Whether you want to be able to talk about your problems to someone who shows understanding and is able to listen and support you in working through this difficult time, or you want a more hands on approach, whereby you feel like you are more able to actively do something to change things, I am able to adapt my approach to meet your needs.
Upon your first contact, I usually aim to have an initial brief, informal discussion to establish whether an assessment is right for you. This first brief discussion is usually via telephone; however if other methods are preferred, please request this.
An assessment usually lasts 1 hour. During this first session, we will be able to discuss your reasons for contacting, including your needs, goals and expectations. In order to explore whether we will be able to work together, I have some specific questions I will need to ask to help me understand the difficulties you are experiencing and how I can best help you (you do not need to discuss anything in depth that you are not ready for). You will also have the opportunity to ask me any relevant questions. We can then discuss the recommended treatment and available options of support. I can also signpost you to any services that may be able to offer additional support and self-help materials, in which you may find useful. This can be particularly beneficial if you want to do something else to help yourself prior to sessions commencing, or between your sessions. Should you wish to continue working together, we can agree the frequency and duration of your sessions.
Once we have agreed the treatment which is most likely to be effective for you, the sessions can be arranged. These are usually carried out on a weekly basis, but can be more or less frequent as required and this can also depend on the stage of therapy. Sessions usually last upto ½ hour for Cognitive Behavioural Therapy based Guided Self-help (CBT GSH), and upto 1 hour for Cognitive Behavioural Therapy or Integrative Counselling. Occasionally some sessions (such as with trauma work, or exposure therapy) may need to be 90 minutes in length, but we would negotiate this only as necessary. At our first or second meeting we will come to an agreement about the number of sessions we want to arrange – maybe initially 4-6 sessions – at the end of which we review therapy and decide upon further sessions. A course of CBT GSH usually lasts for up to 6 sessions and other therapies can be between 8 and 20 sessions, but it can also be shorter or longer depending upon your situation and difficulties. Sessions are usually delivered face to face, or via telephone or skype. Home visits may be available upon request. Details regarding workshops and groups can be negotiated dependant upon your requirements.