David Tuller [13/6/18]: A Curriculum for Treating CFS with CBT

National Curriculum for CBT in the Context of Long Term Persistent and Distressing Health Conditions.
June 2017
Unit 3.3 CFS/ME

Outcomes include:
Ability to use standard and idiosyncratic measures to evaluate outcomes with CBT for CFS
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Idiosyncratic measures of course are handy when standard measures fail to show anything. Things like 60 on the SF-36 Physical Function scale being 'recovered' I guess.
 
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Sly Saint said:
I am so glad that Trudie Chalder is finally getting the 'recognition' she deserves :thumbsdown: for her major part in the whole CBT scam.
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I agree, it is time to turn a spotlight on the whole MUS/IAPT bandwagon.

A lot of the perpetrators of this travesty of health care are not doctors or psychiatrists, but psychologists and therapists of various descriptions like Trudie Chalder, Rona Moss-Morris, and a host of others who are professors all over the country currently running and 'researching' these sorts of useless therapies, and with the added danger of being completely clueless medically, yet thinking they can take care of patients with physical symptoms they don't understand. That is dangerous.
 
Under 'our experts'
"
Director, Chronic Fatigue Service |Professor
Professor Chalder is the director of the Chronic Fatigue Service as well as a professor of cognitive behavioural psychotherapy with the Department of Psychological Medicine, at the Institute of Psychiatry, King’s College London.

Other roles
Professor Chalder gives national and international lectures on CFS. She has been closely involved in developing and evaluating treatments for adolescents and adults with CFS. These studies have contributed to recommendations made in the NICE guidelines.

Professor Chalder has also taken part in international collaborations with Professor Hege Erikson (Norway) and Dr John Wells (Ireland).

Background
Professor Chalder qualified as a registered general nurse in 1981 at Grimsby General Hospital. In 1984, she completed her registered mental nurse training at Tooting Bec Hospital, London. She completed her Master of Science (MSc) in 1990 at City University in London. In 1998, she went onto complete her PhD at the Institute of Psychiatry, King’s College London.

Research
Professor Chalder’s research interests are focused on developing cognitive behavioural models and treatments for medically unexplained symptoms and symptoms related to chronic disease."

Publications
Kennedy T, Chalder T, McCrone P, Darnley S, Knapp M, Jones RH & Wessely S. (2006) Cognitive behavioural therapy in addition to antispasmodic therapy for irritable bowel syndrome in primary care: randomised controlled trial. Health Technology Assessment. (2006) vol 10; no 19.

Kennedy T, Jones R, Darnley S, Rabe-Hesketh S, Simon Wessely, Chalder T. (2006) Cognitive behaviour therapy versus antispasmodic therapy for irritable bowel syndrome in primary care: a randomised controlled trial. British Medical Journal . 331. 435.

Fisher L, Cairns H.S, Amir-Ansari B, Scoble J.E, Chalder T, Treasure J. (2006) Case report: Psychological intervention in fluid management. Palliative and Supportive care. 4; 419-424.

Caseras X, Mataix-Cols D, Giampietro V, Rimes KA, Brammer M, Zelaya F, Chalder T, Godfrey EL. (2006) Probing the working memory system in Chronic Fatigue Syndrome: An fMRI study using the n-back task. Psycho-somatic Medicine. 68; 947-955.

Godfrey E, Chalder T, Ogden J, Ridsdale L. (2007) Investigating the “active ingredients” of cognitive behaviour therapy and counselling for patients with chronic fatigue in primary care; developing a new process measure to assess treatment fidelity and predict outcome. British Journal of Clinical Psychology. 46; 3; 253-272.

Husain K, Browne T, Chalder T. (2007) A review of psychological models and interventions for medically unexplained somatic symptoms in children. Child Adolescent and Mental Health. 12, 1, 2-7.

Quarmby L, Rimes K, Deale A, Wessely S. & Chalder T. (2007) Outcome of cognitive behaviour therapy for adults with chronic fatigue syndrome in routine clinical practice. Behaviour Research and Therapy. 45; 1085-1094.

Rimes K, Goodman R, Hotopf M, Wessely S, Meltzer H, Chalder T. (2007) Incidence, prognosis and risk factors for fatigue and chronic fatigue syndrome in adolescents: prospective community study. Paediatrics. 119; 3, 603-609.

Hyong J.C, da Costa E, Menezes P.R, Chalder T, Bhugra D, Wessely S. (2007) Cross cultural validation of the Chalder Fatigue Questionnaire in Brazilian Primary Care. Journal of Psycho-somatic Research. 62; 301-304.

Iverson A, Chalder T, Wessely S. Gulf War: Lessons from Medically Unexplained Symptoms. (2007) Clinical Psychology Review. 27; 842-854.

Deary V, Chalder T, Sharpe M. (2007) Cognitive Behavioural Therapy for Medically Unexplained Symptoms: A Theoretical and Empirical Review. Clinical Psychology Review. 27; 781-797.

Martin A, Chalder T, Rief W, Braeler E. (2007) The relationship between chronic fatigue and somatisation syndrome: a general population survey. Journal of Psychosomatic Research. 63; 147-156.

Ismail K, Winkley K, Stahl D, Chalder T, Edmonds M. (2007) A cohort study of people with diabetes and their first foot ulcer. The role of depression on mortality. Diabetes Care. 30; 6; 1473-1479.

