Let's Talk About CBT

BABCP

Let's Talk About CBT is a podcast about cognitive behavioural therapy: what it is, what it's not and how it can be useful. Listen to experts in the field and people who have experienced CBT for themselves. A mix of interviews, myth-busting and CBT jargon explained, this accessible podcast is brought to you by the British Association of Behavioural and Cognitive Psychotherapies. www.babcp.com

  1. 3 Jun

    Let's talk about…CBT for specific phobias

    In this episode, Helen is joined by Becky and Romanah to talk about specific phobias and how CBT can help. Becky shares her personal experience of living with a phobia of medical situations, also known as blood-injury phobia, what it took for her to seek help, and what the journey through therapy was really like, including the tough moments alongside the breakthroughs. Romanah was Becky's CBT therapist in an NHS Talking Therapies service and explains how CBT approaches specific phobias, the importance of working collaboratively, and how exposure work helps people gradually build confidence in situations they have long been avoiding. Becky reflects honestly on how hard the process was, how the anxiety got worse before it got better, and what it meant to build trust with a therapist who was both supportive and willing to give her a gentle push. Both guests share advice for anyone who recognises themselves in the discussion and is thinking about reaching out for help. Resources & Support: If you or someone you know needs urgent help, reach out to Samaritans at 116 123 (UK) or visit samaritans.org. Find out more about NHS Talking Therapies services and where to find help here We have more information on how you can find help and support on our Mental health support services page here Find more information about CBT on the BABCP website Find our sister podcasts and all our other episodes in our podcast hub here Have feedback? Email us at podcasts@babcp.com Follow us on Instagram & Bluesky: @BABCPpodcasts Credits: Music is Autumn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF This episode was produced by Steph Curnow

    36 min
  2. 2 Feb

    Let's talk about…Tinnitus and can CBT really help?

    In this episode, Helen is joined by Colin Blowers, James Jackson, and Hashir Aazh for a thoughtful conversation about tinnitus and how cognitive behavioural therapy can help. The panel draws on professional expertise and lived experience to explore what tinnitus is, why it can become distressing, and the importance of getting it checked. The conversation focuses on how CBT can support people to change their relationship with tinnitus, reduce distress, break unhelpful cycles of attention and anxiety, and live a full and meaningful life even when tinnitus is present. Key themes include acceptance, habituation, flare-ups, and why learning to manage reactions to tinnitus, rather than trying to eliminate it, can make a real difference. This episode will be helpful for anyone experiencing tinnitus, supporting someone who is, or interested in how CBT can help people live well with long-term conditions. Resources & Support: Helpful website: NHS information about tinnitus: https://www.nhs.uk/conditions/tinnitus/ More information about tinnitus can be found at Tinnitus UK World Tinnitus Congress- https://wtc2027.co.uk/ Books: Living Well with Tinnitus: A self-help guide using cognitive behavioural therapy- Hashir Aazh and Brian C.J. Moore   Find more information about CBT- www.babcp.com Find our sister podcasts and all our other episodes in our podcast hub here: https://babcp.com/Podcasts Have feedback? Email us at podcasts@babcp.com Follow us on Instagram & Bluesky: @BABCPpodcasts Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF This episode was produced by Steph Curnow

    43 min
  3. 19/12/2025

    Let's talk about…loneliness and how CBT can help

    In this episode, Helen is joined by Jackie and Professor Roz Shafran to explore loneliness through both lived experience and clinical psychology perspectives. Jackie shares her personal journey with anxiety, bereavement, and loneliness, describing how these experiences affected her mental health and led her to seek CBT support. She reflects on what helped, what was challenging, and how strategies such as goal setting and connection building continue to support her today. Roz Shafran, Emeritus Professor of Translational Psychology at UCL, offers a clear and compassionate overview of how loneliness is understood in research and clinical practice. The conversation explores the difference between loneliness and social isolation, how loneliness can affect people at different stages of life, and what effective interventions can look like. The discussion covers stigma around loneliness, access to support and why loneliness deserves to be taken seriously. Jackie and Roz also share practical advice for anyone who recognises themselves in the discussion and is considering reaching out for help. Resources & Support: If you or someone you know needs urgent help, reach out to Samaritans at 116 123 (UK) or visit samaritans.org We have more information on how you can find help and support on our Mental health support services page here: https://babcp.com/what-is-cbt/mental-health-support-services-information/https://babcp.com/what-is-cbt/mental-health-support-services-information/ The loneliness umbrella study mentioned by Roz is: Solmi, M., Veronese, N., Galvano, D., Favaro, A., Ostinelli, E.G., Noventa, V., Favaretto, E., Tudor, F., Finessi, M., Shin, J.I., Smith, L., Koyanagi, A., Cester, A., Bolzetta, F., Cotroneo, A., Maggi, S., Demurtas, J., De Leo, D. and Trabucchi, M. (2020). Factors Associated With Loneliness: An Umbrella Review Of Observational Studies. Journal of Affective Disorders, [online] 271, pp.131–138. doi:https://doi.org/10.1016/j.jad.2020.03.075. Find more information about CBT- www.babcp.com Find our sister podcasts and all our other episodes in our podcast hub here: https://babcp.com/Podcasts Have feedback? Email us at podcasts@babcp.com Follow us on Instagram & Bluesky: @BABCPpodcasts Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF This episode was produced by Steph Curnow

    40 min
  4. Let's talk about…CBT and the menopause

    17/10/2025

    Let's talk about…CBT and the menopause

    In this episode, Helen Macdonald talks with CBT therapist Sally Tribe about the impact of menopause and how Cognitive Behavioural Therapy can help. Sally shares her own experience of perimenopause, describes the wide range of symptoms people can experience, and explains how CBT can support those affected. The discussion covers the biological, psychological, and social aspects of menopause, the importance of awareness in workplaces and healthcare, and what reasonable adjustments and compassionate understanding can look like. They also talk about the latest guidance from NICE, how to access CBT through the NHS or private routes, and why no two menopause experiences are the same. Useful Information The British Association for Behavioural and Cognitive Psychotherapies (BABCP) is the lead organization for CBT in the UK. Find a NHS Talking Therapies service here Read the article by Sally on the menopause here Get in Touch If you have any questions or suggestions for future episodes, please email the Let's Talk About CBT team at podcasts@babcp.com. You can also follow us on Instagram and BlueSky at @BABCPPodcasts. Remember to rate, review, and subscribe to the podcast wherever you get your podcasts. You can also listen to our sister podcasts: Let's Talk About CBT - Practice Matters and Let's Talk About CBT - Research Matters. Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF This podcast was edited by Steph Curnow

    38 min
  5. Let's Talk About…Access to Mental Health Services for Refugees and Asylum Seekers (World Mental Health Day 2025)

    10/10/2025

    Let's Talk About…Access to Mental Health Services for Refugees and Asylum Seekers (World Mental Health Day 2025)

    It's World Mental Health Day 2025, and this year's theme is 'access to services - mental health in catastrophes and emergencies'. The theme highlights the importance of people being able to protect their mental health in times of global instability. In this special episode of Lets' Talk about CBT, Helen Macdonald speaks with Kerry Young, a consultant clinical psychologist specialising in PTSD, particularly among asylum seekers and refugees. They discuss the impact of trauma on mental health, the challenges faced by asylum seekers in accessing mental health services, and the importance of community support. The conversation also touches on the role of interpreters in therapy, barriers to accessing services, and positive developments in mental health support for asylum seekers. Useful Information The British Association for Behavioural and Cognitive Psychotherapies (BABCP) is the lead organization for CBT in the UK. For those interested in supporting or learning more, Kerry suggests looking up: Freedom from Torture, the Helen Bamber Foundation, Breaking Barriers, Host Nation and The Refugee Council More information from the European Association for Behavioural and Cognitive Therapies can be found here Find translated health information from Doctors of the World here and translated mental health information from the Royal College of Psychiatrists here Links to services by region: Find a NHS Talking Therapies service here Wales: https://sanctuary.gov.wales/refugeesandasylumseekers/healthandwellbeing#  https://www.mentalhealth.org.uk/our-work/programmes/refugee-programmes/refugee-and-asylum-seekers-wales Scotland: https://scottishrefugeecouncil.org.uk/health/#Mentalhealthsupport Northern Ireland: https://www.mentalhealth.org.uk/our-work/research/journey-wellbeing-refugees-transport-and-mental-health-northern-ireland Ireland: https://www.hse.ie/eng/about/who/primarycare/socialinclusion/intercultural-health/mental-health-supports/ Get in Touch If you have any questions or suggestions for future episodes, please email the Let's Talk About CBT team at podcasts@babcp.com. You can also follow us on Instagram and BlueSky at @BABCPPodcasts. Remember to rate, review, and subscribe to the podcast wherever you get your podcasts. You can also listen to our sister podcasts: Let's Talk About CBT - Practice Matters and Let's Talk About CBT - Research Matters. Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF

