User Guide Getting started using the LLTTF Interactive package Dr

User Guide Getting started using the LLTTF Interactive package Dr
User Guide Getting started using the
LLTTF Interactive package
Dr Chris Williams
Helping you to help yourself
Written by Dr Chris Williams. Used under licence ©2010
Welcome to Living Life To The Full Interactive - LLTTFi. The aim of this course is
to help give you the information you need to start feeling better.
Signing on and registering
To get started you need a user name and password. You will probably have been
given this by the healthcare practitioner who recommended you to this course, You
also need an internet connected computer (broadband), a soundcard, access to a
printer and a web browser.
Living Life to the Full recommends the use of the FREE Firefox Web browser but
any will do. You can download the browser for free from You
can choose not to make it your default browser. Go to the web address on your user
login/prescription card.
On the login screen fill in the user name and password boxes and copy the letters and
numbers of the security code into the box and then click the login button. Please
complete these exactly- using the same case and not adding any spaces or hyphens.
If this is the first time you have logged in, you will then be asked to fill in some brief
information about you as you register for the course. Click on each category and then
select the answer most appropriate to you. When you have finished your answers click
Written by Dr Chris Williams. Used under licence ©2010
The Main menu screen
You will now be on the main menu screen. Have a look around and click on the
various buttons.
Before starting each session you can print off or save/download the relevant session
handout (workbook) which will give you space to make your own notes as you go
through the session, list the key points of each session and give you a reminder of the
homework each session.
Written by Dr Chris Williams. Used under licence ©2010
To access the session click the Course Menu button. The program will check the
speed of your connection – just let it do this for a short time. When this is complete
click the continue button.
The Course Menu button takes you to a list of sessions. We recommend you start at
Session 1 and work through sessions about once a week. A key to success is really
thinking about how what you learn affects you- and also putting what you are learning
into practice. Each session contains information, examples of people using the
approach on video, and asks you questions to help you work out how this applies to
you. Sessions last from 25-45 minutes. When you have completed a session, you can
review it again by clicking on it. If you stopped halfway through a session it will
allow you to start at this point.
Written by Dr Chris Williams. Used under licence ©2010
Click Start and start the program.
Please note, depending on how your practitioner/organisation has requested the
package is set up you will either be able to use sessions at any time, or you may find
that subsequent sessions are left locked until a week after completing the previous
session. Please inform your practitioner if you prefer access to all modules. The
reason why often the progress is locked so you do sessions 1-6 in order – spread out
over weekly intervals is to force you to slow down and try to apply what you learn –
rather than reading things and perhaps not getting focused on change.
Written by Dr Chris Williams. Used under licence ©2010
Controlling the sound and video
The first screen plays a video. To see the controls for the video hover the cursor over
the video picture. The bar at the bottom allows you to pause and play the video, using
the buttons at the left hand side, and to adjust the volume using the slider at the right
hand side, which appears when the button at the right hand side is clicked.
Hint: make sure your speakers are plugged in, powered up, the volume is turned up,
and the volume is not muted- check if the little audio speaker at the bottom right of
your screen has a red cross through it- in which case right click that speaker and
unmute it.
The numbers at the top right hand side tells you how long the video is and how much
has already been played.
As you go through the screens, some screens will ask you questions. Try to use these
to help you stop, think and reflect on what you are learning. Make brief notes, and
write down key things you are learning so you don’t forget them. Try to answer all the
questions, and listen to the video- and see which insights are helpful for you.
Putting into practice what you have learned
At the end of the session you will find one or more suggested tasks to complete over
the week between sessions. They are there to encourage you to practice the new skills,
and test out how it works for you. One of the biggest challenges to moving things
forwards is simply practicing – and remembering to keep working on things.
Written by Dr Chris Williams. Used under licence ©2010
Set a reminder: Because of that a helpful feature on the main Course Menu allows
you to arrange a text or email reminder to be sent to you at a set time over the next
week or so. We recommend you use this option to help remind you, and keep you on
Two other key things will help you get the most from the course.
Having a plan to put what you learn into practice
Receiving support and encouragement from others to help you stay on track.
The Plan, Do, Review approach
Having a plan of what you are going to do, and when you are going to do it is
important. Two key sheets accompany the course. A Planner Sheet, and a Review
The Planner sheet helps you to make plans to both login to do the next module- and
also to do the various homework/putting into practice tasks. You can use it to plan any
activity. The key is to have just one small target.
