Cognitive Behavioural Therapy (CBT) for Anxiety Disorder

Module titleCognitive Behavioural Therapy (CBT) for Anxiety Disorder
Module codePYCM039
Academic year2018/9
Credits30
Module staff

Dr Nicole Jamani (Convenor)

Duration: Term123
Duration: Weeks

11

10

12

Number students taking module (anticipated)

33

Description - summary of the module content

Module description

This module will provide you with an overview of the state of the science and practice of Cognitive Behavioural Therapy (CBT) in the treatment of anxiety disorders. It will also examine modifications to theory and practice for individual differences in age, ability and ethnicity.

This module aims to provide you with the opportunity to develop skills in CBT for anxiety disorders to an advanced level, improving proficiency in the fundamental techniques of CBT, and developing competency in the specialist techniques applied to anxiety disorders.

You will develop practical competencies in CBT for anxiety disorders. You will also develop critical knowledge of the theoretical and research literature in relation to CBT for anxiety disorders.

Module aims - intentions of the module

The aim of this module is to enable you to develop:

  • Advanced knowledge and understanding of the theory and research literature underpinning CBT for anxiety.
  • Practical competencies in the treatment of anxiety using fundamental and anxiety specific CBT skills.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the programme you will be able to...

  • 1. Describe and critically analyse contemporary models for anxiety disorders their evidence bases and the treatment methods derived
  • 2. Demonstrate the technical expertise needed in the formulation of individual cases and execution of therapy methods
  • 3. Describe in detail the phenomenology, diagnostic classifications and epidemiological characteristics of anxiety disorders
  • 4. Assess patients for suitability for CBT with anxiety disorders
  • 5. Construct maintenance and developmental conceptualisations of cases of anxiety disorders
  • 6. Develop CBT treatment plans for a range of anxiety disorders
  • 7. Assemble evidence of critical evaluation of theoretical evidence based interventions integrated within and guiding therapy with anxiety disorders
  • 8. Collaboratively derive an anxiety model with a client
  • 9. Elicit and evaluate key cognitions and images in anxiety disorders
  • 10. Construct, carry out and evaluate behavioural experiments
  • 11. Demonstrate self-direction and creativity in tackling and solving basic therapeutic problems with anxiety disorders
  • 12. Demonstrate self-direction and creativity in working with co-morbidity and solving more complex therapeutic problems
  • 13. Deal with ending therapy and plan for long-term maintenance of gains with evidence of a relapse prevention plan
  • 14. Practice as a ‘scientist practitioner’ and continue to advance your knowledge and understanding and to develop new skills with anxiety disorders
  • 15. Demonstrate insightful knowledge of CBT and be able to identify your own values and beliefs in working with anxiety disorders and the application of CBT to your own life
  • 16. Demonstrate good practice in use of supervision with anxiety disorders on the course and make use of and continue to learn from ongoing continuing professional development
  • 17. Sensitively adapt CBT for anxiety disorders, and ensure equitable access for people from diverse cultures and with different values
  • 18. Describe and competently apply the principles and practice of high intensity psychological therapy for anxiety within a stepped care system

ILO: Discipline-specific skills

On successfully completing the programme you will be able to...

  • 19. Understand, critically evaluate, and apply theoretical ideas and evidence relating to specific disorders outlined in Module Specific Skills (i)
  • 20. Reflect upon development of personal development of skills in relation to theoretical models of change in relation to specific disorders as outlined in Module Specific Skills

ILO: Personal and key skills

On successfully completing the programme you will be able to...

  • 21. Select, organise and evaluate clinical material to produce a coherent formulation
  • 22. Reflect upon personal practice, to set personal learning goals and monitor progress
  • 23. Apply and tailor understanding of theory and practice to the treatment of individual patients through evidence of utilisation of formulation, intervention and evaluation

Syllabus plan

Syllabus plan

An initial one day workshop in term 1 will cover an introduction to anxiety phenomenology and diagnostic criteria, generic model of anxiety and overview of evidence base. This will be followed by an intensive block of teaching in term 2 and a series of one day workshops and tutorials.

One day workshops and tutorials will cover:

  • Case presentation
  • Behavioural experiments in anxiety disorders
  • Specific phobias and exposure
  • Panic disorder
  • Social phobia
  • Generalised Anxiety Disorder
  • Health anxiety
  • Obsessive Compulsive Disorder
  • Exposure and Response prevention
  • PTSD
  • Working with images in anxiety disorders
  • Reliving in PTSD Motivational approaches and preparation for change
  • Relaxation and applied relaxation
  • Comorbid physical problems
  • Comorbid presentations
  • Key papers
  • Diagnostic criteria and classification
  • Imagery

Sessions will include reference to literature, including research into outcome and processes of therapy.

Teaching programme will adhere to the IAPT curriculum for High Intensity workers.

