"IAPT programme - CBT was clearly inappropriate"

About: Cheshire And Wirral Partnership NHS Foundation Trust

(as the patient),

I have just undergone nine sessions of CBT in Macclesfield with a therapist. She has told me that it simply is not working and I need something more, which would be helpful, I suspect.

My belief is that it was extremely clear around session three that the therapy was unsuitable but the whole procedure has been dragged out producing no change and rather more "morbidity" in relation to the original condition.

I think that a more thorough assessment of the original condition could have obviated the need for this.

This has left me feeling quite despondent and the service providers are now scratching around trying to find me psychotherapy that can be delivered outside my working hours.

Do I take it that I am likely to be consigned to the back of a lengthy waiting list? If so, then perhaps someone might wish to tell me in advance so that I can make alternative arrangements.

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Response from Patient Advice and Liaison Service (PALS) Officer, PALS, Complaints and Claims Team, Cheshire and Wirral Partnership NHS Foundation Trust

Dear Buffy29,

I was very sorry to read of your comments and would welcome the opportunity to look into your case further on an individual basis. If you are able to contact the Patient Advice and Liaison Service on 0800 195 4462, we can hopefully take a few details and put you in touch with the manager of the Improving Access to Psychological Therapies (IAPT) Service in the hope that we can reflect on your experience.

We have initial spoken with the manager of the IAPT service and he has advised that ‘CBT is an evidence based therapy that is effective in the treatment of a range of mental health problems such as depression, anxiety, specific phobias and post-traumatic stress disorders. This is by no means an exhaustive list. It does not work for everybody though and sometimes the process of therapy can identify that an individual’s problems are more complex than first thought or that a different approach should be used.’

Thank you for taking the time to share your story with us, I do hope to speak with you soon.

Kind regards