The Review sheet then helps you reflect a week later (or any time after the plan) on
how the Plan went. It asks whether you completed the plan or not, or whether there
was a problem such as forgetting, or being knocked off course by something
unexpected. The key is that it isn’t a disaster if you forget or have problems with a
module. The key is to use the Review sheet to reflect on the difficulty, and come up
with a better problem-solving plan for next time. The good news is that you will get
better and better at this as you work through the package.
Can we therefore really encourage you to get into a regular routine pattern of Plan
(with the Planner sheet), Do (or not!) and Review (with the Review sheet).
Copies of the Planner and Review sheet are included on the next two pages. Can we
suggest that you take the opportunity now to complete a Planner sheet to plan when
you will do your first or next session of LLTTFi?
Practical Hint: Print off the Planner and review sheets along with the session
handout for each session and then use them by yourself- or with your practitioner, to
review progress, learn from how things are going, and make the next plan.
Written by Dr Chris Williams. Used under licence ©2010
1. what am I going to do?
planner sheet
Don’t just sit there,
make a plan!
Is my planned task -
yes no
Q. useful for understanding
or changing how i am?
© Dr Chris williams (2010) All rights reserved
2. when am i going
to do it?
3. what problems or difficulties
could arise, and how can
i overcome them?
yes no
Q. specific, so that i will
know when i have done it?
Q. realistic, practical
and achievable?
mood rating score (if applicable)
my next contact time
Re-arrangement details:
Remember - if you know in advance you can’t make
the session, please let us know by contacting your
local support worker.
PLEASE NOTE: If you are struggling or feel worse,
or if at any time you feel suicidal please visit your
doctor or go to A&E or phone NHS 24/Direct
what did you plan to do?
write it here
© Dr Chris williams (2010) All rights reserved
did you try to do it?
yes no
if yes:
review sheet
Ok, how did it go?
4. how are you going to apply
what you have learned?
if no: what stopped you?
internal things
(forgot, not enough time, put it off, didn’t think i
could do it, couldn’t see the point etc.).
1. what went well?
external things
(other people, work or home issues etc.).
2. what didn’t go so well?
how could you have planned to
tackle these things?
3. what have you learned about
from what happened?
Getting Support
We know how easy it is to become discouraged and stop working on courses such as
this. Part of feeling down and low means that we have low energy, concentration,
easily can get distracted, and may quickly lose motivation- especially if there are setbacks. We strongly recommend that you seek out and take up offers of regular support
and encouragement from your practitioner/support worker. Also get trusted family
and friends in on supporting you. But don’t pick people who you know will get at
you, nag you or criticise you.
Whoever supports you, use the Planner and Review sheets to help build slow steady
steps forwards.
Practical hint: In some versions of LLTTFi there is access to a support forum where
other users can provide answers, support, hints and tips online. If this is present in
your Course Menu then have a look around and say Hi!
There are some more free hints and tips on how to use this support approach at
www.fiveareasonline and the Write all over your bathroom mirror book is especially
If you need Urgent help
Part of feeling stressed and down means that it is easy sometimes to feel worse. That
may be because something bad has happened or we face hassles or difficulties, or
sometimes we can just feel worse for no clearly obvious reason.
If you find you are feeling worse, or stuck then please tell your practitioner or support
worker and let them know.
If you feel suicidal or hopeless, then you need to get help now. Your Practitioner will
have given you details of how to get local help when introducing you to the package.
Key options include:
 Your Practitioner
 Phone the emergency Number (e.g. 999 in the UK)
 Go to Accident and Emergency (the Emergency Room)
The package itself is not enough if you feel suicidal. You need to go somewhere
where you can receive the right kind of support.
More Urgent support: You will find some UK- specific contact supports in the
Appendix at the end of this short booklet.
Written by Dr Chris Williams. Used under licence ©2010
Some Final Thoughts
The course has helped many many people. Hopefully you are feeling excited and
ready to start. Or perhaps you’re not so sure, and are a bit sceptical. However you are
going into things remember these three things and you’ll hopefully gain a lot:
1). You’re going to learn some new information that can really help
2). Applying what you learn in your own life is key. Use the Pl, Do, Review model to
help you do that.
3). You’re bound to get stuck, or feel confused at some time. When you “hit the wall”
like that, keep in there. Use your supports (practitioner, family, friends) to help you
stay on track. If you have a bad patch it can be easy to say “oh I give up!”. Please
don’t, but realise that getting better is about ups and downs. We really hope this
course can help you move through that towards feeling better.
