A Manual of Cognitive Behaviour Therapy for People with 
              Learning Disabilities and Common Mental Disorders 
                              Therapist Version 
                                       
          
                                
                                  Authors 
                              Angela Hassiotis 
                                Marc Serfaty  
                                Kiran Azam 
                                 Sue Martin  
                               Andre Strydom 
                                Michael King  
                                       
                                       
          
          
          
                                                                  2 
           
          A Manual of Cognitive Behaviour Therapy for People with Mild Learning Disabilities and 
          Common Mental Disorders 
          A training guide to help professional therapists in treating people with communication and 
          cognitive problems in CBT 
          © Camden & Islington NHS Foundation Trust and University College London, 2012 
           
          http://www.candi.nhs.uk/ 
          The authors have asserted their rights in accordance with the Copyright, Designs and Patents 
          Act 1988, to be identified as the authors of this work. All rights reserved. With the exception of 
          the permission given below, no part of this publication may be reproduced, stored in a retrieval 
          system, or transmitted in any form or by any means, electronic, mechanical, photocopying, 
          recording or otherwise, without the prior permission in writing of the publisher and the copyright 
          owners. 
          Photocopying/printing permission 
          The discourse materials in part 3 including information sheets, resources and worksheets may 
          not be printed or copied without fee or prior permission by the purchaser subject to both of the 
          following conditions: that the item is reproduced in its entirety, including the copyright 
          acknowledgement; that the copies are used solely by the person or organisation who purchased 
          the original publication. 
          A catalogue record for this book is available from the British Library. 
          Cover designed by Bastien Cordier 
          This manual uses pictures from the Photosymbols collection (www.photosymbols.com) 
          Manual of Cognitive Behaviour Therapy for People with Mild Learning Disabilities and Common Mental Disorders © 
          Camden & Islington NHS Foundation Trust and University College London, 2012 
           
                                                                                                                                                                                                                  3 
                               
                              Table of Contents 
                              Page 
                              iii           About the authors 
                              iv            Acknowledgments 
                               
                              Part I: An Overview of Cognitive Behaviour Therapy for Treating People with Learning 
                              Disabilities 
                               
                              1             Chapter 1: An Introduction to the Use of CBT in People with Learning Disabilities 
                              15            Chapter 2: Communicating with People Who Have Learning Disabilities in the 
                              Therapeutic Setting 
                               
                              Part II: Protocol for Treating Depression and Anxiety in People with Learning Disabilities 
                               
                              23            Chapter 3: The Early Sessions (Sessions 1–4) 
                              35            Chapter 4: Psychoeducation 
                              44            Chapter 5: The Middle Sessions (Sessions 5–14) 
                              51            Chapter 6: Linking Thoughts, Feelings, and Behaviours 
                              59            Chapter 7: Specific Cognitive Techniques 
                              68            Chapter 8: Specific Behavioural Techniques 
                              78            Chapter 9: Additional Skills 
                              81            Chapter 10: The Final Sessions (15–18) 
                              83            References  
                              Part III: Accessible CBT material 
                               
                              Manual of Cognitive Behaviour Therapy for People with Mild Learning Disabilities and Common Mental Disorders © 
                              Camden & Islington NHS Foundation Trust and University College London, 2012