How Change Works

How Change Works

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How does the CBT4T programme work?

  • A Warm Welcome!
  • The Four Elements | CBT4T Support
  • Feedback/Reviews & Appointments
  • The ABC of Cognitive Behaviour Therapy (CBT)
  • The Tinnitus Functional Index (TFI)1
  • CBT4T Substack
  • Website and Reviews
  • Research underpinning CBT for Tinnitus

Links to logs and tools used throughout CBT4T

  • Links to logs and tools

Q & As

  • Starting out with the breathing exercise (Stage 1)
  • Doing the breathing exercise in silence
  • Part 1 and Part 2 of the Breathing exercise
  • Relaxation & Meditation
  • Sleep problems
  • Taking breaks away from the course
  • The Meaning Adjuster

Element 1: Preparation | Stage 1 - Clinical Measures & Mini-History

  • Before you begin Stage 1
  • Why are your Clinical Measures Important?
  • Please commit to completing your measures
  • Complete and Send in your Mini-history
  • Join CBT4T Substack

Element 1: Preparation | Stage 1 - The Amygdala

  • Bottom>Up, Top>Down Brain Action
  • An Example
  • Neuroscience, Trauma & CBT4T
  • Are there exceptions for benefiting from using CBT?
  • To conclude
  • IMPACT STATEMENT

Element 1: Preparation | Stage 1 - Sleep (Optional section)

  • Information about sleep
  • Professor Colin Espie
  • Sleep Diary
  • Professor Matthew Walker
  • Professor Matthew Walker - TED Talk Sleep is your Superpower
  • Professor Matthew Walker - This is how you sleep better

Element 1: Preparation | Stage 1 - Practical

  • Stage 1 Practical
  • How to carry out the breathing exercise
  • Breathing Exercise Instructions
  • Physiological Relaxation & Relaxation Logs

Element 1: Preparation | Stage 1 - Tinnitus Explained

  • What tinnitus sounds like
  • Common Triggers
  • The Brain and Tinnitus
  • Tinnitus & the Autonomic Response
  • How tinnitus is managed
  • Hyperacusis - heightened sensitivity to sound
  • "What is the association between tinnitus and hyperacusis?" by Professor David Baguley
  • Weekly SITREP

Element 1: Preparation | Stage 2

Delayed 7 days

  • Progress Check 1
  • How to pace your progress
  • Before you begin Stage 2
  • Stage 2 Practical
  • The Autonomic Ladder
  • How Change Works
  • Maslow's Hierarchy & Human Function
  • Weekly SITREP
  • Have you joined CBT4T Substack yet?

Element 1: Preparation | Stage 3

Delayed 17 days

  • Progress Check 2
  • Stage 3 Practical
  • The Neuroscience Behind Change
  • FOUR Important Points to Understand for a Successful Outcome
  • The 3 Levels of Hearing - how they relate to how we hear tinnitus
  • The Significance of Sound
  • What Stress Does
  • Meaning in Tinnitus
  • Weekly SITREP
  • Have you joined CBT4T Substack yet?

Element 2: Moving Forward | Stage 4A

Delayed 24 days

  • Progress Check 3
  • Stage 4 Practical
  • Cognitive Fusion 1 - Firing, Wiring & "Self-talk"
  • Negative Thoughts
  • The Tension Cycle
  • CBT4T Substack

Element 2: Moving Forward | Stage 4B

Delayed 24 days

  • Cognitive Fusion 2
  • What Cognitive Distortions are behind your Negative Thoughts?
  • The Iceberg Analogy
  • Cognitive Distortions Practical
  • Before you leave Stage 4

Element 2: Moving Forward | Stage 5A

Delayed 38 days

  • Progress Check 4
  • Stage 5 Practical
  • "Daily Moments" activity for added strengthening of neural pathways
  • Objective vs Subjective Thinking
  • Reaction Analysis or "Spot the links"
  • Meaning Adjuster
  • Join CBT4T Substack

Element 2: Moving Forward | Stage 5B

Delayed 38 days

  • Setting your Goals
  • Valued-based Action

Element 2: Moving Forward | Stage 6

Delayed 52 days

  • Progress Check 5
  • Stage 6 Practical
  • Cognitive Reframing
  • Mid-term Measures
  • Brain Plasticity - optional reading
  • Mid-term Progress & Feedback

Element 3: Meaning & Belief | Stage 7 Module 1

Delayed 66 days

  • Stage 7 Practical
  • Taming Tinnitus
  • Continue Practice Reframing

Element 3: Meaning & Belief | Stage 7 Module 2

Delayed 66 days

  • Practical
  • Change the Mind to Change the Brain to Change the Mind 1
  • Change the Mind to Change the Brain to Change the Mind - 2
  • Continue Reframing

Element 3: Meaning & Belief | Stage 7 Module 3

Delayed 80 days

  • Repeat Clinical Measures
  • Practical
  • The Beck Thought Record for Reframing
  • Core Belief Identification (Self)
  • Core Belief Identification (Others)
  • Core Belief Identification (The World/My Life)

Element 3: Meaning & Belief | Stage 7 Module 4 Identify New Core Belief

Delayed 80 days

  • Identify New Core Belief
  • New Core Belief Record
  • Rate Confidence in the New Core Belief

Element 4: Consolidate & Completion | Stage 8

Delayed 80 days

  • Practical
  • Reframing Practice
  • Neuroscience Research - Tinnitus
  • Tinnitus and the Power of Prediction | Dr Will Sedley
  • Measuring your progress

Element 4: Consolidate & Completion | Stage 8 Final Module

Delayed 80 days

  • Final Practical
  • Reframing Practice
  • Completing this process
  • Final Progress Check
  • Completing the process