Attention Training Practice Record

When to Use

Use within Wells' metacognitive therapy protocol when attention training technique (ATT) is being used to develop flexible attentional control. Introduce after the client understands the rationale for attention training and has practised it in session.

How to Introduce

Emphasise that ATT is a skill that requires regular practice, similar to physical exercise. Frame the practice record as a way to track both frequency and quality of practice to optimise skill development.

Adaptations

For clients who struggle with the auditory attention tasks, start with simpler exercises and gradually increase complexity. Reduce initial practice duration from the standard 12 minutes if needed to build the habit.

ATT is not a relaxation technique and should not be introduced as such. Avoid with clients who have significant hearing impairments without appropriate adaptation. Not suitable as a standalone intervention without the broader metacognitive therapy framework.

Clinical Tips

Common difficulties include using ATT as a distraction or avoidance strategy rather than an attentional flexibility exercise. Check the client's understanding of the rationale regularly. Practice quality matters more than duration in the early stages.