Stepped Care Model

The Stepped Care Approach was introduced in October 2009 NICE published further guidance on the treatment of adults with depression and adults with depression and a chronic physical illness. The Stepped Care Mental Health Guidelines covers the following:

  • The care people with depression can expect to receive from their GP or other healthcare professionals, whether they receive treatment in or out of hospital.
  • The information they can expect to receive about their problem and its treatment.
  • What they can expect from treatment, including psychological therapies, drug treatment and electroconvulsive therapy.
  • The kind of services that help people with depression, including your GP, specialist mental health services and hospital care.

This guidance indicated that CBT was the most evidence based psychological approach to the treatment of depression and that CCBT was a beneficial way of providing access to psychological therapies.

How Cognitive Behavioural Therapy is used to treat Generalised Anxiety Disorder

Cognitive Behavioural Therapy is the number one treatment of choice for Generalised Anxiety Disorder across the UK. CBT involves amending or changing the process in how you deal with intrusive thoughts. The course will teach you to learn new thinking processes and practical techniques which will help to alleviate the worry and enable you to manage your anxiety. 

How the course will help you benefit with Anxiety

By helping you identify your thinking patterns and current behaviours we can learn how to turn around a problematic thinking process and replace it with a new fresh view that will give you your confidence back and reduce your anxiety. By learning to manage the situations, which you previously dreaded, through adopting new strategies to help you feel comfortable in any situation. Discovering these new behavioral strategies will help you feel better and stay better. 

How do you know if you are anxious?

The easiest signs of anxiety to recognise are physical changes, such as sweating, a racing heart, palpitations, or rapid breathing. These changes are caused by an increase in adrenaline, the substance which is released by your body to help you get ready to deal with danger or escape from something. It is quite normal to feel anxious when you are facing something dangerous or difficult, but it is not usual to feel anxious all the time or to feel that anxiety is ruling your life. Take our simple online test to see if you are anxious or depressed. Often these two conditions occur together

How Beating the Blues uses the Stepped Care Approach throughout the course


Beating the blues course offers practitioners Improving Access to Psychology Therapy to your clients, within a range of options for the Stepped Care Model:

  • The course offers low intensity offers such as self help workbooks and also online resources to help the user manage the course at its own pace. 
  • Opportunity for one to one support, with reports to you weekly or fortnightly to show the progression being made. 
  • Option for High Intensity sections of the course, where the user will get specialised CBT therapy or Interpersonal Psychotherapy through the CCBT course. 
  • You and your user, will get to review the progress and have the option to increase the intensity of the course or slow down the intensity based upon how the progression. By having the adaptability to have low to high intensity will help to improve the treatment and tailor the course to each individual user. 

For more information on the course, please see our CBT for Depression and CBT for Anxiety.

What is the Evidence?

Beating the Blues has been through independent randomised controlled trials (RCTs). The results of these trials, published in the British Journal of Psychiatry, demonstrate that Beating the Blues is an effective treatment for anxiety and depression, and is better than GP treatment as usual.

This RCT study showed that the efficacy of Beating the Blues was independent of the severity of depression. People with sub-threshold depressive symptoms were also effectively treated.

Beating the Blues has also been shown to be effective in treating depression in people with physical illness.

Most of the evidence for Beating the Blues is obtained from UK NHS settings.

A full list of publications is available in the published papers section.

People using Beating the Blues benefit from 30 additional depression free-days in the 6 months after treatment. Patient satisfaction has been demonstrated in an open study where nine out of ten patients would recommend Beating the Blues to others and over half found the program better than other treatments they had previously received.