Home and real-world visits
If you experience issues at home or away from home, this is where we start. Working together, we will identify what’s really happening by increasing your awareness of your current reality.
We’ll work on making sense of the psychological aspects of what’s stopping you or holding you back and focus on what you can do to help solve the problem.
Typically, this will involve cognitive behaviour coaching (CBC), anxiety-provoking challenges and exposure and response prevention exercises. The exercises are generally based on a graded hierarchy from least to most challenging exposures and will be fully supported and supervised.
Sessions are weekly and last for 2-3 hours
Research suggests that people undertaking intensive exposure-based treatment are likely to achieve and maintain similar outcomes to those participating in standard weekly treatment.
Intensive treatment works well for people who have not made the progress they had hoped for or who are struggling with more persistent and severe symptoms.
Intensive treatment is also effective if a short-term solution is required due to potential loss of employment for instance.
People who have difficulty funding more traditional treatment plans have also benefited from this approach.
2-4 hours per day up to 5 sessions per week, initially for 1-2 weeks.
For those who are initially unable to work independently or where inpatient treatment has been recommended but the cost is too high, or the thought of spending time away from home is too challenging.
Homestays will provide you with all the support you need to get back on track.
Minimum 3 days
From my practice based in North London, I work with people who are in the maintenance phase of their recovery or with less complex issues.
I also see people seeking to manage anxiety in the workplace or require executive and professional coaching.
Sessions are booked in 50 minute slots
Telephone and video calling
I’m happy to travel anywhere to work with you; however, I understand that cost or time restraints can be an issue.
In most cases, telephone or video calling is a highly effective way of delivering treatment as a follow-on or as the primary delivery method.
Number of sessions and frequency will depend on your specific needs.
Maintaining the gains you make throughout your treatment is essential for a successful and sustainable recovery. As you start to experience the benefits of recovery coaching the need for regular sessions will reduce and your focus will shift to integrating new skills into your daily life.
You may also find maintenance sessions helpful if you have made progress with therapy and would like to top-up or just work through issues you may be experiencing.
Maintenance sessions last for 2-3 hours
Family and friends
Living with someone who is experiencing mental health issues or supporting someone who is on their recovery journey can be incredibly challenging. Knowing what to do, or how to behave can be confusing and distressing.
I provide support to family, friends and loved ones, helping you to understand your role and providing guidance about what you can do to help yourself and those around you.
In most cases, 1-2 sessions are sufficient to make a positive impact.
Virtual Reality (VR)
Increasingly, technology is being used in the treatment of anxiety based disorders. Recent studies show that using immersive VR is highly effective in the treatment of acrophobia (fear of heights).
On average just two hours of VR treatment time has been proven to be successful in reducing patients fears by an average of 68%.
Studies have also shown that where VR has been used to simulate environments where psychological difficulties happen, the mind and body behave as if it were real. This means that the lessons learned in VR transfer into everyday life.
The application of VR to assist in treating a wide range of anxiety based disorders is now more accessible due to the reduction in cost and third party applications that can be utilised to support a range of conditions.
Exposure and response prevention (ERP) and behavioural experiments using VR are now offered as part of my treatment plans where applicable.