Support with long term conditions

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The steps2change Long Term Conditions (LTC) service is a dynamic service which provides support for adults diagnosed with a long term health condition (LTC) or Medically Unexplained Symptoms (MUS), who are experiencing symptoms of anxiety or depression.

Living with a long term health condition can be very frightening and we know that a person's physical and Mental health are intrinsically linked. 

Treatments we offer

The service offers Cognitive Behaviour Therapy (CBT) which is delivered by trained CBT therapists who deliver this at both Low and High intensity. CBT looks at the way we think and behave and how this impacts on the way we feel. We also provide counselling which focuses on emotional issues and have specialist Employment Advisors that can support with any employment issues.

We offer these therapies in many different forms, face to face within healthcare settings, digitally and via telephone. We aim to work as closely as possible with physical healthcare teams to provide a fully integrated model of care.

Treatment adaptations

We will adapt therapy where necessary to account for your individual needs, including adapting session lengths and adding breaks to sessions if necessary. We can also offer adaptations to a number of sessions and will be flexible with the cancellation policy if physical healthcare appointments clash and treatments mean sessions need to be rearranged.

We will also offer joint appointments with physical healthcare teams to integrate care fully and to provide joined up working. If required, we provide home visits if people are housebound due to their physical health condition.

Long Term Health conditions we can support with include:


  • Heart Failure
  • Angina
  • Arrhythmia
  • Cardiac Arrest
  • Cardiovascular Disease
  • Coronary Heart disease
  • Atrial Fibrillation
  • Valve Disease
  • Cardiomyopathy
  • Myocardial Infarction


  • Type 1
  • Type 2


  • Chronic Obstructive Pulmonary disease (COPD)
  • Bronchitis
  • Asthma
  • Emphysema
  • Pulmonary Disease
  • Bronchiectasis

Medically Unexplained Symptoms (MUS)

  • Irritable Bowel Syndrome (IBS)
  • Chronic Pain (MSK Related Issues)
  • Chronic Fatigue Syndrome (CFS)
  • Fibromyalgia/ME (Myalgic Encephalomyelitis)
  • Tinnitus/Vertigo

Musculoskeletal (MSK)

  • Osteoarthritis
  • Back/Neck Pain
  • Osteoporosis
  • Gout
  • Rheumatoid Arthritis


  • Breast Cancer
  • Head and Neck Cancer
  • Upper GI Cancers
  • Bowel Cancer
  • Blood Cancers
  • Skin Cancers
  • Chemotherapy Referrals
  • Urinary Cancers


  • Ischaemic Stroke
  • Haemorrhagic Stroke
  • Trans Ischaemic Attacks (TIAs)

Autoimmune Diseases

  • Lupus
  • Multiple Sclerosis
  • Thyroid disorders 

Long Covid

Neurological disorders

  • FND
  • Epilepsy
  • Cerebral Palsy

Refer yourself to steps2change on our website, call 0303 123 4000 to request a postal form, or ask your GP to refer you.

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