Therapy; a space to think, feel and reflect
Bespoke Psychological Therapy in Cheltenham, Cirencester and Online
As a Counselling Psychologist, I do not believe in a ‘one size fits all’ approach to psychological therapy. I integrate two different evidence based models of psychological theory; Cognitive Behavioural Therapy (CBT) and psychodynamic therapy. I am also trained in Mentalization based therapy (MBT) and I draw on elements of this model and I’m influenced by the work of Paul Gilbert on Compassion. The types of interventions I use, depend on the problem area you are struggling with, your personality, what has and hasn’t been helpful to you in the past and your goals for therapy. Therapy is tailored to meet your individual, specific and idiosyncratic needs.
In Counselling psychology, it is recognised that building a strong therapeutic relationship with you, the client, is key to achieving a positive therapeutic outcome. As such, it is my priority to provide a safe, nurturing space for you to learn, heal and grow. My approach is open, empathic and nurturing.
“Feeling real is more than existing; it is finding a way to exist as oneself and having a self into which to retreat for relaxation.”
Psychological Therapy for you
Psychological therapy for anxiety
Anxiety is a normal part of everyday life and is linked to our internal fight and flight response. Anxiety starts to become a problem if it gets in the way of you doing the things you want to do or leads to you engaging in behaviours you want to stop but can’t.
Psychological symptoms of anxiety may include feeling tense or nervous, having difficulty relaxing, feeling tearful, experiencing obsessive thoughts or intrusive memories, worrying about the past or future, fearing the worst, having difficulty concentrating and difficulties with sleep. Physiologically you may experience a faster or more noticeable heartbeat, chest pains, headaches, you may feel lightheaded and dizzy, shaky, hot, breathless, sweaty and notice a loss of appetite. GAD, SAD/social phobia, health anxiety, panic disorder, agoraphobia and phobias are treatable with therapy sessions.
Get in touch and find out how therapy could help you.
Psychological therapy for depression
There are many symptoms of depression you may be experiencing including feeling hopeless, helpless, irritable, guilty, anxious, tearful, having little interest or motivation to engage in activities you used to enjoy, withdrawing from others, low self-esteem, difficulty concentrating and/or making decisions, suicidal thoughts or having thoughts about harming yourself and harming yourself. You may have less energy than usual, be having difficulty sleeping or are sleeping too much, you may have lost your appetite or are over eating, you may have a reduced libido or unexplained aches and pains. I can help you identify ways to find joy in your life again. First we need to understand what is underpinning your low mood and what may be maintaining it.
Book your FREE 15-minute consultation and find out how therapy could help you.
Psychological therapy for low self-esteem
Self-esteem is often but not always linked to childhood experiences and the messages you received about yourself growing up. Early experiences may include being punished, neglected or abused, feeling that you have failed to meet the high standards of others, belonging to a family or peer group that is discriminated against, feeling that you are the odd one out at home or school, being on the receiving end of other people’s distress and/or not receiving enough praise or interest from your family.
If you have low self-esteem, you may notice that you withdraw and avoid challenging or new situations because you feel you will be unable to cope. You may also find that you engage in behaviours to cope like drinking or smoking too much. Living with low self-esteem can also contribute to the onset on of anxiety and depression. Low self-esteem is very treatable with therapy sessions. Get in touch and find out how therapy could help you.
Trauma & post traumatic stress disorder (PTSD)
There are many different forms of trauma and they can impact on you in many different ways. Trauma may be the result of a single event such as a road accident, an assault, a child birth experience or a fire, for example. Trauma may also be in response to repeated malevolent behaviours over a long period of time such as sexual, physical or emotional abuse. People respond to trauma in different ways. Responses to trauma may include flashbacks of the event(s), repetitive intrusive thoughts, images or sensations relating to the event(s), difficulty sleeping, nightmares, hypervigilance, avoidance, withdrawal, feeling numb and/or feeling guilty. Whether you have experienced multiple layers of trauma or a single traumatic event, I can help you make sense of your experience, process the trauma and heal. Get in touch and find out how therapy could help you.
Psychological therapy for stress
You may be experiencing stress that is related to a life transition, your workplace, relationships, exams, finances, an unexpected life event or for a myriad of other reasons. Stress can have a big impact on our lives and can cause anxiety, depression, poor sleep, reduced energy, reduced appetite or overeating, reduced libido and can impact on your relationships. We cannot eradicate all stress from our lives but I can explore with you what may be underpinning and maintaining it in order to identify and break unhelpful thought patterns and behaviours. I can also equip you with strategies and skills to help you manage stress and restore some calm to your life. Get in touch and find out how therapy could help you.
