Types of treatment

The type of treatment people may receive from IAPT depends very much on individual symptoms. To make sure that the IAPT service is right for you we will first offer you a brief initial assessment. The aim of an assessment is to explore the problems you have, the symptoms you are experiencing and understand your goals for treatment so that we can determine which treatment is most appropriate for you.

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 IAPT 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 IAPT is not the most suitable service we can signpost you to alternatives where available.

Treatments to help and support you

North Yorkshire IAPT 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 Stress control, Healthy Minds
How much does it cost? FREE
When? Anytime. You can work through the programme at your own pace.

Stress control

Stress control is a course where you can learn to deal with stress and help yourself feel better in everyday situations. You will learn how to deal with a range of problems including depression, anxiety, panic and poor sleep.

This course is not a workshop; you don’t have to talk about your problems in front of others.
It is a class, so you simply have to come along and listen. You will be given a helpful booklet with the course content in each week. Stress affects many people so don’t be so surprised if you find lots of people at your class.

This is a six-week course which runs either in the evening or during the day.

Healthy minds

The Healthy minds course enables you to quickly access a range of useful techniques and strategies to help you manage your symptoms of anxiety and depression. The course is based upon cognitive behavioural therapy (CBT) which is found to be effective for helping those with depression and anxiety.

This course is not a workshop; you don’t have to talk about your problems in front of others. It is a class, so you simply have to come along and listen. You will be given a helpful booklet with the course content in each week.

There are six weekly sessions on the courses

Frequently asked questions about Psycho educational courses

What will happen on the course?

Each session is 90 minutes long and includes a break. The course is run as a class. All the chairs face the front and the course leaders stand at the front and use a lecture style power point. No one is expected to speak in front of the group.

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 margins or anywhere else that helps.

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.

How does confidentiality work on the course?

Although everyone is an individual, it is likely that those on the course are experiencing similar difficulties to you. However, as we don’t discuss personal problems you will not get to know why other people are attending.

All information collected by the IAPT service will be held confidentially.

Why do I have to complete questionnaires at each session?

The IAPT 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.

What happens at the end of the course?

In our experience, individuals may continue to have some anxiety or low mood towards the end of the course. This is perfectly normal.

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.

It will be helpful to allow yourself a period of consolidation beyond the end of this course,
therefore we generally recommend discharge on completion of the course.

You may wish to discuss a further referral to the IAPT service with your GP after this period if your symptoms:

  • Worsen
  • Do not improve
  • Cause you distress
  • Interfere in your life
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

Our Step 3 treatments are offered on a one to one basis. The principal aim of this approach is to enable you to become your own therapist by working with your IAPT therapist to understand your problems and concerns and develop strategies to overcome them.

We offer a variety of step 3 treatments.

Cognitive behavioural therapy

CBT is a brief psychological therapy that can help you understand the way you think about:

  • 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)

Integrated psychological therapy is a time-limited, focused, talking therapy. Using a range of psychological approaches, the therapist and client work together to identify and understand the problems they are experiencing, including:

  • what triggered them
  • what is maintaining them
  • ways to move forward
Eye movement desensitisation and reprocessing (EMDR)

Eye movement desensitisation and reprocessing is an evidence-based alternative to cognitive behavioural therapy for treatment of problems like trauma which can help to reduce the distress of different kinds of memories. In IAPT it is offered for post-traumatic stress disorder (PTSD) where appropriate.

To view our frequently asked questions click here.