    32 min
  6. 11/08/2025

    Let's talk about…Low Intensity CBT

    Ever heard of low Intensity CBT and wondered what it was all about? Or what it would be like to receive it? In this episode of Let's Talk about CBT, Helen talks to Laura Stevenson-Young, a cognitive behavioural therapist and Director of Low Intensity CBT Clinical Training at Newcastle University and Emily who shares her lived experience of low intensity cognitive behavioural therapy. Together, they explore what low intensity CBT is, what it's like to receive it, and how it can empower people to take control of their mental health. Emily talks candidly about the challenges that led her to seek help, including grief, anxiety, fertility concerns and low self-esteem. She describes the impact of low intensity CBT on her life, and the practical tools she still uses today. Laura explains how this type of therapy works, who it's for, and why it can be so effective. Resources & Support Find an NHS Talking Therapies service: https://www.nhs.uk/nhs-services/mental-health-services/find-nhs-talking-therapies-for-anxiety-and-depression/ More about CBT and BABCP: https://www.babcp.com Find our sister podcasts and all our other episodes in our podcast hub here: https://babcp.com/Podcasts Have feedback? Email us at podcasts@babcp.com Follow us on Instagram & Bluesky: @BABCPpodcasts Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF This episode was produced by Steph Curnow Transcript: Helen: Hello, and welcome to Let's Talk About CBT, the podcast where we talk about cognitive and behavioural psychotherapies, what they are, what they can do, and what they can't.  I'm Helen Macdonald, your host. I'm the Senior Clinical Advisor for the British Association for Behavioural and Cognitive Psychotherapies. Hello and welcome. Today, I've got Emily and Laura with me and we're going to be talking about low intensity CBT, what that is and what it's like to be on the receiving end. But first, I'm going to ask you both to introduce yourselves. Emily? Emily: Hi, yeah, thank you for having me. I'm Emily, I live in Yorkshire with my fiancé. And in November 2022, I reached out to my local mental health service for a number of reasons, which I'm sure we'll cover in this podcast. I began with a four-week introduction to CBT program, which was in a group setting online. That was in December. And then by January, I began my CBT therapy and yeah, it was one of the best things I've done. Helen: Thanks, Emily. And Laura. Laura: Hi, Helen. Thanks for having us and Emily. So, I'm Laura Stevenson-Young. I'm a cognitive behavioral therapist and Director of Low Intensity CBT Clinical Training at Newcastle University. So this means that I train practitioners to deliver low intensity CBT interventions for many different types of mental health problems, namely depression and low mood, generalized anxiety disorder, panic, OCD and some other problems that can really affect the quality of people's lives such as stress or sleep difficulties and long-term health conditions. So I trained as a low intensity CBT therapist, mostly known as a Psychological Wellbeing Practitioner or PWP for short, well over a decade ago. And I then went on to further CBT training and became a clinical trainer in low intensity CBT. So this is probably really going to come out today, but I'm a real advocate for low intensity CBT, the practitioners who deliver it. I'm so passionate about the work that they do and how they empower people to manage their own mental health within NHS Talking Therapies. Helen: Thanks Laura. So Emily, you said there were a number of things that led to you reaching out to the local mental health services. And I wonder if you're willing to tell us a bit more about what was going on? Emily: Yeah, of course. Yeah. I mean, kind of looking back, I should have done it a lot earlier than I did. It was kind of a lot of things building up over probably a couple of years. My mood definitely was low after losing my granddad and then with different job roles, kind of things to do with that, it was an ongoing thing. And then in 2022, that's when I'd gained a lot of weight, I was losing a lot of confidence, and I was letting a lot of stress at work get on top of me, which then had an impact on my relationship. And then obviously we were just coming out of lockdown as well. So I think that had a massive impact on my mental health. It was definitely, there was a lot of low mood and also anxiety around all I wanted to do was see friends and family, but the thought of doing that was actually making me incredibly anxious and busy places were making me anxious, new surroundings were causing kind of panic attacks. We'd gone on a trip and we were getting on a plane kind of in 2022 and I had a full panic attack getting on the plane. And there was nothing within my brain that was pinpointing what exactly it was. But I think...overriding the kind of that sadness and that