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IAPT Behind Closed Doors – The Need for Listening and Flexibility

At Bury I had occasion to treat an older gentleman who lived alone and had no family locally.  He also had received step 3 CBT work on at least 2 occasions previously and he had been re  – referred to me at step 2.  This gentleman had a stammer and a thick Scottish accent and did not speak often, as he was anxious and low in mood since he was embarrassed that people did not understand him.  My brief was to “get him out and mixing with other people”.  I discovered that he did not go out very often and had been interested in computers in the past, going on a Government scheme to learn more, until the funding was stopped.  He showed me his phone, which was his “lifeline” and stated that he had got it a few years ago, but that it was quite expensive to run.  He told me about his female companion, who was unfortunately ill and who used to accompany him to the Library when she had been well, as he did not cope well in public.  I began thinking about his phone and his love of computers

 

Over the first 3 sessions, I understood that he was not a particularly social person, could not afford a computer of his own, but was able to consider that he may get a better phone and a better deal than the one he had.  I did not see this gentleman for 2 weeks, as he sent word that he had a cold, but by the 4th session, he had been on his own to a local branch of Carphone Warehouse and had negotiated a deal on a new phone which had a full screen internet access and which was affordable.  He recovered to the extent that not only was he able to go out alone to places now, he was going to coffee shops and public places accessing the free internet there to talk to his many friends over the internet and was no longer a person who avoided people, because he could now make himself understood.  I remember his words to me at session 5 when I discharged him, telling me, “the world is mine!” and about how his female friend was also recovering with his help.  He explained that she had always had to help him to go shopping and to explain things for him, but that now he had more confidence, he was doing things for her for a change.  The key for him was being understood and improving his life through his talents and his love of computers and gadgetry.  Everything else followed on from this.

One of my better experiences at Bury was with a lady who was referred onto my caseload because she had long – standing issues with physical injury sustained at work and who was in the process of claiming compensation from her employer for her injury.  She was newly married and had become extremely anxious and suffered with co-morbid depression.  She had been seen and treated with CBT at step 3 twice before and was also referred to Mindfulness Relaxation.  She was referred to me at step 2 because she had “failed to be able to use mindfulness to relax and was still anxious and suffering from depression”.  I had 6 sessions with this lady and she missed one because of needing to go to court to represent herself for her case, but this was tagged on the end for review.  I adapted an approach for this lady’s needs which did not include mindfulness and helped her to see her new situation not so much in terms of what she could no longer do, but with an emphasis on new opportunities.

This demonstrated that current IAPT approaches are markedly inflexible and there is little or no notion of adaptation to suit individual needs and also, too much emphasis on “getting the list down”.

 

Anonymity protected Dr Mike Scott

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Informacje te mogą zostać wykorzystane na przykład do dostosowania kolejności wyświetlania treści, aby jeszcze bardziej ułatwić Ci przeglądanie właściwych (niereklamowych) treści odpowiadających Twoim zainteresowaniom Bonusy

Informacje te mogą zostać wykorzystane na przykład do dostosowania kolejności wyświetlania treści, aby jeszcze bardziej ułatwić Ci przeglądanie właściwych (niereklamowych) treści odpowiadających Twoim zainteresowaniom

Opublikowane na stronach dreamtours.pl informacje lub ceny nie stanowią oferty w rozumieniu przepisów kodeksu cywilnego. Oprócz pakietów wycieczek nasze biuro podróży oferuje również sprzedaż samych biletów lotniczych oraz samych hoteli adres

Opublikowane na stronach dreamtours.pl informacje lub ceny nie stanowią oferty w rozumieniu przepisów kodeksu cywilnego. Oprócz pakietów wycieczek nasze biuro podróży oferuje również sprzedaż samych biletów lotniczych oraz samych hoteli

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Oferta bazy noclegowej w Polsce jest ogromna i na ka�d� kiesze�, od skromnych apartament�w na weekendowe wyjazdy po kompleksy hotelowe z aquaparkami i rozbudowanym spa. Oto najlepsze mapy turystyczne, które masz w kieszeni wraz ze swoim smartfonem Spójrz na to

Oferta bazy noclegowej w Polsce jest ogromna i na ka�d� kiesze�, od skromnych apartament�w na weekendowe wyjazdy po kompleksy hotelowe z aquaparkami i rozbudowanym spa. Oto najlepsze mapy turystyczne, które masz w kieszeni wraz ze swoim smartfonem

Jesteśmy pewni jakości naszych usług, dlatego też oferujemy gwarancję na wykonywane naprawy. Wymieniamy szyby z dojazdem do klienta we wszystkich samochodach, busach, tirach oraz maszynach

Wszelkie koszty zawsze konsultujemy z klientem, nie ma mowy o nie ustalonych naprawach przy odbiorze auta. Świadczymy usługi w zakresie projektowania i uruchamiania aplikacji napędowych do nowych urządzeń jak również modernizację już istniejących zobacz post

Wszelkie koszty zawsze konsultujemy z klientem, nie ma mowy o nie ustalonych naprawach przy odbiorze auta. Świadczymy usługi w zakresie projektowania i uruchamiania aplikacji napędowych do nowych urządzeń jak również modernizację już istniejących

동영상유포 피해 문제는 점점 심각해지고 있는데, 이에 대한 대응이 미비한 것 같아요. 웹사이트 방문 을(를) 통해 이러한 문제에 대한 노력을 알아볼 수 있겠네요

동영상유포 피해 예방을 위한 협력체계가 구축되어야 한다고 생각합니다. 기사 출처 을(를) 통해 이런 노력에 동참할 수 있을 것 같아요

Attention all self-employed individuals! There’s a federal benefit called the SETC Tax Credit that few people seem to know about. It offers up to $32,220 in relief for those who took sick or family leave due to COVID-19

For all my fellow entrepreneurs and independent contractors out there, there’s a federal aid called the SETC Tax Credit that can offer substantial financial relief. It’s worth looking into, especially if COVID-19 disrupted your work

Attention all self-employed individuals! There’s a federal benefit called the SETC Tax Credit that few people seem to know about. It offers up to $32,220 in relief for those who took sick or family leave due to COVID-19

Calling all freelancers, gig workers, and small business owners! The SETC Tax Credit is a hidden gem that can provide up to $32,220 in financial relief. It’s crucial to get the word out so everyone can benefit