FAQs

 

1) What type of difficulties do you work to help people with?

Subject to assessment and discussion, I treat the following conditions:

  • Depression (including low mood after unfortunate life events and stress such as divorce, bereavement, redundancy, or physically disabling conditions)
  • Post-Traumatic Stress Disorder (PTSD)
  • Anxiety and excessive worry (Generalised Anxiety Disorder, GAD)
  • People with physical conditions exacerbated by anxiety eg IBS, Chronic Fatigue (ME), migraine, some skin conditions, chronic pain etc.
  • Sleep problems
  • Low Self-Esteem
  • Anger issues 
  • Panic attacks or Panic Disorder
  • Health Anxiety (Hypochondriasis) 
  • Phobias including Social Phobia/Social Anxiety (extreme shyness)
  • Low self-esteem and/or loss of confidence
  • Body image problems including Eating Disorders and Body Dysmorphic Disorder (BDD)
  • Obsessive Compulsive Disorder (OCD)
  • Bi-Polar Affective Disorder
  • Psychotic symptoms

Looking for something not on the list?

Please ask if I can help or suggest where you might get help.

 

2) Why is your company called CBT Plus?

In addition to CBT I provide EMDR treatment. I can also offer counselling and problem-solving discussion or planning about social problems, or social work related issues. 
 
I may be able to provide supervision to other professionals or trainees when appropriate - please ask me.
 

3) Some counsellors provide CBT too, what’s the difference?

To become accredited CBT therapists all professionals (including counsellors and even fully qualified clinical psychologists, consultant psychiatrists, psychiatric nurses etc) have to complete further study in addition to their previous CBT experience - making a minimum of four years studying. They have to complete 450 hours study on a recognised CBT course that must include 200 hours being taught by recognised trainers, and incorporate 100 hours skills training. Before they can be accredited they must have also completed a minimum of 200 hours supervised CBT practice with clients. This means that they are specialists in CBT and benefit from a lot of teaching about CBT and experience using it. CBT at this level is supported by a strong evidence base confirming its effectiveness. At the other end of the spectrum some workers attend a brief workshop or course, without any assessed work, then use some of the techniques and say they’re providing CBT. This is obviously a different thing so ask the worker exactly what CBT training they’ve had. The same can be true of people using the term ‘counsellor’ so make sure they are accredited with their own professional body (BACP or UKCP), or at least working towards it in a reputable service. The training for counsellors lasts for one or two years but does not include formal training in the diagnosis of mental illness (some counsellors may have a related professional qualification but this is not obligatory).
 
Counsellors can offer a good service for those who want an opportunity to talk in an unstructured way and have a supportive, non-directive approach (counsellors generally help clients to express themselves and reach their own conclusions about how to deal with their difficulties). Many people with mild problems, or difficulties coming to terms with life events find counselling helpful. However, it does not provide specific, targeted help for common mental health problems such as panic attacks, obsessional problems, significant depression, phobias or post-trauma symptoms.
 

4) Where and when can I see you?

I have been working full time privately since August 2013. I offer some evening appointments and Saturday mornings may also be possible.  My practice is on the ground floor of an attractive listed building, with parking, in Loudwater near the 'Tesco/Dreams' roundabout at Junction 3 of the M40 (only 3 miles from both High Wycombe and Beaconsfield). Please ring or email me for further details including directions/map/postcode.
 

5) Who has to refer me to you?

Clients can refer themselves to me directly but I also take referrals from GP’s, employers and health or motor insurance companies etc.
 

6) How long will I be seen for?

Sessions are a maximum of one hour long (unless by special arrangement for an assessment or some parts of anxiety or post-trauma work). They are normally weekly, especially in the early stages of therapy, and generally at the same time but some flexibility is generally possible. Spaced out appointments and follow-up or ‘top-up’ sessions may sometimes be recommended in the latter stages of treatment.
 
The number of sessions may be set by the company funding your treatment. If this is not the case then we will agree a short series of sessions (generally 5 or 6 after assessment) in accordance with what you want to work on and achieve. The work will then be reviewed by us both and decisions made about the possibility of any further sessions. Most people don’t need to be seen for more than between 12 to 20 sessions and many will require less.
 
The time spent on assessing your difficulties, and therefore the cost of this part of the process, can often be reduced by you completing a range of information gathering and screening questionnaires. We can discuss this when you first contact me and I can post or preferably email the appropriate forms and questionnaires to you in advance.
 

7) How much will my CBT sessions cost?

Prices vary according to whether additional work is involved (preparing reports or supporting letters, liaison with funding agencies etc). Please email or ring for further details.
 

8) How do I pay?

If you’re coming via insurance or your employer then they should liaise with me directly. If you’re paying for yourself privately then either cheque or cash on the day, or BACS transfer by arrangement. 
 

9) What does accredited mean?

CBT therapists who are appropriately qualified and experienced can apply to the BABCP (one of our professional bodies, see ‘Links’ page) to be accredited by them. This means that the BABCP check the evidence of our qualifications, experience, supervision (which has to be by someone known to them), on-going training and professional development before registering us on their website. This process has to be repeated and we have to continue to demonstrate on-going training, development and supervision. Using an accredited therapist provides you with the safeguard of knowing that they are qualified, supervised and adhering to professional standards.
 

10) Does my GP have to know I’m having this treatment?

It is often a good idea for your GP to know that you are being seen and understand what we’re working on but this is not compulsory. If you don’t want them to know then your wish can be respected, subject to the usual professional boundaries of confidentiality described below.
 

11) What are your rules about confidentiality?

What you tell me and the notes I keep are kept strictly confidential. The need to breach confidentiality is rare and, if reasonably practicable, you would be warned of any of the following exceptions:
 
  • If I became concerned about any significant level of risk to you or anyone else I might have to take that matter elsewhere (GP, mental health teams or out-of-hours teams etc)
  • All practitioners are required by their professional body to discuss their cases in supervision meetings. This means that by talking to a therapist you are agreeing that your difficulties may be part of a case discussion involving your therapist’s supervisor, sometimes in the company of other practitioners. Only common first names or the initials of clients are used, without identifying details, and the other parties are also bound by professional codes of conduct about confidentiality. This kind of supervision provides therapist and client with the useful safeguard of an informal ‘second opinion’ and the benefit of the supervisor's experience.
  • In very rare and exceptional circumstances practitioners can be called to give evidence in court. I would take legal advice about your rights and my rights before disclosing any information in this way.

12) What are your professional standards?

I adhere to the Code of Ethics of the two professional bodies I am a member of: