Dr Deborah Christie Consultant Clinical Psychologist Child and Adolescent Psychological Services.
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Transcript of Dr Deborah Christie Consultant Clinical Psychologist Child and Adolescent Psychological Services.
Medical Team
Multidisciplinary team meeting
Consultation with Psychology
Specialist psychology
SpecialistNeuro-
psychology
Individual therapy
Family Therapy
MDT work
Group Work
Ongoing Consultation
Local Services
Review
RheumatologyEndocrinologyOrthopaedicsMetabolic Surgery Urology HaematologyOncologyFatigueChronic Pain
Mysterious llness!
Chronic PainDiabetesHealthy Eating and Lifestyle Programme (HELP)Late effects of cancerNeuropsychology
Our starting point
• What has been
helpful before?
• What has not
been helpful?
• What could we do
differently?
Skills, Strengths and Abilities
Preferred futures? New stories? Goodenough?
Focusing on the solution
How bovvered are you?
• How Important is it that you change?
• How Confident are you that you could succeed?
• How much of a Priority is it?
1 2 3 4 5 6 7 8 9 10
Make the intervention fit the patient not the patient fit the intervention?
Low ConfidenceLow ImportanceLow/High Priority
High ConfidenceLow importanceLow/High Priority
Low ConfidenceHigh ImportanceLow/High Priority
High ConfidenceHigh ImportanceLow Priority
High ConfidenceHigh ImportanceHigh Priority
Ginger Rogers could do everything that Fred Astaire could do -
only she could do it backwards and in high heels!!!
Leading or following?