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CBTMONTHLY January 3rd 2011

January 2012 Experts at your fingertips call

Check out our new services in


in you local area

CBTINTHECITY What is Imagery Re-scripting and Reprocessing Therapy?

New year message From the Clinical Director

Hoarding? What is it and how can it be treated Page 4

Pitstop How to assess for NATs/intrusive thoughts Page 8

Testimonial Ruby Page 11

New year message From the Clinical Director

Greetings from the Team and we wish you all the very best for 2012. I hope this year brings you all what you wish for and prosper in every area of your lives and business. The CBT in the City service has 3 strands and I hope to bring you further developments in due time of some exciting projects which will unfold shortly. For updates please follow us on facebook and twitter. Remember we are here to help with all your therapy, wellbeing, business, corporate and education needs. All the best and go on be an OVERCOMER!


2 CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited 2012


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hoarding compulsive and ruins lives By Fact corner Compulsive hoarding is a mental disorder that affects up to one person in every two hundred in the UK. It is classed by some as a type of OCD (Obsessive Compulsive Disorder) although there is a new school of thought that believes that it differs from general types of OCD, and that it should be treated as an illness in its own right. But what exactly is compulsive hoarding, and why can it be so damaging? Compulsive hoarding is not just a whimsical notion to collect certain items. It is far more serious, and in its most chronic manifestations it gets totally out of control and ruins lives; not only the lives of the individuals cursed with compulsive hoarding syndrome, but also the lives of those who may be unfortunate enough to cohabit with them, and even the safety of their neighbours. A compulsive hoarder is not simply someone who is lazy, or negligent. Chronic hoarders are suffering from a neuropsychiatric illness that will not go away unless professional help is sought.

Compulsive hoarding can strike anyone of any age, gender, or background. It is treatable, but it can be quite difficult in some cases to get a hoarder to acknowledge that their clutter presents any form of problem. The other problem is that professional help, via cognitive behavioural therapy, but not every therapist knows how to treat the problem and so it is important to find a specialist CBTer. In terms of the type of clutter that hoarders amass, it can be anything and everything. The items may have some value, but in many cases the items are no more than junk, often being broken beyond repair and therefore useless. But a typical hoarder will perceive that the object may one day come in useful. Most people for example will throw their old newspapers away into their recycling bin, but by comparison, a hoarder will hold on to those old papers believing them to be a source of potentially useful, and maybe even life changing information. When newspapers are thought of in this way by a hoarder, it becomes The consequences of hoarding are horrific and can be possible to understand that to discard them may seem an literally fatal. One of the most infamous cases of hoarding act of sheer recklessness, and would be seen by them as was the American Collyer brothers. Way back in 1947, their being both wasteful and foolish. The mere thought of bodies were discovered in their crumbling New York City discarding them will cause the hoarder much grief and soul mansion, where they had lived surrounded by an amazing searching. 100 tons of clutter, some of which subsequently fell on top of them crushing them to death. Only last year a woman was smothered to death when a huge pile of clothing fell on her. There have been many instances of fires being caused by inflammable clutter which has in turn caused the deaths of several hoarders who were tragically unable to escape in time because doorways and passages in their homes were totally obscured by piles and piles of clutter. Video of clearing a cluttered property in Edinburgh. If you need a cluttered property clearing click here

Of course any kind of organisation quickly becomes impossible. In the beginning it may be possible to loosely categorise things and stow them logically, but with continual compulsive hoarding, the sheer volume of growing clutter becomes unmanageable, and it is gets put anywhere where space permits. One of the symptoms of a compulsive hoarder is one of procrastination. They can be reluctant, and in some cases unable to reach decisions. One reason for not putting things away is the desire to be able to see them at all times so they do not become forgotten. In other instances, what starts out by harmlessly leaving a few items of clothing on top of a chest of drawers instead of inside them, can in time become a veritable mountain of clothing causing danger from smothering (as mentioned above), and of course representing a potential fire hazard. There is also a danger of infection. Old clothes left lying around for months will get damp and collect mildew. This can irritate those who suffer from allergies and conditions such as asthma. Old empty food containers and even food leftovers will attract rodents, and their droppings and urine are a constant source of potentially serious infection. The mountains of clutter left lying around can also interfere with the proper function of things in the house. Fireplaces become unusable, and winters can be very cold and uncomfortable in hoarder’s houses, and even toilets and bathrooms become overrun with clutter. Cluttered houses are dangerous places for children, and also for the elderly who will have extreme difficulty trying to navigate themselves around and through the chaos.

