1. High Intensity Trainee (HIT) Role

2. What will you be doing? Clinical practice 3 days per week 2 days at University Based in a variety of locations i.e. GP surgeries and at your PTP base Clinical supervision once a week with KCA and course supervision 12 contacts per week while you are training Reflective group, mandatory training and team meeting

3. The cases you will see Anxiety disorders: Panic disorder, Health Anxiety, Social phobia, Specific Phobia, OCD, GAD, PTSD. Depression; low self-esteem Co-morbidities (such as chronic pain, co- morbid depression and anxiety disorders, personality disorders) Moderate to severe presentations

4. Working using a CBT approach Collaborative Structured –Assessment and Formulation; Goals; Treatment plan and Interventions –Agenda setting; Homework –Relapse prevention Empirical basis –Evidence-based interventions –Use of Outcome Measures

5. Working using CBT within KCA –Assessment, formulation and treatment planning for a variety of disorders –Providing Time-Limited Interventions 8-12 sessions Carry out evidence-based interventions such as cognitive restructuring, behaviour activation exposure exercises and behavioural experiments –Managing and monitoring Risk and Safeguarding issues for your caseload –Measuring Outcomes and obtaining feedback

6. Trainee feedback Be prepared for a busy year

7. Look after yourself! Be organised Every case is a potential training case Use supervision as much as possible Highly rewarding Beware of De-skilling

8. Unconscious incompetence Conscious incompetence Conscious competence Unconscious competence

9. Make the most of ….. Supervision Peer support Audio recordings (CTS-R) Client feedback

10. Any Questions?