Counselling and Psychotherapy based in Colchester.
Both these therapeutic interventions (counselling & psychotherapy) are often seen as synonymous with psychiatry. Such a characterisation might be misleading. That said, the 'talking therapies' include several therapeutic approaches used to treat emotional distress, psychiatric disorders and more common everyday problems. Counselling and psychotherapy are effective ways of helping people to overcome common mental health issues, like: stress, depression, general anxiety, panic disorders, phobias, emotional problems, risk-taking behaviours, relationship problems or substance misuse. Therapy sessions are usually provided in a range of settings - including individual, small group, outreach, marital or family (systemic) bases.
Different approaches or modalities are currently used, but what each have in common is that they are all treatments based on an authentic dialogue between two or more people and sometimes involve doing practical things together. These are the main characteristics known collectively as the 'talking therapies.' For a slightly closer look at the different modalities mentioned, these include:
- Psychoanalytic psychotherapy explores the intrapsychic connection between events in early life and current disturbances and distress. Particular attention is given to the developing relationship with the analyst / therapist as it is through this relation that the patient is able to re-experience relationships from his/her early life and explore new ways of relating, freer of the characteristics that previously caused distress.
- Psychodynamic psychotherapy explores the interpersonal/intersubjective relatedness between self and Other with emphasis given over to the qualities of attachments formed in early life, the differences between 'inner' and 'outer' wordly objects and the quality of relations, connectedness and patterning over time.
- Cognitive / Behavoural psychotherapies are based on scientific principles, where clients and therapists work together to identify and understand problems in terms of the relationship between thoughts, feelings and behaviour. The approach usually focuses on difficulties in the here and now, and relies on the therapist and client developing a shared view of the individual's problem. Individual therapists may call themselves cognitive psychotherapists, behavioural psychotherapists, cognitive behavioural psychotherapists or rational emotive behaviour therapists. Whatever title they use, the approach is commonly referred to as CBT (Cognitive Behavioural Therapy).
- Experiential / Constructivist therapies are based on the assumption that our world is not just given to us complete, but that we construct our personal picture of it from our own experiences. For a person badly treated, the world may be seen as cruel or unreliable, whereas for one well treated, it may appear a good place. The first task in therapy is to help the client clarify the models they use, consciously or not, to represent the world to themselves. The setting may be one-to-one or in a group.
- Systemic therapies are based upon an assumption that people are not the problem rather that the 'problem' is the problem. Seen in this way systemic work seeks to position people together to work against problems - without any recourse to individual psychopathology. Systemic thinking cannot therefore be understood as a practice which views problems in isolation, as belonging to an individual, or as purely intrapsychic in nature. Contemporary systemic thought relies heavily upon social constructionist thought - where meaning and realities, in the social realm, are seen to be co-constructed. Systemic therapy uses social/relational lenses to identify problems by carefully considering the wider relevance (context) of intersubjective experience. Meaning and communication are seen as co-constructed by self and Other coextensively. Difference is seen as information and, thus, information of difference is viewed as knowledge about a system. Therapy sessions use interventive questioning techniques to stimulate individuals, couples or family groups toward lasting change. Systemic thought is composed of many relational sub-disciplines, for example: structural therapy, strategic therapy, solution-focused therapy, Milan therapy, post-Milan therapy, emotional-focused therapy, narrative therapy and attachment-narrative therapy.
- Humano-Existential approach the individual as an ontological whole, a person composed body, feelings, mind and being working togther as a whole unit. This is a non-directive approach to promoting increased potentiation (i.e. self-actualisation) through recognition of certain inhering potentialities and 'givens' found within the self and ones lived-experience.
- Integrative psychotherapy draws on an appreciation of the benefits of different therapeutic approaches and seeks to integrate each of these different psychotherapeutic modalities as and when it might be deemed necessary to do so (e.g. C/BT, CAT, DBT, MBT, IPT, EMDR, Psychodynamics, Humano-Existential, or Systemic therapies). The integrative therapeutic experience leads clients towards a greater appreciation and use of rational thinking, increased tolerance of life's emotional experiences, increased self-awareness, behavioural regulation, containment, creativity and choice.
For more information about the various approaches used in psychotherapy in Britain, you may find it helpful to visit The British Association for Counselling or Psychotherapy (BACP), or, the United Kingdom Council for Psychotherapy (UKCP), or, Association of Child Psychotherapists (ACP) websites (see below).
Who can provide therapy?
A psychotherapist may be a psychiatrist, social worker, psychologist, mental health nurse or other allied health professional who has had further specialist training in psychotherapeutic counselling. Increasingly there are a number of psychotherapists who do not have backgrounds in these fields but who have undertaken specialised training in this area.
Child and Young People's mental health
Mental health problems in children can create distress not only for the child or young people, but also their families and carers, and may continue into adult life and affect the next generation.
Mental health problems in children can be associated with educational failure, family disruption, disability, offending and antisocial behaviour placing demands on social services, schools and the youth justice system. It is estimated that 10% of five to fifteen year olds have a diagnosable mental health disorder. This suggests that around 1.1 million children and young people under eighteen could benefit from specialist psychological therapies including up to 45,000 young people with a severe mental health disorders.