anxiety there was a lot, it was around, I looked in my notes when I knew that we were doing this podcast and on the 12th of January I'd written in my notes as I was about to start my CBT I'm scared because I might not have control over what the future will bring and that might in my head was asserting so health wise I'd had some news regarding I was diagnosed with PCOS and an underactive thyroid, which both have a big impact on fertility and kind of me and my partner were trying to conceive and every single month it was like you were failing at being a woman really because it wasn't happening for us. That's still an ongoing thing now, that's not kind of changed but my mindset has changed off the back of...having CBT and I kind of went into counselling after that as well. And my mindset then has started now. I'm learning to deal with different things in a more logical way instead of going with them thoughts and thinking that that's it kind of thing, if that makes sense. Helen: Thanks, Emily. And it sounds like there was a combination of all sorts of really difficult things going on. I mean, you've talked about your physical health, you've talked about what was going through your mind, you were talking about the way that you were feeling. There's an awful lot that was going on for you there. And thank you for sharing that with us. And I'm just sort of really curious to hear about what it was actually like having that low intensity CBT? I'm going to come back to Laura and ask her to explain a bit more about what that really means. But from your experience of being on the receiving end, what was it like? Emily: Yeah, I think it's so, you're thinking ahead and a lot of my thoughts was always, I kept thinking, I shouldn't be doing this, I'm taking that away from someone else who needs this more than me. I could go and talk to my friends and family about this, of how I was really feeling or my partner, even. And there's only so much I think that you're comfortable to open up and tell your friends and family and speak about and but actually talking through everything and kind of making them thoughts in my head a lot more logical and combating them unhelpful thinking styles that I was doing, what just helped me so much and kind of rationalizing everything in my brain. And I think with my CBT therapist, she spoke a lot about negative automatic thoughts with me. It's every time there was something that was happening my immediate thought was the complete, the most negative response to it. So combatting that was a big thing for me and speaking about that. Helen: Thanks, Emily. And I mean, if I can just come to Laura now, Emily's just spoken really clearly about lots of stuff to do with thinking, negative automatic thoughts, thinking logically and so on. Can you say a bit more about that from the perspective of somebody who delivered those kind of interventions? Why is that helpful? What's that about? Laura: Hmm, it's a good question I guess. So in Emily's case the therapist was working with her on how she was thinking about herself and her difficulties and there lots of ways to work with thinking and negative thoughts in CBT. So you can work on the content of thinking, what our thoughts actually are and what they're saying or the process of thinking which is how we engage with the process of those thoughts. And I guess the most common way a low intensity therapist will engage with negative thoughts, particularly in low mood presentations and people with confidence issues is content, usually through means of reality testing or a CBT therapist might call it cognitive restructuring. Because for many of us, and we'll all resonate with this, is that we can make assumptions of what others think about us, we can have untrue and negative appraisals about ourselves and our situation. So, for example, others think badly of me or I'm terrible at my job or like Emily said, I'm failing as woman and things will never get better. And our mind can really convince us of these things that aren't true. And even sometimes if there is some truth to our negative thoughts and maybe things aren't going so well, still having all or nothing thinking or having a hundred percent conviction in these negative thoughts is really unhelpful. So it's more helpful to balance our negative thoughts with evidence sort of against their truth, if you like. And this is really important because in any CBT format, whether low or high CBT, we're trying to help the person feel emotionally better through cognitive and behavioral change. If we could tell ourselves to stop feeling sad or anxious, well, I guess we would simply do it and I probably wouldn't have a job. But because that's not possible, we have to relieve our distress and emotions through how we're thinking and what we're doing that are worsening those problems. So cognitive therapy and working with thoughts can really help people pay attention to alternative facts and

