first session is always devoted to identifying and clarifying the current problems (e.g. anxiety, depression, grief, anger, unhelpful behaviour).
Following on from the first session we will
quickly explore and identify how my client's actions, urges, personal experience (feelings, thoughts and body sensations) and life circumstances are linked together to create the problem. We will use discussions and written materials to achieve this understanding. My clients will receive handouts with explanations and practical exercises to make best use of their time in between sessions.
As quickly as possible we will move from trying to understand the problem and what causes it to developing and building helpful strategies. Depending on the nature of the problem this will include examining and challenging and changing one's thoughts and beliefs, it may include learning different ways of handling one's circumstances and personal experiences and it may include learning different ways of "doing things".
If and when appropriate, we will also develop and practise additional skills such as relaxation, distraction and calming techniques.
How many times my client and I meet will depend on the nature, severity and length of the problem and my clients' expectations in regards to their goals. The whole therapy process is always designed to be as brief and efficient as possible.
Sometimes it may be useful to explore and work on my client's deeply held beliefs, which drive his or her moment to moment experience and actions. These beliefs usually reflect all of one's life experiences. If and when I feel that this would be useful I will always discuss this option with my clients. There will never be any pressure to pursue this option as I acknowledge my client's right to keep therapy as short as possible.
My clinical therapy service is based on a combination of cognitive-behaviour therapy (CBT) approaches which are tailored to meet my client's needs.
For this reason I include techniques from Cognitive Therapy (CT), Schema Therapy, Rational Emotive Behaviour Therapy (REBT), Mindfulness Based Cognitive Therapy (MBCT), Acceptance and Commitment Therapy (ACT) and Dialectical Behaviour Therapy (DBT) as well as Mindfulness Based Stress Reduction (MBSR).
More CBT/Mindfulness Resources
General information about Clinical Psychology in New Zealand
is available from these reputable internet sources
Zealand Psychologists Board
Zealand College of Clinical Psychologists (NZCCP)
Zealand Psychological Society
Detailed background material on CBT related therapy approaches
can be accessed through the following links
Therapy Centre Home Page