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24 - The Application of CBT for Adults with Learning Disabilities

from Part Six - Specialist Applications of Cognitive Behavioral Therapy for Anxiety Disorders and Depression

Published online by Cambridge University Press:  06 January 2022

Gillian Todd
Affiliation:
University of East Anglia
Rhena Branch
Affiliation:
University of East Anglia
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Summary

This chapter provides an evidence-based overview of predominantly cognitive behavioral interventions for common mental disorders, that is, anxiety and depression, undertaken in the field of intellectual disabilities (ID). The evidence was generated by reviewing international publications between 1980 and 2020 which identified the use of cognitive behavioral therapy (CBT), including third wave CBT therapies, and was also informed by our extensive clinical practice in the field of ID. The first section provides an outline of the historical and sociological context of psychological therapies and the possible barriers to CBT in an ID population. The chapter includes a summary of how intellectual disabilities, depression, and anxiety disorders are defined. It considers key issues, problems and solutions associated with applying CBT and its associated approaches in an ID population. Finally, two case vignettes introduce the reader to CBT techniques to illustrate ideas that will help clients using CBT to bring about a reduction in self-defeating behaviors. With the aid of a support worker and electronic sources, there is a much broader range of resources to help client and therapist journey and support the therapeutic alliance.

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