Infertility, miscarriages, IVF and donor conception
Approximately one in seven couples has trouble conceiving and there is currently an infertility crisis in the UK that has received relatively little media attention. The associated stigma attached to infertility for men, women and couples may be partly to blame. The psychological impact of infertility, miscarriages and unsuccessful IVF cycles can elicit all sorts of painful feelings including shame, guilt and loss and has been linked to prolonged grief disorder. It can also create confusion about gender identity, impact upon self-esteem, put a strain on relationships and lead to anxiety and depression.
For some individuals and couples, donor conception may be an option, whereby a donor egg, donor sperm or a donated embryo are used to facilitate conception. While offering a much longed for solution, this avenue can also evoke all sorts of painful and often conflicting feelings including a sense of loss. I offer a safe, nurturing space where you can explore and make sense of your experience, heal and move forwards. Get in touch and find out how therapy could help you.
Psychological therapy for post-natal depression
Post-natal depression is a type of depression that affects more than one in ten women and up to one in ten men and it can be a lonely and isolating experience. It starts any time within a year of the baby being born. There are a number of factors that may make you more susceptible to postnatal depression including a history of mental health problems, particularly depression earlier in life, a history of mental health problems during pregnancy, not having close family or friends to support you, a difficult relationship with your partner, recent stressful life events, such as a bereavement and having experienced physical or psychological trauma, such as a traumatic birth.
Sometimes the expectations of becoming a mother or father do not align with the reality of becoming a parent. I offer a nurturing space to help you make sense of the challenging and often conflicting experience of becoming a mother or a father and to help you find joy in your life again. Get in touch and find out how therapy could help you.
Psychological therapy for menopause
The Menopause tends to affect women between the ages of forty five and fifty five but it sometimes happens earlier. Menopause and perimenopause symptoms can have a big impact on your life, including relationships and work and both can cause symptoms including anxiety, low mood, mood swings, brain fog, and hot flushes. These symptoms can start years before your periods stop and carry on afterwards. I offer a nurturing therapeutic space to help you process this life stage and equip you with skills, strategies and techniques to cope with symptoms.
Get in touch if you’d like help during this phase of life.
HOW CAN I HELP?
Other Areas of Expertise
Behavioural Issues
Bereavement
Body Positivity
Borderline Personality (BPD)
Coping Skills
Divorce
Infidelity
Life Transitions
Marital and Premarital
Parenting
Peer Relationships
Personality Disorders
Relationship Issues
Self-Harming
Sexual abuse
Sleep or Insomnia
Substance misuse
Trauma and PTSD
Women’s Issues
If you would like to know if I can help, please feel free to contact me for a consultation.
Counselling Psychology Approach
In Counselling Psychology, there is a range of therapeutic approaches to choose from rather than one single, overarching approach. I adopt an integrative approach whereby I draw on Cognitive Behavioural Therapy (CBT), psychodynamic theory and Mentalization based therapy. The most important factor in achieving a positive therapeutic outcome, is building a strong therapeutic relationship, with you, the client.
Cognitive Behavioural Therapy (CBT)
CBT was founded by Dr Aaron Beck in the 1960’s and 1970’s and is based on the premise that our thoughts, feelings, behaviours and physiology all interact and impact upon one another. By identifying and challenging negative thoughts and maladaptive behaviours, mood and physiological wellbeing can be improved. CBT is structured, collaborative and aims to teach the client to become their own therapist. There is a strong evidence base for CBT and as such, it is a NICE (National Institute of Clinical Excellence) recommended treatment for anxiety, depression, low self-esteem, trauma and many other mental health difficulties.
Psychodynamic Theory
Psychodynamic therapy has its roots in psychoanalysis and the theories of Sigmund Freud. At the heart of psychodynamic theory is the idea that the unconscious is dynamic and psychological pains stems from inner conflict between parts of the self. Exploring your early experiences and unconscious mind helps to throw light on what might be contributing to your psychological difficulties today. There is a strong evidence base for psychodynamic therapy in treating various mental health difficulties including anxiety, depression, eating disorders and addictions.
Mentalization Based Therapy (MBT)
Mentalization based therapy (MBT) was developed and manualised by and Dr Peter Fonagy and Dr Anthony Bateman in 2012. Mentalizing refers to our ability to be curious and attend to what is going on in our mind and the mind of others. It is the capacity to link what is going on internally, in our minds to our feelings, thoughts and behaviours and to link what may be going on in the mind of another, to their feelings, thoughts and behaviours. There is a strong evidence base for MBT and as such, it is a NICE (National Institute of Clinical Excellence) recommended treatment for Borderline Personality Disorder (BPD), also referred to as Emotionally Unstable Personality Disorder (EUPD). MBT has received growing interest and is now being used to treat a wide range of disorders beyond that of personality disorders.