TY - JOUR
T1 - Improving access to psychological therapies in voice disorders: a cognitive behavioural therapy model
AU - Miller, Tracey
AU - Deary, Vincent
AU - Patterson, Jo
PY - 2014/6
Y1 - 2014/6
N2 - reviewThe improving access to psychological therapies initiative has highlighted the importance of managing mental health problems effectively, and research has shown excellent outcomes from cognitive behavioural therapy (CBT) interventions. Patients presenting with functional dysphonia will often also describe psychological distress including anxiety, depression and reduced general well-being, and it is felt that effective voice therapy needs to include the management of psychological well-being. The evidence for the use of CBT enhanced voice therapy is limited to date. Recent research has only started to identify the benefits of this approach and questions regarding how to achieve and maintain competence are essential.Recent findingsVoice therapy outcomes are positive and patients receiving CBT with voice therapy have shown more improvement in their general well-being and distress.SummaryCBT is a very well evidenced therapy and recommended by The National Institute for Health and Care Excellence (NICE) as the treatment of choice for mental health difficulties and medically unexplained symptoms. Allied health professionals are increasingly being trained to use CBT skills in the management of a number of symptoms/illnesses, and this should be considered for the management of functional dysphonia. However, there is a need for more research and detailed consideration of how therapists should be trained and supervised and how cost-effective this approach may be.
AB - reviewThe improving access to psychological therapies initiative has highlighted the importance of managing mental health problems effectively, and research has shown excellent outcomes from cognitive behavioural therapy (CBT) interventions. Patients presenting with functional dysphonia will often also describe psychological distress including anxiety, depression and reduced general well-being, and it is felt that effective voice therapy needs to include the management of psychological well-being. The evidence for the use of CBT enhanced voice therapy is limited to date. Recent research has only started to identify the benefits of this approach and questions regarding how to achieve and maintain competence are essential.Recent findingsVoice therapy outcomes are positive and patients receiving CBT with voice therapy have shown more improvement in their general well-being and distress.SummaryCBT is a very well evidenced therapy and recommended by The National Institute for Health and Care Excellence (NICE) as the treatment of choice for mental health difficulties and medically unexplained symptoms. Allied health professionals are increasingly being trained to use CBT skills in the management of a number of symptoms/illnesses, and this should be considered for the management of functional dysphonia. However, there is a need for more research and detailed consideration of how therapists should be trained and supervised and how cost-effective this approach may be.
KW - cognitive behavioural therapy
KW - functional dysphonia
KW - improving access to psychological therapies
KW - medically unexplained symptoms
KW - psychogenic dysphonia
U2 - 10.1097/MOO.0000000000000056
DO - 10.1097/MOO.0000000000000056
M3 - Article
VL - 22
SP - 201
EP - 205
JO - Current Opinion in Otolaryngology and Head and Neck Surgery
JF - Current Opinion in Otolaryngology and Head and Neck Surgery
SN - 1068-9508
IS - 3
ER -