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FORMALLY CALLED CBT MONTHLY
Check out our new services in you local area July 2013
Contents Message from Susie page 1 Long Term Conditions in
Uk page 2
Therapy for IVF 3 Services available from CBT in the City 4 Can scientists find why I am pessimistic? 6 an appointment or enrol in a Group CBT Programs you will need to contact us, online or telephone
0207 467 1508 Established
2006
The journey started in January 2006 in 10 Harley Street when Matt Broadway-Horner was working full time at the Priory hospital in north London. Initially he started part time in his clinic working two evenings weekly for the first year and then gradually growing until now working full time in 4 locations, 3 in London and 1 in St Albans. This has been a dream come true for Matt to work using CBT to help people deal with their problems before it becomes chronic and they are forced to take time off work due to illness. Indeed the driving force behind the formation of the clinic comes from personal experience of Matt watching a relative struggle with mental illness with no alternatives proposed by the NHS until the conditioned worsened needing the enforcement of the Mental Health Act (1983)
Clinic services Our priority is work with you in finding the right therapist and that is convenient to you. There are 2 main ways to contact us Call on 020 7467 1508 Contact@cbtinthecity.com
What is CBT?
Message From Susie @ CBT in the City The clinic now offers clients the ability to control how many sessions they want and when to have them by paying on the website. This facility is easy to use and all you need to do is pay for the number of sessions you wish to use. It accepts all major credit cards and once payment is received then all the rest I take care of and ensure an appointment sent with in 24 hours. Also the clinic specialists offer therapy via, telephone and video online to fit into your busy schedule and child care arrangements, so help can literally be at hand at any time and any where! Remember we are here to help with not just mental health issues but physical health as well, try out our well being clinics which specialise in helping people with Long Term Conditions like diabetes, asthma, heart problems, breathing problems, HIV are just some to
name and others too. Through a recent study (Broadway-Horner et al 2013) carried out by Matt and his research team they have found that 2 out 3 people within a local services have a long term health condition which have implication for mental health services today. Physical care needs to be addressed and not be separated into another service. Physical care teams need to also address that psychologically we need help and not just be treated medically. Our therapists can help with rehab from medical problems as well as the main bread and butter stuff like anxiety and depression, hoarding and obsessional problems. Call Matt or Susie on 02074671508
Cognitive Behaviour Therapy is a tradition that focuses on the way people think and act in order to help them overcome their emotional and behavioural problems. The effectiveness of CBT has been extensively researched more than any other Therapy and has shown that people stay well longer. This positive result is due in part to the educational aspects of CBT which can be applied to help an individual to become their own CBT Therapist
Which one? Within therapy services we offer different approaches with in the CBT tradition, like REBT, Behavioural Activation, ACT, Mindfulness, CT, Imagery and Rescripting therapy, and Functional Analytic Psychotherapy. All have evidence of working and can significantly improve your life
Social media Join Our Facebook Groups: CBT in the City - CBT in the City for Schools Mindfulness and the City • Follow us on Twitter: CBTDaily - SchoolsCBT - MindfulnessCB
their ability to work and have relationships to housing and education opportunities. Here at CBT in the City we hope to ensure a good experience of services to ensure a good quality of life and to bring about an improvement in the life of the condition. Aims of treatment can be:
Cognitive Behavioural Treatment (CBT) is now recognised by the NHS and private sectors as the best treatment for depression and anxiety. CBT helps people learn to think about their problems in a different way and how to cope better
• To aid problem solving in order to achieve • To talk about the condition and explore options • To understand the link that how I think is how I feel and vice versa • To work collaboratively on their problem and thus help the process of taking charge • To feel supported by a health professional who understand the difficulties that you are going through • To aid knowledge To feel more confident in being able to manage the long term conditions
In the UK, currently In England, more than 15 million people have a Long Term Condition - a health problem that canʼt be cured but can be controlled by medication or other therapies. This figure is set to increase over the next 10 years, particularly those people with 3 or more conditions at once. Examples of long term conditions include high blood pressure, depression, dementia, multiple sclerosis, cancer, heart problems, epilepsy, chronic pain, chronic fatigue and arthritis
For more information please contact us
02074671508
Long term conditions can affect many parts of a personʼs life, from