    37 min
  7. Let's talk about…the Mental Health Jedi

    10/07/2025

    Let's talk about…the Mental Health Jedi

    In this episode, Helen Macdonald speaks with Chris Frederick- advocate, suicide survivor, founder of Project Soul Stride, and self-described "Mental Health Jedi." Chris shares his deeply personal journey, from childhood trauma and racial adversity to becoming a mental health advocate and what helped his recovery- and the things that didn't. Resources & Support: If you or someone you know needs urgent help, reach out to Samaritans at 116 123 (UK) or visit samaritans.org Brent Recovery College- https://www.cnwl.nhs.uk/services/recovery-and-wellbeing-college The Listening Place- https://listeningplace.org.uk/ James' Place- https://www.jamesplace.org.uk/ Find more information about CBT- www.babcp.com Find our sister podcasts and all our other episodes in our podcast hub here: https://babcp.com/Podcasts Have feedback? Email us at podcasts@babcp.com Follow us on Instagram & Bluesky: @BABCPpodcasts Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF This episode was produced by Steph Curnow Transcript: Helen: Hello, and welcome to Let's Talk About CBT, the podcast where we talk about cognitive and behavioural psychotherapies, what they are, what they can do, and what they can't.  I'm Helen Macdonald, your host. I'm the Senior Clinical Advisor for the British Association for Behavioural and Cognitive Psychotherapies. Today I'm speaking with Chris Frederick. I'm absolutely delighted to have him here with me in the studio. He's going to share about his personal history and some difficult experiences that he had in his earlier life. How he ended up looking for help with his mental health and some of the things that helped as well as some of the things that were less helpful and how he's then started using his lived experience to help inform professionals, services and members of the general public about what helps and what helps people to access the kind of support that they need. He's also going to tell us how he ended up being known as the mental health Jedi. Chris, would you just like to introduce yourself and tell us a bit about who you are? Chris: So my full name is Chris Frederick. Born and bred in London, currently living in northwest London. I guess I like to introduce myself. Firstly, is I'm a suicide attempt survivor. I think it's important to get that out there. I'm an advocate and founder of Project Soul Stride, which we'll touch on a little bit later. And, also I'm a mad Star Wars fan. Helen: Oh, fantastic. And you've just mentioned a couple of things, really important things about your background and who you are. Is there anything else that you'd be happy to tell people listening today about your background and challenges or barriers that you've experienced? Chris: I mean I guess if I backtrack to the story that, that brought me to that point, very quickly in the barriers, because they might be things that listeners would identify with. I'm a twin, I'm 55. Growing up for us in the early seventies was a tough time. We lived as a small family of four in a flat in a council estate in Wembley and due to the pressures that my father and my mother who were very young, they were only 19 and 18, and they'd not long been in the UK from the Caribbean. So they themselves were carrying their own baggage, their own trauma, their own legacy and that transferred, I guess, onto us as young children. My father was a very strict, sort of military type figure. A beautiful looking man- if you put a picture of Muhammad Ali at his prime and my father at his prime, they could almost be twins, brothers, because that's how you know, he was tall, statuesque, beautiful green eyes, but on the downside, he had a heavy hand. And you know what I mean by that Helen, he had a heavy hand. He was quite, he was an intimidating character. And that manifested itself in negative behaviour in the house, physical abuse of various descriptions. And we grew up watching and witnessing and being victim of that as we grew up, and this is all within a black community. And then we moved at the age of 11, we upped sticks and moved to Chislehurst, which was a suburb of Kent. So imagine now we've moved from an all sort of majority ethnic community to now an ethnic minority community where we were the only black family on the street. Elms Street Avenue number 60, remember it well. Went to Kenmore Manor, and I remember for the first three years we were two of only five non-white pupils in the entire school. So without going into too much detail, you could also now begin to identify with the certain trends, the recurring themes, the racism of course, the pressures from my family. My parents eventually split up and divorced. My relationship with my twin eventually split. And so we ended up the complete, the family was completely fractured and still is today. And you bundle all that up. I started to experience mental ill health