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‘The UK NHS Talking Therapies Fantasy’

was published on May 23rd 2024 by the Spanish Society for Clinical Psychology   in its’ inaugural journal, Psicología Clínica – it is my updated critique of  the Service. My hope is that it will make countries think twice about adopting the UK model. It was a focus of a 1000 strong gathering of the Society in Cadiz. My thanks to the Editor and staff of the Journal, I wish them well in their new endeavour.

 

In this paper I refute the following myths:

Myth 1 It’s a World Beater

Myth 2 50% Recovery Rate

Myth 3 Real World Lasting Changes

Myth 4 Appropriate for All-Comers

Myth 5 It Delivers Evidence-based Psychological Therapy

Myth 6 Low Intensity Interventions Are Effective

Myth 7 Monitoring Is at the Heart of NHS Talking Therapies

Myth 8 Formulation Is Sufficient, No Need for Diagnosis

Myth 9 It Works Having the Least Qualified Practitioners as Gatekeepers

Myth 10 Talking Therapy Is the Same as Psychological Therapy

Myth 11 It’s Fine that NHS Talking Therapies Has Only Ever Marked Its’Homework

Myth 12 It’s Better Than What Existed Before and Better Than Support – It’s Value for Money

 

Dr Mike Scott

1,015 replies on “‘The UK NHS Talking Therapies Fantasy’”

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Its not that they are infallible they are fake, voted into existence by committees of largely white middle class white men in north America with strong ties to pharmaceutical companies. I am just reading the paper and again you make excellent points. I wish you had talked about the real reason and incentives behind the creation of the PHQ9 and GAD7- these were the brain child of a Pfizer marketing man called Howard Kroplick. The drug industry realised that most prescriptions at the time were filled by psychiatrists, relatively few in number but for real money to be made they had to give GP’s the confidence to fill scrips in a briefer session. These measures are known to inflate the rates of so called depression and ‘gad’ several fold and for obvious reasons because this is their main purpose to shift product. When James Davies and other asked Spitzer in interview why 9 criteria for MDD and not say 12 or 6, the response was the latter just sounded like too many and the former too few. Its devoid of science. Then we have the various campaigns ‘defeat depression etc’ inflicted on the populations designed to take a relatively rare, often self limiting reactions to depressing lives and turn into the ‘common cold of psychiatry’ in the process turning ever more people with problems into patients on pills or clients in therapy. Just look at the mess/harm its caused and continues to cause – its outrageous.

There is so much that I agree with in what u say. One of the disadvantages of a blog is that you have to keep it pithy or readers disengage and there is often background matters you could raise but it can easily distract readers from the main point that u are making. In a book you can make more detailed arguments and that is what I have done in the 2nd Edition of Moving On After Trauma. But in a book u can easily lose people so I’ve g one from 8 Chapters in the 1st Edition to 36 in the 2nd to try and get some ‘pithiness’. I’ve also got a website with the same name coming on stream shortly hopefully providing a forum for discussion, but it is muddling along as I am not a devotee of social media and just get by with technology. Let me know what u think.
Mike

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