“ My house having burnt down, nothing now impedes my bright vision of the moon. ” - Zen saying
Here are many of the handouts and questionnaires I use currently (autumn '09) when working with people suffering from panic disorder, agoraphobia, OCD or depersonalization/derealization disorder.
“ Hope is the dream of a soul awake. ” - French proverb
In May 2013, the National Institute for Health and Clinical Excellence (NICE) published a new evidence-based clinical guideline on "Social anxiety disorder: recognition, assessment and treatment". They state: "This clinical guideline offers evidence-based advice on the recognition, assessment and treatment of social anxiety disorder in children and young people (from school age to 17 years) and adults (aged 18 years and older).
“ A bird will drop frozen from a bough without once having felt sorry for itself. ” - D.H. Lawrence
Here are a series of assessment questionnaires and handouts for Generalized Anxiety Disorder and Health Anxiety Disorder. Note that the 2010 Increasing Access to Psychological Therapies "IAPT Data Handbook" recommends using the GAD-7 to monitor progress in Generalized Anxiety Disorder and the short 18-item version of the Health Anxiety Questionnaire to monitor Health Anxiety progress.
GAD, 2 question screen - answering "yes" to either of the two screening questions on this sheet suggests it's worth checking for a diagnosis of full Generalized Anxiety Disorder (GAD) - for example by using the GADQ (see below).
“Nothing great was ever achieved without enthusiasm.
” - Ralph Waldo Emerson
Here is a mixed bag of handouts and questionnaires. Most are spin-offs from CBASP (pronounced 'seebasp') - the awkwardly named cognitive behavioral analysis system of psychotherapy. There are also a few handouts which are adapted downloads from the neurosciences site "The brain from top to bottom". When in 2000, Keller et al reported on the very impressive results obtained by treating chronic depression with a mixture of CBASP and antidepressants, it seemed likely that a big step forward had been taken in improving the lot of chronic depression sufferers. The "CBASP research results" handout (below) gives the abstracts for 14 research papers that are both relevant to CBASP and also highlight other important related themes like th
“ One evening an old Cherokee told his grandson about a battle that goes on inside people. He said "My son, the battle is between two wolves inside us all. One is Evil. It is anger, envy, jealousy, sorrow, regret, greed, arrogance, self-pity, guilt, resentment, inferiority, lies, false pride, superiority, and ego. The other is Good. It is joy, peace, love, hope, serenity, humility, kindness, benevolence, empathy, generosity, truth, compassion, and faith." The grandson thought about it for a minute and then asked his grandfather, "Which wolf wins?" The old Cherokee simply replied, "The one you feed." ” - Anonymous
Here are a series of forms, questionnaires and handouts that I use regularly in my work. The problem solving diagram is a recurring theme - both at the start of therapy and as a sheet to return to when reviewing and considering additional therapeutic options. Other sheets are classic variants on the tools used by many cognitive behavioural therapists - with occasional alternatives and additions, that I've come up with over the years, thrown in as well.
“A smooth sea never made a skilled sailor
” - Franklin Roosevelt
Depression assessment scales come in two basic forms - interviewer/clinician rated and sufferer/patient rated. As stated in the background information on the IDS/QIDS questionnaires (see below) "There are several accepted clinician rated and patient self report measures of depressive symptoms. The most commonly used clinician rated scales are the 17, 21, 24, 28, and 31 item versions of the Hamilton Rating Scale for Depression (HRSD) (Hamilton 1960, 1967), and the 10-item Montgomery-Asberg Scale (Montgomery and Asberg 1979). The most frequently used self-reports include the 13, and 21 item version of the Beck Depression Inventory (BDI) (Beck et al. 1961), the BDI-II (Beck et al. 1996), the Zung Depression Rating Scale (Zung 1965), the Carroll Rating Scale (CRS) (Carroll et al. 1981), and the Patient Health Questionnaire - 9 (PHQ-9) (Kroenke et al.
“Only when the tide goes out do you discover who's been swimming naked.
” - Warren Buffet
Here are a few handouts that I've put together over the years to provide background information about depression. The development/maintenance diagram is probably the handout here that I use most - both to explain issues about depression and also for many other psychological disorders as well.
“Energy is an eternal delight
” - William Blake
Here are a series of forms that I use almost every session with clients, or for screening and orientation at the start of therapy:
“ The life I touch for good or ill will touch another life, and that in turn another, until who knows where the trembling stops or in what far place my touch will be felt. ” - Frederick Buechner
Making a formal psychological diagnosis can be a mixed blessing. It has several potential advantages. If many of my symptoms can be accurately grouped under a specific psychological diagnosis, it may well help to understand what is happening, to clarify the likely time course of my symptoms, and to choose treatments that have the best chance of being effective. It's worth noting that often people suffer from more than one psychological disorder at the same time - this is called comorbidity and it is common.
I wrote in a blog posting on February 12th that Depersonalizati
