The way we think about a situation can have a powerful impact on how we feel (emotionally and physically) and on how we respond (our behaviour/actions).
In CBT, the therapist and client work together to identify the thoughts and beliefs (cognitions) that are associated with particular problems and to discover if there are other, more realistic and helpful ways of thinking and behaving. With the therapist’s support, clients are encouraged to try out new ways of responding and to evaluate which techniques work best for them.
The National Institute for Health and Clinical Excellence (NICE), provides independent evidence-based guidance on the most effective treatments for a range of emotional and physical health conditions. NICE recommends CBT as the treatment of choice for: depression, generalised anxiety & worry, panic disorder, social phobia, health anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, body dysmorphia, sleep problems and more. CBT can be used in conjunction with prescribed medication or by itself.
What happens in a CBT session?
CBT is usually conducted in hourly, one-to-one sessions, but sometimes in groups. It is a structured, time-limited treatment. The number of sessions you need depends on the nature of your difficulties. Understanding the impact of past events on your current difficulties is an important aspect of CBT, but the main focus is on targeting problems affecting you in the present and understanding what is keeping them going, rather than on exploring your past.
We will agree specific treatment goals and work as a team towards improving your situation. I will help you understand the links between your thoughts, mood, physical reactions and behaviour and introduce you to a range of evidence-based techniques. You will be encouraged to apply the methods outside therapy, as research shows that people who practice CBT skills between sessions, have the most positive outcomes.
You can refer yourself directly or where possible, referrals can be made through your general practitioner (GP) or medical consultant. I offer treatment to people over the age of 18 years. When I receive a referral, I offer a brief telephone consultation (for which there is no charge) to discuss the presenting problems and consider the appropriateness of CBT.
If we agree that a lengthier assessment would be suitable, I will then offer an assessment appointment (90 mins) to explore the issues in more detail. I will prepare a psychological report summarising the problem(s), questionnaire results (if relevant) and suggestions for overcoming difficulties, including approximate number of sessions required. Subsequent sessions (60 mins) can be organised at your convenience.
Sessions are usually weekly at first, becoming less frequent as you progress.Short-term work is most common e.g. 6-12 sessions over several months. For longstanding issues, it may help to work over a longer period but with less frequent sessions e.g. 20 sessions over a year. In general, the more you apply the methods outside the sessions, the fewer sessions you will need.
Initial Assessment (90 min face-to-face assessment + full report & questionnaires)
Therapy session (60 min face to face)
£80 per hour
£80 per hour (excludes brief calls, to clarify or change appointments)
(if less than 24hrs notice)
Non attendance fee
If you have private health insurance, your policy may cover CBT. Fees cover our face-to-face time, all reading materials, handouts and questionnaires which I provide, writing notes and session preparation.
t. 07793 006723