Module code: PSYM104

Module provider


Module Leader

JERAJ S Dr (Psychology)

Number of Credits


ECTS Credits



FHEQ Level 7

JACs code


Module cap (Maximum number of students)


Module Availability

Semester 2

Overall student workload

Workshop Hours: 28

Independent Study Hours: 100

Lecture Hours: 22

Assessment pattern

Assessment type Unit of assessment Weighting

Alternative Assessment

There are no alternative forms of assessment owing to the requirements of the professional body. Each unit of assessment has to be passed

Prerequisites / Co-requisites

The trainees need to have a practice base where they are currently working. Trainees also need to have completed the minimum of a level 1 accredited CBT training course.

Module overview

This module introduces the trainees to some of the challenges and dilemmas in working with more complex, chronic or co-morbid presentations of anxiety and depression, and highlights trans-diagnostic issues. It starts by focusing on formulation and then reviews treatment options and interventions, including trans-diagnostic approaches. Topics covered, include issues such as perfectionism, low self-esteem and enduring emotional avoidance. This module covers aspects of the theory, research and practice of some of the newer third wave approaches to CBT, including, mindfulness based CBT approaches and compassion focused therapy. The module then goes on to introduce the trainees to some of the additional challenges and conditions that clients commonly present with in psychological services and how CBT may be applied to working with these difficulties. The module encourages the trainees to investigate and research these other conditions and explore how these challenges may interact with common mental health problems including depression and anxiety and how this can impact on clinical approaches. The range of additional challenges and conditions considered in this module include the impact of life stage challenges, physical health related challenges, addictions and eating disorders, and more severe mental illness such as personality disorders and psychosis. 

Module aims

Develop competency in working with co-morbidity and more complex cases.

To introduce trainees to the most commonly seen transdiagnostic issues and how this knowledge might be useful when working from a largely disorder specific perspective.

To look at the advantages and disadvantages in light of research of viewing client problems and their maintenance from a transdiagnostic perspective.

To  introduce some of the interventions which may aid the therapeutic process in light of these more complex anxiety and depression presentations, including what may be termed ‘third wave' CBT approaches.

Help trainees to gain a greater understanding of additional challenges and conditions that may be associated with anxiety and depression or may present within a mental healthcare setting.

To introduce trainees to the some of the distinct challenges that clients can present with and how this knowledge might be useful when assessing and treating anxiety and depression.

To look at approaches that consider multiple difficulties e.g. dual-diagnosis or life-stage and how this may help to prioritise and guide our clinical interventions to improve outcomes.

To  examine some of the interventions which may aid the therapeutic process and therapeutic outcomes in light of these additional challenges and conditions.

Learning outcomes

Attributes Developed
001 Demonstrate an understanding and knowledge of issues of comorbidity, complexity and common transdiagnostic issues seen in IAPT services. KCPT
002 Demonstrate an ability to reflect on and critically evaluate some of the transdiagnostic and third wave approaches to CBT. KCP
003 Demonstrate an ability to integrate this knowledge and understanding of these issues and interventions, into their own clinical practice KCP
004 Demonstrate an understanding and knowledge of issues of additional challenges and conditions commonly seen in mental health services KP
005 Demonstrate an ability to reflect on and critically evaluate some of the further applications of CBT CPT
006 Demonstrate an ability to incorporate this knowledge and understanding of these issues and interventions in to their work with anxiety disorders and depression in clinical practice KCPT

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Module content

Indicative content includes:

Introduction to comorbidity, complexity and trans-diagnostic issues with in anxiety and depressive disorders
Formulating for complex and co-morbid cases
The role of perfectionism and procrastination across anxiety and depression
Low self-esteem
Compassion focused therapy
Meta cognitive approaches and mindfulness
Advanced imagery
Further work with core beliefs and assumptions
Working with Older adults
Introductions to other disorders such as; CBT for addiction, eating disorders and psychosis

Methods of Teaching / Learning

The learning and teaching strategy is designed to:

Adopt the three systems of learning (declarative, procedural and reflective) necessary to acquire knowledge and develop clinical and therapeutic competence. The trainees will therefore be encouraged to;

Acquire theoretical, empirical and practice based CBT knowledge
Think critically to evaluate this knowledge to support their clinical decision making and practice
Develop clinical skills to achieve the best outcomes for patients
Develop reflective practice skills to help evaluate their development as effective CBT practitioners and therapy professionals.

The above learning and teaching strategy relates to this module in terms of supporting trainees in the acquisition of relevant theoretical, empirical and practice-based knowledge of  cases of anxiety and depression that be complex, chronic or co-morbid. Trainees will learn about specific CBT interventions and working transdiagnostically in terms of formulation and treatment. Together with the opportunity to apply critical thinking to the knowledge acquired; and to develop clinical and reflective practice skills that enhance their effectiveness as CBT practitioners.

The learning and teaching methods include:

These three systems of learning will be utilised through lecture/workshop presentation of a key concept or method and the application of this to practice in role play of a specific therapeutic scenario, played by other participants or actors.  Structured opportunities for reflection on this form of practice will be included, as will opportunities to self-practice (i.e. application of CBT methods to participants’ own lives).

In addition to these methods the following will be employed;

class debate and discussion, participant presentations, group exercises, skills practice, video  and audio recordings, tutorials, self- directed enquiry, personal reflection and guided reading.

The above methods allow for key skills learnt in other modules to be re-visited and tested in application.. Critical evaluation and personal reflection is encouraged, drawing on research evidence and clinical experience and knowledge of self, fellow trainees and tutors.

Assessment Strategy

The assessment strategy is designed to provide students with the opportunity to demonstrate

Knowledge of comorbid, complex and trans-diagnostic issues faced when working with anxiety disorders and depression. To critically evaluate the research literature in this area and apply the knowledge and interventions in practice.

Thus, the summative assessment for this module consists of:

A 1500 word account summarising the specific findings/content, strengths and limitations of three current articles on the use of CBT for working with the disorder presented in the group presentation outlined below; with particular emphasis on links to current practice. The PowerPoint slides used in the presentation will also be submitted.

To be submitted by end of May


Formative assessment and feedback

A group presentation using PowerPoint, introducing a disorder or challenge typically co-morbid with anxiety or depression, to include a summary of CBT interventions and a critical evaluation and summary of the content of three pieces of current literature related to this disorder

To be presented mid-May

Reading list


Programmes this module appears in

Programme Semester Classification Qualifying conditions
Psychological Intervention (CBT) PGDip 2 Core Each unit of assessment must be passed at 50% to pass the module

Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2017/8 academic year.