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Impact

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The practitioner should try to establish the wider impact of the problem on the patient's life using open questions towards the top of the funnel such as ‘How does the problem impact your life?’ and then move down the funnel to gain more specific information – ‘You say it impacts your sleep. Tell me a bit more about how it does that'. The practitioner should be aware of any impact that has potentially significant consequences if not addressed. If any are identified the patient should be supported to address these. At times this may involve signposting or liaising with other health and social care, charitable or community organisations (Chapter 1). Failure to resolve any impact with potential consequences may serve to maintain the presenting problem and impair treatment (NCCMH, 2018).

Low-intensity CBT Skills and Interventions

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