CBT London and the Home Counties Our head office is based in
Harley Street, London, while we also hold
London CBT Clinics at the
Centre Islington and
Healix Wellbeing
in Southgate, North
London. Highbury and
Brixton, Dulwich, Camberwell
Walthamstowe
CBT Therapists available on
Essex, Norwich,
. In the home counties we have
the network in Berkshire, Buckinghamshire,
St Albans in Hertfordshire
, Kent ,
Surrey and Sussex. For more information, book an appointment or enrol in a Group CBT Programs you will need to contact us, online or telephone
0207 467 1508
Therapy for stressrelated infertility
[BioNews, London] A study by scientists at Emory University in Atlanta, Georgia, has revealed that stressrelated infertility can be reversed by cognitive behavioural therapy (CBT). The researchers, who presented their findings at the annual conference of the European Society of Human Reproduction and Embryology (ESHRE) in Prague, Czech Republic, suggest that the therapy may prove effective and enable women to avoid having to have what might be expensive and unnecessary fertility treatment Professor Sarah L Berga, from Emory University in Atlanta, Georgia, US, and the lead author of the study, told the conference
that 'about five per cent of women' of reproductive
age 'have stress-related amenorrhea' (a lack of monthly periods and ovulation). She explained that previous studies had shown that excessive exercise and undernutrition could result in anovulation - but that her group wanted to look at why women developed such behaviours, finding that they were often a means of coping with stress. She said, therefore, that a combination of daily life stresses can lead to amenorrhea in women, as well as infertility in men. Berga's team tested the impact of CBT on 'stressed' women of normal weight who had suffered from amenorrhea for more than six months. The women had been found to have high levels
of the stress hormone cortisol in their spinal fluid. The women in the study were divided into two equal groups. One group received CBT - 16 sessions lasting 45 minutes each, over a 20week period. The sessions consisted of coaching on what is good nutrition, an acceptable level of exercise, what are realistic expectations, and ways to reduce stress. The other group received no therapy. 'A staggering 80 per cent of the women who received CBT started to ovulate again, as opposed to only 25 per cent of those randomised to observations', said Berga, adding that there had been a decline in the levels of cortisol in the CBT group. Two of the women in the group also became pregnant 'almost immediately' after the study ended. She concluded that in some women, CBT would offer a 'holistic treatment that is safe, cost-effective and easy to implement'.
Positive
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its important to try to spend time on the following tasks if you want to change your personality. Scientists now agree and have strong cutting edge evidence to show that our personality can change when studying identical twins. Those of us who are pessimistic but want to be more optimistic may want to try Cognitive Bias Modification and 10 minute Mindfulness exercise 3 times weekly
an app that you will spend time in picking the happy face as quickly as you can. 10 minute meditation focusing on the breathing whilst concentrating on doing a mental scan of the body
repeat
repeat
an app that you will spend time in picking the happy face as quickly as you can. 10 minute meditation focusing on the breathing whilst concentrating on doing a mental scan of the body
repeat
repeat
For more information please contact us
02074671508
Can science explain why I'm a pessimist? 10 July 2013 Last updated at 02:02
Many of us categorise ourselves as either optimist or pessimist, but what can science tell us about how we got that way and can we change, asks Michael Mosley. Debbie and Trudi are identical twins. They have much in common, except that Trudi is cheerful and optimistic while Debbie is prone to bouts of profound depression. It is likely that her depression was triggered by a major life event, though the twins have different views as to what that event might have been. By studying a group of identical twins like Debbie and Trudi, Prof Tim Spector, based at St Thomas' hospital in London, has been trying to answer fundamental questions about how our personality is formed. Why are some people more positive about life than others? Spector has been able to identify a handful of genes which are switched on in one twin and not the other. Twin studies suggest that, when it comes to personality, about half the differences between us are because of genetic factors. But Spector points out that throughout our
lives, in response to environmental factors, our genes are constantly being dialled up and down as with a dimmer switch, a process known as epigenetics. With twins like Trudi and Debbie they have found changes in just five genes in the brain's hippocampus which they believe have triggered depression in Debbie. Spector, who describes himself as an optimist, hopes that this research will lead to improved treatments for depression and anxiety. "We used to say," he told me, "that we can't change our genes. We now know there are these mini mechanisms that can switch them on and off. We're regaining control, if you like, of our genes."
