04 May 2021

BY: Online Therapy

Attachment Therapy / Counselling / Online Counselling / Online Counsellor / Online therapist / Online Therapy

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Addressing Attachment Styles using Online Therapy

Article by Marvis Bih

Attachment styles and how it affects relationships

Have you ever wondered why you displayed the same characteristics in your relationships? We often believe that we fall for the same characteristics in potential partners and often do not understand why we react the way we do when things become a bit challenging. This is not unusual. We develop an attachment style during childhood that affects the way we respond and interact in adult relationships. This is generally referred to as attachment styles.

How did attachment styles become a theory?

The origin of attachment theory can be traced to the joint work of John Bowlby and Mary Ainsworth (Ainsworth & Bowlby 1991). This theory was first developed in the 1930s and 1940s with Bowlby being one of the clinicians who observed the effect of separation between parents and their infants. Forming of attachment relationships are undoubtedly presented as a biological tendency used to ensure survival (Scharfe, 2017). Attachment in adults can be viewed in two ways; adult attachment anxiety which is the excessive need for other’s approval, fear of rejection, negative view of self, and an over-reaction to negative feelings in an attempt to gain the support and sympathy of others. While adult attachment avoidance refers to the excessive need to rely on oneself, negative view of others, limited self-disclosure (Mikulincer, Shaver, & Pereg, 2003)

Attachment styles


There are generally three attachment styles namely; anxious, secure, and avoidant. These attachment styles have different effects on relationships. Secure attachment is experienced by people who had a healthy childhood and are good at handling intimate relationships, while people with avoidant and anxious attachment styles struggle to achieve intimacy (Dodgson 2018).
An online counsellor can help you with handling your attachment issues more or less the same way a therapist using the traditional face to face technique would do. It usually includes unpacking your childhood experiences, identifying patterns popping up in your relationships and help you develop new ways of relating with people and forming intimate relationships (Raypole 2019). In addition, Cognitive Behavioral therapy can also be used for the online treatment of attachment issues, mindfulness practice and many more.

Therapy for attachment styles


There are available online therapies for attachment issues. Most of these existing therapies make use of principles and methods that are in line with attachment theory such as exploring significant relationships in the past, exploration of healthy therapeutic relationships (Raypole 2019). Looking for an online therapist for attachment issues will depend on a number of individual factors such as your location, symptoms, finances and many more.

Want to get in touch with a counsellor?

References.
Ainsworth, M. D. S., & Bowlby, J. (1991), An ethological approach to personality development. American Psychologist, 46, 331-341.


Dodgson, L. (2018). These are the 3 types of attachment styles — and how each affects your relationships. Insider.


Mikulincer, M., Shaver, P. R., & Pereg, D. (2003). Attachment theory and affect regulation: The dynamic development, and cognitive consequences of attachment-related strategies. Motivation and Emotion, 27, 77-102.


Raypole, C. (2019). How attachment issues impact your relationships. Available at: https://www.healthline.com/health/attachment-disorder-in-adults. Accessed on 02/09/2020.


Scharfe, E. (2017). Attachment Theory. Encyclopedia of Evolutionary Psychological Science. DOI 10.1007/978-3-319-16999-6_3823-1

18 Mar 2021

BY: Online Therapy

Cognitive Behaviour Therapy / Online CBT / Online Clinical Psychologist / Online Cognitive Behaviour Therapy / Online Counsellor / Online therapist / Online Therapy

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Can Online Cognitive Behavioural Therapy (CBT) be used effectively online?

Article by Anna Keyter and Marvis Bih

Can online counsellors effectively offer Cognitive Behavioural Therapy (CBT) using the online platform?

The answer is yes. Trained psychologists can provide online Cognitive Behaviour Therapy (CBT) in many contexts. Mostly, psychologists offer CBT in face-to-face settings, however, it could also be offered online using technology such as laptops, smartphones, iPads, emails or chat messages.

There are also different types of Internet-Based Cognitive Behaviour Therapy (ICBT) built on self-help material without a therapist interface. Often, face-to-face-sessions are combined with online programmes as well as therapist support ranging from emails, chat technology, virtual technology, video conferencing (Lindefors & Andersson 2016).

What is Cognitive Behavioural Therapy (CBT)?

CBT focusses on the link between the way the patient thinks – which will affect the way the patient feels and behave. This can be referred to as the CBT triad – the thoughts, emotions and actions connection.

CBT Thought Feeling and Action link

Online Cognitive Behavioural Therapy (CBT) is a standardised and evidence-based treatment program. Therapists assist patients by helping them to help themselves by introducing systematic self-help methods that are practised outside of treatment.

What to expect in-session?

During a CBT session, patients can expect to learn more about their core beliefs. Generally, these start in childhood and include beliefs such as “I am not good enough”, “the world is not a safe place”, “I cannot trust anyone”. These core beliefs can become automatic when that thought becomes the first thing a person thinks about and believes. Unfortunately, these thoughts lead to emotional distress and a person that believes he/she cannot trust anyone may avoid meeting new people and may end up lonely.

