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Anger has been shown to be associated with aggression and violence in adults with learning disabilities in both community and secure settings. Emerging evidence has indicated that cognitive behavioural anger treatment can be effective in reducing assessed levels of anger in these patient populations. However, it has been suggested that the effectiveness of these interventions is significantly affected by verbal ability. In this service evaluation study the pre‐ and post‐treatment and 12‐month follow‐up assessment scores of 83 offenders with learning disabilities who received cognitive behavioural anger treatment were examined in order to investigate whether participants' responsiveness to treatment was a function of measured verbal IQ. The results indicate that, overall, the effectiveness of anger treatment was not the result of higher verbal ability as reflected in verbal IQ scores. It is concluded that cognitive behavioural therapy for anger control problems can be effective for people with moderate, mild and borderline levels of intellectual functioning and forensic histories.

This case report seeks to describe successful treatment of erotomania using cognitive behavioural psychotherapy in concert with community support providers applying similar psychotherapeutic approaches.

A case report is presented illustrating successful treatment of an individual with erotomania and intellectual disability. Pharmacotherapy assessment suggested its ineffectiveness and medicines were slowly reduced and discontinued. Cognitive behavioural psychotherapy provided a venue to discuss personal issues and work on solutions. The community support system was enlisted to approach the problem using two main psychotherapeutic strategies: eliminate social attention for the delusion; and increase social relationships.

Cognitive behavioural psychotherapy working in collaboration with the community support system resulted in great improvement. Within three years, the individual returned to previous functioning with no symptoms of the delusional disorder.

This case study illustrates the successful treatment of erotomania using cognitive behavioural psychotherapy and engaging the community support system in applying directed psychotherapeutic strategies. Erotomania occurs in people with intellectual disability and must be recognized and treated. Ineffective pharmacotherapy was successfully reduced and discontinued within the context of appropriate therapeutic supports.

There is growing evidence for the efficacy of anger treatment programmes, which aim to reduce inappropriate aggression in people with learning disabilities. To date they have been provided in both group and individual formats, but the differential efficacy of these approaches is yet to be assessed. Individuals with a learning disability and inappropriately expressed anger were assigned to either group or individual treatment or a waiting list control, depending on the availability of treatment options. In this way, 23 participants completed group treatment, 18 individual treatment and 21 were included in a waiting list control. Participants were assessed both before and after treatment using an anger provocation inventory. Improvements were found in the scores obtained on the anger inventory for both the group and individual treatments compared to the control using a 2 by 3 split plot ANOVA. There was no difference between group and individual treatments. These results replicate previous findings that suggest that both group and individual cognitive behavioural interventions are effective treatment options for people with learning disabilities, but do not support either method of delivery as the preferred option. Limitations of the data are discussed.

Depression is a common and chronic illness affecting nearly one in five people in their lifetime. The main responsibility for people suffering from depression falls to their carers. Research indicates that carers find the burden of caring for a family member enormous and often feel isolated with this burden (Highet et al, 2004). This paper presents an evaluation of a six‐week course held in Leeds, based on the principles of cognitive behavioural therapy and specifically aimed for carers. Cognitive behaviour therapy (CBT) is a recognised intervention technique for people with mental distress (Beck, 1976; Beck et al, 1979). The approach was used with carers to help them to become aware of their thoughts, feelings, behaviour and physical reactions to certain stressful situations when caring for a family member. The approach was introduced within the safety of a supportive group situation. Average attendance was 84% and feedback suggested that this approach was beneficial to carers in coping with the stress of the carer role.

This study reports a recovery‐themed cognitive behavioural educational group for clients suffering from chronic positive and negative symptoms of schizophrenia, on a low secure inpatient unit. Nine participants completed baseline and post‐intervention measures of insight, self‐esteem and knowledge about schizophrenia. Additional post‐intervention measures included compliance with medication, feelings about schizophrenia, qualitative views and access to the community. Overall, the results were positive within the limits of this small‐scale study. Following the intervention, most participants reported that they were less frightened about psychosis, and felt more in control of their illness and more optimistic about their future. This study suggests that there may be clinical benefits of having CBT‐orientated educational groups in low secure settings with clients with longstanding co‐existing positive and negative symptoms of schizophrenia. Recovery style should be evaluated systematically in future studies.

Cognitive behavioural therapy (CBT) is being used increasingly with people with learning disabilities. The evidence base to support these developments comes from uncontrolled trials of CBT in a variety of psychological disorders and eight to nine controlled trials of CBT for anger (plus a single controlled study in depression). This paper reviews the evidence for the effectiveness of group‐based anger management and the acquisition of anger coping skills, and the effectiveness of individual anger treatment, with some discussion of the status of CBT for other indications and the difficulties of conducting outcome research in this area.

Hope and death anxiety as the important sources of adjustment can affect the attitude, health status and quality of life in patients undergoing hemodialysis. Hopelessness and death anxiety are considered as the important factors in patients undergoing hemodialysis, because these can avoid non-adherence and increase mortality rate. This study aims to investigate the effect of the cognitive–behavioral intervention on hope and death anxiety in patients undergoing hemodialysis.

In this randomized controlled clinical trial, 84 patients undergoing hemodialysis were included, who were then divided into two groups as the cognitive–behavioral intervention group (n = 42) and the control group (n = 42). The experimental group received eight sessions of individual chair-side cognitive–behavioral intervention. To measure the hope level and death anxiety, Hearth Hope Scale and Templer’s Death Anxiety Scale were used as tools once at the beginning and once at the end of the study.

The mean scores of the hope levels in the intervention group significantly improved compared to the control group. Furthermore, the mean scores of the death anxiety levels significantly decreased in the intervention group compared to the control group.

Cognitive–behavioral interventions are significantly effective on promoting the level of hope and decreasing the level of death anxiety in patients undergoing hemodialysis. Therefore, applying this psychological intervention to design the individual education programs is recommended.

The purpose of this paper is to evaluate the use of cognitive behavioural approaches to treat a gentleman with a learning disability who had been reported to the police for allegedly making contact with children using social media in an attempt to initiate a romantic relationship using a single case design.

An 11 session cognitive behavioural intervention was employed, comprising of index offence analysis, challenging distorted cognitions related to the offence, developing an internal focus for responsibility and psychoeducation with regards to “staying safe” online.

Follow up data demonstrated no improvements in victim empathy, nor in agreement ratings in terms of key cognitions associated with responsibility for offending behaviour.

Whilst treatment efficacy was not established, this case study raises important questions that go beyond the single case design. Whilst the gentleman reported becoming “safer” in terms of initiating contact with unknown people via social media, this could not be substantiated, and is indicative of the cardinal difficulty of monitoring online recidivism. Generalisability of findings to the wider learning disability population is limited by a single case design.

This is the first published case study to the authors knowledge to evaluate cognitive behavioural approaches to reduce antisocial internet related behaviour in a forensic learning disability setting. Findings of considered within the context of the concept of minimisation of offending behaviour, the concept of “counterfeit deviance”, and also how best to measure therapeutic change within this population.

This case study describes an attempt to use cognitive behavioural therapy (CBT) to treat anger problems in a young man with mild learning disabilities. The skills necessary to engage in CBT were assessed in addition to an assessment of support available, motivation to engage in therapy and belief in ability to make changes. Despite this assessment environmental factors undermined the therapy, which was not completed. Some of the difficulties and dilemmas involved in delivering CBT in ‘ordinary’ community services are discussed, concluding with learning points for consideration by other practitioners.