Dr Chris Williams MBChB BSc MMedSc MD
Professor of Psychiatry, University of Glasgow, Scotland, UK
Other five areas resources: (book shop and resources) (online books to read)
UK-based additional support options if you feel worse and need extra help
Your own GP or the Accident and Emergency department at your local hospital
The Samaritans (24 hours) Telephone 0845 7 90 90 90 or Email: [email protected]
NHS 24 for Scotland (24 hours) Telephone 0845 4 24 24 24
NHS Direct for England and Wales (24 hours) Telephone 0845 4647
Breathing Space: Telephone 0800 83 85 87
6pm - 2am (Monday to Thursday)
6pm - 6am at weekends (Friday, Saturday, Sunday)
Help in Northern Ireland
The Samaritans
5 Wellesley Avenue, BELFAST BT9 6DG, County Antrim,
Telephone: 028 90664422
Lifeline Charity
Telephone: 0808 808 8000 for people of all ages in crisis or despair.
Written by Dr Chris Williams. Used under licence ©2010
Technical Stuff
All you really need to get started, is an Internet connected computer and a Web
browser. Living Life to the Full Interactive recommends the use of the FREE
Firefox Web browser but any will do
Other software that you will need includes:
Adobe Flash Player to play the video and animations on the web.
Adobe PDF Reader to view and print handouts.
You can download the software for FREE from the site.
Use your user/prescription card details to login. Please type in details
exactly as on the card- as the login details and password are case specific.
LLTTFi Quick Start Guide
What is Living Life to the Full Interactive?
LLTTFi is an online life skills course based on the proven
cognitive behavioural therapy (CBT) approach. It aims
to provide a practical and accessible route to feeling
Technical difficulties:
The Technical Support section at the top of the home page will guide you
through the log-in process and other aspects of the site.
Getting the linked workbooks:
You can get the linked handouts for each section from the Downloads area of
the site. Please print it off before starting each session.
How private is your information?
Your personal information will only be available to your clinician and other
approved clinical and site administrators. Anonymous grouped results of the
impact of the package are summarised by Media Innovations on a regular basis
for clinical outcome audit. See the Privacy and Privacy Policy for further details.
Write your PASSWORD here:
The course offers:
 Practical modules cover areas commonly affected by low mood and
 Text and video put together in the package to address your situation
 Teaching important skills such as relaxation and how to challenge
negative thinking
 Hints and tips for making changes
 Easy to use, understand and apply approach that can make a real
About the LLTTFi site
The site contains materials written by Dr Chris Williams who works at the
University of Glasgow. You can login using a computer at home, a library or
internet café. Each session lasts about 45 minutes – and you can stop and
rejoin any session whenever you want. Most people using the site have found
it helps them tackle feelings of depression. Additional features include the site
forum, ability to send email/text reminders to login, and importantly
Planner and Review sheets to help you Plan, Do and Review your sessions
Course Content and Materials
What would you like to get out of the course?
What is contained in the course?
Clearly presented information that will help you find out why you feel as
you do. You will discover how to make changes in your life – using
evidence-based tools that are based on a cognitive behavioural therapy
(CBT) approach. This is an evidence-based form of therapy. You will learn
key life skills to help you to turn the corner.
Sessions are delivered online and use cutting edge multimedia design
Session One: What is Depression?
Session Two: Getting Started: Creating an Action Plan
Session Three: Identifying extreme and unhelpful thoughts
Session Four: Challenging extreme and unhelpful thoughts
Session Five: Learning New Skills (problem solving/ assertiveness)
Session Six: Planning for the future
We all need life skills in our work, relationships and in every other aspect
Your practitioner will be there along the way – helping you get the most
out of the course- and to really apply it in your own life.
use the course on a regular basis. We know quite how hard it can be to stay
of our lives.
Probably we all have very different reasons for doing the course. Some
may be experiencing low mood, depression, anxiety or distress.
Whatever your reason for wanting to learn these life skills we hope the
content proves helpful. The skills taught cover general skills/information
we can all use in our lives when we feel under pressure, stressed or
Remember: To get the most out of the approach we advise that you try
fully complete and practice using the modules and make a commitment to
motivated when you feel down and stressed. Your practitioner/support
worker will be there with you to help you get the most from the approach.
What others have said about other the five areas approach:
“The wording is so simple and easy to understand - no long
'technical' terms! Thank you very much.”
How to get in touch:
Write your practitioner details here:
Features of Living Life to the Full Interactive (LLTTFi)
 Sound, text and video clips are used throughout.
 Free short handouts supplement the course.
 Set up text and email reminders to help you keep focused.
 Regular contacts with your practitioner help you keep on track.
 Clear Plan, Do, Review model helps you keep on track.
Record also what they have advised you to do if you feel worse and
need urgent help
Was this manual useful for you? yes no
Thank you for your participation!

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