Does Anxiety Wizard Have Value?
The question of value comes up a lot. How do you value something properly? Now that the Anxiety Wizard Self Help CBT program is fully live, I receive a lot of questions around, ‘what does Anxiety Wizard cost?’. I have had a think about this question, and surely wouldn’t the better question be; ‘does Anxiety Wizard deliver the value of the cost?’
I can relate this question to a face to face CBT course of treatment with me. At the beginning, we define the overall cluster of problems. Then, we break the bigger problems (anxiety or depression) down into smaller problems, and then deal with each one individually. It should be said that I try to put problems together so that a tool might deal with a whole handful of problems in one go. That saves a lot of time. Weekly sessions then usually start with talking about details of the past week - especially in relation to the homework we had decided to work on from the previous week. We focus on things that are working and going in the right direction and things that seem like continuing problems. I particularly focus on the problems; this is because I know that the next homework will be designed to solve these specifically. Once we have defined the new problem we are working on, I offer a tool I already have, or I devise a new tool that with practice will effectively deal with and resolve the new problem. That is how therapy with me goes.
As an example, let’s say that the client has significant problems with Generalised Anxiety Disorder (we have recently just finished GAD week). It will be obvious that worry is a significant problem that needs to be solved. I will say “let’s make the homework for this week to have a zero tolerance for worry. Let’s really work hard to make worry history.” I will allocate one of the worry tools from Anxiety Wizard as the main tool to practice. After about 2 weeks of using worry tools, it will generally be the case that the client’s worry is pretty much either under control or has completely gone.
Imagine being free of worry. What value would you assign to that? As I have described, the process of becoming worry free, for example, would take about 2-3 face to face sessions of CBT with a rough cost of around £240-£360.
Imagine feeling in full emotional control. Typically, that only takes about 2 face to face sessions, with an estimated cost of £240.
Imagine feeling free of PTSD or being able to walk around feeling safe inside your body. This will generally take about 3-4 face to face sessions with a cost of approximately £360-480.
The great thing is that, because we are usually working on a weekly meeting schedule, we get affects that build up, week by week. We always use anxiety and depression symptom scores as a way of measuring clinical outcomes. So generally, after about 6 weeks of face to face meetings at a cost of about £720, I expect and usually see that clinical scores for both anxiety and depression have significantly reduced: from severe clinical anxiety, to mild; and/or from severe clinical depression, to mild. Also, it is possible that the scores may have fallen into the ‘cured’ category - I would certainly expect to see this after 8-10 sessions.
The cost of 10 face to face CBT sessions with me is roughly £1200. Does this represent value for money? If you could be free of anxiety and depression for £1200, would that represent value for you?
To help you decide, ask yourself; what does anxiety and depression cost you? Time off work; damaged relationships; years of stress; long term medication and its side effects. What cost would you put on your own misery?
Well, researchers consider that one person with depression costs the economy between £22,000 - £30,000 per year. Of course, this cannot possibly address the human cost to the individual. Nevertheless, based purely on the economic cost, treatment with me would seem like good value for money. So why suffer if you can afford to have face to face CBT and feel great again?
Each face to face session is a process of discovery and refinement of the problem to work on. It also involves the allocation or creation of a tool to help you resolve the problem. Typically, in a session we will only consider using one or two tools. A session ends with you having a clear understanding of what you are doing for the coming week, and why you are doing it. You leave the session feeling focused and keen on the idea of moving your life forward.
This brings us to the value of Anxiety Wizard. I have taken all my clinical practice knowledge about defining clinical problems and incorporated it into Anxiety Wizard. Furthermore, I have added all the clinical tools that I have created over my many years of practice into Anxiety Wizard. And, I continue to add more tools as I create them. At present, there are 160 videos and audios. This gives you everything you would get in therapy with me, costing at least £1200, with the same expected outcomes.
Finally, I do get asked, ‘why is it not free?’ ‘Why should I have to pay for it?’ ‘The NHS is free!’ Well, the NHS is not free. Everyone who pays tax, pays for the NHS. As an example, a worker earning approximately £25,000 will pay £1,800 per year into the NHS, that’s £150 per month. As a general principle, people do not value what they do not pay for, because paying for something creates the concept of commitment. Face to face therapy, without commitment, would not work. The desire to be fit, but without the commitment to exercise will not work. Similarly, Self Help CBT without the commitment will not work. Quite simply, paying for the program creates commitment.
Again, based on years of clinical practice, I have worked hard to ensure the program is interesting and engaging, as well as clinically effective, so that once you start your journey with commitment, you will be carried along to the end and achieve the outcome you want.
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