But it is not only the hoarders themselves who are in danger, their clutter also represents a fire hazard to neighbour’s houses, and also to any members of the emergency services who are called to the house to deal with fires or other emergencies. There is also a financial consideration. To de-clutter a chronic hoarder’s house is quite an expensive operation, and if the hoarder cannot finance it him/herself, then the local council has to step into the breach and use taxpayer’s money. Of course there is no guarantee that the house won’t revert back to becoming a rubbish tip again. The good news however is that CBT treatments (as mentioned in an earlier paragraph), have shown successful results. It is not normally possible to truly rid a hoarder of his/her compulsion altogether, but a structured CBT program can help a hoarder to manage their condition. They are taught to recognise and analyse their compulsions in a way that makes it possible to resist them, perhaps not 100%, but to really put a limit on adding to their clutter, whilst at the same time making it possible for the hoarder to be able to consider gradually discarding and reducing the size of their hoard.

For help with Hoarding then please contact the office today on 0207 467 1508 and ask to speak with Matt Broadway-Horner. To book an appointment then speak with Nuala Asad Our group therapy is called The Hoarders group which can be a option that can be combined with 121 therapy and home treatment. tel: 02074671508 / 02075588894 or email:

5 CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited 2012



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my journey in overcoming worry the doctors called it generalised anxiety disorder By Francesca

When I first considered doing CBT I was going through a very tough time characterised by excessive worrying and states of extreme anxiety. This was severely impacting on the quality of my life to the point that even simple, ordinary tasks felt like a big burden which in turn led to inaction. When I started the CBT it was important for my motivation to set clear and specific objectives and attach a timeline to them. Through a number of real-life experiments together with the therapist I started to re-educate my mind. The practical element was paramount as it showed me the lack of real substance of most of those beliefs that were responsible for causing states of anxiety. I soon realised that it was mainly down to me what I wanted to achieve and got rid of the erroneous conviction that the success of the therapy mainly depended on the therapist. A combination of raising-awareness discussions and real-life experiments gradually softened my mind and my approach to problems. Progressively I was taking ownership of my life whiles at the same time excessive worrying and anxiety were fading in the background. By the time I finished my 14/15 sessions over a period of 4 months I felt much better, however the full benefit of the therapy only emerged further down the line when I realised that I had gained a new, more flexible approach to my life on a permanent basis and not simply a quick win on the wave of the therapy." For more information on treatment for worry/Generalised Anxiety Disorder call now on 020 7558 8894 or email Â

7 CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited 2012

pit stop exercise By Matt Broadway-Horner

Once you have assessed your Automatic Negative Thoughts (ANT’s) then you need to reduce conviction in them. Rate you conviction level of how much you really believe it out of 100% this being the highest level of convictionDispute you ANT’s or core beliefs by using empirical, logical and practical disputing questions. For this exercise see how many practical disputes you can discover. Let me start you now with the following: How does thinking this way help me? What are the advantages of thinking this way? What are the disadvantages of thinking this way? Now rate you conviction level again and hopefully there will be a reduction. Continue to do this until the level is as low as 30%. Now you need to find an Alternative Realistic Thought (ART’s) or helpful core belief and ask yourself practical questions to develop conviction it. So in the beginning conviction is 0% but then after the exercise then rate again your conviction level. Repeat until conviction level has been built upto 70%. For CBT skills lesson pack then contact the office on 020 74671508

8 CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited 2012


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London Clinics are situated in Harley Street, Angel/Islington and Southgate. Outside London Clinics are in St Albans, Essex and Norwich






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CBTMONTHLY January 3rd 2011

cognitive behaviour therapy made a difference the human condition By Ruby

I was in a pretty bad way, isolating and withdrawing from friends and family. The more irritable I was the more I would withdraw as I could not recognise myself and I felt myself slipping away. Work colleagues would view me as being independent and everything being ok. Friends viewed me as strong and not needing help so when I isolated they did not think differently about it. I had Depression and through therapy I have learned that I portrait a strong image of myself to others so not to think or feel that I am a failure. The more I protected myself from being a failure the less rewarding life became. Its a catch 22 and so my life shrank. I learned that my perceptions on failure were not kicked up to reality and when addressed that my failure was not indeed a failure and this helped me to expand my life and take back what the Depression has taken. Also I can see the benefit of accepting certain things as a failure as they were things out of my control but it did not mean I was a failure but life cannot guarantee fairness all the time. This testimony is to encourage others to seek help and not suffer in silence as I had done for 2 years because I was afraid of what others would think. If you need help then book an appointment today

CBTMONTHLY 10 Harley Street London W1G 9PF

Editor CBT in the City Head office 10 Harley Street London W1G 9PF

CBT in the City Newsletter January 2012  

Monthly magazine about CBT Cognitive Behaviour Therapy

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