probably at the age of 19. And I'll tell you what it was, it was alopecia. Because I used to have, I used to have, if you could see me now, I've bald hair. and I started to feel there were bald patches appearing in the back of the scalp. So I went to the doctors and you said, oh, you've got alopecia. we could inject you with steroids, give you some cream. I said, well, what's the underlying reasons? And he goes, oh, it's stress. you. What can we do? What can I do to overcome that? And again, that was in the late eighties so talking about counselling and therapy again wasn't really part of the dialogue back then. Right. And then at the alopecia came back 10 years later. So I was beginning to realise I had some problems. And then I took off to Asia, lived there for 20 years, had an amazing time, an amazing experience. Again, suffered racism, but of a completely different type in China, Beijing, Singapore, Hong Kong as a black man, very few in number, but I didn't let that deter me. I had a very good career. I had a lot of experience and beautiful people, travelling a lot. But it all came to a head. It all came to head, and it's something that I called the ripple effect because it almost as if there was an author I spoke to last year, he when he heard my story, he said, I'm sorry to say this, Chris, but it almost sounds as if it was inevitable that you would reach breaking point and attempt to take your life, based on everything that you told me and that ripple that had gone through, the desperation for wanting to find love, family, belonging, identity, all the things that have become so precious to me now manifested itself when I lost my last job in Singapore in 2018, and I tried to commit suicide later that year. And then that was the time for me to leave Asia. After nearly 20 years, I realised that I needed to close the book on that era of my life. And I moved to Los Angeles and then a few months later moved to London, and then I attempted suicide again a couple of years later during Covid. So, you know, I've looked into the precipice, I've looked into the darkness, and twice I wanted to disappear from the world. Helen: And Chris, I'm really grateful to you for sharing so openly about what's happened to you and just such, such a combination of difficult life events and the circumstances that you were living in. And I mean, I will say that the show notes will have links to help and more information for people who may experience similar things or be concerned about risks and safety. But I'm really grateful for you to sharing so openly and you've said that all of these things really have brought you to where you are now. Tell me a bit about how you went from what sounds like a real, you said looking into the abyss, to accessing something that made a difference to you, or how you got the right kind of support, the right kind of help. Chris: So I mean, if I tell you, Helen, that when I got admitted into Ealing Hospital after my second attempt, at that moment in time, it was like, oh, finally I'm about to get some help. Finally, I'm about to be recognised as an individual who needs support from the NHS. And then through that whole process of being in the hospital, the psychiatric team at the hospital were very good, they were very helpful. The clinical psychologist came to see me. She spoke to my mum separately and said, okay, we need to help your son. And when I got discharged, I got put into the hands of the community mental health team, the Brent Community mental health team, and they were smashing. They'd come around two, three times a week. They'd make sure I was taking my medication. And then I started to ask them, okay, where do we go from here because I've got you guys for about a month. I'm really concerned what happens then. I just don't want to keep falling back into these bad habits. So they started to say, okay, firstly we're going to start to give you some information, some literature and then we're going to start to talk to you about what was then, Helen, IAPT, now Talking Therapies. I said to them, look, I don't know if I'm ready to go into therapy quite yet. I'd like something just to, just as a teaser, just to start giving me a little bit of confidence, a little bit of awareness of even how to talk or be around people who might have experienced this stuff. So they said, we've got the solution for you, the Brent Recovery College, the CNWL Brent Recovery College. I said, oh, that sounds interesting what do they do? Oh, they've got a curriculum of courses, and you go online, and they've been facilitated by lived experience, peer support trainers. You are going to be in classrooms of about 12 people, they've all got experience of mental illness. They're all there like you. They want to see other people on the screen. They want to connect with people whilst learning new skills. And I said, I've been a lifelong learner this sounds just a ticket for me to get things going. And when I spok

