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Cognitive therapy training for psychiatrists: impact on individual clinical practice

The Red House Psychotherapy Service, 78 Manchester Rd, Swinton, Manchester M27 5FG

I. Durkin, Consultant in General Adult Psychiatry

Shelton Hospital, Shrewsbury

C. Beuster, Specialist Registrar in General Adult Psychiatry

Tameside General Hospital

Declaration of interest

All authors have attended a year-long diploma course in cognitive therapy in Salford, partially funded by the Manchester Post-Graduate Deanery.

AIMS AND METHOD

We aimed to survey how psychiatrists with in-depth training in cognitive therapy use these skills. A postal questionnaire based on a previous survey was sent to all psychiatrists who are accredited members of the British Association for Behavioural and Cognitive Psychotherapies.

RESULTS

There was a 94% response rate. Psychiatrists in non-psychotherapy posts used formal cognitive therapy, with an average of 20% of new patients compared with 65% for those in psychotherapy posts, and were less satisfied with the extent to which they were able to use their skills (20% v. 80%). A total of 85% of respondents described themselves as being involved in teaching, training and supervision of cognitive therapy.

CLINICAL IMPLICATIONS

Unless psychiatrists are planning on working in specialised psychotherapy posts, they are unlikely to use cognitive therapy training in formal therapy sessions. Further research is needed to determine whether cognitive therapy training for psychiatrists translates into improved outcomes for patients.

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				G. Whitfield, M. Connolly, A. Davidson, and C. Williams Use of cognitive-behavioural therapy skills among trained psychiatrists Psychiatr. Bull., February 1, 2006; 30(2): 58 - 60. [Abstract] [Full Text] [PDF]