CBT helps clients re-look at core beliefs and to change their problematic thinking. Thoughts are put on trial to see if it is actually true. Sometimes it is easier to start with behavioural changes that will then affect emotions and thinking. Treatment and experiences of CBT will be different for everyone.

Thinking affects feelings and actions

Why is Online Cognitive Behaviour Therapy necessary?

According to the world health organisation, about 34 million people across the Americas and Europe suffer from major depressive disorders in a given 12-month period which often goes untreated (Kohn, 2004). Some barriers to treatment include cost, the perceived stigma of seeking treatment, long wait-list and more. Therefore, Online CBT bridges this gap by eliminating these barriers by substantially enhancing access (Kohn, 2004). In addition, people who need online CBT are those who prefer to accessed treatment from the comfort of their homes, those who work 9-5 jobs and cannot schedule an appointment with a therapist during the day and those who are not motivated or have phobias leaving home especially during this season of the Coronavirus. 

After Covid-19, there has been a greater demand for people to use Cognitive Behavioural Therapy (CBT) online with active support from a therapist with basic psychotherapeutic capability in CBT (Lindefors & Andersson 2016).

Who should not access Online Cognitive Behaviour Therapy?

Online Cognitive Behaviour Therapy is not recommended for everyone, especially in cases where actual clinical diagnoses are required such as personality disorders. People suffering from psychiatric problems are encouraged to attend traditional face-to-face psychotherapy or pharmacotherapy (Webb, 2017). Stay tuned for the next issue on attachment styles and how to deal with attachments issues.

Want to learn more about online CBT? Feel free to complete the form below.

References

Kohn R, Saxena S, Levav I, Saraceno B. (2004). The treatment gap in mental health care. Bull World Health Organ, 82: 858–67.

Webb, CA., Rosso, IM. & Rauch, MD. (2017). Internet-Based Cognitive-Behavioral Therapy for Depression: Current Progress and Future Directions. Review, 25(3): 114-122.

06 Sep 2020

BY: Online Therapy

Online Clinical Psychologist / Online Counselling / Online Counsellor / Online therapist / Online Therapy

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Best Online Therapy Services 2020 – New Zealand

Online Therapy WON the Best Online Therapy Services 2020 – New Zealand Award

We have exciting news to share today! Online Therapy was selected Best Online Therapy Services 2020 – New Zealand! In mid-July, we were nominated for the 5th annual Healthcare & Pharmaceutical Awards by Global Health & Pharma (GHP). Undoubtedly, this was an honour and a recognition of our work and daily effort to increase psychological health in New Zealand.

Who is Global Health & Pharma (GHP)?

GHP is a global multi-disciplinary information sharing platform, offering memberships to three central communities; Human, Animal and Environmental Health. Their Global Media offers publications, and their training leg contributes to continued professional development (CPD) through their independent accreditation centre working across all health and pharma sectors and disciplines.

Why Online Therapy in New Zealand?

Online Therapy was started in 2017 because we recognised a need for online counselling in New Zealand. New Zealand has almost 5 million people, and 14% live in rural areas. Since New Zealand had recently upgraded the country to fibre, it meant we could tap into those communities that were less likely to have counselling access.

One in six New Zealanders have a common mental disorder diagnosis, and the farming community has a high suicide rate. Since we are now just a phone/video call away to provide support, we work with all mental health issues that are safe to deal with online. We are also the only private company in New Zealand that specialises specifically in online counselling.

Online Therapy during Covid19

We also supported New Zealanders online during the Coronavirus outbreak. We had an increase of roughly 20% in clients enquiries.

Best Online Therapy Services 2020 – New Zealand

Finally, after two months of a rigorous internal vetting procedure by Global Health & Pharma, driven by merit and in-depth evaluation of skills and services on offer, we have been awarded Best Online Therapy Services 2020 – New Zealand.

Therefore, this award is a recognition of our expertise in psychological health and clinical psychology, a confirmation of our daily dedication to client service and the ongoing commitment to promote excellence.

Without a doubt, this award and celebration would not have been possible without you, your preference and believe in our work. So, once again, we invite you to share any testimony about your personal growth and journey with us.

Do you want to learn more? Please feel free to complete the form below.

14 Jul 2020

BY: Online Therapy

Awards / Nominations / Online therapist / Online Therapy

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Global Health & Pharma 2020 Nominee

We have good news

Online Therapy is excited to share some news with you. In the past week, we received an email informing us that Online Therapy New Zealand has been selected by Global Health & Pharma as a 2020 nominee for the 5th annual Healthcare & Pharmaceutical Awards, by Global Health & Pharma (GHP).

About GHP

GHP is a global community for communication networks & collaboration and sharing of knowledge in three areas of health: human, animal and environmental.

