MY EXPERTISE IS VARIED......and it would perhaps be simpler to mention problems I do not work with, rather than those that I do.
These areas are drug and alcohol abuse, eating disorders, psycho-sexual counselling, and working with children under the age of 14. This is because there are other counsellors more specialised in these particular areas who would be your best resource.
I most commonly work with depression, anxiety disorders (which might include general anxiety, phobic anxiety, panic, health or social anxiety and OCD), stress, relationship problems, anger management and difficulties in the workplace (I have a background in HR which helps in this regard).
However, CBT will resolve most problems, no matter how unusual the client feels that they are.
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TRAINING, QUALIFICATIONS & EXPERIENCE
1999 to present: Cognitive Behavioural Therapist, Cygnet Hospital, Sevenoaks, Kent The clinic offers both in-patient and day-care treatment for a wide variety of mental health problems. As part of the day-care service, patients are offered 1:1 CBT therapy as well as group sessions. Working under psychiatrists who initially assess each patient and devise a treatment programme for them, I work on a 6 session reviewable basis with both Axis I and Axis II disorder patients.
1999 to present: Cognitive Behavioural Therapy Practice I have my own private CBT practice, working with clients who are referred to me by a variety of psychiatrists and GP surgeries, personal recommendation and professional associations to which I am either accredited or a member.
1996 to 2007 : CBT Therapist, Hamsey Green GP Surgery, Warlingham, Surrey Problems are extremely varied, ranging from depression, anxiety, bereavement, work, family and relationship problems.
2000 to present: CBT Therapist to Crown Prosecution Service Working on therapy issues with staff of the service on an on-going basis.
2001 to 2004: NHS Health Gain Fund Research project In conjunction with Dr Michael Bosch and Ms Maya Twardsicki of East Surrey Health Authority and Dr Joyce Tarrant of Hamsey Green GP Surgery. This project ran for two years prior to evaluation and assessment by our team.
How can Cognitive Behavioural Therapy, Counselling or Coaching, help me?A trained CBT therapist, counsellor or coach aims to help you gain a new perspective about whatever is troubling you. Together we identify the reasons you find yourself in difficulty - which may be long-term problems or a recent crisis - and work towards enabling you to reach your full potential and overcome any obstacles to this. Do not worry if you have had these problems for a long time. It is just as possible to make excellent progress in this case as it is with a more recent event or trauma.
Sometimes clients are not even quite certain what their problems are. They simply know that they feel very depressed or anxious, and cannot quite understand why. This is not a problem for the therapist or coach, who will be skilled at sorting these feelings out and getting to the root of the problem.
CBT therapists, counsellors and coaches are trained to look beyond presenting problems to possible underlying causes. The aim of the process is to help you to adjust your thinking and behaviours to those which are more productive for you, and to help you move towards becoming the kind of person you want to be.
Code of Ethics PractisedBritish Association of Counselling and Psychotherapy Code of Ethics and Practice
ConfidentialityThe trust between client and practitioner is crucial to the success of the process, and all information disclosed is treated as entirely confidential. The only occasion when this might change is where, in my opinion, my client is a danger to him/herself or others, where I am ethically obliged to inform appropriate agencies.
Client notes are also entirely confidential between coach/therapist and client, and no outside party has a right to request that they be seen, or that anything from their content be made known. The only exception to this may (but not necessarily) be if such notes are subpoenaed in a court of law.
Therapy or Coaching ProcessWhere the cost of your sessions is covered either by private health insurance, your company, or an Employee Assistance Service, then they will normally state at the outset the number of sessions that they are willing to pay for. You might normally expect this to be between 5 and 12 sessions, depending on your cover.
Where you are self funding, you will quite rightly - especially where time and cost constraints exist - wish to know at the start of therapy, how many sessions they are likely to need. This can be difficult to answer exactly, but the following is a guide:
Initial session: at the end of this session the client and I will mutually decide if continued help would be beneficial. If we decide not to work together, I will try to provide you with details of alternative practitioners or agencies. If we decide that further assistance would be helpful, we will together agree an initial number of sessions - usually between six and twelve - and a review will take place at the end of these sessions, where we jointly assess progress and decide on further sessions or alternative action.
As the client, you may terminate your therapy at any time, and there is no obligation to complete the agreed sessions.
SessionsSessions will normally be weekly or fortnightly, as this provides the best continuity and therefore, the speediest resolution to problems. However, this does not preclude sessions on an occasional basis being very helpful, and I am very pleased to offer therapy on this basis.
The face-to-face session time is 50 minutes. If you are late arriving, the session will still need to finish at the pre-arranged time so as not to delay the next client. Where, for any reason, any delay is my responsibility, then the time will always be made up to you.
Appointments are normally scheduled to start either "on the hour" or "on the half hour". This allows me, the therapist 10 minutes between clients to ensure that the session notes are complete, and to prepare for the next client, in the same way that I will be prepared for you. It is not usually possible for clients to arrive early for their sessions, as I will normally either be working with the previous client, or completing paperwork prior to my next client. Clients often ask, "Why 50 minutes?", and there are many reasons for this. I attach a more detailed note on the session structure and timing, which you may find helpful.
CancellationsAt my private practice, provided you telephone me in advance of your session, I make no cancellation charges. However, if you fail to let me know in advance, then the full fee is payable. Where unreliability is a problem, I would reserve the right either to terminate the therapy, or to ask for payment in advance of the sessions booked.
- By rail: It is possible to walk from Epsom Downs station, but it will take 15 minutes or thereabouts. Epsom station is about 8 minutes away by car or taxi.
- Buses: Numbers 166 and 408 stop at the bottom of the road - check with your route-finder whether they will be of help to you.
- Car: My private practice is just off the A240, which runs between the A3 at Tolworth and the M25 at Junction 8.
- Parking: There is plenty of parking space at my private practice.