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Increasing access to psychological therapies (IAPT) outcomes toolkit

We camouflage our true being before others to protect ourselves against criticism or rejection.  This protection comes at a steep price.  When we are not truly known by the other people in our lives, we are misunderstood.  When we are misunderstood, especially by family and friends, we join the "lonely crowd."  Worse, when we succeed in hiding our being from others, we tend to lose touch with our real selves.  This loss of self contributes to illness in its myriad forms.

- Sidney Jourard

The "Improving Access to Psychological Therapies" (IAPT) initiative is very ambitious and exciting.  It states its principal aim is to support English Primary Care Trusts in implementing "National Institute for Health and Clinical Excellence" (NICE) guidelines for people suffering from depression and anxiety disorders.  It comments "The Improving Access to Psychological Therapies (IAPT) programme began in 2008 and has transformed treatment of adult anxiety disorders and depression in England. Over 900,000 people now access IAPT services each year, and the 'five year forward view for mental health' committed to expanding services further, alongside improving quality."  

Diagnosis of psychological disorders

“ The flow of energy through a system serves to organize that system. ” - R. Buckminster Fuller

Making a formal psychological diagnosis can be a mixed blessing. It has several potential advantages. If many of my symptoms can be accurately grouped under a specific psychological diagnosis, it may well help to understand what is happening, to clarify the likely time course of my symptoms, and to choose treatments that have the best chance of being effective. It's worth noting that often people suffer from more than one psychological disorder at the same time - this is called comorbidity and it is common.

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