Integrative Counselling

Integrative counselling is an approach to psychotherapy that combines different elements of specific therapies tailored to the individual.

I believe that no single therapeutic approach can treat every client and situation. Integrative counselling tailor’s therapy interventions, based upon each individual’s needs and their unique circumstances. Using this approach, I am able to carefully consider Individual needs and work holistically with affective, behavioural, cognitive and physiological aspects, as well as any social and spiritual elements.  Whist a diagnosis can be helpful to guide us in using evidenced based treatments and therapies, proven to be effective for specific problems (which I always take into consideration), it does not always consider every aspect of someone’s personality and background; This is what I aim to do with each individual person in therapy. I understand that everyone is different and people do not fit neatly into boxes. I can tailor therapy to suit you, as opposed to trying to fit you into one specific therapy mode.

Some of the therapeutic models and approaches I integrate include, Cognitive behavioural therapy (CBT) Client Centred; Gestalt; Transactional Analysis; Humanistic Therapies; Attachment Theory; Solution Focussed Brief Therapy; Motivational Interviewing; Relational; Compassion Focussed Therapy (CFT); Acceptance and Commitment Therapy (ACT); Mindfuless and Relaxation; Imagery or Visualisation; Creative Exercises.
See further information about counselling at Counselling in Primary Care

 

Cognitive Behavioural Therapy (CBT)

CBT is a talking therapy that has been proven to help treat a wide range of emotional (depression and anxiety disorders) and physical health conditions.

In CBT we start by exploring the relationship between your thoughts, feelings, behaviours and physiological response. We can then focus on breaking the vicious cycle that you are in, consider what can be changed and identify more helpful patterns of thinking and behaving . CBT is mainly concerned with the impact that things are having upon you in the here and now. Whilst we would consider your past, CBT does not generally explore this in any depth.

Specific difficulties can be discussed and goals are set between us for you to achieve. CBT involves hard work during and between sessions. As with most things in life that we learn, it is the practice which really makes the difference and evidence shows that this is an important factor in treatment outcomes. Using CBT, I will be able to help you decide what difficulties you want to work on, in order to help you improve your situation. I will then be able to advise you on how to continue using CBT techniques in your daily life, after your treatment ends. This is sometimes described as, ‘Teaching you to become your own therapist’.

Research shows that CBT works effectively in treating depression and anxiety disorders and is recommended by the National Institute of Health and Clinical Excellence Guidelines (NICE). NICE provides independent, evidence-based guidance for the NHS on the most effective ways to treat disease and ill health.

See further information at: http://www.babcp.com/files/Public/what-is-cbt-web.pdf
Cognitive and Behavioural Therapies

 

Guided Self-help (GSH)

Using Guided Self-help, I am able to teach you tools and techniques proven to be effective in managing mild to moderate symptoms of depression and anxiety.

This type of support is sometimes described as the least intrusive, as the sessions tend to be shorter and less sessions are usually required, compared to other forms of treatment. The sessions do not involve an in depth exploration of your problems. CBT based interventions are taught and then implemented by you with my support, in order to enable you to better manage your difficulties. The sessions are structured, workbooks can be used and self-help materials are recommended. An important part of this treatment is the completion of between session tasks, which is proven to impact positively on treatment outcomes.

Specific difficulties can be discussed and goals are set between us for you to achieve. CBT involves hard work during and between sessions. As with most things in life that we learn, it is the practice which really makes the difference and evidence shows that this is an important factor in treatment outcomes. Using CBT, I will be able to help you decide what difficulties you want to work on, in order to help you improve your situation. I will then be able to advise you on how to continue using CBT techniques in your daily life, after your treatment ends. This is sometimes described as, ‘Teaching you to become your own therapist’.

Websites can also be suggested, which have information on CBT techniques and are free to access. Evidence does show that using them works better with support from a therapist.
See further information

 

Groups and Workshops

Group therapy or workshops take place with a group of people together, as opposed to individually in a one-to-one session.

It can include support groups, skills training groups (such as sleep hygiene, mindfulness, relaxation training or social skills training for example), and psychoeducation groups.

Having therapy in a group environment can have many benefits as it offers a support network and provides the opportunity to meet others experiencing similar concerns. Together with the therapist and the other group members you should be encouraged to share your experiences and work on understanding yourself better.
See further information

 

Supervision

I have several years’ experience working as a Supervisor within my employment.

I have Supervised a number of teams of both qualified and trainee Cognitive Behavioural Therapists, as well as Psychological well-being Practitioners and Trainee Social Workers. This has been delivered both individually and in a group setting.

I enjoy this element to my practice and have received a lot of very positive feedback from colleagues and management. This has also been evident within more formal anonymous feedback forms. Staff have reported that they feel comfortable meeting with me and find me approachable, but also congruent and able to provide constructive feedback to enhance their learning.

I have attended the Improving Access to Psychological Therapies Supervisor training, as well as additional training, to further develop my skills. I follow the Roth and Pilling Competencies Framework for CBT in depression and anxiety disorders. This framework outlines the activities necessary to carry out CBT effectively and in line with best practice.
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Interested in attending therapy?

What happens next.

initial contact

Initial Contact

Contact me via telephone, text or email and we can have a brief, informal discussion about your requirements. We can cover any initial questions and decide whether an assessment is right for you.

Assessment

Assessment

An assessment usually takes upto 1 hour and is an opportunity to discuss your reasons for contacting, including your needs, goals and expectations. We can then discuss the recommended treatment and available options of support.

Treatment

Treatment

Sessions usually last 30 minutes for Guided Self-help and 1 hour for CBT or Counselling. Whether you want to talk through your difficulties or have a more structured and hands on approach, I can adapt the therapy to meet your needs.