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.

Led by Dr Victoria Carek, with programme delivery from clinical specialists working in the areas of physical health and persistent & distressing physical symptoms.

The programme will include theoretical and skills development components, combining academic presentations, demonstrations and experiential exercises.

Two pathways are available either a CPD route with 10 day delivered programme, supervised practice, documented reflective practice/log book and supervisor sign-off of competence or the Accredited 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 MUS, IBS, CFS/ME, Chronic Pain, Type 1 and Type 2 Diabetes, COPD, Coronary Heart Disease and Cancer.


Programme Aims

The aims and objectives of this programme are in line with the Improving Access to Psychological Therapies (IAPT) 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.

Programme Participants

(It is currently unavailable to external applicants)

Eligible applicants will be employed in one of the services/NHS detailed below and application forms are sent out to the service managers.

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 IAPT accredited postgraduate training in CBT (or another Postgraduate CBT programme or Clinical Psychology Doctorate accredited at Level 2 by BABCP) OR be accredited by 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.

Services included:

  • Cheshire Wirral Partnership
  • Inclusion Matters Wirral
  • Lancashire Care
  • Lancashire Women’s Centre
  • Mindsmatter
  • North West Boroughs
  • Pennine Care
  • Supporting Minds Blackpool
  • Tameside and Glossop
  • Think Wellbeing Wigan

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). 

Programme Administrator

Nadine Smith


Please note that we are unable to give advice on what programme is best for you or give career advice.