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CBT For Chronic Illness And Palliative Care: A Workbook and Toolkit

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Presentation on theme: "CBT For Chronic Illness And Palliative Care: A Workbook and Toolkit"— Presentation transcript:

1 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

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

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

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

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

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

7 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

8 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

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

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

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

12 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

13 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

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

15 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

16 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

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

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

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

20 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

21 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

22 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

23 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

24 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

25 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

26 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

27 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: Sage, Sowden, Chorlton and Edeleanu Copyright John Wiley & Sons, 2008

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