Trudi (l) is an optimist whereas her twin Debbie has suffered from depression Even more surprising is research which has identified changes in the activity of genes caused by the presence or absence of maternal love. Prof Michael Meaney, from McGill University in Canada, is investigating ways to measure how many glucocorticoid receptors are activated in someone's brain. The number of active glucocorticoid receptors is an indicator of that person's
ability to withstand stress. It may also be a measure of how well mothered they were at a young age - reflecting how anxious and stressed their mothers were, and how this impacted on the amount of affection they received in their early years. I am one of a small handful of people who have done their test and had the results. I haven't told my mother yet. I see myself as being more at the pessimistic end of the spectrum but would like to change, so I went to visit psychologist and neuroscientist Prof Elaine Fox at her laboratory at Essex University. Fox is interested in how our "affective mindset", the way we view the world, shapes us. As well as using questionnaires she and her team look for specific patterns of brain activity. They began by measuring the levels of electrical activity on the two sides of my brain with an electroencephalograph. It turns out I have more electrical activity in my right frontal cortex than my left. This, Fox explains, is associated with people who are prone to higher levels of pessimism and anxiety.
Then I did another test, designed to measure my
"negative bias". Still wired up I was asked to press a button whenever I saw dots flashing in a particular pattern behind faces being displayed on a computer screen. I was asked not to focus on the faces, just on the dots. "Sometimes," Fox says afterwards, "there was an angry face near the dots, sometimes a happy face. Your response time to the dots was faster when they appeared near the angry face. "The reason you were faster is because your attention had already been drawn to the angry face, even though you may not have been aware of that." The tests confirmed I have a fundamentally negative bias. To counter this, Elaine suggested I try a short course of CBM (cognitive bias modification) and mindfulness meditation. Being a pessimist, constantly on the lookout for things that can go wrong, leads to increased stress and anxiety. And it's more than just a state of mind. It's powerfully connected to your health. In one study, which started in 1975, scientists asked more than a thousand inhabitants of the town of Oxford, Ohio, to fill in a questionnaire about jobs, health, family and attitudes towards growing older. Decades later Prof Becca Levy of Yale University tracked down what had happened. When Levy went through the death records she found that those who had felt the most optimistic about
growing older had lived, on average, around seven and a half years longer than those who were more pessimistic. It was a striking finding and took into account other possible explanations, such as the fact that people who were more pessimistic may have been influenced by prior sickness or depression. Similar results emerged from a study of nuns done by Deborah Danner and others at the University of Kentucky. They looked at the diaries of 180 Catholic nuns, written when they had entered their nunneries in the 1930s.
longer than those who expressed the least. As for me, after seven weeks of doing mindfulness meditation and CBM I felt much calmer and returned to Prof Fox's lab for more tests. The results were extremely encouraging. It seems that even later in life you can change your outlook. Even for the pessimists, that should be worth celebrating. Michael Mosley's search for the roots of optimism can be seen on Horizon - The Truth about Personality, at 21:00, Wednesday 10 July on BBC Two
Testimonial Nuns living in a closed community are good for a scientific study because they have very similar environmental experiences, allowing more robust comparison They then rigorously scored these diaries for optimistic or pessimistic outlook. Nuns who live in a closed community are a good group to study because they live in the same environment for most of their lives, eating the same foods and having similar experiences. When the researchers traced what had happened to the nuns they discovered that those who expressed the most positive emotions about life when they were in their early 20s lived up to 10 years
I have been constantly pessimistic and suffering from insomnia for many years. Since trying CBM and mindfulness as suggested by my therapist at CBT in the City I have experienced a better sleep and my outlook in life is more optimistic. I am so grateful to my therapist who takes the time to read about modern approaches to mental problems. Lots of love Suran
What can CBT in the City offer you?
