There are many models of therapy to choose from. I work using the framework of Cognitive Behavioural Therapy (CBT) because I believe that it is a very logical and practical form of therapy and from my experience even the most sceptical of clients come to like this approach.
CBT has been practised widely for more than 30 years. It has been researched extensively, and has demonstrated effectiveness with a variety of emotional, psychological and psychiatric difficulties. It is also continually evolving and 'third wave' CBT therapies such as Mindfulness Based Cognitive Therapy (MBCT), Acceptance and Commitment Therapy (ACT), Compassion Focused Therapy (CFT) are increasingly being used for a variety of emotional, behavioural and psychiatric problems.
Unlike some other therapies, CBT is rooted in the present and looks ahead to the future, whilst acknowledging the contribution of the past. For this reason CBT is considered among the most rapid in terms of results obtained. The average number of sessions clients receive is only 16. What enables CBT to be briefer is its highly instructive nature and the fact that it makes use of homework assignments.
I like to think of CBT as ‘brain physiotherapy’.
The premise behind CBT is that our thoughts and behaviours have an effect on each other, and by changing the way we think and behave - we can ultimately change the way we feel about life. These thinking patterns and behaviours can often stem from childhood and quickly become an automatic reaction. I use CBT as the framework to formulate a client's problems. I then apply a variety of methods to initiate change. Depending on the problem, this may include working with more standard evidence-based treatment protocols in line with most up-to-date NICE guidelines, or, if the problem is complex or longstanding, this may involve designing more idiosyncratic treatment interventions which introduce concepts from 'third wave' of CBT such as compassion focused work, acceptance and commitment therapy and mindfulness CBT. These latter forms of CBT are particularly well suited to chronic and persistent problems, where the individual’s efforts to eliminate the undesired symptoms has become the main maintaining factor.