Winkley, K., Stahl, D., Chalder, T., Edmonds, M. and Ismail K. (2007) Risk factors associated with adverse outcomes in a population-based prospective cohort study of people with their first diabetic foot ulcer. Journal of Diabetes Complications. 21: 341-349.

Armes J, Chalder T, Richardson A, Addington Hall J, Hotopf M . (2007) A randomised controlled trial to evaluate the effectiveness of a brief behaviourally oriented intervention for cancer related fatigue. Cancer. 110; 6; 1385-1395.

Van Kessel K, Moss-Morris R, Willoughby E, Chalder T, Johnson M, Robinson E. (2008) A randomised controlled trial of cognitive behaviour therapy for multiple sclerosis fatigue. Psychosomatic Medicine. 70; 205-213.

McCrone P, Knapp M, Kennedy T, Darnley S, Seed P, Jones R. Chalder T. (2008) Cost-Effectiveness of Cognitive Behaviour Therapy in Addition to Mebeverine for Irritable Bowel Syndrome. European Journal of Gastrology and Hepatology. 20; 255-263.

Roberts ADL, Papadopoulos AS, Wessely S, Chalder T & Cleare AJ. (2008) Salivary Cortisol output before and after cognitive behavioural therapy for chronic fatigue syndrome. Journal of Affective Disorders.

Deary V & Chalder T. (2008) Personality and Perfectionism in Chronic Fatigue Syndrome: A closer look. In press.

Caseras X, Mataix-Cols D, Giampietro V, Rimes KA, Brammer M, Zelaya F, Chalder T, Godfrey EL. (2008) The neural correlates of fatigue: A fatigue provocation study in Chronic Fatigue Syndrome. Psychological Medicine. 38; 1-11.

Books:
Chalder T. (1995) Coping with Chronic Fatigue. Sheldon Press. London.

Chalder T & Hussain K. (2002) Self help for Chronic Fatigue Syndrome. A guide for young people. Blue Stallion Publication. Oxon.

Burgess M & Chalder T. (2005) Overcoming Chronic fatigue. Constable & Robinson. London.
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https://www.national.slam.nhs.uk/about-us/our-experts/trudiechalder/

plus of course she's in a band!
https://www.s4me.info/threads/babcp-band-bedlam-featuring-trudie-chalder-gig.3778/

eta: forgot to mention the CFQ
 
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What is useful about flagging up this document is that it makes it completely transparent that those in charge of PACE and IAPT do not understand the difference between reliable evidence/inference and making things up as you go along.

It is revealed. These people do not understand how science works. The essence is 'learn how to put two and two together and make whatever number you like.'
 
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Of course there are other costs involved in setting up shiny new IAPT clinics - the cost of employing all these barely trained "therapists" who will have holiday pay, national insurance contributions and a public sector pension.

Of course they will be so minimally trained that if the IAPT clinics eventually close they will be virtually useless elsewhere within the NHS.

These clinics will be a massive millstone around the neck of the health service for years, if not decades.
 
Invisible Woman said:
Of course there are other costs involved in setting up shiny new IAPT clinics - the cost of employing all these barely trained "therapists" who will have holiday pay, national insurance contributions and a public sector pension.

Of course they will be so minimally trained that if the IAPT clinics eventually close they will be virtually useless elsewhere within the NHS.

These clinics will be a massive millstone around the neck of the health service for years, if not decades.
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IAPT sausage machine CBT I went to was on a contract not NHS
https://www.concerngroup.org/insight-healthcare/
 
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Alvin said:
I think it needs to be pointed out that treating people for a psychological disorder they don't have actually costs more money then it saves as well as the emotional and physical harm induced.
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Especially as in some cases it is probably going to induce psychological issues they never previously had. A serious suggestion, not (just) sarcasm. Is this a form of harm in itself? 'Treating' someone for a mental illness they do not have feels like it's going to induce its own stresses into a person.
 
Barry said:
Is this a form of harm in itself? 'Treating' someone for a mental illness they do not have feels like it's going to induce its own stresses into a person.
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I would say definitely. Years ago I met a lady who had MS. It was quite advanced. Although English she was living in poor South African country when she first got sick. This was way back when MS was not as well understood. The doc told her he thought she had MS and that she should return to the UK as she would get better treatment.

On moving back her GP took a few blood tests and told her she didn't have MS. She didn't know you couldn't diagnose it this way. She then embarked on years and years of anti depressants and psych appointments and feeling emotionally numb, unable to connect with either of her children.

By the time she was correctly diagnosed, she felt her life had been destroyed. She had no relationship with her now adult kids. Her career as a musician ended long before - emotionally numb isn't conducive. She felt she had no fight left in her by the time she got the correct diagnosis/and no self confidence left either as people had been denying her symptoms were "real".

So there 's the fairly significant harm to her and the knock on harm to her family.
 
Barry said:
Especially as in some cases it is probably going to induce psychological issues they never previously had. A serious suggestion, not (just) sarcasm. Is this a form of harm in itself? 'Treating' someone for a mental illness they do not have feels like it's going to induce its own stresses into a person.
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Indeed.
Not being believed makes a big difference to someone's emotional well being and being treated badly because of it will cause harm. Ironically the opposite of what these psychs claim their goal is...
I sometimes wonder how they fall into this trap, part of it is probably their hubris, their faulty beliefs, their unwillingness to listen to patients, their subconscious biases, their need to think they are doing a good job and are in control, victim blaming, the list goes on.

And not being treated for what they really have means their physical condition will get worse because its untreated.
 
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