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Cognitive behavioural therapy for diabetes

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Cognitive Behavioural Therapy (CBT) for diabetes is a service provided with care, compassion, and no judgement - working with you to find ways to improve your circumstances and your symptoms.

Why is CBT relevant to my type 2 diabetes?

Read information on this page as an infographic (pdf, September 2023).

Mind and body

Managing diabetes is an ongoing and often challenging task, which can be wearing on our emotional health too.

Mind and body are attached, what affects one will impact upon the other, so working on 'the whole' can increase resilience and improve your wellbeing.

Mind And Body

Making sense of your experiences

Reflecting on your diagnosis and what it means to you, how life may be different now, and your concerns for the future, can all help these things to feel manageable.

There are strategies that can help with that adjustment, increasing acceptance and confidence to move forward with your diagnosis.

Making Sense Of Your Experiences

Exploring change

Having diabetes brings physical, social and psychological challenges - all areas that are considered in CBT. It is a proactive treatment, identifying areas for meaningful change - meaningful to you - and testing out the benefits of doing things differently.

It's also about exploring the stories we tell ourselves, as these impact upon what we do and how we do things.

Working with a CBT therapist can help you to identify unhelpful patterns and make a plan... the benefits of which can be improved mood, reduced anxiety, and better glycaemic control.

Exploring Change

How is it provided and what happens next?

CBT for diabetes is delivered remotely, meaning on video call to your laptop or mobile device. If you don't own a device, or are not confident using devices in this way, we can help - just let us know.

The first step is to arrange an initial assessment. You will be asked to complete clinical questionnaires to help better understand your symptoms.

Following this we will agree a plan for either small group sessions or one-to-one work, across 6 to 8 appointments, or more if further support is needed.

Ask to discuss a referral at your next consultation with your GP or diabetes specialist (e.g. dietician or podiatrist).

How It Is Provided And What Happens Next

A mindful cuppa for World Diabetes Day (video)

Whether our mind is playing mental pingpong or tripping us up with unhelpful thoughts, mental fatigue can sometimes feel a lot. A diabetes diagnosis can bring stress and worry, adding to the difficulty of managing diabetes. The problems won't go away but by drinking in our experience for a few minutes we can be a little further away from that busy mind.

Read about World Diabetes Day.

More mental wellbeing resources

Mental health and wellbeing - support organisations for mental health and wellbeing, outside NHS Highland.

SilverCloud is a website with courses you can do to improve your mental wellbeing. You can learn new ways to deal with the challenges you're facing. It's designed by clinical experts, and supported by the NHS and Scottish Government. Based on CBT approaches, modules are aimed at improving stress, sleep, money worries, body image, and also parenting children with mental health issues. Free to users in Scotland, with access code NHS24.

Mindfulness-Based Stress Reduction - Palouse Mindfulness provide this 8-week training course for free, including downloadable resources to support your growing practice. Please read the introductory page, as this course requires substantial commitment in order to gain the potential benefits of the MBSR programme (which may be more challenging in an online, independent learning format).

Meeting you where you are on your journey - resources for managing the symptoms of diabetes (pdf, April 2024) - links to resources here are also published throughout these diabetes health and wellbeing pages.

Diabetes services and resources

Last updated: 2 December 2024

Next review date: 6 January 2025