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Cognitive Behaviour Therapy PowerPoint Presentation

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Description : Check out this medical presentation titled "Cognitive Behaviour Therapy" by Karen Clark, CBT Nurse, Birmingham Community Healthcare Trust, to know about Cognitive Behavioral Therapy (CBT) as a kind of psychotherapeutic treatment that helps us learn how we can identify and change destructive or disturbing thought patterns. Such thoughts have a negative effect on our behavior and emotions.

Tags : medical presentation, Cognitive Behavioral Therapy, CBT, psychotherapeutic treatment, destructive, disturbing, thought, patterns, behavior, emotions

Published on : Apr 18, 2021 | Views : 2548 | Downloads : 3

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Slide 1-

Cognitive Behaviour Therapy Karen Clark CBT Nurse Birmingham Community Healthcare Trust
Slide 2-

What is CBT……. Some people call it a talking therapy Understanding how our fears develop and what effect fear has on our reactions. These are our learnt responses our automatic thoughts Understanding these learnt responses, help us mange our fears differently
Slide 3-

What causes dental anxiety Traumatic experiences Single event – flashbulb memory Vicarious learning from friends / family /media
Slide 4-

THREE SYSTEMS OF FEAR Lange 1969 Physical Behavioral Cognitive
Slide 5-

Cognitive Feeling out of control Feeling trapped Distortion of events Catastrophic misinterpretations Heightened fear response
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Physical Perspiration Increased heart rate Increased respiratory rate Shallow respiratory function Pins and needles Palpitations Feeling nausea / faint
Slide 7-

Behaviour Avoidance/poor attendance Co –operation reduced Aggressive/ unfocused Escape/ritualised behaviour
Slide 8-

Case History – Alan 62 year old Requested to be ‘knocked out’ for treatment Bad experiences as child and adult ++ Last had treatment 15 yrs ago Treatment ‘always painful’ even with anaesthetic MDAS Pre 31/25 Post 6/25
Slide 9-

The CBT process Formulation – history, timeline, MDAS Collaboration – working together, empathy Planned gradual / guided exposure Systematic desensitisation
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Slide 11-

Modified Dental Anxiety Score MDAS score above 19 = CBT intervention 1 Not anxious 2 Slightly anxious 3 Fairly anxious 4 Very anxious 5 Extremely anxious
Slide 12-

How would you feel if ……. 1 – 5 scores you were going for treatment tomorrow you were in the waiting room, waiting for treatment you were about to have your tooth drilled you were to have your teeth scaled you were about to an injection
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Catastrophic thoughts are real !!!!
Slide 14-

Grading exposure A = Situation B = Response C = Consequence 0 = Extremely relaxed 10 = Extremely anxious
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Remember…… The patient exposes themselves to the fear I don’t expose the patient to fear
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Attention switching Relaxation - zone out / ‘their place’ Breathing exercises / Diaphragmatic Personal journey / music / aromatherapy Applied tension
Slide 17-

Limitations of CBT Age Unable to commit Time just not right Pain / infection
Slide 18-

Case Study – Janet 54 year old Last attended GDP 40 yrs ago Multiple medical interventions for Hydrocephalus as a child (while conscious) Anxiety – vibration / sounds / smells MDAS Pre 22/25 Post 7/25
Slide 19-

Janet’s comments I cannot thank CBT enough. I have been scared of the Dentist for 40 years. My CBT Nurse made me feel at ease and I was able to open my mouth for a check up, something I thought I would never be able to do. I cannot thank you enough to rid me of these terrible fears
Slide 20-

Case Study - Harriet 16 year old Needle phobic – unable to have any vaccinations (Mum also needle phobic) Previously attended Dental Hospital for 4 years – no treatment achieved MDAS 21/25 Post 10/25
Slide 21-

Harriet's comments I am so pleased I have been able to have two fillings done I have even had my noise pierced. Mum loves it. I still have to have a tooth extracted but I think I will be able to do it. I am going to have my vaccinations soon too
Slide 22-

Build trust not dependence
Slide 23-

Feedback - Callum I cannot thank you enough for helping Callum overcome this trauma and I must tell you he has conquered another fear by going on climbing courses and abseiling for his GCSE, it took four attempts but he did it. He is much more confident and looking forward to having his brace fitted.
Slide 24-

CBT - 45 pts referred so far
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Referral information 5 Male / 23 female Average age 31 Ranging from 15 – 72 yrs Average number of CBT apt 5.56 Ranging from 4 - 9
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Outcomes so far
Slide 27-

Mandatory Psychological Supervision
Slide 28-

Contact details Karen Clark Karen.clark2@nhs.net 0121 612 2385