    40 min
  8. Let's Talk About…Digital CBT and Cultural Connection

    28/05/2025

    Let's Talk About…Digital CBT and Cultural Connection

    In this latest episode of Let's Talk About CBT, host Helen Macdonald is joined by two international guests- Tafi Mazikana and Sherrie Steyn who share their journey from CBT service user and therapist to CBT innovators. Tafi, originally from Zimbabwe, opens up about his experiences with anxiety while working in a high-pressured job in finance and how a digital CBT intervention through IAPT (now known as NHS Talking Therapies) changed his life. He talks candidly about the cultural stigma around mental health, what it was like to try therapy for the first time, and his realisation that CBT is about learning practical, empowering skills. We also hear from Sherrie, a clinical and community psychologist from South Africa and co-founder of the Vimbo Health app along with Tafi. She reflects on her friendship with Tafi, the surprising conversations that sparked their collaboration, and the importance of culturally adapted therapy. Together, they describe how Vimbo Health was developed to meet the unique challenges and needs of people in South Africa, particularly in terms of language, cultural metaphors, accessibility, and affordability. They explore how therapy can be made more relevant and relatable, from replacing metaphors like "three-legged stools" with potjie pots to tackling barriers like mobile data costs and mental health stigma. Whether you're a therapist or someone curious about accessing help in a different way, this conversation shines a light on how CBT can be tailored, inclusive, and transformative. Resources & Links: Learn more about Vimbo Health: https://www.vimbohealth.com/ Information on CBT and how to find a therapist If you or someone you know needs urgent help, reach out to Samaritans at 116 123 (UK) or visit samaritans.org Find our sister podcasts and all our other episodes in our podcast hub here: https://babcp.com/Podcasts Have feedback? Email us at podcasts@babcp.com Follow us on Instagram & Bluesky: @BABCPpodcasts Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF This episode was produced by Steph Curnow Transcript: Helen: Hello, and welcome to Let's Talk About CBT, the podcast where we talk about cognitive and behavioural psychotherapies, what they are, what they can do, and what they can't.  I'm Helen Macdonald, your host. I'm the Senior Clinical Advisor for the British Association for Behavioural and Cognitive Psychotherapies. I'm absolutely delighted today to have some international guests for you. And in a moment, I'm going to ask, Tafi and Sherrie to introduce themselves. We're going to be talking with them about the experience of having CBT and then some really exciting developments that have happened since. But first, let's start with some introductions. Tafi, would you like to tell people who you are? Tafi: Yes, definitely. Thank you, Helen, really a pleasure to be with you today on this podcast. So I'm Tafi Mazikana and I'm Co-founder and CEO of Vimbo Health, a metal health app that's operating mostly out of South Africa. My background as I've shared, is not as a practitioner. My background is as a patient, of CBT who became very curious, perhaps too curious. So I was living in the UK working in banking and finance, and I was just very lucky to come across the services of IAPT which allowed me to self-refer in this area of mental health. I never knew that one could actually reach out and do something, so that was game changing in itself. But I was offered to have a digital CBT intervention, which was very transformative for me but obviously just left question marks as someone born and raised in Africa to say, well, who's thinking about the African context? Because, as I'll share later, there are things and ways of thinking and speaking that are different and I was just curious about who is going to think about that. And so became more and more involved, in this area of CBT, and in particular digital CBT. Helen: Thank you so much, Tafi. There's lots that we're going to talk about there. Before we start that though, Sherrie, can I ask you to introduce yourself please? Sherrie: Hi Helen. Thank you for having me. My name is Sherrie Steyn and I am from South Africa. I'm actually very fortunate to be from the East coast, so the sunny side, and my background is in clinical and community psychology. I tend towards the behavioural types of psychology. So I've done some ABA or as we call it VBA now and of course a special interest in CBT. So having done that clinical and community psychology, I then went on to do one of the allied CBT training courses through UCL. So I was very fortunate, to have done that. And that's a little bit about my background and, yes, I'm also the co-founder and CSO of Vimbo, I like to say I'm the science, because it sounds cool and yeah, just very happy to be here and share some of our experiences with you today. Helen: Thank you so much. So if I can come back to you, Tafi, I wonder if you would be willing to just tell our listeners a little bit about what it was that made you actually reach out to access CBT. Do you mind telling us a bit about what was happening for you that meant that you were seeking some help? Tafi: Yeah, absolutely. I think what I with hindsight realise is that it was difficulties that built up gradually over time and came to a point where they sort of caught me off guard. At the time that I reached out for help, I was working in the banking sector there in London on very stressful, large projects, which brought on a lot of anxiety, but I traced back my difficulties to over 10 years ago in terms of when those little moments of a negative self-talk, which started as innocent, and then grew into something of its own life, sort of started to happen and without the right tools then entering into that professional world, I do think I was at a disadvantage. I had some great tools in terms of being quite active and taking part in sports and exercise. So that's amazing but definitely what I came to realise is that I was actually lacking other tools that could have helped me to not get into a situation where I'm feeling like I'm in a lot of difficulty. So yeah, so I always describe it as, for me, in my case, not one thing in particular, but I feel like a gradual buildup of life just happening or that negative thinking pattern becoming something of its own. Helen: And I think it's quite important to notice that, that it doesn't have to be some one particular dramatic event or something key that changes. It might be a combination of things or a buildup over time. So can I ask you a bit about when you did access the CBT, what did you actually get? What happened in CBT for you? Tafi: Yeah, so I think for me, I grew up in Zimbabwe in Africa, and there isn't a tradition of seeking help. So for us, therapy is something that we saw in movies, we know that movie characters in Hollywood have therapists and get help. Or we associated it with people who we knew in the community who are undergoing inpatient care. And those are the forms of help that we knew to be there. Things that are not related to us in terms of early intervention, it is more something that happens when you are at the stage of acute care, which is inpatient. So essentially when I reached out for help, I was a bit sceptical of what was offered because it didn't fit the moulds of what I thought help looked like. And when I chose the route of going for the self-guided digital option that I was given there. I was, again, sceptical because it was not what I thought therapy looked like.  I chose it because it was, it felt like a lower barrier because I was still quite afraid to talk about my feelings and to talk about my thoughts and experiences. But yeah, but, needless to say, I was actually shocked and quite impressed at how effective it was. And so that, that introduced me into the idea that help is something you don't have to wait until you are at that acute phase of need. But also, it taught me that CBT is about, in my opinion, I guess I'm not a practitioner, so please take it with a bit of salt, but it taught me that CBT is about building skills, which is quite a positive thing. It's actually quite empowering is what I learned then, and I think that's what resonated the most with me and got me hooked onto this form of help. Helen: Thank you. And I just wanted to emphasise that there's several things that you've said there. I mean, firstly, you're coming from perhaps a cultural context that's less familiar to some of us. I suspect a lot of our listeners will be in the UK, although there are people from elsewhere. But that experience of really not being used to talking about feelings will be very familiar to a lot of our listeners, that sense that it's got to be really bad before you seek help, I think will also be something that people out there might feel. And yet what you've said, it was an earlier intervention, and it wasn't nearly as bad as it might have been.  So I just wondered if I can talk to Sherrie for a moment and ask about what it was like for you, getting to know Tafi and,from the CBT therapist's point of view. Sherrie: Well, I think what the first thing that strikes me is that Tafi and I socialised fairly regularly. We were a bit younger in those days. So the socialising honestly did tend to focus on large groups, at the pub, at a museum, at a place, and even when we do have dinner time, so if Tafi would come over and just hang out and have a meal, you are still so preoccupied with the day to day that unless someone brings something to you, you might not actually know what's going on. Whilst all this was going on, I had no clue what Tafi was going through. So the first time we actually really got talking about this was when he was visiting me, so after he had completed his treatments and we were hanging out on the balcony that I'm

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About

Let's Talk About CBT is a podcast about cognitive behavioural therapy: what it is, what it's not and how it can be useful. Listen to experts in the field and people who have experienced CBT for themselves. A mix of interviews, myth-busting and CBT jargon explained, this accessible podcast is brought to you by the British Association of Behavioural and Cognitive Psychotherapies. www.babcp.com

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