Seeking help can feel daunting and overwhelming. Having the right information may help by giving you an informed choice and answering some of the questions you may have. Cognitive Behavioural Psychotherapy, usually called CBT, is an evidence based therapy used widely across the UK in both NHS and private practice. It is recommended by the National Institute for Health and Clinical Excellence (NICE) for many types of problems and diagnosis. Below is some information on what it is and how it works.
To find out more about how CBT might help you, and how we might work together contact me, Naomi Kirby by mobile on 07597393803, or by email Naomi.firstname.lastname@example.org for a free informal discussion.
What is Cognitive Behavioural Therapy (CBT)?
CBT is effective for a range of stress, pain and mental health difficulties. CBT focuses on difficulties that are being experienced in the here and now. Past experiences which are thought to have influenced presenting problems may be identified and discussed especially if this makes sense of the current problem. However this is not the main focus of sessions.
CBT breaks down a problem into smaller understandable aspects such as thoughts, behaviours, mood and feelings, physical symptoms and the environment in which this is taking place. It can then be easier to see where changes may be made. As all these areas link together, often a change in one area, say how we think about something or how we react, can have a positive knock on effect as to how we feel. This in turn can help with the big picture.
What is CBT useful for?
CBT is an effective treatment for a range of psychological and physical difficulties. CBT is thought to be one of the most useful treatments when anxiety, depression or pain is the main problem.
I can help in working with the following difficulties:
CBT does not claim to be able to cure all the problems listed, but might be able to find different ways to live and cope with the problems.
For more information on CBT – what it is and how it can help please see the following links:
– British Association for Behavioural & Cognitive Psychotherapies (BABCP)- What is CBT?
-Cognitive Behavioural Therapy- Royal College of Psychiatrists- What is CBT?
–NHS choices– David Clarke, Professor of Psychology, talks about how CBT works and who it can help
– MIND- making sense of CBT
What you can expect from Cognitive Behavioural Therapy?
Engaging in a talking therapy can be difficult and it is important that you feel you are being listened to and that trust can develop.
CBT has structured appointments to best make use of the appointment time. There is an emphasis on a collaborative therapeutic relationship, a sense we are working together and that we are both experts. We will adopt a curious and almost scientific approach to find out how else presenting problems may be thought about or tackled. We will consider what other ways issues can be approached and identify and practice any skills and strategies that may help you in working towards your identified goals. Working on things discussed in sessions, outside of the appointments, forms an important part of CBT.
We will meet initially to discuss what your needs are, to gain a shared understanding of the problem and find out what your goals for therapy might be. It is also a time for you to ask any questions you might have. The first meeting usually involves developing a diagrammatic picture, called a formulation, which tries to make sense of what keeps the problem going, or why things are not getting better. Individuals often find this process interesting and useful. Often it helps both you and your therapist make a decision about whether CBT might be helpful. If together we decide to go ahead, we will agree a regular time slot either weekly or fortnightly. Each session lasts 50-60 minutes.
Please note for certain presentations, some sessions may need to be up to 90 minutes.
Confidentiality is maintained throughout our work except for certain exceptional circumstances in which I have a legal or ethical obligation to share information, which conflicts with clinical confidentiality. This would include if I think you are at risk to yourself (for example an intent to commit suicide or deliberate self harm), a risk to other people, if children are thought to be at risk and if you are at risk of harm from others.
Also I have regular clinical supervision which is a standard requirement for those providing talking therapies. Clinical supervision is time for me to consult with a senior colleague in order for me to reflect on my practice and maintain a high quality professional service incorporating best practice. Your name and any other information which could identify you will not be revealed. If you wish to discuss this further please do so right away.
Apart from these exceptions, I would always seek your permission before discussing any aspect of our work with anyone else.
At present appointments will be available on Thursdays from 9:00 am until 6 pm. Appointments are arranged through me and take place at the Ilkley Osteopathic Practice in a private room which is down a flight of stairs. The cost is £70.00. Appointments are available for those aged 18 or over.
I require at least 48 hours’ notice of a cancellation otherwise the full fee is payable. Appointments which are missed without prior notice will result in the end of the therapeutic contract.
How to find The Ilkley Osteopathic Practice- click here
I am a BABCP accredited Cognitive Behavioural Therapist and I have particular interest in compassion focused therapy and mindfulness based approaches.
With over 20 years experience in the NHS I am also a registered mental health nurse and part time lecturer at Leeds Beckett University. I provide supervision to other therapists and am currently researching how to make clinical supervision more effective.
I have further training in EMDR (eye movement and desensitization and reprocessing), counselling, solution focused therapy and psychodynamic interpersonal psychotherapy.