SW Groups

Depression Group

Session 1: Introductions, The Vicious Cycle of Depression, Changing Behaviours and Physiology
Session 2: The Six Different Types of Activity, Activity Planning, Understanding Anxiety, Relaxation
Session 3: Increasing Motivation, Sleep Cycles, Thinking Errors, Thought Records
Session 4: Thought Challenging, weighing up the evidence, Mindfulness Practice
Session 5: Thought Challenging, Crisis Survival Strategies, Self-Soothing
Session 6: Challenging Repeating Thoughts, Levels of Thinking
Session 7: Relapse Prevention, Problem Solving, Maintaining Motivation
Session 8: Relapse Prevention Plan, Review, Goodbyes

Stress Management

Session 1: What is stress management and controlling the physical symptoms
Session 2: Managing the physical symptoms
Session 3: Thinking your way out of stress
Session 4: Managing worry and acting your way out of stress
Session 5: Getting out of your comfort zone
Session 6: Maintaining your progress and the future

Long Covid

Suitability: People experiencing Long Covid symptoms who are also struggling with anxiety and/or depression relating to the Long Covid, above caseness and within the usual IAPT suitability criteria

Exclusion: Where there is a level of risk that would need routinely following up so would not be suited to a course, people who are experiencing PTSD

What the course covers:

Session 1: Introduction to the course: Understanding the Cognitive Behavioural Approach and quick introduction to relaxation
Session 2: Physical Symptoms: Symptoms we tend to see with Long Covid and where you can get advice, breathing, relaxation, guided imagery
Session 3: Physical Symptoms: Diet, sleep and exercise
Session 4: Behaviours: The “Boom and Bust” and “Deconditioning” cycles, pacing and building fitness, adapting activities- alternatives that fit with values, activities that give back energy versus those that take it, the “what not to do” list, true rest
Session 5: Behaviours: Who is part of my social circle- helpful and unhelpful relationships, the importance of assertiveness and saying “no”.
Session 6: Thoughts: How to manage our thoughts- challenging negative thoughts and regaining control of worry
Session 7: Emotions: anger, sadness and guilt- how to deal with common emotions that can arise when we experience long term physical health problems
Session 8: Planning for the future: course review and questions, staying well plan, self coaching and signposting.

Diabetes

Session 1: Introduction to CBT & Diabetes
Session 2: Valuing myself and my future
Session 3: Managing behaviours and Diabetes
Session 4: Challenging unhelpful thinking and Diabetes
Session 5: Stress, Worry and Diabetes
Session 6: Sleep, Relaxation and Diabetes
Session 7: Acceptance and caring for myself with Compassion
Session 8: Review and Relapse Planning

Acceptance & Commitment Therapy (ACT)

The course is over 8 weeks with a one week break. Over the course we will teach you skills and expect you to be practising these in between meetings. The course is very experiential (we will get you to do things in the group) but we do not expect you to have to share anything about yourself or your difficulties. After the course is finished we offer an individual review session with one of the people running the course to see how things have been going after approximately a month.

Postnatal Emotional Wellbeing

This course is aimed at those experiencing anxiety and or depression in the post-natal period. It will help participants to understand more about the unique experience of becoming a parent, the reasons why anxiety and depression are so prevalent in this group and ways of overcoming their difficulties. Using primarily CBT (but also drawing on ACT and CFT principles), the course will target unhelpful thoughts and behaviours, rumination and worry, and encourage self-compassion and alternative ways of coping.

Criteria:

  • Baby up to the age of 1
  • Low risk
  • Presentation of depression or anxiety or both
  • OCD presentation if it is short-term i.e. 1st episode in the postnatal period. Please consider whether 1:1 work would be more beneficial if their primary focus is the OCD
  • The course content is aimed at the main or birthing parent

Not suitable for:

  • Patients presenting with PTSD
  • High or unstable risk
  • Patient’s whose main concern is around bonding
  • Those also receiving input from secondary care services
  • Due to the therapeutic nature of the group, partners are not invited to attend

All participants to be screened for suitability beforehand


Course content:

Session 1 - Introduction to CBT and how it can help
Session 2 - Making sense of the unique experience of becoming a parent
Session 3 – Self-care and understanding our behaviours
Session 4 – Making sense of anxiety and worry as a new parent
Session 5 – Our relationship with our thoughts
Session 6 – Experimenting with our thoughts
Session 7 – Putting it all together

Trauma

Session 1: Understanding PTSD, PTSD and the brain, grounding techniques
Session 2: Psychoeducation on anxiety and managing the physical symptoms of anxiety. Introducing safe place imagery
Session 3: How to manage flashbacks and dissociation
Session 4: Understanding and re-scripting nightmares and the use of compassion focused techniques
Session 5: Understanding low mood/depression, breaking free from rumination and how to maintain progress