For further information about psychological health, wellbeing and psychotherapies, see the following list of specialist organisations:
(nb: responsibily for the quality and content of external websites belongs to each specific organisation)
Association of Child Psychotherapists
*120 West Heath Road, London, NW3 7TU
* Tel: 020 8458 1609
* Fax: 020 8458 1482
* Email: firstname.lastname@example.org
* Website: http://www.childpsychotherapy.org.uk/
Institute of Family Therapy
* Provides a range of services for families, couples and other relationship groups.
* Tel: 020 7391 9150
* Website: www.instituteoffamilytherapy.org.uk
British Association for Behavioural and Cognitive Psychotherapies
* Use their website to find cognitive behavioural practitioners.
* Tel: 0161 797 4484
* Website: www.babcp.com
British Association for Counselling and Psychotherapy
* Lists of qualified counsellors and psychotherapists available.
* General Enquiries: 01455 883300
* Website: www.bacp.co.uk
British Association of Psychotherapists
* Runs a reduced-fee scheme offering psychotherapy at a considerably lower cost to patients who are able to commit themselves to sessions three times a week for a minimum of two years, and who are assessed as suitable to be treated by psychotherapists in training under supervision.
* Tel: 020 8452 9823
* Website: www.bap-psychotherapy.org
Mental Health Shop
* Run jointly between Rethink and Mental Health Media, offering free downloadable leaflets and publications on all aspects of mental health
* Tel: 0845 456 0455
* Email: email@example.com
* Website: www.mentalhealthshop.org
Northern School of Child and Adolescent Psychotherapy
* North of England NHS centre for psychoanalytic psychotherapy training for professionals working with children, young people and their families. .
* Tel: 0113 305 8750
* Website: www.nscap.org.uk
British Psychoanalytic Council
* An advisory board made up of representatives from the mental health professions.
* Tel: 020 7267 3626
* Website: www.psychoanalytic-council.org
British Psychological Society
* The representative body for psychologists and psychology in the UK.
* Tel: 0116 254 9568
* Website: www.bps.org.uk
Institute of Psychiatry
* Tel: 020 7836 5454
* Website: www.iop.kcl.ac.uk
Royal College of Psychiatrists
* Publishes factsheets, leaflets and books for the public on common mental health problems and psychiatric treatments, some of which are available in other languages such as Chinese.
* National headquarters: 020 7235 2351
* Nothern Ireland division: 028 9027 8793
* Scottish division: 0131 220 2910
* Welsh division: 029 2048 9006
* Website: www.rcpsych.ac.uk
Society of Analytical Psychology
* Provides reduced-fee analysis to members of the public through the work of the CG Jung Clinic. Also offers recognised training in adult and child analysis.
* Tel: 020 7435 7696
* Website: www.jungian-analysis.org
UK Council for Psychotherapy
* Publishes the National Register of Psychotherapists, which lists more than 5,000 therapists.
* Tel: 020 7014 9955
* Website: www.psychotherapy.org.uk
Black and Asian Therapists Online
* Discusses mental health issues from a Black and Asian perspective and has a directory of Black and Asian counsellors and psychotherapists in the UK.
* Email: firstname.lastname@example.org
* Website: www.baato.co.uk
Chinese Mental Health Association
* Works to preserve and safeguard the mental health of people of Chinese ethnic origin in the UK.
* Tel: 020 7613 1008
* Helpline: 0845 122 8660
* Email: email@example.com
* Website: www.cmha.org.uk
* Provides accessible, culturally sensitive counselling to ethnic immigrant groups in the UK, particularly those of Irish origin.
* Tel: 020 7272 7906
* Email: firstname.lastname@example.org
* Website: www.icap.org.uk
Jewish Association for the Mentally Ill
* Provides services and support to people in the Jewish community with mental illnesses, and their carers.
* Tel: 020 8458 2223
* Email: email@example.com
* Website: www.jamiuk.org
National Black & Minority Ethnic Mental Health Network
* To reduce inequality and promote good practice in mental health for racialised groups.
* Tel: 020 7582 0400
* Website: www.bmementalhealth.org.uk
* Can provide information on mental health services to refugees and their advisers.
* General enquiries: 020 7346 6700
* Email: if you know a member of staff's name follow this formula: firstname.lastname@example.org
* Website: www.refugeecouncil.org.uk
* Information and support for people with the condition, their families and carers.
* General enquiries: 020 7423 3500
* Helpline: 0845 300 0336
* Email: email@example.com
* Website: www.alzheimers.org.uk
* Services for people with the condition, their carers and families.
* Tel: 0131 243 1453
* Helpline: 0808 808 3000
* Email: firstname.lastname@example.org
* Website: www.alzscot.org
* Help for people with panic attacks, phobias, obsessive-compulsive disorders and general anxiety disorders.
* Helpline: 0808 808 0545
* Email: email@example.com
* Website: www.nopanic.org.uk
AnxietyUK (formerly the National Phobics Society)
* A user-led organisation dealing with anxiety disorders.