Easy payments system Mindfulness program
The opportunity to change
Telephone therapy Help with medical problems Excellent service
Experienced therapists Value for money Accessible
Teaching Supervision and good student services
Great lesson pack for schools Teacher training Skype therapy Great therapy
The broad range that is CBT in the City
It takes both students and teachers to create a reflective classroom. CBT in the City directly affects Student Learning, Attitudes and Behaviors by imparting knowledge of how they can change their current situation by teaching them about how thoughts can create Self Defeating Behaviours and produce low confidence and low self esteem Through the Reflective Classroom as viewed through the lens of CBT in the City teachers can more easily manage the Social and Academic Environment in which they spend the better part of their waking hours. By making Mindful decisions and employing the same skills they teach children, educational professionals become more collaborative colleagues and better listeners and communicators. Ultimately, greater job satisfaction results A CBT in the City Reflective Classroom is characterised by:• Enquiring young minds ready to learn in an environment that promotes academic , personal and private
success• Growth of respect and personal regard as children learn to acknowledge the unique qualities of others, attentively listen to their concerns, and avoid arbitrary or negative reactions• A rise in positive social exchanges among students and adult colleagues• Reduced bullying• Renewed partnerships with parents and families to promote children’s learning and growth• Reduced teacher stress and vulnerability naturally associated with the challenges of the teaching profession Renew the love that teacher has for his/her own profession and have a fresh impact on the students
The attitude that one undertakes in this practice is crucial and will go against the grain. Our normal development is mainly about achieving and doing things with purpose. In Mindfulness practice it is about developing a curious mind and seeing what happens and this may mean not taking control and learning in a different way by noticing. Mindfulness based CBT for Depression
Testimonial I have multiple sclerosis (MS) and I was very stressed and overwhelmed with normal life stuff really and my doctor told me that if I don’t learn to manage my stress effectively then the MS symptoms will develop more quickly. He persuaded me to seek help and so I contacted CBT in the City and I received help for stress. My therapist was great in helping me understand MS and how I could slow down the depreciation of my spinal column. Now I am more in control, feel less stressed, use positive stress to my benefit as I can sweat the small and larger stuff. Therapy helped me to see that a new approach was needed and I have to say I have received excellent care and therapy from my therapist. My therapy has stopped and my doctor now thinks that the speed of the MS has slowed down. My decline will happen but I want to enjoy the life I have
and not lose time due to unnecessary negative stress and worry. All the best Dileep
Services available from Matt BroadwayHorner
Author
Workshops
Supervision
Personal development
Building links
Therapy
Coaching
Module leader
Consultant
Contract development and security
Teaching
Project management
Masters level marking
Medico legal reports
Who is Matt? Matt is the visiting lecturer & module leader for the module complex mental health problems in the PgDip / MSc CBT program at University of Hertfordshire. Currently Matt is the project leader for the department of health project bid merging Long Term Conditions like Diabetes, Multiple Sclerosis, heart problems etc with IAPT services delivering CBT packages to patients and restructuring it to incorporate health psychology. Another project Matt is involved in is the CBT in Schools which has been running for 3 years and is proving successful in reducing many problems within schools and also empowering teachers to be best they have ever been!
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Matt used to work on a research study as a Consultant on delivering Cognitive Behaviour Therapy to people with Learning Disabilities within Camden and Islington
10 HARLEY STREET LONDON W1G 9PF
populations. He is also currently a consultant lead on the CBT in the City Schools Project with the primary objective of delivering CBT to Students in London Schools. The research is supported by Camden and Islington NHS Mental Health Trust, Mental Health Research Network and The National Institute for Health Research Matt also used to work as a Consultant Psychotherapist for the Priory Hospital in North London, working with clients both in group and individual therapy using Cognitive Behaviour Therapy. He also supervises other Therapists, multi-disciplinary team members and trainees. He previously worked as a specialist in the NHS at St George's Mental Health Trust in the Addictions department and acute Adult Psychiatry. He is available for Individual CBT and/or Group CBT Therapy for cash payers and for those wanting to use their private medical insurance