What is the Value of CBT in Respiratory Conditions and How Does it Work in Practice?

For many years the integration of physical and mental health has been poor, however there is increasing body of evidence demonstrating that integrating mental and physical care for people with long-term conditions can improve both physical and mental health, as well as reducing healthcare utilisation.³

CBT is an evidence-based, patient-centred, individualised, structured psychological treatment, which aims to understand patients’ current difficulties.^1,2 It explores the links between a patient’s situation, physical symptoms, thoughts, emotions, and behaviour, and uses techniques directed at tackling current challenges to teach the patient skills to help identify unhelpful thinking or behaviour which might be causing vicious cycles of anxiety and/or depression. Having a clearer understanding of the underlying challenges can then lead to the identification of strategies to help overcome these difficulties with the aim of improving the patient’s quality of life.³

In this presentation, Dr Heslop-Marshall discusses how CBT can be integrated into everyday practice to help respiratory patients and the accompanying breathlessness they may experience.

References

1. National Institute of Clinical Excellence. Depression in adults with a chronic physical health problem: recognition and management [CG91]. https://www.nice.org.uk/guidance/cg91

2. National Institute for Health and Clinical Excellence. Generalised anxiety disorder and panic disorder in adults: management [CG113]. https://www.nice.org.uk/guidance/cg113

3. Heslop-Marshall K & Burns G. The role of cognitive behavioural therapy in living well with COPD. Breathe. Jun 2019, 15(2) 95-97; DOI 10.1183/20734735.0119-2019

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• Dr Karen Heslop-Marshall

  Nurse Consultant

  Read biography
  Dr Karen Heslop-Marshall

  Nurse Consultant Newcastle-upon-Tyne Hospitals NHS Foundation Trust

  Role and Location

  Dr Heslop-Marshall is a nurse consultant at Newcastle-upon-Tyne Hospitals NHS Foundation Trust and has worked in respiratory medicine since 1988. She mainly works in secondary care but also undertakes home visits.

  Education

  Dr Heslop-Marshall completed a post graduate diploma in Cognitive Behavioural Therapy (CBT) and in 2003 developed a CBT treatment specifically for patient with respiratory problems and symptoms of anxiety or depression.  Dr Heslop-Marshall completed a National Institute of Health Research PhD Clinical Academic Research Fellowship in 2016.  Her research was the largest RCT into CBT for COPD patients who experience anxiety and depression.

  Research

  Dr Heslop-Marshall is currently a co-applicant for the NIHR TANDEM study in the use of CBT for respiratory patients before pulmonary rehabilitation and is a supervisor for two PhD students.

  Memberships

  Dr Heslop-Marshall has represented nurses on a number of committees and guideline groups for asthma, bronchiectasis, COPD, pulmonary rehabilitation and is currently co-chair of the Bristish Thoracic Society Nurse Advisory group & co-chair of ARNS Education & Research Committee.