Counselling, CBT and Psychotherapy for individuals and couples

There is a huge diversity of counselling, CBT and psychotherapy models practiced in the U.K. It can sometimes be baffling to know what is the best approach for your situation.

I am trained in counselling, CBT and psychotherapy (Psychodynamic and Jungian). Two of the therapies that I currently use are validated by NICE (National Institute for Health and Care Excellence) including CBT (Cognitive Behavioural Therapy) and DIT (Dynamic Interpersonal Therapy).

As an integrative therapist I might use techniques from one or more models that are most relevant to your situation. I do this because people have varying needs and no one approach works in all situations.

Interestingly research over the past 40 years has consistently suggested that the most important ingredient to achieving a successful clinical outcome is to develop a productive therapeutic relationship regardless of the particular theoretical approach.

We can discuss which approach or approaches that you would like to take in our initial one-off assessment after you have let me know a bit more about what is going on for you.

Counselling, CBT and Psychotherapy are offered Face to Face and on Skype.

Short term therapy for individuals:

After we have undertaken an initial one-off assessment, I offer short term counselling for a wide range of concerns. At this stage I ask that you commit to doing a minimum number of sessions so that you can give yourself the best chance of achieving your therapeutic goals.

According to NICE guidelines CBT is the treatment of choice for shorter-term interventions that focus on a particular issue such as Generalized anxiety disorder and panic disorder (with or without agoraphobia), phobias and depression. I offer a minimum of 12 sessions to work with these concerns.

Psychodynamic therapies such as DIT are being evidenced for depression and can also be useful in helping people to make sense of their relationship concerns. The minimum time for working with this protocol is 16 sessions.

Short term therapy for couples:

My usual protocol for working with couples is a minimum of 6 sessions.

Longer term therapy for individuals:

Psychotherapy is undertaken over a longer period of time. It can be helpful as an exploratory intervention to make sense of interpersonal relationships and to develop effective ways to deal with longer-term psychological and emotional problems. The idea is to 'shine a light' on your early life experiences to enhance your self-awareness so you are better able to make connections with current concerns and deal with problems in the 'here and now'.

Short term therapy for individuals:

I work with many different problems including addictions - I have previously worked for GamCare, the national charity for problem gambling. I also have a lot of experience of working with anxiety and depression and phobias - all of which have been the focus of my work with Surrey and Borders IAPT service over the past few years. I also work with life stage transitions, identity and sexuality concerns, stress and relationship difficulties and many other issues.

Supervision for individuals and groups

I offer integrative supervision to both qualified therapists and to students. I also offer single modality supervision including Psychodynamic, Jungian or CBT approaches. Supervision is offered face-to-face or online. Skype available.

I also offer mentoring and supervision to acupuncturists. Please see my listing on the BAcC mentoring and supervision register.


Acupuncture with a trained and fully qualified practitioner is one of the safest and longest established forms of healthcare. It is suitable for people of all ages, including pregnant women and children, and can be used effectively alongside conventional medicine.

(British Acupuncture Council website, 2015)

Both the World Health Organization (WHO) and more recently the National Institute for Clinical Excellence (NICE) have endorsed its use for particular clinical interventions. Acupuncture has been practiced in China for over two thousand years. Very fine needles are inserted in specific points around the body to

elicit the body's own healing responses. A usual treatment may involve the insertion of up to 10 needles for up to 45 minutes.

What problems do I work with?

The World Health Organization endorses the use of acupuncture for the following conditions: Anxiety, depression, stress, arthritis, asthma, back pain, aches, pains, circulatory conditions, facial paralysis, infertility, menstrual problems, migraines, sciatica, many skin conditions and ulcers.

Other people use acupuncture to help deal with pain, and even addictions such as smoking and alcohol.

Of course, an acupuncture treatment can also help with feeling better when dealing with serious illnesses and the undesirable effects of medications. It is also good to receive as a preventative treatment so as to maintain a sense of 'feel good'.

It is not necessary to have a specific illness in order to benefit from acupuncture. A number of well-being improvements can be obtained such as improving sleep, digestion, energy and vitality, emotional and mental functioning. In addition, acupuncture can be very useful for cosmetic treatments such as facial rejuvenation.

As part of my practice I run a quit smoking service which involves doing a number of sessions over a short period of time. You might also find it helpful to access the support of a self-help organization called Quitza:

What does a session involve?

The initial consultation is about discussing your lifestyle, your medical history and any symptoms that you may have.

It also includes a physical check-up involving pulse and tongue diagnosis. This is then followed by a personalized 15 - 20 mins. treatment to give you an idea of how acupuncture can help you. This means placing and moving very fine needles in the relevant part of your body. This enhances and balances the flow of energy around the body.

The follow up sessions would focus on feeding back on any effects from the previous treatment and update on any relevant signs and symptoms ahead of receiving a treatment.

How many sessions will I need?

To begin with it is good to space your sessions at weekly intervals. Once an improvement is made then the treatments will be spaced further apart.

Some people only need a short course of treatments such as six weeks before seeing an improvement, whereas others may need a longer period of treatment.

Ultimately the course of treatments will depend on the nature and duration of presenting symptoms.

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