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Steps 2 Wellbeing - Coggle Diagram

- - - - Treatment stage: once agreed, outcome letter sent to patient and to GP / referring professional outlining outcome. Patients are offered access to the Employment Advice Service and to attend our First Steps Webinar (a psychoeducational webinar on the service and skills to prepare for psychological treatment).
        
        Low Intensity Cognitive Behavioural Therapy (Guided Self-Help): Step 2
        
        SilverCloud: computerised programme looking at mild-moderate presentations of anxiety and depression. Offers flexibility as patients can log in any time. PWPs offer three fortnightly reviews to patients to support their progress on the platform and answer questions / queries. Patients have access for a year following discharge.
        
        Perinatal Wellbeing
        
        Anxiety
        
        Sleep
        
        Depression
        
        Generalised Anxiety Disorder
        
        Panic
        
        Phobia
        
        Stress
        
        Depression and Anxiety
        
        Chronic Heart Disease, Depression and Anxiety
        
        Chronic Pain, Depression and Anxiety
        
        Diabetes, Depression and Anxiety
        
        Lung Conditions, Depression and Anxiety
        
        Coping with COVID 19
        
        Webinars: Live video broadcasts delivering bespoke group psychoeducation in weekly sessions to up to 99 patients. Patients cannot see each other, and therapists cannot see patients. Sessions run for between 6-8 weeks at the same time each week. Patients are able to interact with therapists in real time, and queries are addressed anonymously. Highly normalising. Patients are expected to complete tasks between sessions and build a toolkit throughout sessions to manage how they feel.
        
        Panic Disorder: 5 session webinar addressing panic
        
        Managing Low Mood: 5 week webinar focusing specifically on mild to moderate depression (behavioural focus)
        
        Managing Stress: 5 week psychoeducational course teaching you skills and strategies to manage stress
        
        Journey to Wellbeing: 6 week psychoeducational course teaching you a broad skill set for depression, worry, negative thinking, communication and anger.
        
        Steps 4 Mums: 8 week webinar providing skills and strategies for Mums (and Dads) with children under the age of 2 who are experiencing postnatal depression
        
        Long-term Conditions
        
        Wellbeing with Stroke: Interactive video-based course looking at wellbeing following stroke.
        
        Wellbeing with a Long-term Condition: A generalised webinar specifically geared towards patients whose LTC is impacting on their mental health or vice versa
        
        IBS Self-management Skills: 8 week course to provide patients with self-management skills for IBS
        
        Wellbeing with Breathlessness: 6 session webinar for patients with COPD, severe asthma and other respiratory diseases
        
        Living with Long COVID: 5 session webinar for those living with Long COVID.
        
        Guided Self-Help (LICBT): one to one sessions with a Psychological Wellbeing Practitioner, usually held fortnightly for 30-45 minutes. Delivered by telephone, video or face to face. Up to 6 sessions of CBT-based techniques. Option to work with a Longterm Conditions Specialised PWP (LTC PWP), who has had additional training to support those experiencing chronic physical health conditions such as diabetes, COPD, chronic fatigue, persistent pain, IBS / IBD, cardiac conditions. Support can also be offered digitally via IESO (instant messaging).
        
        Panic Disorder
        
        Adjustment
        
        Depression
        
        GAD
        
        Stress
        
        Sleep Hygiene
        
        Specific Phobia
        
        Counselling: Step 3
        
        Group options: held via video conferencing platforms and facilitated by two counsellors. Usually below 12 attendees. Patients are able to interact. Skills-based courses.
        
        New Horizons: A 6 week course in a counselling modality to improve symptoms of depression looking at understanding depression, self-care, resilience and recovery. Review as needed for one to one support.
        
        Coping with Grief: A 6 week course in a counselling modality aimed at addressing grief and bereavement, to help patients gain understanding of the grieving process and provide practical tools, tips and strategies to help cope with grief.
        
        Individual therapy options
        
        Interpersonal Psychotherapy (IPT): time limited and structured psychotherapy that looks at the ways in which current interpersonal difficulties, changes or losses contribute to depression and visa versa.
        
