Types of treatment
Most assessments are undertaken over the phone, although alternative arrangements can be made if required. At the end of the assessment, we will discuss whether the Talking Therapies service is suitable for you and if so what help is available for you.
We try to use the least intrusive method of care possible to treat people. This means that you will
generally be offered a low-intensity therapy first. Examples of low-intensity treatment would include computerised cognitive behavioural therapy (cCBT), psycho-educational courses, guided self-help over the phone or face to face.
If low-intensity therapies are unsuccessful or inappropriate then patients can be ‘stepped up’ to a high-intensity therapy. This often takes the form of one-to-one cognitive behavioural therapy (CBT) or eye movement desensitisation and reprocessing (EMDR).
Where Talking Therapies is not the most suitable service we can signpost you to alternatives where available.
Treatments to help and support you
North Yorkshire Talking Therapies services provide psychological help which has been approved and recommended by the National Institute of Clinical Excellence (NICE). We have two tiers of treatment options (these are known as Step 2 and Step 3) which include:
Treatment options – Step 2
SilverCloud - Computerised CBT
| At a glance | Designed to help you learn techniques to overcome symptoms of low mood and anxiety |
| What is it? | Online programme |
| How much does it cost? | FREE |
| How many sessions? | Between six and eight sessions (depending on the programme) lasting approximately 40 minutes. |
| When? | Anytime. You can work through the programme at your own pace. |
SilverCloud is an exciting new computerised cognitive behavioural therapy online programme which can be tailored to your individual needs. It is designed to help you learn techniques to overcome symptoms of low mood and anxiety.
SilverCloud is easy to use; you do not need to be a computer expert. The programme is accessible 24 hours a day from a PC, tablet or Smartphone.
You will be requested to set up your own unique username and password so that you can use SilverCloud at home or anywhere else linked to the internet. You will be guided through by an experienced Psychological well-being Practitioner (PWP) who will regularly review and support your progress.
A short introductory film is available to view online here
Psycho - educational courses
| At a glance |
There are 5 specific courses: |
| How much does it cost? | FREE |
| When? | There is one session a week for 6 weeks. It is flexible, you can watch each session any time within 5 working days of receiving the link. |
Frequently asked questions about Psycho educational courses
What is it?
The psychoeducational courses are delivered online, by qualified Psychological Wellbeing Practitioners (PWPs). They are based on Cognitive Behavioural Therapy (CBT) and focus on learning practical techniques to help improve your symptoms. You will be asked to complete between-session tasks in your daily life to help you practice the skills learnt in each session. You will also complete an online questionnaire for each session to help us monitor your progress.
How does it work?
The sessions focus on breaking the vicious cycle created between our thoughts, emotions, behaviours and physical symptoms, when experiencing low mood and/or anxiety. By learning evidence-based tools and techniques to recognise and change your unhelpful thoughts and behaviours, we break the cycle that keeps your symptoms going
What happens in the session?
The only people visible and heard are the clinicians delivering the course. Each session lasts up to 60 minutes, with a 10-minute break part-way through. Each session covers a new topic or skill for you to practice at home in daily life to help manage your symptoms. The sessions include exercises for you to try whilst watching. You can pause the session at any time if you need a break or need longer to finish an activity.
How do I get the most from the course?
Keep an open mind. Try out the ideas and tasks presented and see what happens. The workbooks are designed with worksheets to complete. It is often helpful to highlight or underline key points. Please feel free to write notes in the notes section at the back of each booklet.
Why do I have to attend every session?
It is important to attend all sessions. Each session looks at a different aspect of anxiety or low mood and different strategies which have proven to be helpful as they connect together, a bit like a jigsaw.
Why do I have to complete questionnaires each session?
The Talking Therapies service throughout England asks individuals within the service to complete a set of questions. These are used to monitor your mood and also help measure how effective the course is at helping you move towards recovery. We also use these to monitor attendance.
What happens at the end of the course?
The gradual improvement we hope you have experienced generally continues once the course is complete. In order to enhance this effect, it is helpful to continue to practice the techniques covered on this course. A lot of people get exactly what they need from the course content and can implement the techniques independently and will be discharged from our service without any further treatment.
Some individuals may continue to have some anxiety or low mood towards the end of the course. This is perfectly normal. At the end of the course, you will be invited to book a 10 to 15 minute telephone review with a clinician should you wish to, to discuss further support, we find those who have completed a course prior to further treatment usually have better outcomes than those who have not completed one of our courses.
Guided self-help
| At a glance | Techniques to help you overcome anxiety and/or depression |
| What is it? | Telephone or face to face sessions |
| How much does it cost? | FREE |
Telephone
Uses self-help materials based on cognitive behaviour therapy (CBT) principles in individual therapy sessions which last up to 30 minutes. You will be guided in the use of strategies and
techniques which help overcome anxiety and/or depression.
Face to face
Short term support which uses self-help materials. You will be guided in the use of strategies and techniques which help overcome anxiety and/or depression.
Treatment options – Step 3
We offer a variety of step 3 treatments.
Cognitive behavioural therapy
- yourself
- the world
- other people
CBT can help you to change:
- how you think (cognitive)
- what you do (behaviour)
These changes can help you to feel better. Unlike some other talking therapy treatments, it focuses on problems or difficulties you are experiencing “here and now” rather than past symptoms or causes of distress. It can help you to make sense of overwhelming problems by breaking them down into smaller parts; linking your thoughts, feelings and behaviours.
Interpersonal pschotherapy (IPT)
- what triggered them
- what is maintaining them
- ways to move forward