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Page 1: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

CBT

Page 2: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Thoughts are not facts

Just because I think something doesn’t make it true

I’m a milkshake

Page 3: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

What thoughts do I struggle with?

Page 4: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Sit with anxiety it can get easier with time

Page 5: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

What techniques help me with anxiety?e.g. breathing, checking the evidence?

Page 6: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

My fears might be bigger in my mind than they are in reality

WARNING

BEWARE OF DOG

Page 7: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Avoidance makes things harder in the long run

Page 8: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Face my fears one step at a time

Page 9: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

If I face my fears what would I be doing?

Page 10: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Unhelpful thinking patterns:Notice themChallenge themTake them with a pinch of salt

I can’t do this

I’m rubbish

I should give up

Nobody likes me

I’m a failure

Page 11: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

What challenges help me?

Page 12: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Black and white thinking

What am I missing in the middle?

I’m not able to do this

I can do this

I might be able to do this so I’m

going to try

Page 13: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Judgements

Am I judging myself fairly?What would a friend say to me?

I’m so proud of all you

have achieved

I’m a wasteof space

Page 14: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

What would a supportive friendsay about my judgements?

Page 15: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

No ones goingto turn up

CatastrophisingIs the worst casescenario likely tohappen?

Page 16: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Jumping to conclusionsAre you trying to read minds or predict the future?

He doesn’tlike me

What a nice guy

Page 17: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Focusing on the BadRemember to look at what you are doing well!What would someone else say?

2nd

I didn’t win

Well doneyou came

second

Page 18: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

She didn’t sayhello. She must

hate me

Weigh up the evidenceAm I focusing on theevidence to ‘fit the crime’ and missing out thebigger picture?

Or maybe she is very busy

Page 19: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Beware rumination and worrying.

It can make one worry snowball into a much bigger worry.

I can’t do it. I’m not any good. No one likes m

e. E

very

on

e will laugh. I should give up. I c

an

’ t do it. I’m not any g

oo

d. N

o on

e lik

es me. Everyone w

ill laugh. I should giv

e up

. I c

a

n’t d

o it. I’m

not an

y good. N o o

ne l

ik

es m

e. Everyo

ne

will laugh. I should

giv

e u

p. I

ca

n’t do it. I’m not an

y g oo d. N

o o

ne

l

ikes me. Eve

ryon

e w

ill la

ugh.

I sh

ould give up. I can’t d

o it . I ’m not a

ny g

oo

d. N

o on

e

Page 20: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

What helps me to stop ruminating?e.g. mindfulness, worry time, engaging in

interesting activities

Page 21: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Put your thoughtsto the test

I can’t do this

Everybody hates me

I shouldgive up

Page 22: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

If down: do more!

Get active and see people it will boostyour mood

Page 23: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

What activity helps?

Page 24: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Avoiding emotions

Takes up time and energy running and hiding from emotion

Page 25: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Avoiding emotions

Can you practise sitting with them instead?

Mindfulness - just notice and breathe

Page 26: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Emotions are like the weather

Just like the weather, thoughts and feelings change in time.

The intensity of what you are feeling right now will pass.

Let the storm pass. It will stop raining.

Page 27: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

When I avoid emotions they don’t disappear, they go to the gym, work out and come back and beat me up!

Anxiety

Nerves

Pain

Page 28: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Can I befriend my emotions?

Page 29: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

What are they trying to tell me?e.g. You are sad, be kind to yourself

Page 30: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Sometimes the hardest part of the journey is believing I’m worthy of the e�ort

I am!

I believeI’m worth it!

Page 31: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Other resources:

CBT books:Mind Over Mood – Dennis Greenberger

Video:https://youtu.be/9c_Bv_FBE-c

On line self help:getselfhelp.co.uk

https://www.nhs.uk/conditions/stress-anxiety-de-pression/self-help-therapies/

Page 32: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

Other resources:

On-line support - Mind Mental Health Charity:https://www.elefriends.org.uk/

APP:Catch It - https://www.liverpool.ac.uk/csd/app-di-rectory/catch-it/

Page 33: CBT - academy.solent.nhs.uk€¦ · like me What a nice guy. Focusing on the Bad Remember to look at what you are doing well! What would someone else say? 2nd I didn’t win Well

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