UK: Improving Access to Psychological Therapies (IAPT) articles, blogs and discussion

When you look at the accusations that the BPS gang make about us... it's all projection. All of it. Every accusation a silent confession.

Anyway we've known about Wessely's and Sharpe's (and probably Gerada's, judging by what I've seen) bullying for years so it's no surprise this is widespread. It's clearly part of the culture and it's no coincidence with such leaders. The fish is rotten from the head down.

The basis for much of IAPT's promises are in PACE and FINE, CODES and ACTIB. All of which will soon be dismantled because they are incompatible with proper handling of COVID-19. IAPT is as top-heavy as it gets, it's wobbling as we speak and once you take out the flimsy foundations there's nothing but spinning hot air about to crash down.

 

I think that would have been a really interesting and helpful discussion to have had with pain physician/physio to talk through your experience. Was this a long time ago or recently?

 

It was about twenty ago so it might have been when they were just starting to look at alternative ways to manage pain. Having seen your posts, she may have treated me the way she did because of what was written in the referral from my neurologist. A previous neurologist diagnosed me with ME but when I developed new symptoms and was admitted I had a horrendous experience on the ward - amongst other things he got all my benefits stopped.

She did tell me that it was only his opinion as I was devastated feeling judged and called a liar. She may genuinely have felt that anxiety was causing my problems - I considered I was dealing with a lot of anxiety making problems in a good way.

 

This right here is what really bothers me. I've noticed a knee jerk reaction before when being asked questions about job or life events or whatever. That sounds stressful, therefore you must be stressed, therefore we can help you cope with that. Without actually asking if you feel stressed or overwhelmed, or finding out what coping strategies you might have and if you are, in fact, coping.

I think it's really dangerous to go taking apart people's coping/management strategies, without first assessing if they are effectively working for that person. Instead of helping them cope you could end up completely undermining them & leaving them.unable to cope.

That's harm in my book.

 

The Improving Access To Psychological Therapies (IAPT) Programme Is Spreading Into Prisons – Why?
26th August 2020

http://www.cbtwatch.com/the-improvi...iapt-programme-is-spreading-into-prisons-why/

 

NHS IAPT

Offenders Positive Practice Guide, September 2013:

https://uea.ac.uk/documents/746480/2855738/offenders-positive-practice-guide.pdf

 

Perhaps they'd like to stake their success of IAPT on prisoner's recidivism rates on release.

 

Captive audience.

 

IAPT, No Better Than Placebo?

http://www.cbtwatch.com/iapt-no-better-than-placebo/

 

IAPT’s Black Hole – Accountability
14th December 2020

http://www.cbtwatch.com/iapts-black-hole-accountability/

 

A Conflict of Interest Between NHS England and IAPT
20th January 2021

 

The horror in the post above regarding IAPT is that not only are people with MUS symptoms poorly served by a therapy that has no bearing on their illness but the people with true mental health conditions are just as ill served. And when they go out into the world, if they have a crisis of functioning the usual response is to shoot them or lock them away.

Mental health conditions also deserve so much better than this worse than useless panacea.

 

Talking Therapies Institutionalised Psychologising of Physical Health Problems
27th April 2021

full blog here:
http://www.cbtwatch.com/talking-therapies-psychologising-of-physical-health-problems/

eta: post is by an anonymous IAPT therapist, not Dr Scott.

 

I agree.

I also worry that not only could the gaslighting of some patients be continuing but that some of the patients may actually suffer the much greater harm of having their faith in their existing self developed management strategies undermined.

So, not only are they facing a challenge to their mental health undergoing inappropriate CBT & the continuing delay in investigating potentially treatable conditions, the underlying condition may also be made worse by the patient changing their behaviour based on what they learn in CBT rather than relying on their own observations and lived experiences.

This is where membership of patient support groups is invaluable and far more important than CBT in my opinion.

 

The worst part is that it's the whole point. It's THE feature, definitely not a bug.

 

Improving Access to Psychological Therapies (IAPT) has potential but is not sufficient: How can it better meet the range of primary care mental health needs?

https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/bjc.12314

 

PGCert EVIDENCE BASED LOW INTENSITY CBT PSYCHOLOGICAL WELLBEING PRACTITIONER

https://www.uea.ac.uk/course/postgr...sity-cbt-psychological-wellbeing-practitioner

 

Honestly at this point just go straight with Amazon's "wellness booths" and be done with it. This is completely beyond parody, it just cheapens everything to a damn tchotchke.