COUNSELLOR - Work Ready CBT Summary for Therapists

Counsellor Information

Work Ready CBT Summary for Therapists

388 Roncesvalles Ave, Suite 200 Toronto, ON M6R 2M9 T 866.226.9262 F 416.588.9235 www.banyanconsultants.com

Work Ready CBT Summary for Therapists

Session 1: Modify the usual agenda to include the situation in the workplace

Education (stress, stress responses, positive relabeling, hurt vs. harm, problem

solving, relaxation).

Strategies/treatment of symptoms related to diagnosed disorder

Provide information on Work related rationale (can be found on Arete website).

There is also a therapist instruction available.

If client is ready to start thinking about source of problems: provide stress

inventory that can be found on Arete Website, as it can assist clients to manage

their problems and regain confidence, structure and overview. There is also a

therapist instruction available.

Introduction of return to work, exploration of work setting and any barriers to

return to work

List psychological problems and issues affecting employee’s RTW to be included in

Initial report

Fill out together with client Workplace Information to include in Initial Report

Homework session 1:

Provide instructions on online diary (print of Arete website) and ask client to print

of for next session http://www.findingoptimism.com/

Provide suitable exercise program handouts (print of Arete website, sedentary,

moderate or active individuals)

If feasible provide the Stress Inventory information from the Arete Website.

Choose other homework modules when feasible (print of Arete website and hand

out to client) like worrying assignment, writing assignment and time

management. There are also handouts on that can be provided on topics like

managing anger and worrying and working on relaxation and relationship building

skills. Many of these tools have been used successfully in programs in the

Netherlands and you are very much encouraged to use them in your own

treatment sessions, as they will help clients to regain confidence, structure and

overview. There is also a website managed by Dan Bilsker where you can find

worksheets on for example challenging depressive thinking, reality questions and

goal setting. (http://www.comh.ca/antidepressant-

skills/work/workbook/pages/worksheets-01.cfm ‘

Therapist submits initial report within 5 days.

Session 2: Review of assessment and homework.

Discuss print of online diary and address upcoming issues.

Discuss exercise program and address upcoming issues.

Discuss that a RTW plan will be created after the 4-5 session and therapy sessions

will provide input for the plan.

Benefits of work characteristics (such as structure and social contact) are

identified and documented.

Further information gathering and education


Formulation of goals for treatment

Setting expectations for treatment and following sessions

If not already handed out in first session: provide Stress Inventory information

that can be found on Arete Website as it can assist clients to manage their

http://www.findingoptimism.com/

http://www.comh.ca/antidepressant-skills/work/workbook/pages/worksheets-01.cfm

http://www.comh.ca/antidepressant-skills/work/workbook/pages/worksheets-01.cfm

WR-CBT Session Summary for Therapists Page 2


problems and regain confidence, structure and overview, There is also a therapist

instruction available.

Ensure that client is communicating with case manager & other relevant

stakeholders like GP or employer

After session 2:

Choose other homework modules when feasible (print of Arete website and hand

out to client)

Session 3: Discuss progress in exercise program and daily activities


Carry out problem analysis template to provide insight on client´s job tasks as

this needs to be included in progress report

Discuss Stress Inventory

Worry Management Strategies

If appropriate, clients can begin to re-engage in work activities. Such as meeting

co-workers, attending work meetings, work celebrations, etc.

Ensure that client is communicating with case manager & other relevant

stakeholders

Choose other homework modules (print of Arete website and hand out to client)

Session 4 and 5: Discuss progress in exercise program and daily activities

Discuss contents of template problem analysis. Discuss issues related to returning

to work. Ask client to rank tasks they find difficult to perform, ranging from simple

and specific to complex and unstructured.

Discuss measures that need to be taken to implement the tasks they find difficult

to perform.

Discuss measures that need to be taken to overcome non task related problems

Discuss strategies in case of relapse/setback

Benefits of work characteristics (such as structure and social contact) are once

again emphasized.

Discuss progress in home work assignments


Prepare RTW plan: estimated steps (in terms of time), until full RTW has been

achieved

Communicate with Case Manager to discuss GRTW Planning after session 4

Case manager will prepare a RTW plan with input from therapist and client

gathered in the sessions

Therapist submits progress report within 5 days after session 4

Session 6: Discuss progress in exercise program, daily activities and home work assignments


Problem solving strategies are put into action.

Relapse prevention is discussed and strategies are prepared.

Discuss prepared RTW plan

WR-CBT Session Summary for Therapists Page 3


Session 7 Ideally graduated return to work has commenced.

If appropriate, the gradual return to work is evaluated and any identified

difficulties are worked through.

Discuss next steps in plan plus strategies to overcome barriers

Session 8 Ideally graduated return to work has commenced.

If appropriate, the gradual return to work is evaluated and any identified

difficulties are worked through.

Discuss next steps in plan plus strategies to overcome barriers

Therapist submits closure report within 5 days.

Documents

COUNSELLOR - Work Ready CBT Summary for Therapists