A Highland GP on life the universe and anything…

CBT in General Practice

This blog was written to support the session I run for GP Specialty Trainees in the North of Scotland.

During these sessions I hope participants will: –

  1. Be able to describe a cognitive behavioural model
  2. Know who it may benefit and how to access formal CBT
  3. Develop a framework for diagnosing, assessing and treating commomn mental health problems in GP.

I have a case (5 areas landscape john) to present and demonstrate how I use it and I will also ask the trainees to work collaboratively to complete a 5 Areas Sheet on a case of their own. I will offer advice to using this approach in general practice but also some of the referral options available for patients to access CBT locally and on the web.

My powerpoint can be seen here: –GPST Mental Health 2012 CBT

Please comment below or via Twitter (@milesmack using hashtag #NScotGPST and #CBT)


RCPsyc CBT leaflet

5 Areas Sheet

Book Prescription Scheme – GP Pad

Breathing space & MoodGYM

Depression Alliance food advice

CBM freeman et al

Green Gym info

GP10 smoking


Life’s building blocks

LivingLifeToTheFull- highland


PHQ9 interpretation

Serotonin Syndrome PIL v31Mindfulness

Sleep – brief guide

Sleep Patient Information Leaflet – detailed


Comments on: "CBT in General Practice" (1)

  1. An email sent to a participant from last years talk: –

    “Many thanks for your email and I’m sorry for the delay in getting back to you.
    Like you I have had very little Psyc experience (3 months as an SHO) but I have really enjoyed having an interest in mntal health through my career.

    Some of my memorable learning came from: –
    -Learning about motivational interviewing as a medical studnet at the Royal Edinburgh Hospital
    -Sitting in with a GP woith a special interest in counselling in Vancouver Island
    -Working with a fab consultant psychiatrist for a short attachment at Craig Dunain
    -Attending a couple of GP study days on CBT (especially the one by Chris Williams)
    -Being on NHS Highland guideline development groups over the years
    -the enhanced consulting techniques I aspired to pick as a trainer
    -Laterly chairing the Integrated Care Pathway Depression Sub-group for NHS Highland
    -Taking part in an 8 week mindfulness course

    As you see it has been a pretty random path that has been focused on my work as a jobbing GP with an interest but not a “GPSI”.

    This leaves me in a quandry as to what to suggest to someone starting out. What has worked for me is
    -grabbing the chances as they come about
    -claiming the majority of depression care as a GP role
    -seeking out ways of doing things from colleagues in other areas and not being scared to develop them for GP
    -developing a strategy for dealing with patients whre you suspect mental health issues that is workable in out time constraints
    -being happy to refer on when feeling at limit of GP expertise

    Really delighted that that afternoon was stimulating. Please do get back to me if I can be of any help.
    Best wishes,


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