        Generic Counselling: 6-8 sessions. Suitable for depression and adjustment difficulties.
        
        Counselling for Depression: 12-20 sessions, generally for persistent / recurrent depression. The aim of CfD is to facilitate the client to access and express their underlying emotions as fully as possible, and to make sense of their depression whilst drawing on new meanings that may emerge. CfD has a particular focus on incongruence between a person’s core authentic ‘self’ and how they experience themselves in the world around them.
        
        Couples Counselling for Depression: one or both partners are presenting with moderate to severe symptoms of depression and depression is the primary cause of the couple’s relationship difficulty. Up to 20 sessions.
        
        Dynamic Interpersonal Therapy: client presents with low mood that is linked to interpersonal difficulties. Ideally, there should be a discrete episode of depression that has been triggered by interpersonal factors rather than diffuse, chronic depression. Relative to IPT, DIT is more suited to patients who approach the therapeutic relationship with more pronounced anxiety about attachments (e.g. fear of being abandoned). Up to 16 sessions.
        
        Cognitive Behavioural Therapy: Step 3
        
        Group options: held via video conferencing platforms and facilitated by two CBT Therapists. Usually between 10-14 attendees. Patients are able to interact. Skills-based courses.
        
        Lifting Your Mood: 12 week group to learn skills and strategies to manage moderate to severe depression.
        
        Mums Matter: 8 week course focusing on Mums with children under the age of 2 experiencing postnatal depression.
        
        Transdiagnostic Anxiety: 10 week group teaching you coping skills and strategies to manage various symptoms related to anxiety.
        
        Generalised Anxiety Disorder: 14 week group teaching you coping skills and strategies to manage symptoms of generalized anxiety disorder (GAD
        
        Social Anxiety: 12 session course aimed at people who experience social anxiety.
        
        OCD: 12 session course aimed at people who experience OCD.
        
        PTSD Stabilisation: 6 session course to teach you practical coping skills and strategies regarding PTSD (prerequisite to trauma-focused treatment).
        
        MBSR: 9 week course teaching skills and strategies for mindfulness for stress-reduction.
        
        MBCT: 8 week course teaching you skills and strategies for Mindfulness as relapse prevention for depression
        
        Long-term Conditions
        
        Living Well with Persistent Pain: a 10 session course for those living with depression and anxiety due to persistent pain.
        
        Wellbeing with Fatigue: a 10 session course for those living with depression and anxiety due to persistent pain.
        
        Health Anxiety: 8 session course aimed at people who experience Health Anxiety
        
        High Intensity CBT for Young Adults (16-25)
        
        Radically-Open Dialectical Behavioural Therapy (RO-DBT)
        
        Individual High Intensity CBT (delivered by telephone, video or face to face). Support can also be offered digitally via IESO (instant messaging). Option to work with a Longterm Conditions Specialised HI Intensity CBT Therapist, who has had additional training to support those experiencing chronic physical health conditions such as diabetes, COPD, chronic fatigue, persistent pain, IBS / IBD, cardiac conditions.
        
        Social Anxiety
        
        Moderate to severe / recurrent depression
        
        OCD
        
        Health Anxiety
        
        Generalised Anxiety Disorder
        
        Some specific phobias e.g. emetophobia
        
        PTSD (not complex PTSD)
        
        Employment Advice: can be referred to at any time during treatment (runs alongside treatment on a one to one basis).
        
        free person centred employment advice and support on a variety of work place issues
        
        • Workplace wellbeing – including homeworking and managing work place stress
        
        • Signed off sick and need help to return to work
        
        • Redundancy, Maternity and Retirement
        
        • Grievances and disciplinary
        
        • Seeking a new career or promotion
        
        • Worried about being furloughed and next steps
        
        • Self employed and needing guidance
        
        • Unemployed or need to find a job
        
        • Signposting on debts and benefits advice
        
        EMDR (Eye Movement Desensitization and Reprocessing) - Step 3: a psychotherapy designed for working with distressing or traumatic memories. Many psychological difficulties are the result of distressing life experiences which have not been stored in memory properly and are said to be unprocessed or blocked, Individual basis only.