Newcastle University

Aims

1. To critically evaluate the key theories and concepts underpinning practice of CBT for Depression

Original Summary:
This module will develop knowledge and skills in CBT for depression, improving understanding and proficiency in the fundamental techniques of CBT matched against competencies required in the treatment of depression. Specific cognitive and behavioural models of depression, empirical evidence, assessment and specific cognitive and behavioural treatment strategies will be covered.

Outline Of Syllabus

The curriculum will comprise the following:
• Phenomenology and diagnostic classification and epidemiological characteristics of depression
• Linking theory with practice: Current evidence based treatment protocols for depression including combined treatment
• Evidence Based practice: Relationship of therapy to outcome research and NICE Guidance.
Theory and development of cognitive and behavioural models for depression
• Assessment and formulation of CBT with depression, including specific associated problems
• Risk assessment, risk management, suicide risk and mental state examination
• Application and suitability for CBT with depression including co-morbid factors
• Clinical process for CBT with depression using a cognitive or behavioural activation model (formulation, rationale, active treatment, relapse prevention)
• CBT for acute and chronic, recurrent depression (including Mindfulness based CBT)
• The role of the therapeutic relationship in CBT with depression
• Effective use of supervision

Teaching Rationale And Relationship

It is impossible to say exactly how many hours each learner will need take to undertake the Praxis CBT programme. This varies depending on previous knowledge and experience of CBT, academic ability, confidence with on-line training, learning style and so on. The Guided on-line learning section is equivalent to 30 hours or 5 days of classroom teaching and content is based on classroom versions of the same modules.
Independent Study - Includes work based tasks, self practice and reflection, preparing for clinical supervision, undertaking clinical supervision; and reading or accessing on line resources and links (e.g. recommended reading in bibliography and links to NICE Guidance and Diagnostic manuals )
Lecture - This includes following the structured on-line materials including video clips and studying diagnostic and phenomenological information plus specific treatment models to develop declarative knowledge
Skills Practice -This includes exercises in response to lecture based on-line materials including video clips, interactive exercises, drag and drop exercises, multiple choice quizzes and evaluating and reflecting on all of the above. As a guide there are approx. 12 clips per module, 10 minutes each. Approx 10 interactive exercises per module.
Reflective Learning Activity - Includes repeat and consolidation of exercises and study; and any viewing or participation in discussion f orums.

Subject knowledge and understanding will be developed through:
• Systematic on line learning framework for the development of understanding, to explain complex CBT concepts, and to provide early insight into the relationship between theory and practice in relation to CBT for depression.
• On line tutorials and group discussion forums to encourage team work, critical debate and involvement.
• Guided self-study, supported by the provision of targets and to expand knowledge and understanding through active and task-based learning.
• Audio visual demonstrations of practice to be observed and examined on throughout the on line programme
• On-going clinical supervision provided at the place of work
• Problem-oriented learning opportunities, to develop problem-solving, critical reasoning and clinical decision-making skills through evidence-based activities.

Assessment Rationale And Relationship

The case study will allow the student to demonstrate the knowledge and skills outlined in the intended learning outcomes. The case study enables the student to demonstrate skills in critical analysis of the theoretical model (and related evidence re outcomes) employed in treatment, and a personalised formulation of client’s illness showing a balance of adherence to and personalised adaptation from the model in question. It provides an opportunity for students to demonstrate their ability to integrate material from academic literature with clinical material and to provide a context for the individual case. It also provides the opportunity for reflection on and critical analysis of models and an individualised formulation which, where appropriate utilises and adapts the model. Formative appraisal of therapy sessions by supervisor using a clinical tool (Revised Cognitive Therapy scale CTSR) is used to reflect on practice in the assignment.

Notes on Assessment:
Pass mark for the module is 50%. Students have one opportunity to re-submit after failure. Once started this module is time limited and assessments will have a defined submission date for each cohort.