Scientific background: Internet-delivered cognitive behavior therapy (ICBT) has a relatively short history, with the first trials being conducted in the late 1990s. Since then well above 120 randomized controlled trials suggest that ICBT can be effective. Effect sizes for ICBT have been well within the range of face-to-face CBT with the exception of unguided programs (e.g., not even minimal therapist contact), which usually, but not always, result in smaller effects.
So, the evidence is there but how is it done? In this workshop two pioneers in the field will present some recent research findings, but primarily share their experiences of how to become a true expert internet therapist. It is clear that therapist guidance generally is important for good outcome – but how much, how often and when should you do it? And most importantly, what should you write in your feedback? Based on their own research from analyzing the written content of email messages, sent from both the client and the therapist, clear suggestions will be shared and also practiced during the workshop.
In the workshop clinical case examples will be provided together with screenshots and demonstration of treatment systems including the Swedish web platform as well as a gamified virtual reality exposure therapy intervention. Furthermore, a recently tested smartphone application will also be briefly presented.
Finally, you will learn about the risk of negative effects of Internet-based cognitive behavior therapy and how to measure the occurrence of symptom deterioration, adverse and unwanted events, and their relationship with long term treatment outcome.
Key learning objectives
- Understanding the varieties of Internet treatments and their differential effects
- Getting to know what is needed to set up a service using the Internet (the basics)
- Learning what is required to obtain good outcomes with guided Internet treatment
- Knowing what is required in terms of therapist training and skills.
- Learning about the pros and cons of Internet treatment including tailoring treatment according to patient symptom profile.
Training modalities: Lecture, role play, group discussions.
Key references: Andersson, G. (2014). The internet and CBT: A clinical guide. Boca Raton: CRC Press.
Andersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014). Internet-based vs. face-to-face cognitive behaviour therapy for psychiatric and somatic disorders: a systematic review and meta-analysis. World Psychiatry, 13, 288-295. Doi: 10.1002/wps.20151
Workshop leaders: Both professor Per Carlbring and professor Gerhard Andersson are licensed psychologists, licensed psychotherapists and board certified specialists in clinical psychology. They have been active researchers in the internet interventions field since the late 1990s. For more information detailed see their respective web sites: www.carlbring.se and www.gerhardandersson.se
Implications for everyday clinical practice of CBT: After this workshop you will know more about how these alternative methods of CBT support can be integrated within a busy practice and supporting people in innovative ways.
The European Association for Behavioural and Cognitive Therapies , 2016. 51-51 p.
46th European Association of Behavioural and Cognitive Therapies congress, August 31 - September 3, Stockholm, Sweden.