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How to live well - a shared exploration: course questionnaires

I'm running a ten-session training, starting next week, called "How to live well - a shared exploration".  Here's a link to a description of the first evening - "How to live well: 1st meeting - values, self-determination theory, roles & goals".  Before, during & after the course, there's encouragement to fill in questionnaires.  This is suggested for at least three reasons.  One is that when we measure something, we tend to pay more attention to it.  Keeping track is often a therapeutic intervention in its own right.  Secondly we're using questionnaires to see if changes in our behaviours actually produce the improvements we're hoping for.  D

A better way to assess & monitor progress with OCD

When assessing and monitoring progress with OCD sufferers, originally I used the Y-BOCS questionnaire.  Then some years ago I switched to using the OCI (distress scale).  This is fine ... it's the officially recommended OCD questionnaire by IAPT, the English Increasing Access to Psychological Therapies initiative (see pages 39-41 of their freely downloadable Appendices and helpful resources manual).  But a hassle about the 42-item OCI is that it's time consuming, taking about 12 minutes to complete and a fair amount of time to review & score.  I've now shifted to using the 18-item OCI-R (see Veale et al, 2016 below)

Sleep apnea: how is it recognised & what can be done about it?

I have already written a couple of posts on sleep apnea -"Sleep apnea - what is it, how common is it and how does it affect mortality & physical health?" and "Sleep apnea - how does it affect psychological health?".  In this third & last post of the sequence, I'll explore how we can recognise sleep apnea and what we can do about it.

Warwick BABCP conference: pre-conference workshop on anger (1st post)

OK, the annual summer British Association for Behavioural & Cognitive Psychotherapies conference has come around again and this year it is back at Warwick University.  As usual there are a wealth of one-day pre-conference workshops - a dozen in all this year.  I'm off in a few minutes to Ray Novaco & John Taylor presenting on "Anger dysregulation: assessment, case formulation, and treatment".  

Assessment & monitoring questionnaires for CBT treatment of social anxiety disorder

I went to a workshop on the treatment of social anxiety disorder with David Clark in July.  It was very helpful.  I've listed assessment & monitoring questionnaires that he recommended below:

As a general measure to assess and track changes in social anxiety severity, the freely available Social Phobia Inventory (SPIN) is the questionnaire recommended by the England & Wales NHS Improving Access to Psychological Therapies (IAPT) "outcomes toolkit".  Interestingly David seems to prefer the Liebowitz Social Anxiety Scale (LSAS) probably because it makes a pretty full job of assessing both anxiety and avoidance.  

The "Balanced Measure of Psychological Needs" scale: a helpful contribution to self-determination and wellbeing assessment

I'm a big fan of Self-Determination Theory (S-DT)For me it's one of the best ways into understanding flourishing and wellbeing.  I use the ideas all the time in my work and in my life.  The fine S-DT website at Rochester University in the States gives vast amounts more information.  I've mentioned S-DT many times in this blog - see for example the post "Self determination theory" from five years ago that gives links to the slides of a lecture I gave on S-DT and a whole bunch of relevant handouts.

Psychotherapists & counsellors who don't monitor their outcomes are at risk of being both incompetent & potentially dangerous

I find the recent paper by Kraus & colleagues a bit scary - "Therapist effectiveness: Implications for accountability and patient care" - with its abstract reading "Significant therapist variability has been demonstrated in both psychotherapy outcomes and process (e.g., the working alliance). In an attempt to provide prevalence estimates of "effective" and "harmful" therapists, the outcomes of 6960 patients seen by 696 therapists in the context of naturalistic treatment were analyzed across multiple symptom and functioning domains. Therapists were defined based on whether their average client reliably improved, worsened, or neither improved nor worsened. Results varied by domain with the widespread pervasiveness of unclassifiable/ineffective and harmful therapists ranging from 33 to 65%.

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