27th Nordic Psychiatric Congress

W - Workshops

W - 1 Wednesday 13/8, 14:00-17:45
Cognitive behaviour therapy for anxiety disorders

Lars-Göran Öst, Professor of Clinical Psychology, Stockholm University, Sweden

For each anxiety disorder - specific phobias, social phobia, panic disorder with and without agoraphobia, generalised anxiety disorder, obsessive compulsive disorder, and post-traumatic stress disorder - the theoretical model used by cognitive behaviour therapists to conceptualise the disorder, in particular the maintaining factors, is described. Then follows a detailed and practical description of the treatment method that has the strongest evidence base for that particular disorder. Finally, the short- and long-term effects of CBT are described.



W - 2 Wednesday 13/8, 14:00-17:45
Cognitive-behavioural approached to the understanding and treatment of anxiety

Paul Salkovskis, Department of Psychology, Institute of Psychiatry, de Crespigny Park, Denmark Hill, London SE5 8AF

P.Salkovskis@iop.kcl.ac.uk

Cognitive-behavioural therapy (CBT) is now the first line treatment for anxiety disorders, although high quality treatment is not widely available. The present status of outcome research for anxiety disorders is summarised, and some surprising features of the results are identified and explained. It is suggested that CBT has now progressed to its third generation because of advances in the integration of theory, experimental investigations and clinical practice and trials. The cognitive behavioural approach to the understanding of anxiety disorders is characterised by an understanding based on the idea that (i) the processes involved in the maintenance of anxiety generalise across different anxiety disorders, and (ii) the content of concerns is highly specific to the different types of anxiety. This specificity of content, and the impact that this has on maintenance factors, means that the detailed structure of CBT varies considerably across disorders. The implications of these developments for service delivery and the clinical management of anxiety disorders are considered.



W - 3 Wednesday 13/8, 14:00-17:45
The treatment of eating disorders

Janet Treasure, Professor, BSc, PhD, FRCP, FRCPsych, Dept. of Psychiatry, 5th Floor Thomas Guy House, Guys Campus, London

j.tugwete@iop.kcl.ac.uk

Educational objectives: To introduce participants to the fundamental concepts and processes underlying eating disorders. To introduce participants to a critical review of empirical research into eating disorders. To introduce participants to current theory and practice of clinical applications relevant to eating disorders.

Course description: Approaches to assessment and risk management in anorexia nervosa. Approaches to assessment and risk management in bulimia nervosa. Aetiology and case conceptualisation in anorexia/bulimia nervosa. Evidence based treatments for anorexia/bulimia nervosa

Course methods and material: The course will include a mixture of seminar-based presentation of theory and evidence with time for discussion. There will also be some practical based learning and video demonstrations. The course will also include some fundamental skills such as how to engage with a case of eating disorders introducing motivational interviewing and enhancement the course will cover the theoretical and practical application of how models of behaviour change influence practice. Furthermore this course will help develop some of the core skills in managing people who are not ready to change. The basic principles of motivational interviewing will be discussed, demonstrated and enacted. Also there will be an introduction as to how to assess case and develop a case conceptualisation. There will also be an introduction to some of the principal skills of evidence-based treatments of eating disorders.


References



W - 4 Friday 15/8, 14:00-17:45
An eclectic approach to the treatment of personality disorder

John Livesley, Professor, Department of Psychiatry, University of British Columbia, 2250 Wesbrook Mall, Vancouver, BC, Canada, V6T 1W6

This course will discuss the treatment of personality disorder using a combination of interventions drawn from different approaches. Emphasis is placed upon treating the general features of personality disorder rather than specific DSM-III disorders. It is suggested that personality disorder may be conceptualized as general features common to all forms of disorder and specific features and psychopathology that vary across individuals and different forms of disorder. This suggests a treatment model consisting of general strategies used with all patients throughout treatment and specific interventions tailored according to patient need, problems that are the current focus of attention, and stage of treatment. General strategies include establishing and maintaining a consistent framework for therapy, building and maintaining an effective treatment alliance, and showing a validating process and building motivation. Specific interventions will be discussed including strategies drawn from cognitive-behavioral modes of treatment, interpersonal and psychodynamic therapies, and medication. Strategies for combining these within an overall treatment framework will be explored.
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