Transdiagnostic Group Therapy Training and Implementation

The Take Control Course

Lydia Morris, Phil McEvoy, Tanya Wallwork, Rachel Bates, Jody Comiskey, Warren Mansell

• Publisher: Academic Press
• Year: 2018
• ISBN:
  9780128139905
• Topic: Psychology
• Subtopic: Clinical Psychology
• Index: Psychology

Transdiagnostic Group Therapy Training and Implementation provides clinicians with a user-friendly roadmap for delivering a brief, transdiagnostic group therapy that can be used for patients suffering from stress, depression, anxiety, and a range of other related mental health problems.

This is supplemented by over an hour of training videos hosted on the book's companion website, visually demonstrating how to effectively implement the therapy. The book introduces the empirical research that has led to a greater emphasis on transdiagnostic treatment approaches, and details how to implement each phase of the therapy, supported by clinical examples to make practical application easier.

• Presents therapy suitable for a variety of mental health problems
• Outlines how to adapt therapy for different patient populations
• Includes Method of Levels transdiagnostic cognitive therapy
• Features video demonstrations, worksheets, slides, and more on companion website

Appendix E

Session Guides for All Sessions (1–6)

Key to session guides:

Italics—Key messages for facilitators to include in speech. Note: This is NOT an exhaustive list of direct dialogue, rather general themes.

Bold—Actions for the facilitators to complete.

Session 1 Guide

Measures
Overview of session 5 minutes	Introduce the theme of the course and give a brief overview of what will be covered during this session
	The key theme within the course is getting back in control of life
	This session will run through eight steps, focusing on different strategies and ways of thinking
	Approximate time of 1 hour 15 minutes with no break
Course ground rules 2 minutes	Explain course ground rules: these are on the slides. Give clients the opportunity to add more rules if they think any have been missed
	No requirement to share personal experiences but can if wish
	Confidentiality within the group
	To maintain a sense of control during the session
Step 1. How much control do I have? 5–10 minutes	Continuum of control exercise
	Control is on a continuum
	We all have different levels of control on different aspects of our lives
	Understanding control helps us to manage
	Use post-its on the continuum with own example/explanation first
	Invite clients to participate (including rating the level of control 0-10) and use curious questioning to discuss/explore
Step 2. Why do I want to take control of my anxieties/problems? 5–10 minutes	It can be useful to consider what is important to us—our values/goals
	Reasons for taking control on slides—Read anonymized list
	Clients fill in the first section on their worksheet: Step 2
	Example of “upward arrow” on slides. Clients complete upward arrow worksheet
	A way to explore our goals in more depth is to use an upward arrow technique to clarify the things that are most important
	Clients revisit the second section on their worksheet: Step 2—Encourage client to complete own example and make eye contact with facilitators if help is required
Step 3. What causes us problems and blocks our control? 5–10 minutes	Includes
	Rationale: experience of being stuck between two things, pushed and pulled
	Sometimes, we experience difficulties when we are stuck between different sides of ourselves, or we want something but can’t get it
	Introduction: demo how feeling pushed and pulled play out. Ask clients to choose focus on anger, stress, or sadness
	Read the example of either anger, stress, or sadness
	Demo: elastic band; both facilitators will be involved in the demo
	One facilitator will represent no anger (or other example), and the other facilitator will represent high anger
How to take control: video 2 minutes	Video of Sarah—how she began to get more control over things in her life
	These are videos of real people who have accessed “therapy.”
	SHOULD BE AT LEAST HALFWAY THROUGH
Step 4. How to take control: dragon metaphor 5 minutes	Dragon story
	Sometimes it is necessary to move toward/observe the things that cause us difficulties
	We will use a metaphor to demonstrate this further
	Question to prompt discussion: Do you think the third knight and the village were safe after he captured the dragon? Do you think the fi...