Learning and teaching

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad
652350

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled Learning and Teaching 65Teaching will be a combination of whole day workshops and half-day small group tutorials. These sessions will combine didactic, experiential and discussion methods of teaching and learning aimed at the integration of theoretical and research knowledge with practice. Workshops will be led by a variety of speakers with expertise in specific problems and settings. A part of each session will be used for role-play practice of skills, practical exercises or small group discussion of issues, as appropriate. Tutorials will be led by University based accredited/cognitive therapists. Teaching sessions will primarily be in terms 2 and 3 but relevant material is presented throughout the course.
Guided independent study235Reading and preparation for workshops, tutorials, treatment of patients, essay and case report.

Assessment

Formative assessment

Form of assessmentSize of the assessment (eg length / duration)ILOs assessedFeedback method
Formative experiences are provided through discussion and role-play throughout workshops and clinical supervisionThroughout formal teaching and supervision1-23Oral feedback on contributions within workshops and tutorials, supervision and in a one-to-one session with individual tutors
CTS-R with reflective summary of a session applying CBT for anxiety to be observed within supervision90 minutes of one university supervision session2, 4-23Oral feedback from peers and supervisor and written CTS-R scores
University and workplace supervisors’ reports end of term two (report on clinical work with anxious clients and use of supervision throughout term two)Programme member will usually contribute around 100 words about the report and the nature and quality of supervision and the placement provided1-23Written and oral

Summative assessment (% of credit)

CourseworkWritten examsPractical exams
66034

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Essay (this assessment must be passed; failure in this assessment will lead to failure in the module and the programme)333750 words1, 3, 7, 11-12, 14, 18-23Written
Case report (this assessment must be passed; failure in this assessment will lead to failure in the module and the programme)334000 words1-2, 4-7, 9-23Written
CTS-R assessment of a full video recorded therapy session including self-ratings and a reflective analysis, comprising 12 items (this assessment must be passed with a mark of 36/72 overall and with a minimum mark of 2 on each of the 12 items; failure in this assessment will result in a maximum fail mark of 49 and lead to failure in the module and the programme)34Tape is 50 minutes - 1 hour long, (unless extended time agreed prior to submission and in accordance with relevant NICE Guidance) requires a minimum of a further hour for self-rating and a 200-500 word reflective analysis2, 4-23Written

Re-assessment

Details of re-assessment (where required by referral or deferral)

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
EssayEssay1, 3, 7, 11-12, 14, 18-23Four weeks from the date that feedback was provided
Case reportCase report1-2, 4-7, 9-23Four weeks from the date that feedback was provided
CTS-R assessmentCTS-R assessment2, 4-23

Re-assessment notes

Three assessments are required for this module. In all cases re-assessment will be the same as the original assessment. Where you have been referred/deferred for any form of assessment detailed above you will have the opportunity to retake within four weeks from the date that feedback was provided.

If you pass re-assessments taken as a result of deferral, your re-assessment will be treated as it would be if it were your first attempt at the assessment and the overall module mark will not be capped.

If you pass re-assessments taken as a result of referral (i.e. following initial failure in the assessment), the overall module mark will be capped at 50%.

If you fail re-assessments taken as a result of referral (i.e. following initial failure in the assessment), you will be failed in the module and as a consequence you will be failed in the programme and your registration as a student of the University will be terminated.

Resources

Indicative learning resources - Basic reading

  • Beck, A. T., Emery, G., and Greenberg, R. L. (1985). Anxiety disorders and phobias: a cognitive perspective. New York: Basic Books.
  • Butler, G.; Fennell, M., and Hackmann, A. (2008). Cognitive Behavioural Therapy for anxiety disorders: mastering clinical challenges. New York: Guilford Press.
  • Clark, D. A. (2006). Cognitive Behavioural Therapy for OCD. New York, Guilford Press.
  • Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24, 461-470.
  • Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37, 5-27.
  • Ehlers, A., and Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319-45.
  • Heimberg, R. G., Liebowitz, M. R., Hope, D. A., and Schneier, F. (Eds.). (1995). Social phobia; Diagnosis, assessment and treatment. New York: Guilford Press.
  • Short, N., Grant, A., Mills, J., and Mulhern, R. (2004). Working with people who are anxious. In A. Grant, J. Mills, R. Mulhern, and N.Short (Eds.). Cognitive Behavioural Therapy in mental health care. London: Sage.
  • Wells, A. (1997). Cognitive therapy of anxiety disorders: A practice manual and conceptual guide.Chichester: Wiley

Indicative learning resources - Web based and electronic resources

Module has an active ELE page

Indicative learning resources - Other resources

Journals:

  • Behaviour Research and Therapy
  • Behavioural and Cognitive Psychotherapy
  • Cognitive and Behavioral Practice
  • Cognitive Therapy and Research
  • International Journal of Cognitive Therapy
  • Journal of Consulting and Clinical Psychology

Key words search

Improving Access to Psychological Therapies, high, HI, IAPT, anxiety, CBT

Credit value30
Module ECTS

15

Module pre-requisites

None

Module co-requisites

PYCM037 The Fundamentals of Cognitive Behavioural Therapy, PYCM038 Cognitive Behavioural Therapy (CBT) for Depression, PYCM040 Cognitive Behavioural Therapy (CBT) - Clinical Practice

NQF level (module)

7

Available as distance learning?

No

Origin date

24/02/2012

Last revision date

03/01/2018