CBT For Chronic Illness And Palliative Care: A Workbook and Toolkit Nigel Sage, Michelle Sowden, Liz Chorlton and Andrea Edeleanu Slide Set 3 Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

The CBT Communication Style Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Characteristics of good communication in health care Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

First Principles Dignity Compassion Privacy Confidentiality Honesty Setting boundaries Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Skill Sets Respect Listening Effective Message Counselling Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Skill Sets Respect Listening Effective Message Counselling Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Basic Counselling Skills 1 Engage through general conversation Explore with questions Allow silences Reflect what is said Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Basic Counselling Skills 2 Show empathy Seek to understand Identify goals Accept problem solving limitations Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Skill Sets Respect Listening Effective Message Counselling Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Listening Skills Eye contact Posture Head nods Facial expression Vocal signals Stillness Checking back Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Skill Sets Respect Listening Effective Message Counselling Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Effective Message Skills 1 Allow enough time Get attention Make one point Be prompt and simple Don’t rush Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Effective Message Skills 2 Speak clearly Avoid jargon Encourage questions Resist tangents Respect disagreement and emotion Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Skill Sets Respect Listening Effective Message Counselling Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Respectfulness Skills 1 Address the person in their preferred way Accept differences of outlook and feeling Avoid being judgemental Avoid becoming defensive Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Respectfulness Skills 2 Focus on solutions, not blame Make allowance for distress Never raise your voice Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Features of CBT Communication Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Features of CBT Communication Note taking Psycho-education Formulation and contract setting Agenda setting Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Agenda Setting Agenda review Homework feedback Next topic from treatment plan Homework setting Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Features of CBT Communication Note taking Psycho-education Formulation and contract setting Agenda setting Directing conversation Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Features of CBT Communication Note taking Psycho-education Formulation and contract setting Agenda setting Directing conversation Intrusive questioning Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Features of CBT Communication Note taking Psycho-education Formulation and contract setting Agenda setting Directing conversation Intrusive questioning “Socratic” questioning - guided discovery Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Socratic questioning Why are you going back to bed? Because I want to. What is the reason you want to? Because I’ll feel better. For how long? A few minutes. And what will happen after that? I suppose I’ll feel worse again. How do you know? Because this happens every time. Have you ever found not giving in to the urge to return to bed has helped? When I get active I feel better. Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Guided Discovery Ask questions that: The patient has the answers to Draw attention to relevant issues and information Move from concrete to abstract Help patient learn to question Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Features of CBT Communication Note taking Psycho-education Formulation and contract setting Agenda setting Directing conversation Intrusive questioning “Socratic” questioning Record Keeping Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

Features of CBT Communication Note taking Psycho-education Formulation and contract setting Agenda setting Directing conversation Intrusive questioning “Socratic” questioning Record Keeping Homework Assignments Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

CBT For Chronic Illness And Palliative Care: A Workbook and Toolkit Nigel Sage, Michelle Sowden, Liz Chorlton and Andrea Edeleanu Publisher: John Wiley & Sons (2008) ISBN: 978-0470517079 Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008