CBT for Chronic Illness and Palliative Care A

This book aims to understand the different readings of Castiglione's Cortegiano or Book of the Courtier from the Renaissance to the twentieth century.

Nigel Sage is Consultant Clinical Psychologist in cancer and Palliative Care at The Beacon community Specialist Centre for Cancer and Palliative Care in Guildford, Surrey. He is an Accredited Cognitive Behaviour therapist and also works in primary care mental health in Hampshire.

Michelle Sowden is Consultant Clinical Psychologist at Frimley Park Hospital where she has provided and developed a service to patients with physical health problems across the Clinical Directorates. She has a special interest in the application of cognitive behavioural and systemic therapies to the management of chronic medical conditions.

Elizabeth Chorlton is a Chartered Clinical Psychologist at Frimley Park Hospital, in the Department of Psychological Medicine, with patients who are experiencing psychological difficulties as a result of physical health problems. In addition to her clinical psychology training, she has an MSc in the field of health psychology.

Andrea Edeleanu is Director of Specialist Therapies and Service User Involvement for Surrey and Borders Partnership NHS Trust. She works clinically in Community Health Psychology and provides consultancy and clinical supervision to colleagues in health, mental health and community services. She is a consultant Clinical Psychologist, Chartered Health Psychologist and an Accredited Cognitive Behaviour therapist.

About the Authors
Acknowledgements
Introduction
The Workbook: The Cognitive Behavioural Approach
What is the Cognitive Behavioural Approach?
The Relevance of a Cognitive Behavioural Approach for People with a Life-changing Illness
Does Cognitive Behaviour Therapy Work? The Evidence Base
Communication Skills in Health Care
Cognitive Behavioural Communication Style
Guided Discovery: Using the Socratic Method
Assessment
Formulation
Deciding on a Course of Action: Part 1
Goal Setting and the Step-by-Step Process
The Practicalities of Setting Goals
Bringing About Change
Methods of Behaviour Change
Methods of Cognitive Change
Challenging Unhelpful Thoughts
Managing Emotions and Unpleasant Physical Sensations
Decision on a Course of Action: Part 2
Applying a Cognitive Behavioural Approach to Clinical Practice
The Issues: Some Psychological Problems
How to Use This Part of the Book
Glossary of Everyday Terms
Adjustment Difficulties
Altered Body Image
Anger
Avoidance
Denial
Fatigue
Fear of the Future
Inactivity
Indecisiveness
Intrusive/Distressing Thoughts
Lack of Motivation
Loss of Pleasure or Ability to Enjoy Things
Low Mood
Low Self-Esteem
Negative Outlook
Pain
Panic Attacks
Special Note: Safety Behaviours
Physical Tension
Poor Concentration
Problem Solving Difficulties
Setbacks
Sleep Difficulties
Unassertiveness
Worrying
The Toolkit: CBT Methods in Practice
Techniques
Activity Monitoring
Assertiveness Skills
Assessing Psychological Distress
Attention Strategies
Basic Counselling Skills
Behavioural Change Methods: A Summary
Behavioural Experiments
Behavioural Rehearsal
Believable Alternative Thoughts
Breathing Control
Challenging Unhelpful Thoughts
Cognitive Change Methods: A Summary
Denial: Strategies for Encouraging Acceptance
Denial: Strategies for Engaging the Patient
Denial: Strategies for Reducing Distressing Thoughts
Denial: Suggestions for Questions to Ask
Effective Communication Skills
Emotional Expression
Expressive Writing
Graded Activities
Listening Skills
Mental Distraction
Mindfulness
Pacing
Problem Solving
Psycho-education
Purposeful Planning
Relaxation Exercises
Respectfulness Skills
Socratic Questioning
Stimulus Control
Weighing the Pros and Cons
Information Sheets
Antidotes to Bad Days
The Assertiveness Model
Assertiveness Rights
Assertiveness Techniques
Bad Old Habits: Avoiding Relapsing Into Them
Change: Bringing It About
Change: The Desire for It
Change: The Transition Curve
Coping with Setbacks 1: Physical Health Setbacks
Coping with Setbacks 2: Mental Attitude Setbacks
Denial: Advantages and Disadvantages
Experiential Learning Cycle
Goal Setting and the Step-by-Step Approach
Goal Setting: Examples
Goal Setting Questions
Mental Traps: Examining the Evidence
Mental Traps: Examples of How to Get Out of Them
Mindfulness Attitudes
Mindfulness Exercises
Pacing
Pacing Examples
The Reactions of Other People
Reflective Practice Diary Guidance
Relaxation: Mental Exercise
Relaxation: Muscle Exercise
Relaxed Breathing Exercise
The Serenity Prayer
Sharing and Mixing with Other People
SMART Guidelines
Socratic Questioning: Examples
Stress: The Effect it Has
The Stress Response
A Vicious Cycle Model of Anxious Avoidance
A Vicious Cycle Model of Anxious Preoccupation
A Vicious Cycle Model of Hopelessness-Helplessness
Record Forms
Event-Emotion-Thought Analysis Form
Example of Event-Emotion-Thought Analysis Form
Believable Alternatives
Thought Record
Pacing Record Form
Denial: Assessing its Costs and Benefits
Denial: Example of Pros and Cons Assessment
Action Plan for Denial
Goal Planning: Step-By-Step Action Plan
Your Ideas for Goals
Reflective Practice Diary
References
Index
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CBT for Chronic Illness and Palliative Care A Workbook and Toolkit

Summary

Author Biography

Table of Contents

Supplemental Materials