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Cognitive Behavioural Therapy (CBT) 

What I like about CBT is that it’s a very practical form of therapy that engages the logical hemisphere of the brain and from my experience even the most sceptical of clients come to like this approach. CBT is predominantly a here and now therapy. This means it’s rooted in the present and looks ahead to the future, whilst acknowledging the contribution of the past. The main premise behind CBT is that by changing our responses to our thoughts and behaviours, we can ultimately change the way we feel about life and get ‘unstuck’.

 

During the course of therapy, through a functional analysis of your experiences, both the client and the therapist become ‘psychological detectives’ and begin to discover the various psychological processes that are maintaining the problem. We explore your thoughts, emotions, behaviours and bodily sensations to understand how they are connected and how they impact on your life. We look into coping strategies and evaluate their effectiveness. We then work together to find alternative ways of regulating your emotions through learning techniques to help you create a distance between you and your internal experiences, thus creating more internal space and bringing more safety into your nervous system. Other techniques include learning problem-solving skills, learning to increase tolerance for positive and negative affect, assertiveness skill, behavioural experiments and identifying your core values. All of this is approached through the lens of mindfulness and compassion towards the different parts of yourself. These skills are not difficult to learn and get much easier with practice. We also spend some time looking at the most helpful neuroscience behind our responses, so that clients can develop a sound foundation of knowledge about how psychological difficulties develop.

CBT is not a static therapy and with new discoveries about the human mind, it has continued to evolve. In the last decade, there has been a shift of paradigm towards what is now called ‘the third wave’ of CBT. New approaches such as Compassion Focused Therapy (CFT), Acceptance and Commitment Therapy (ACT) and Mindfulness CBT (MBCT), which all come under the umbrella of CBT, are increasingly being used by therapists in the private sector and in the NHS. I find these approaches to be particularly well suited to individuals experiencing more complex, severe or longstanding psychological problems. These approaches are trans-diagnostic in nature, meaning they can be applied to most problems and presentations. I have come to call this integrative way of working as CBT+.

CBT has been researched extensively, and has demonstrated effectiveness with a variety of emotional, psychological and psychiatric difficulties and it is the treatment of choice recommended by the National Institute of Clinical Excellence (NICE).

- Russ Harriss,

Acceptence Commitment Therapy (ACT)

"The feeling of love comes and goes on a whim; you can't control it. But the action of love is something you can do regardless of how you are feeling"          

CBT Cognitive Behavioural Therapy Dorset Lambeth On-line

Supervision & Consultation

Over the last 13 years, I have been providing CBT supervision to a variety of professionals, including CBT therapists, trainees, clinical psychologists, mental health practitioners as well as to NHS IAPT services across the country in one-to-one and group formats. I have also supported numerous CBT therapists through their own BABCP accreditation process.

In offering CBT supervision my aim is to provide:

  • Opportunities to discuss formulation, treatment plans and progress for individual clients

  • A chance to develop particular CBT skills. This might include working using standard CBT protocols or working trans-diagnostically where appropriate

  • Opportunities to increase knowledge. I have a large collection of electronic protocols, scholarly articles and other resources which I am happy to share

  • Support for the supervisee in their clinical work, facilitation of reflective practice and encouragement of professional development

  • Opportunity to reflect on client therapeutic relationships and how this can inform the formulation

  • Opportunity to address therapist cognitions and how they affect their own practice

  • A safe and confidential place to discuss any concerns about particular clients. As a former Clinical Lead in the NHS, I am experienced in clinical governance and can give advice about risk assessment, access to alternative services and ethical practice

  • On request, complete sessions can be CTS-R rated and written feedback can be provided

1. CBT Supervision (BABCP)

2. IFS, EMDR & Brainspotting informed consultation

If you are looking for a consultation through either EMDR, IFS of Brainspotting lens, then please feel free to get in touch. Please note however, that I am not a certified consultant within these modalities, which means that (whilst I can provide informed support to therapists through the lens of these modalities), unfortunately I am not able to support practitioners who are seeking formal consultation in view of becoming certified/ accredited themselves. 

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