CBT in the Context of Long Term Distressing and Persistent Health Conditions

About the programme

This is a 10-day programme in the application of CBT in the Context of Long-Term Distressing and Persistent Health Conditions.  It is aimed at High Intensity Therapists / CBT Therapists who are currently working with this client group or have agreed arrangements to access this client group for the duration of their training.  It is essential that those attending the programme also have access to specialist long-term health condition (LTHC) focused supervision.

The programme will include theoretical and skills development components, combining academic presentations, demonstrations and experiential exercises with programme delivery from clinical specialists working in the areas of physical health and persistent & distressing physical symptoms.

Two pathways are available either a CPD route with 10 day delivered programme, supervised practice, documented reflective practice/logbook and supervisor sign-off of competence or the credit bearing pathway as above with the addition of a case report and session video assessed using the CTSR. 

Commitment to a period of 6 months from commencing to submission of logbook/coursework to allow clinical application and development of skills.

Content of the curriculum is based on Roth & Pilling’s (2015) competency framework for Long Term Persistent and Distressing Health Conditions and will include: assessment, formulation, intervention skills and evidence-based interventions for Medically Unexplained Symptoms (MUS), Irritable Bowel Syndrome (IBS), Chronic Fatigue Syndrome/Myalgic Encephalopathy (CFS/ME), Chronic Pain, Type 1 and Type 2 Diabetes, Chronic Obstructive Pulmonary Disorder (COPD), Coronary Heart Disease and Cancer.


Programme Aims

The aims and objectives of this programme are in line with the Psychological Trainings National Curriculum for Long Term Persistent & Distressing Health Conditions (NHS England, 2016):

“To increase students’ theoretical and research knowledge in working with people with anxiety disorders or depression in the context of Long-Term Physical Health Conditions (LTHCs) and with people who experience persistent and distressing medically unexplained symptoms (MUS).  To provide practical, intensive and detailed skills training for working with people with anxiety disorders or depression in the context of LTHCs and people with distressing MUS.”

The programme aims to enable students to demonstrate the competencies detailed in Roth and Pilling (2015) A competence framework for people with persistent physical health problems: accessed at www.ucl.ac.uk/core/competenceframeworks), on which the National Curriculum is based.

Who Can Apply

You cannot apply directly to the training centre for this course.

The course is accessible to those employed within psychological services in the Northwest of England, places are allocated to services by NHS England (NHSE) and are based on existing requirements.

Practitioners attending training will have a professional accreditation in CBT and be competent in working with people with anxiety disorders and depression.

All entrants to the training must have either passed an psychological accredited postgraduate training in CBT (or another Postgraduate CBT programme or Clinical Psychology Doctorate accredited at Level 2 by BABCP) OR be accredited/going through the process of accreditation by the British Association for Behavioural and Cognitive Psychotherapies (BABCP) as a CBT therapist.

Applicants must have access to appropriate LTHC/MUS client groups and have an agreed source of specialist LTHC/MUS focused supervision.

Training Component

The training component is in the form of didactic teaching, observation, demonstration and experiential/reflective sessions.  Following the initial two day induction, there will be a further eight full teaching days.  Attendance is weekly on mainly one day per week (Mondays). 

How to Apply

The psychological service lead will be informed of the number of places available for this financial year, as well as the dates that the course will run from and to. The lead will also be sent the application form that applicants will need to complete, and the deadline by which to do so. This, in addition to information about when and by what means, the pre-course group interviews will be held.  Completed and approved application forms are sent to the training centre by the psychological Service Lead.

If you do not know who your psychological service lead is, please speak to your service manager. 

Applications sent directly to the training centre by the applicant will not be accepted.

Contact Us

If you have any queries regarding this course not covered in the information detailed in any of the sections above or in the FAQ section of this website, please email: PTTCenquiries@gmmh.nhs.uk.  In the Subject Line please ensure you put the full title of the course to enable us to forward it to the appropriate programme team.  We will not be able to forward or respond to any emails received without this.

We are happy to answer questions related to the course itself, but unfortunately are unable to provide any general career advice.


As a patient

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