This paper reports on the effectiveness of psychological therapy for anxiety and depressive symptoms offered to over 1000 adult clients, seen through the Better Access (Medicare rebate) scheme in a specialist private psychology group practice in Geelong. It provides extensive additional objective evidence to supplement findings from the official evaluation report on the Better Access scheme released in March 2011.
Clients were offered a range of psychological interventions consistent with a cognitive-behavioural treatment approach. A range of outcome measures was used with therapy clients across the whole practice to evaluate not only changes in anxiety and depressive symptoms, but also therapeutic alliance and positive psychological health and wellbeing.
Outcome measures included the Outcome Rating Scale (ORS) and Session Rating Scale (SRS), Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI), the Positive and Negative Affect Scale (PANAS) and the Satisfaction with Life Scale (SWLS). These measures were typically administered at sessions 1, 5, 10 and the final session enabling observations about the rate as well as the amount of clinical change.
In addition to overall findings based on the above measures, data will be presented on the treatment progress and outcomes of over 500 clients treated with depressive conditions treated both with and without medication. These data point to the potential impact of the planned reduction in rebatable sessions to no more than ten sessions per calendar year for such conditions as Major Depressive Disorder.
As the benefits of positive parenting programs become more apparent, there is increasing calls for such programs to be more widely available in the community. Poor reach of existing programs, low father
The transition to the ‘third wave’ behaviour therapies will be explored mainly with respect to Acceptance and Commitment Therapy (ACT). A broad review and commentary on the current research
D-Cycloserine (DCS) is a cognitive enhancing medication believed to “consolidate” fear extinction learning into memory during exposure therapy. This paper examines whether DCS could augment extinction of a specific fear in children. We conducted a double-blind placebo-controlled Randomized Controlled Trial to investigate whether 50mg of DCS can enhance fear extinction of a dog or spider phobia. Thus far, we have recruited 17 children (M age = 9.4 years) who ingested DCS or a placebo prior to receiving a massed session of in vivo exposure. Avoidance was measured using a standardized ten-step Behaviour Approach Tests (BAT), where successive steps increased proximity to the feared stimulus. BATs were conducted at pretreatment, immediately post-treatment and on follow-up one week later to measure return of fear.
Providing psychotherapy can be extremely rewarding but can also make a range of different demands on the therapist. These demands may vary as a function of the stage of development as a therapist, the type of caseload, the context in which the therapist works, the volume of work, and the interactions with other situations or events that may be happening elsewhere in the therapist’s professional and personal life. Supervision can have a range of functions, but one important function is supporting the therapist. Effective supervision is thought to be a key contributor to ensuring not only safe and effective therapy but also to maintaining resourceful and resilient therapists. While other forms of psychotherapy have well established models and traditions of supervision, CBT is relatively lacking in these areas and there is relatively little literature to guide CBT supervision, especially in contrast to the vast literatures that exist for cognitive behaviour therapy.
The field of e-psychology is rapidly expanding, with new Internet and phone-based programs regularly becoming available for an increasing variety of mental health issues. There is a strong evidence base supporting Internet delivered psychological interventions, but less is known about particular program components or patterns of usage that are most impactful and thus associated with better outcomes.
The aim was to investigate the contributions of intrapersonal and interpersonal processes to eating disorders symptomatology in anorexia nervosa. Thematic analysis was used to investigate the interpersonal experiences of adolescent girls during inpatient treatment of anorexia nervosa. In a quantitative study, findings from the qualitative study informed hypotheses, development of items for a self-report questionnaire and selection of validated questionnaires to assess eating disorders symptomatology, perfectionism and aspects of interpersonal functioning in women with anorexia nervosa and non-clinical female comparisons.
The present study compared levels of body dissatisfaction, and disordered eating symptomatology among elite, recreational, and non-competitive female Australian athletes (N = 320) aged 17 to 30 years competing in leanness focused sports (e.g., Ballet, light weight rowing, long distance running) and non-leanness focused sports (e.g., netball, football, rugby).