CBT in the City Newsletter 31 May 2013

May 2013. CBT monthly

CBT IN THE CITY

May 2013

contents. A message from Susie, Information

Fibromyalgia-what is it?CBT can

make a difference on your physical conditionHave you adjusted to the news of being with Fibromyalgia? Launch of the new Wellbeing Clinic!!

Experts at your fingertips call now

Check out our new services in you local area

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• Website: www.cbtinthecity.com • Join Our Facebook Groups: CBT in the City - CBT in the City for Schools - Mindfulness and the City • Follow us on Twitter: CBTDaily  -  SchoolsCBT  -  MindfulnessCB

CBT London and the Home Counties

Our head office is based in Harley Street, London, while we also hold London CBT Clinics

at the Healix Wellbeing Centre in Southgate, North

London. Highbury and Islington Brixton, Dulwich,

Camberwell and Walthamstowe. In the home counties we

have CBT Therapists available on the network in Berkshire, Buckinghamshire, Essex,

Norwich, St Albans in Hertfordshire, Kent , Surrey and Sussex. For more information, book an appointment or enrol in a Group CBT Programs you will need to contact us, register online or telephone 0207 467 1508 Message From Susie @ CBT in the City The clinic now offers clients the ability to control how many sessions they want and when to have them by paying on the website. This facility is easy to use and all you need to do is pay for the number of sessions you wish to use. It accepts all major credit cards and once payment is received then all the rest I take care of and ensure an appointment sent with in 24 hours. Also the clinic specialists offer therapy via, telephone and video online to fit into your busy schedule and child care arrangements, so help can literally be at hand at any time and any where! Remember we are here to help with not just mental health issues but physical health as well, try out our well being clinics which specialise in helping people with Long Term Conditions like diabetes, asthma, heart problems, breathing problems, HIV are just some to name and others too. Call Matt or Susie on 02074671508

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2 CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited 2012

May 2013. CBT monthly

Fibromyalgia Treatments - Biofeedback, Hypnotherapy and Cognitive Behavioral Therapy as Fibromyalgia Treatments Fibromyalgia treatment is difficult, and drug therapy is rarely 100% effective at controlling symptoms. That leads a lot of us to consider complementary/alternative medicine (CAM), but it can be hard to separate hype from fact when looking in to different methods. Fortunately, researchers are beginning to identify what actually works for fibromyalgia. The following information is a summary of scientific research on some of the more promising mind-body CAM techniques as fibromyalgia treatments, and it comes from the highly reputable website UpToDate, which is trusted and regularly used by doctors and other healthcare providers. If your doctor isn't experienced with these kinds of treatments for fibromyalgia, this is the kind of fact-based information that can help both of you determine the best CAM treatments to try. "EMG biofeedback, hypnotherapy, and cognitive behavioral therapy - These methods of therapy have shown some usefulness in selected patients with fibromyalgia" "EMG biofeedback intervention resulted in significant improvement in pain, morning stiffness and tender points in one study and in pain, depression and function in another uncontrolled and unblinded trial in 12 patients that used biofeedback to manipulate heart rate variability, a marker of autonomic dysfunction" "Hypnotherapy was found to be better than physical therapy in 40 patients with refractory fibromyalgia. The hypnotherapy group demonstrated parameters such as pain, fatigue, sleep and global assessment, although not in tender point examination.

"Both mindfulness meditation-based relaxation response program and cognitive behavioral therapy (CBT) have been helpful in studies of patients with fibromyalgia. Meditative stress reduction was beneficial for depression in an eight-week study that randomly assigned 91 women with fibromyalgia and depressive symptoms to meditation or a waiting list. CBT resulted in improvement in ten different target variables in 22 patients with fibromyalgia studied for a mean of 30 months after completion of the therapy. A small, randomized trial (n=47) found CBT for insomnia in patients with fibromyalgia significantly improved sleep quality compared to sleep hygiene instructions, or usual care."

What is EMG Biofeedback? Biofeedback uses instruments to measure things like muscle tension, brain activity, heart rate and skin temperature. The information it provides can help you be more aware of how your body reacts to physical or psychological stress. Once you're aware of your reactions, you can work on changing them. For example, if you clench your jaw every time you feel a twinge of pain, you could develop pain in the jaw and the tissues that connect to it. Biofeedback is frequently used to treat stress-related conditions, including high blood pressure, eating disorders, some anxiety disorders and certain types of headaches. It's also used to help people learn how to relax more deeply. It's most often performed by physicians, physiologists, kinesiologists (movement specialist) and psychologists, but it may also be done by other health-care workers. EMG stands for electromyograph, which is the machine that records information on muscle tension from sensors placed on your body. While there are no known side effects of biofeedback, it's not advised for all conditions. In the studies cited, one found that clinically depressed fibromyalgia patients responded poorly, while the other found a reduction in depression symptoms. Be sure the biofeedback practitioner knows about all of your conditions before you begin treatment. May 2013. CBT monthly

What Is Hypnotherapy? You're probably somewhat familiar with the concept of hypnotherapy. It's frequently used to help people with issues, such as quitting smoking and losing weight. A hypnotherapist puts you in an extremely relaxed state and then uses the power of suggestion to trigger changes in your brain that are believed to improve both physical and mental health. The study mentioned above examined how hypnotherapy helped people with "refractory fibromyalgia." Refractory means that they've had very little luck with other treatments. Hypnotherapy has been used to treat issues such as phobias, anxiety, high blood pressure, headaches and irritable bowel syndrome. What Is Cognitive Behavioral Therapy? Cognitive behavioural therapy (CBT) is a type of short-term psychotherapy that is typically used to change the way you think of and behave toward something, such as sleep. For example, years of insomnia can create negative mental images of what it means to go to bed (i.e., frustration, anxiety rising pain levels), and that may cause you to stay up late and become stressed about even attempting to sleep. In CBT, a therapist would try to help you change your thoughts and attitudes about going to bed and also change your behaviour by helping you establish and follow a better nighttime routine. CBT is used to treat conditions, such as panic disorder, eating disorders, irritable bowel syndrome, certain anxiety disorders and addiction. The recommendation of CBT as a fibromyalgia treatment does not imply that fibromyalgia is a psychological disorder. What it means is that the ways we feel and behave can have an impact on our health. If you can sleep better, eat healthier, motivate yourself to exercise and have a better attitude about your illness, your symptoms are likely to improve. May 2013. CBT monthly

May 2013. CBT monthly

If you have a physical health condition like asthma, cancer, diabetes etc and you don't feel confident to manage your condition then come and see one of the team for some specialist advice 02074671508New service!

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