Dr Charlotte Curran
DClinPsy; MA (Hons); AFBPsS
How can Psychology help your outcomes?
Cheng (2019) analysed data from more than 5,600 hip surgery patients, ages 29 to 41.
All of the studies in the analysis included evaluations of the effects of depression or anxiety on postsurgical clinical outcomes, such as the use of pain-killing drugs after an operation, return to pre-surgery activities and overall patient satisfaction following surgery.
In every study, patients with anxiety and depression prior to surgery were statistically less likely to have good outcomes after their operations.
Therefore, an intervention to understand and manage anxiety and depression has a positive impact on postoperative outcomes
University of Edinburgh Psychology MA (Hons) 2001
University College London DClinPsy 2007
Chartered with the British Psychological Society (BPS)
Registered with the Health & Care Professions Council (HCPC)
Accredited as a Cognitive Behavioural Therapist with the British Association of Behavioural and Cognitive Psychotherapies (BABCP).
Dr Charlotte Curran has over 20 years of experience supporting people to understand and overcome difficulties impacting their ability to function as they would like and to get enjoyment from their lives.
Charlotte provides evidence-based, effective psychological treatment to individuals of all ages.
To improve their mood
Reduce levels of distress
enabling changes to be made in their lives as they wish.
Charlotte gained extensive experience working as a Senior Clinical Psychologist in the NHS in primary and secondary care services, before leaving the NHS in 2012.
Charlotte specialises in offering Cognitive Behavioural Therapy (CBT) to those with a wide variety of needs.
What is Cognitive behavioural therapy?
CBT is a structured and focused therapy that teaches individuals to understand and manage their difficulties and to work towards specific goals.
E.g. if a client aims to feel less fearful in a certain situation, CBT will help them to be more aware of the thoughts that fuel this fear and teach them strategies to encourage different mental and physical responses to the situation.
How does this relate to surgery?
Unfortunately fear (about underlying diagnosis, surgery, anaesthesia, pain, survival, and recovery) can cause concern for an individual contemplating surgery. This fear is often so distressing that it negatively impacts postoperative outcomes or in some cases leads to avoidance of recommended treatment procedures altogether. Fear can also reduce the motivation an individual has to adhere to treatment recommendations such as physiotherapy, exercise and nutritional improvements.
Our team approach
When CBT is offered as part of a multi-disciplinary team approach, it can target fear and motivation to change, alongside other goals individual to the client. We know that lifestyle changes such as stopping smoking, reducing alcohol intake, increasing exercise and eating a balanced diet each improves your recovery from surgery. However, making and maintaining these changes can be challenging. CBT can help. Psychological therapy has been proved to be effective in improving surgical outcomes, together with improving the physical and mental wellbeing of patients pre-and post-surgery.
The National Institute for Health and Clinical Excellence (NICE) has some very helpful resources for those with questions about the management of anxiety, depression and other common difficulties. CBT is one of the recommended treatments in these guidelines.