Judith Halford is a consultant in liaison psychiatry and psychotherapy with the Ayrshire & Arran Liaison Psychiatry Service based at Crosshouse Hospital, Kilmarnock. Her work includes using cognitive–behavioural therapy in the treatment of general hospital patients. Tom Brown is a consultant liaison psychiatrist at the Western Infirmary in Glasgow. He has been a teacher and trainer in the South East Scotland Cognitive Behavioural Therapy course since it started.
Correspondence: Correspondence Dr Tom Brown, Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UK. Email: tom. brown{at}ggc.scot.nhs.uk
Chronic physical illness is a significant risk factor for psychological symptoms, psychiatric disorder and suicide. Properly targeted cognitive–behavioural therapy (CBT) can improve outcomes for people with chronic physical illnesses. This article looks at practical aspects of the use of CBT as part of the overall medical and psychiatric management of chronic physical illness.