Rules of Thumb That Sabotage Treatment Post Trauma

IAPT January 23rd 2018 Birmingham City Football Ground Were you thinking this heading referred to post-traumatic stress disorder (PTSD) teatment? If you did, you may have been using a particular rule of thumb relating to an exalted status for PTSD. The following may be a common set of saboteurs:

  1. It is probably PTSD because it was an awful incident
  2. It is probably PTSD because there are flashbacks and nightmares
  3. It is probably PTSD because of a high score on the IES
  4. It is probably mixed anxiety and depression because of high scores on PHQ9 and GAD7
  5. Whatever it actually is trauma focussed CBT/EMDR offers the best bet for resolving it
  6. Formulation rules anyway
  7. You can’t treat more than one disorder at a time
  8. Issues need to be resolved first

I was due to present these Saboteurs next Tuesday during an IAPT Workshop at Birmingham City Football Ground, unfortunately 2 days after Christmas I fell down the stairs, presentation of the saboteurs has been sabotaged! The Power Point Presentation is available above.  The effects of the rules of thumb are I believe devastating leading to a recovery rate of 10% in IAPT.

my paper IAPT- The Need For Radical Reform will appear in the Journal of Health Psychology shortly.

Dr Mike Scott








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