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Me and My Mind: Supporting Children and Young People's Mental Health

Providing Short-Term Cognitive Behavioral Therapy-Based Approaches

Introduction

  • The Mental Health Support Team
  • Education Mental Health Practitioners
  • Senior Mental Health Practitioners
  • Working with children and young people aged 7-17

Types of Mental Health Difficulties

  • Anxiety
  • Phobias
  • Low mood
  • Low self-esteem
  • Low confidence
  • High levels of worry
  • Negative thoughts
  • Poor sleep and eating patterns

Treatment Approach - Cognitive Behavioral Therapy (CBT)

  • CBT breaks down difficult experiences into five categories:
  • Cognitions (Thoughts)
  • Feelings (Emotions)
  • Physical Symptoms
  • Behavior
  • Situation
  • Identify what keeps difficulties stuck
  • Teach techniques and skills to change thoughts and behaviors

Assessment Process

  • Two sessions for assessment
  • Identify current difficulty and its impact
  • Discuss confidentiality and involvement of parents or carers
  • Agree on a plan and safety measures
  • Formulation or map of the difficulty
  • Create a problem statement
  • Agree on a goal for therapy

Cognitive Behavioral Therapy-Based Techniques

  • Worry management
  • Graded exposure for phobias
  • Behavioral activation for low mood
  • Cognitive reframing for negative thoughts
  • Using activity diary to track and plan activities
  • Challenging unhelpful thoughts
  • Testing thoughts in real-life experiments

Case Example - Lily's Worry Management

  • Lily's pattern of worry
  • Categorizing worries using the worry tree
  • Problem-solving techniques
  • Practical worries vs. hypothetical worries

Case Example - Sam's Phobia of Dogs

  • Sam's fear of dogs
  • Breaking down the fear into manageable steps
  • Creating a ladder of bravery
  • Using graded exposure to overcome the fear

Case Example - Riley's Behavioral Activation

  • Riley's low mood after parents' separation
  • Identifying enjoyable activities
  • Using an activity diary
  • Achievement, connection, and enjoyment (ACE) for happiness

Case Example - Ceta's Cognitive Reframing

  • Ceta's negative thoughts and self-perception
  • Identifying unhelpful thinking patterns
  • Cognitive change and challenging thoughts
  • Refocusing on more balanced thoughts

End of Sessions and Next Steps

  • Repeating questionnaires and gathering feedback
  • Recapping techniques and creating a toolkit
  • Continuing self-practice after sessions
  • Considering further support options if needed
  • Writing a summary letter to the child or young person

Conclusion

  • Effective support for children and young people
  • Empowering them to manage difficulties
  • Continued access to techniques and resources
  • Encouraging additional support if necessary

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