessment

BackgroundPostgraduate courses on cognitive-behavioural therapy (CBT) assess various competencies using essays, case studies and audiotapes or videotapes of clinical workAimsTo evaluate how reliably a well-established postgraduate course assesses CBT competenciesMethodData were collected on two cohorts of trainees (n=52). Two examiners marked trainees on: (a) two videotapes of clinical practice; (b) two case studies; and (c) three essaysResultsEssay examinations were more reliable than case studies, which in turn were more reliable than videotaped assessments. The reliability of the latter two assessments was considerably lower than that commonly expected of high-stakes examinations. To assess reliably standard CBT competencies, postgraduate courses would need to examine about 5 essays, 12 case studies and 19 videotapesConclusionsReliable assessment of standard competencies is complex and resource intensive. There would need to be a marked increase in the number of samples of clinical work assessed to be able to make reliable judgements about proficiency

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Randomised controlled trial of cognitive behavioural therapy in COPD

ERJ Open Research ◽

10.1183/23120541.00094-2018 ◽

2018 ◽

Vol 4 (4) ◽

pp. 00094-2018 ◽

Cited By ~ 21

Author(s):

Karen Heslop-Marshall ◽

Christine Baker ◽

Debbie Carrick-Sen ◽

Julia Newton ◽

Carlos Echevarria ◽

...

Keyword(s):

Cognitive Behavioural Therapy ◽

Cost Effective ◽

Behavioural Therapy ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Self Help ◽

Cognitive Behavioural ◽

Life Years ◽

Cost Effective Treatment ◽

Anxiety Subscale

Anxiety is an important comorbidity in chronic obstructive pulmonary disease (COPD). We investigated if cognitive behavioural therapy (CBT), delivered by respiratory nurses, reduced symptoms of anxiety and was cost-effective.Patients with COPD and anxiety were randomised to CBT or self-help leaflets. Anxiety, depression and quality of life were measured at baseline, 3, 6 and 12 months. A cost-effectiveness analysis was conducted from a National Health Service hospital perspective and quality-adjusted life-years estimated using the EuroQol-5D questionnaire.In total, 279 patients were recruited. Group mean change from baseline to 3 months in the Hospital Anxiety and Depression Anxiety Subscale was 3.4 (95% CI 2.62–4.17, p<0.001) for the CBT group and 1.88 (95% CI 1.19–2.55, p<0.001) in the leaflet group. The CBT group was superior to leaflets at 3 months (mean difference in the Hospital Anxiety and Depression Anxiety Subscale was 1.52, 95% CI 0.49–2.54, p=0.003). Importantly, the CBT intervention was more cost-effective than leaflets at 12 months, significantly lowering hospital admissions and attendance at emergency departments.CBT delivered by respiratory nurses is a clinically and cost-effective treatment for anxiety in patients with COPD relative to self-help leaflets.

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Computerised cognitive–behavioural therapy for depression in adolescents: 12-month outcomes of a UK randomised controlled trial pilot study

BJPsych Open ◽

10.1192/bjo.2019.91 ◽

2019 ◽

Vol 6 (1) ◽

Author(s):

Barry Wright ◽

Lucy Tindall ◽

Rebecca Hargate ◽

Victoria Allgar ◽

Dominic Trépel ◽

...

Keyword(s):

Mental Health ◽

Cost Effectiveness ◽

Pilot Study ◽

Cognitive Behavioural Therapy ◽

Care Pathway ◽

Intervention Group ◽

Behavioural Therapy ◽

Self Help ◽

Cognitive Behavioural ◽

Randomised Controlled

Background Computerised cognitive–behavioural therapy (CCBT) in the care pathway has the potential to improve access to psychological therapies and reduce waiting lists within Child and Adolescent Mental Health Services, however, more randomised controlled trials (RCTs) are needed to assess this. Aims This single-centre RCT pilot study compared a CCBT program (Stressbusters) with an attention control (self-help websites) for adolescent depression at referral to evaluate the clinical and cost-effectiveness of CCBT (trial registration: ISRCTN31219579). Method The trial ran within community and clinical settings. Adolescents (aged 12–18) presenting to their primary mental health worker service for low mood/depression support were assessed for eligibility at their initial appointment, 139 met inclusion criteria (a 33-item Mood and Feelings Questionnaire score of ≥20) and were randomised to Stressbusters (n = 70) or self-help websites (n = 69) using remote computerised single allocation. Participants completed mood, quality of life (QoL) and resource-use measures at intervention completion, and 4 and 12 months post-intervention. Changes in self-reported measures and completion rates were assessed by group. Results There was no significant difference between CCBT and the website group at 12 months. Both showed improvements on all measures. QoL measures in the intervention group showed earlier improvement compared with the website group. Costs were lower in the intervention group but the difference was not statistically significant. The cost-effectiveness analysis found just over a 65% chance of Stressbusters being cost-effective compared with websites. The 4-month follow-up results from the initial feasibility study are reported separately. Conclusions CCBT and self-help websites may both have a place in the care pathway for adolescents with depression.

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