Areas of Expertise

Cognitive Behaviour Therapy (CBT) 

 

Cognitive Behaviour Therapy (CBT) is based on the theory that thoughts, feelings, physical sensations and behaviours are all interconnected, and that negative thoughts and feelings can lead to the development and maintenance of a vicious cycle. The aim of CBT is to help you change these negative patterns to improve the way you think, feel and behave. In CBT, you will work collaboratively with your therapist to achieve change and the focus of therapy tends to be on the here-and-now. Eventually, you will develop a range of skills and techniques that will enable you to become your own therapist, and that you will be able to apply in future should any new difficulties or issues arise. CBT is an evidence-based approach, which has been found to be effective in the treatment of a wide range of mental health difficulties.

Dialectical Behaviour Therapy (DBT) & (RO DBT)

Dialectical Behaviour Therapy (DBT) was originally developed for people who self-harm, experience chronic suicidal thoughts or engage in self-destructive ways of managing emotions. ‘Dialectics’ means trying to balance and find a synthesis between two opposing positions, with the goal of finding a ‘middle ground’ way of looking at and approaching events and experiences.  In DBT, this will involve working towards finding a good balance between acceptance (accepting yourself as you are), and change (making positive changes in your life). DBT combines Cognitive Behaviour Therapy techniques and skills for emotion regulation and reality-testing, with concepts of distress tolerance, acceptance, interpersonal effectiveness and mindfulness.
 

 

Radically Open Dialectical Behavior Therapy (RO DBT) is a new evidence-based treatment targeting a spectrum of disorders characterized by excessive self-control, often referred to as overcontrol (OC).  Self-control is the ability to inhibit competing urges, impulses, behaviours, or desires and delay gratification to pursue future goals. RO DBT treatment focuses on five OC themes: inhibited and disingenuous emotional expression; hyper-detailed focused and overly cautious behaviour; rigid and rule-governed behaviour; aloof and distant style of relating; and high social comparison. Radical Openness is a way of behaving, but it is also a state of mind informed by the central premise that emotional well-being involves the confluence of three features: openness, flexibility, and social connectedness.  

Mindfulness-Based Cognitive Therapy (MBCT)

Mindfulness-Based Cognitive Therapy (MBCT) is an approach that combines the practice of mindfulness meditation with Cognitive Therapy techniques to help you break the cycle of negative thought patterns. MBCT teaches you to pay attention to the present moment, rather than worrying about the past or the future, and to calmly acknowledge and accept thoughts, feelings, urges and bodily sensations. The focus of this therapy is to help you to understand the different patterns of your mind that often underpin mood disorders and difficulties and to nurture skills in developing a new relationship with them.
 

 

 

 

International Personality Disorder Examination (IPDE)
 

The IPDE is a standardised approach to personality disorder assessment. The IPDE is a semi-structured clinical interview designed to assess personality disorders in the DSM-5 and ICD-11 classification systems. This interview requires specific training to administer, have a structured scoring system and direct the assessor to explore the diagnostic symptoms relevant to each disorder. It also allows the assessor to combine information from multiple sources, such as historical information and/or the informant’s opinion. An official definition of personality disorder, as taken from the American Psychiatric Association’s Diagnostic and Statistical Manual - 5 is presented below.
 

  • An enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood is stable over time and leads to distress or impairment. 
     

Personality consists of the characteristic patterns in perceiving, thinking, experiencing and expressing emotions, and relating to others, which define us as individuals. Personality disorders are best understood as unusual or extreme personality types, which cause suffering to the individual or others often impacting interpersonal functioning. While we all possess a range of both adaptive and maladaptive personality traits to variable degrees, individuals with personality disorders are likely to possess higher numbers of problematic personality traits and experience them to more extreme degrees. It might therefore be helpful to think of personality difficulties as existing along a continuum, with adaptive personality functioning at one end, and personality disorder at the other end. Having a diagnosis of Personality disorder can sometimes be helpful to identify the best intervention. 
 

Areas of work

• Interpersonal difficulties

• Emotion regulation

• Personality Assessment

• Anxiety & Panic

• Social Anxiety

• Adjustment Disorder

• Low mood, sadness and depression

• Low self-esteem

• Stress​

• Confidence building

• Life changes

• Sleep difficulties

• Bereavement

• Personal growth

• Self-development