Our Therapy Methods
Cognitive Behavioural Therapy (CBT)
Cognitive behaviour therapy (CBT) is based on the idea that our emotions are produced by our thoughts. It asks you to challenge unhelpful ‘head-talk’– the things we tell ourselves every day.
For example, you might think, ‘the presentation I’m doing tomorrow will be a disaster’. This causes you to feel anxious and depressed.
In CBT, your therapist asks you to provide the evidence for this thought, and the evidence against it. You are then asked to suggest a more balanced view of the situation by seeing both sides.
CBT is often used to treat depression and anxiety.
Acceptance and Commitment Therapy (ACT)
Acceptance and commitment therapy (ACT) is based on mindfulness (being aware of the present moment). You are encouraged to accept negative thoughts and emotions and to think of them as passing through, and not defining you. It is used in different ways to treat stress, anxiety, personality disorders and schizophrenia.
Dialectical Behaviour Therapy (DBT)
Dialectical behaviour therapy (DBT) focuses on controlling problem emotions (especially anger) and behaviours (such as cutting). It is often used to help people with personality disorders.
Interpersonal Therapy (IPT)
Interpersonal therapy is a brief treatment for depression. It asks you to think about and discuss your relationships with other people, and how they affect your mood and emotions.
Mindfulness and Meditation
Mindfulness is where you are encouraged to focus on the present moment, rather than worrying about past or future events. Mindfulness is an activity you can do by yourself in a quiet moment, or you can be guided by a therapist or even a phone app. Mindfulness may be used to help with depression and anxiety.
Family therapy involves family members talking to each other under the guidance of a therapist. It aims to get everyone in the family working together to get you well again.
Those steps are:
Define the problem.
List all the possible solutions.
Evaluate the options.
Select the best solution.
Create an implementation plan.
Communicate your solution.
The solution-focused brief therapy approach grew from the work of American social workers Steve de Shazer, Insoo Kim Berg, and their team at the Milwaukee Brief Family Therapy Center (BFTC) in Milwaukee, Wisconsin. A private training and therapy institute, BFTC was started by dissatisfied former staff members from a Milwaukee agency who were interested in exploring brief therapy approaches then being developed at the Mental Research Institute (MRI) in Palo Alto, CA. The solution-focused approach was developed inductively rather than deductively; Berg, de Shazer and their team spent thousands of hours carefully observing live and recorded therapy sessions. Any behaviors or words on the part of the therapist that reliably led to positive therapeutic change on the part of the clients were painstakingly noted and incorporated into the SFBT approach. SFBT is what evolved from the Brief Therapy that was practiced at MRI.
SFBT might be best defined by what it does not do because SFBT presents an innovative and radically different approach from traditional psychotherapy. Traditional psychotherapy looks at how problems happen, manifest, and resolve. In most traditional psychotherapeutic approaches starting with Freud, practitioners assumed that it was necessary to make an extensive analysis of the history and cause of their clients' problems before attempting to develop any sort of solution. he problem-solving approach is influenced by the medical model, where the symptoms are assessed to diagnose and treat the malady. Outside of SFBT, the almost universal belief is that the clinician must define and understand the problem to help. To do this, the practitioner must develop some information about the nature of problems that they will help resolve and ask questions about the client's symptoms. The more common problem-solving approach includes a description of the problem, an assessment of the problem, and plan and execute interventions to resolve or mitigate the impact of the problem. This is followed by an evaluation determining the success of the intervention and follow-up if necessary.
Solution-focused therapists see the therapeutic change process radically differently. SFBT posits that a therapist can help clients resolve their problems without identifying the details or source problem and completely avoids exploring the details and context of the problem. SFBT believes that an assessment of the problem is entirely unnecessary. Focusing on the problem actually may serve to shift the client away from the solution. This is because SFBT fundamentally believes that the nature of the solution can be completely different from the problem. So instead, SFBT focuses on building solutions by conceptualizing a preferred future with clients. SFBT is all about finding alternatives to the problem, not identifying and eliminating the problem.
SFBT is strengths-based and supports clients' self-determination. Using the client's language, SFBT uses the client's perspective and fosters cooperation. The focus on the strengths and resources of clients is a factor in why some social workers choose SFBT.
SFBT is designed to help people change their lives in the fastest way possible. By finding and amplifying exceptions, change is efficient and effective. Treatment usually lasts less than six sessions, and it can work in about two sessions. Its brevity and its flexibility have made SFBT the choice of intervention for many health care settings. Interventions in a medical setting many times need to be brief. Agencies also choose SFBT because its efficiency translates into monetary savings.
Schema Therapy is an innovative psychotherapy developed by Dr. Jeffrey Young for personality disorders and other so called “treatment resistent” psychological disorders. Schema Therapy is an integrative therapy which includes elements of cognitive, behavioural, gestalt and object relations therapy in one unified systematic approach to treatment.
An Early Maladaptive Schema is defined as a stable and enduring theme which develops during childhood and/or adolescence and are elaborated throughout ones lifetime. Schemas are deep unconditional beliefs about oneself, one’s relationship to others and one’s relationship to the wider environment; it is the unconditional nature of these beliefs that distinguishes them from ordinary cognitive distortions found in traditional Cognitive Therapy.
The main types of clinical interventions used in Schema Therapy are divided into four groups: Interpersonal, Cognitive, Emotion Focused and Behavioural. Schema Therapy is a moderate to long-term therapy.
Motivational interviewing is a way of encouraging you to make changes in your life, without being judgemental or telling you what to do. It is often used help people who are trying to cut down their drug, alcohol, smoking or gambling habits.
Eye Movement Desensitisation Reprocessing (EMDR)
During EMDR therapy sessions, you relive traumatic or triggering experiences in brief doses while the therapist directs your eye movements. EMDR is thought to be effective because recalling distressing events is often less emotionally upsetting when your attention is diverted.