Counselling and Psychotherapy

Brief Therapy or Counselling

Brief Therapy or Counselling usually lasts for between 8-20 sessions and target a particular symptom or problem. Various approaches are used including Cognitive Behavioural Therapy (C.B.T), Mindfulness Based approaches, Time Limited Dynamic Psychotherapy (TLDP), and Motivational Interviewing. Often these approaches will be integrated into therapy sessions depending on your needs. For more information on these types of therapy please see below:

Cognitive Behavioural Therapy (CBT) works with our thoughts, feelings/emotions, behaviours, and physiological responses. It is based on the idea that thinking or belief patterns can effect emotional or mental health. It uses a collaborative relationship whereby we work together to address the presenting problem. Between sessions, "homework" is often undertaken to help you apply these skills to life. Solution-focused CBT is particularly suited to addressing issues such as Anxiety, Phobias, Depression, Relationship, and Anger problems. There are many new models of Therapy that are broadly Cognitive Behavioural, and some are more suited for certain issues or people e.g. Mindfulness based approaches, Dialectical Behaviour Therapy (DBT) or Acceptance & Commitment Therapy (ACT). 

Time Limited Dynamic Psychotherapy (TLDP) is a short-term Psychodynamic approach incorporating recent developments from Interpersonal, Object Relations and Self Psychology theories, as well as some Cognitive Behavioural elements. Compared to longer-term psychotherapy it is more focused, and the therapist is more 'active' in sessions. While your early experiences are seen as important, therapy has a more 'here-and-now' focus and your strengths are emphasised. Assessment often includes looking at your expectations of others and your perceptions of yourself. Establishing a key therapeutic focus based on recurrent interpersonal themes (Cyclic Maladaptive Patterns) is also important, to ensure sessions are most effective. The goal of TLDP is to help you change unhelpful dynamics by fostering new experiences and understandings within the therapeutic relationship.

Motivational Interviewing (M.I) Motivational interviewing (MI) is a semi-directive, client-centered counselling style for bringing about changes in behaviour by helping clients explore and resolve ambivalence (Miller & Rollnick, 1995, p. 325). Compared with non-directive counselling, it is more focused and goal-directed. Motivational Interviewing is particularly useful for issues of Addiction and overcoming unhealthy or destructive behaviours through examining issues, values, goals, and eliciting personal reasons and methods for change.


 Longer Term Psychotherapy?

While for some people addressing a specific problem or symptom may be sufficient, many clients want to address chronic problems, change unhelpful ‘core beliefs’ or patterns and bring about lasting changes through the gradual process of the therapeutic relationship. Others may want to embark on a journey of self discovery, personal development, and healing of Trauma. If you are wanting to undertake this more in-depth and gradual work then Psychodynamic Psychotherapy is recommended.