* Tel: 08444 775 774
* Email: firstname.lastname@example.org
* Website: www.anxietyuk.org.uk
First Steps to Freedom
* Offers help and advice on phobias, obsessive compulsive disorders, anxiety and panic attacks.
* Helpline: 0845 120 2916
* Website: www.first-steps.org
* Provides training and work opportunities for people who are disadvantaged in the workplace due to disability, ill health or other social circumstances.
* Helpline: 0800 085 1001
* Website: www.shaw-trust.org.uk
Triumph Over Phobia (TOP UK)
* Structured self-help groups to help with phobia and obsessive-compulsive disorder.
* Tel: 0845 600 9601
* Email: email@example.com
* Website: www.triumphoverphobia.com
Cruse Bereavement Care
* Offers help to anyone who has been bereaved. Free counselling, advice and publications.
* Tel: 020 8939 9530
* Day-by-day helpline: 0844 477 9400
* Email: firstname.lastname@example.org
* Young persons' helpline: 0808 808 1677
* Email: email@example.com
* Website: www.crusebereavementcare.org.uk
Bipolar Fellowship Scotland
* Provides information and self-help groups for people in contact with bipolar disorder.
* Tel: 0141 560 2050
* Website: www.bipolarscotland.org.uk
MDF - The BiPolar Organisation
* User-led organisation for people whose lives are affected by bipolar disorder.
* Tel: 0845 634 0540
* Tel: 020 7793 2600
* Email: firstname.lastname@example.org
* Website: www.mdf.org.uk
* Focuses on borderline personality disorder.
* Helpline: 0870 005 3273
* Website: www.bpdworld.org
Aware Defeat Depression
* Information, advice and support groups for those affected by depression throughout Northern Ireland.
* Tel: 028 9032 1734
* Helpline: 0845 120 2961
* Email: email@example.com
* Website: www.aware-ni.org
* UK's leading depression charity, with a network of self-help groups.
* Tel: 0845 123 2320
* Email: firstname.lastname@example.org
* Website: www.depressionalliance.org
* Supporting people to find their own route to recovery from depression.
* Tel: 029 2069 2891
* Email: email@example.com
* Website: www.journeysonline.org.uk
Depression Alliance Scotland
* A charity based in Scotland working for people with Depression living in Scotland.
* Tel: 0845 123 2320
* Email: firstname.lastname@example.org
* Website: www.dascot.org
Depression UK (D-UK)
* A national self-help charity promoting mutual support between individuals affected by depression, through pen/phone friend schemes and newsletters with members' contributions.
* Email: email@example.com
* Website: www.depressionuk.org
* A self-help group running a network of meetings across England, Scotland and Wales.
* Helpline: 0845 373 3366
* Email: NAHelpline@ukna.org
* Website: www.ukna.org
Narcotics Anonymous Northern Ireland
* Helpline: 07810 172991
* Email: firstname.lastname@example.org
* Website: www.nanorthernireland.com
* Helplines, information and network of self-help groups for those with eating disorders.
* Adult helpline: 0845 634 1414
* Email: email@example.com
* Youth helpline: 0845 634 7650
* Email: firstname.lastname@example.org
* Website: www.b-eat.co.uk/Home
* For people with obsessive compulsive disorder and related disorders such as body dysmorphic disorder, compulsive skin picking and trichotillomania.
* Helpline 0845 390 6232
* Website: www.ocdaction.org.uk
* Run by people with obsessive-compulsive disorder for people with OCD.
* Email: email@example.com
* Website: www.ocduk.org
Association for Post Natal Illness
* Advice and support for mothers experiencing postnatal illness.
* Tel: 020 7386 0868
* Website: www.apni.org
* Welsh charity for those with severe mental illnesses.
* Tel: 01792 816600
* Email: firstname.lastname@example.org
* Website: www.hafal.org
Hearing Voices Network
* A user-led group offering information, support and understanding to people who hear voices, and to those who support them.
* Enquiries: 0845 122 8641
* Helpline: 0845 122 8642
* Email: email@example.com
* Website: www.hearing-voices.org
* Helping those affected by schizophrenia and other forms of serious and enduring forms of mental illness.
* Tel: 01925 571680
* Website: www.makingspace.co.uk
National Schizophrenia Fellowship Scotland
* Dedicated to the needs of carers of people affected by schizophrenia or other severe mental health problems.
* Tel: 0131 662 4359
* Email: firstname.lastname@example.org
* Website: www.nsfscot.org.uk
* User-led self-injury awareness organisation.
* Email: email@example.com
* Website: www.selfharmony.co.uk
National Self-Harm Network
* Supports people who self-harm, providing information, contacts and workshops.
* Email: firstname.lastname@example.org
* Website: www.nshn.co.uk
Women's Therapy Centre
* Provides psychotherapy for women with mental health problems.
* General enquiries: 020 7263 7860
* Email: email@example.com
* Psychotherapy enquiries: 020 7263 6200
* Email: firstname.lastname@example.org
* Website: www.womenstherapycentre.co.uk