David Veale

SPEECHES

 

 

KEYNOTE

Could sleep deprivation be used to turbocharge behavioural activation for the rapid treatment of depression?

The treatment of depression has much room for improvement. Pharmacotherapy is excited by the rapid treatment of depression by the use of intravenous ketamine or derivatives. How can we develop effective behavioural and environmental alternatives? One option is "triple chronotherapy”. It consists of total sleep deprivation for one night, followed by a phase advance of sleep over 4 days and bright light therapy every morning. This appears to be a turbocharged form of behavioural activation and to act by resetting dysregulated circadian rhythms. Two RCTs suggest that about 50% of inpatients respond within a few days. I will discuss a protocol for a study that is evaluating triple chronotherapy in the community. I will also discuss other behavioural interventions such as the use of amber glasses for treating mania or a phase delay of sleep.

Professor David Veale is a Consultant Psychiatrist at the South London and Maudsley Trust and the Priory Hospital North London. He is a past President and Visiting Professor in Cognitive Behaviour Therapies at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London. He is an Honorary Fellow of the BABCP, a Fellow of the British Psychological Society and Fellow of the Royal College of Psychiatrists.

MASTERCLASS

Understanding and Treating a Specific Phobia of Vomiting

Learning Objectives:

By the end of the workshop, participants will
  1. Be knowledgeable about the latest findings including the use of virtual reality and intensive treatments
  2. Understand the phenomenology of a Specific Phobia of Vomiting (SPOV) and it’s relationship with OCD and eating disorders
  3. Be knowledgeable about a cognitive behavioural model and have a functional understanding of the cognitive processes and behaviours that maintain a SPOV
  4. Be able to use appropriate assessment scales
  5. Treat a SPOV by appropriate exposure and dropping of safety seeking behaviours and use of imagery re-scripting.

Workshop leader

Professor David Veale is a Consultant Psychiatrist at the South London and Maudsley Trust and the Priory Hospital North London. He is a past President and Visiting Professor in Cognitive Behaviour Therapies at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London. He is an Honorary Fellow of the BABCP, a Fellow of the British Psychological Society and Fellow of the Royal College of Psychiatrists.

References

Boschen, M, Veale, D., Ellison, N., Reddell, T. (2013). The Emetophobia Questionnaire (EmetQ-13): Psychometric Validation of a Measure of Specific Phobia of Vomiting. Journal of Anxiety Disorders. 27: 670-677
Price, K, Veale, D, Brewin, C (2012). Intrusive imagery in people with a specific phobia of vomiting. Journal of Behavior Therapy & Experimental Psychiatry, 43: 672-678
Riddle-Waker, L, Veale, D, et al (2016) Cognitive behaviour therapy for a specific phobia of vomiting (emetophobia): a pilot randomised controlled trial. Journal Anxiety Disorders, 43, 14-22.
Veale, D, et al (2012). Abnormal eating behaviour in people with a specific phobia of vomiting (emetophobia) European Eating Disorders Review, 20: 414–418 
Veale, D, et al (2013). Development of an inventory to measure Specific Phobia of Vomiting (emetophobia). Cognitive Therapy and Research 37:595-604
Veale, D, et al  (2015) Is a Specific Phobia of Vomiting part of the Obsessive Compulsive and Related Disorders? Journal of Obsessive-Compulsive and Related Disorders, 7:1-6. 
Veale, D, Lambrou, C (2006) The psychopathology of vomit phobia. Behavioural and Cognitive Psychotherapy, 34(2) 139-150
Veale, D, et al (2012). Auto-biographical memories in people with a specific phobia of vomiting. Journal of Behaviour Therapy and Experimental Psychiatry 44, 14-20.
Veale, D (2009) Treating a Specific Phobia of Vomiting. The Cognitive Behaviour Therapist, 2, 272–288.