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:
- It is probably PTSD because it was an awful incident
- It is probably PTSD because there are flashbacks and nightmares
- It is probably PTSD because of a high score on the IES
- It is probably mixed anxiety and depression because of high scores on PHQ9 and GAD7
- Whatever it actually is trauma focussed CBT/EMDR offers the best bet for resolving it
- Formulation rules anyway
- You can’t treat more than one disorder at a time
- 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