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pamcollins@apsyche.co.uk

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Counselling / Psychotherapy

 

There is an ongoing debate about whether counselling and psychotherapy are different practices. There are some therapists who believe they are intrinsically different and some who do not. My philosophy is that counselling and psychotherapy are very similar and are both designed to decrease distress and improve quality of life for those who engage in them. I do believe, however, that there may be differences in focus and intensity between them, therefore, the definitions below are my ideas on how they differ and what I mean when we use these terms.

Counselling is often seen as a shorter term therapy, which may be more solution focused (though may not be) and less intense than psychotherapy. It is more likely to focus on one or two problems that are causing the client distress in the here and now rather than delve into the past too deeply. CBT often fits into the solution focused and shorter term therapies.

Psychotherapy differs in that it may extend over a longer period of time. It may work with multiple issues or works at a deeper level on longer term issues.

Regardless of whether you opt for counselling or psychotherapy both can be instrumental in improving your quality of life. It may be helping you make a choice, heal an old wound, change your behaviour, understand something confusing or simply to grow and develop, whatever your need therapy is there to offer support and direction.

People often wonder, how long therapy will take and how much time they will need to commit to the process? These questions are difficult to quantify as we are all individuals and people have differing needs. Generally speaking, therapy sessions last approximately 50 minutes. It is recommended that clients attend sessions once a week or fortnight in the beginning,  although once the work is well underway and clients are working toward an end this can be extended. In terms of duration this is more complicated, some clients have one or two sessions, some six, some twenty and a few have more still, however, I will always discuss duration with you at your initial session and this will be reviewed as time went on.

Below are some of the issues I deal with. This is not a complete list and if you are unsure if I work with a particular issue please feel free to contact me to check.

 

Presenting issues

  • Abuse, emotional, physical, sexual
  • Anger Management issues, aggression,  home, work, social
  • Anxiety
  • Assertiveness
  • Attachment
  • Bereavement, loss and grief, loss by suicide
  • Bi-sexual issue
  • Childhood issues
  • Cultural issues
  • Depression
  • Eating disorders, anorexia, bulimia, binge eating disorder, body dysmorphic disorder
  • Gender issues
  • Guilt
  • Identity, low self-worth, low self-esteem, meaninglessness
  • Menopause, midlife crisis
  • Negative thoughts
  • OCD, perfectionist
  • Panic disorder
  • Personal development
  • Phobias, fears
  • Post-Traumatic Stress, trauma, historical issues
  • Psychosexual issues
  • Relationships- affairs, betrayals, cross cultural relationships, family issues, jealousy, pre-nuptial, separation and divorce sexual difficulties, step family issues
  • Sexual problems
  • Sexuality, coming out, homophobia, bullying,
  • Sleep problems, insomnia
  • Stress and anxiety
  • Unresolved issues
  • Work related stress, bullying, disciplinary's, loss of job, new role/job redundancy, dismissal

 

Fees

My fees are £45 per session for individual work.

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