AIBU to think emailing a link to a DIY CBT programme isn't mental health treatment?

[Morriba]

That's what I've been offered though, after months on the waiting list. If I was able to fix it myself I'd have already done it.

That’s absolutely crap. Sorry you’ve been let down OP.

Is it an online CBT programme? I've done one of those and found it really effective.

They are a very established treatment with a lot of evidence behind them.

This is what the NHS call stepped care. You have to "fail" the less intensive, wellbeing practitioner led cheaper treatment (known as step 2) to get stepped up to the therapist led CBT (step 3) or other therapy. Unless you have a condition that has in the guidelines that it should not be treated at step 2, or you are at the severe end, they will always start with step 2. That said, some people do find the online CBT helpful so try to do it, keep notes about why it doesn't work if it doesn't and they will review.

CBT never works for me even when I had a CPN it didn't work.

"stepped" my arse. I'll just be discharged after I don't do it so I'll be off the list and not costing them anything.

This is all the NHS will pay for for the vast majority.
it can’t afford expensive f2f therapy for all who ask and need. I would go privately if you can.

Do it, tell them it didn’t work and then you can get on the long waiting list for the next thing. And repeat. It’s a shambles.

I think this is why homeopathy was so successful, they rely on people's need for genuine human interaction to heal, not just a link to something online.

For who?

Bots, presumably

Yes

When people bandy around 'its a very effective treatment', - it really needs challenge because the evidence is not overwhelming and its horses for courses. I have never responded to CBT, deep seated trauma is not supported by CBT

You ge 6 sessions, the first and last are nearly always the 'start and ending' so you get 4 sessions in actuality.

Completely and utterly useless.

What treatment are you wanting them to provide?

Weirdly I had the opposite happen to me. I just wanted to do the online one and at the assessment appointment ended up with 2 weekly low intensity therapy and then when I (I guess from reading this thread) "failed" that it was 7 months of high intensity weekly therapy. Were your scores quite low on the forms?

You could try it and go back if it doesn’t work?

I also found online CBT to be absolutely useless. Completely generic worksheets and activities that provided nothing of worth.

Oh yes you can just refer yourself back in. I was told to do that if I needed to.

Yet for many other people these are really useful, so don’t just dismiss something out of hand

the solution to many mental health problems has to come from inside you - like with physio also - you have to get involved and work so try this with an open mind

Can you find a therapist to work with privately?

OP isn’t dismissing it totally out of hand - she has tried CBT before with a person. If that didn’t work, online CBT is very unlikely to be better.

ETA - I also find this an annoying defence of CBT because it sort of blames the patient if it doesnt work. I did online CBT, and then face to face CBT (with an NHS “wellbeing practitioner”). She acknowledged that the worksheets and exercises didn’t really apply to me, but told me to fill them in anyway, just make it fit the boxes etc. Then after 7 or 8 sessions and I said I didn’t really see the benefit in this, she said “well you only get out what you put in”. I was putting a lot in! A lot in to worksheets she knew were not relevant to me and my specific issues. But the NHS programme is too prescriptive (and I imagine wellbeing practitioners are not trained enough to deviate).

I sympathise. I've had countless courses of CBT over the past 21 years for severe OCD, starting when i was 15, and it has never worked for me either.
I know the formula like the back of my hand, I've done it that many times. A different person telling me the same thing isn't going to be any more effective, and if it was something that worked for me and was able to do it myself, i wouldn't still be crippled by OCD.

I've just been referred yet again, got my first app to talk to someone on the 1st, my doctor has suggested trying ERP, though not sure what the difference is as that was always a big part of the CBT I've had every time already.

I'd seriously consider shock therapy at this point.

Lol

this is like the time I did an e consult for my practice with an ear infection and got back a link to a bbc news article about pharmacies (which don’t treat adult ear infections)

the nicest possible interpretation is that the waiting list is horrendous and it might help some people.

If you have been on a waiting list then it’s probably just the first part like an introduction before actual therapy - what does your letter say after your assessment appointment

Quote frankly you probably would be difficult to ‘help’ as you so d like you’ve not intention of engaging given CBT does not work for you…step aside then and let someone else have your spot

CBT isn’t recommended for every type of distress. It does rely on you making changes and not expecting to sit their and be fixed otherwise book hypnotherapy

This is so terrifying. We have someone with severe ocd in the family whose life is ruined by it and keeps getting bloody Talking Therapies offered. We’ve paid for private therapy but that’s a shot in the dark and has had no impact. Access to the specialists is based on long term crisis and engagement with all the steps and is out of reach privately (£££)

CBT doesn’t ’work’ for anyone
The persons capacity to change using the CBT framework is what ‘works’

why bother agreeing to a further referral for course of treatment if you know it so well? Do the ERP yourself as ultimately that’s what you will be supported to do

CBT is recommended for trauma
trauma focussed CBT and in SOME cases EMDR which has overlapping principals