Where does Online Therapy fit in?

The Healthcare & Pharmaceutical Awards praise companies and individuals who daily transform people’s way of living by improving their physical and mental health, and as a consequence, their wellbeing and enabling those in need of support to experience a fulfilling lifestyle.

Our promise

At Online Therapy New Zealand, every day we assume the responsibility to ensure that those in need of help and seek out for support have the highest quality of mental health care we can provide through our daily practice with online therapy. Thus, we are really happy for this nomination as it definitely is a sign of recognition of our hard work and our daily efforts to increase psychological health worldwide.

Please feel free to share your testimonies about your journey with us.

Testimonials

Tilak: For 10 years I had a troubling recurring dream at least once a week. Finally, I decided to talk to someone about it. Anna helped me to work through my dream. Thankfully it stopped. Thank you very much.

Anonymous: Thank you, Anna, for providing me with this service. Your help has been invaluable.

Do you want to contact us to provide feedback? Feel free to contact us using the form below. Sara and Jim will be glad to provide you with information on the Global Health Pharma nomination or therapy you may require.

12 Jul 2020

BY: Online Therapy

Online therapist / Online Therapy / Online Therapy Clinical Psychologist / Online Therapy Safety

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3 Essentials of finding good online therapy

Photo by cottonbro from Pexels | Article by K. Yusay

Are you thinking of trying online therapy? If you want to avoid wasting your time and find one that actually works well for you, then we can provide you with a few pointers in the right direction. Here are three things to keep in mind for finding good online therapy.

(1) Get a Qualified Online Therapist.

Nowadays, if you’re looking for an online psychologist, there are numerous qualified psychologists available online. Bear in mind, however, that there are a couple of things you need to watch out for.

According to the American Psychological Association, on the top of your list should be credentials and registration. Do your research and make sure that you find a licensed and qualified online psychologist. Preferably, work with someone who is registered with boards in your own country, even asking their practice certificate. If you work with someone outside of your country then you will be subject to the laws that govern outside your country and the complaints procedures may be difficult if you received poor or unethical services.

Moreover, you can also choose a specialist to help you in your healing journey. Whether you are suffering from trauma, childhood abuse, substance misuse, LGBTQ issues, etc., working with one who has the expertise you need makes it easier for both parties.

Additionally, as stated in a 2019 article authored by Melinda Smith, M.A. and Jeanne Segal, Ph.D., aside from credentials, you should ask your online therapist if your insurance covers the sessions. In New Zealand, find out if your insurance company covers psychological services. Jim Bierman works with insurance companies in New Zealand, feel free to contact him to find out if he has worked with your insurance company in the past.

(2) Try it with someone you can build rapport with.

As written by Noam Shpancer Ph.D. in Psychology Today, another way to spot if a therapist is right for you is if you’re able to build rapport with him/her. The therapeutic relationship is one of the most consistent predictors for therapeutic success, in research over the years. Noam further explains it’s necessary that you feel comfortable, understood, and connected with your psychologist.

(3) Prioritize security and privacy.

There are laws in place that can safeguard your data. The HIPAA (Health Insurance Portability and Accountability Act) ensures that companies providing mental health care prevent data leaks.

Another U.S. law called HITECH (Health Information Technology for Economic and Clinical Health Act) ensures that if a data breach happens to you, you’ll be notified. The only difference is that PHIPA is a law for companies and organizations and PIPEDA covers information custodians like nurses, doctors, ambulance workers, etc.

As for the European Union, there’s GDPR (General Data Protection Regulation). It’s considered the world’s toughest data privacy law.It levies harsh fines for violators, even costing them millions.

The reason these laws are important is that it safeguards online users of psychological services of negligence on the side of the professional. It is also important to remember that safeguarding is not only the duty of the psychologist, but you must also make sure you have a secure connection and that you have downloaded all the security updates as recommended by your service providers.

Something that is often overlooked is your physical privacy. Is your location secure? Can family or colleagues hear your conversations? Security is more than just online safety, it is also securing your conversations so that others cannot hear what you talk about in confidence.

If you want to learn more about online therapy safety, click here.

Do you want to contact Jim or Sara? You can read more about Sara by following this link and Jim by clicking here. Alternatively, just complete the form below.

13 Apr 2020

BY: Online Therapy

Clinical Psychologist / Clinical Psychology / In-office counselling / Online Clinical Psychologist / Online therapist / Online Therapy

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Jim Bierman, the latest addition to our Online Clinical Psychologist team

We are pleased to introduce Jim Bierman, the latest addition to our Online Clinical Psychologist team. Jim is an independent licensed clinical psychologist (Registered with the New Zealand Psychologist Board) joining our group of therapists. Below is my interview with Jim, so you can get to know him better.

How did you get into Clinical Psychology?

By a circuitous path which, for psychology, gave me life experience that forever informs me of my patients’ condition, perception, and suffering. Originally a biologist, my time in the field made clear to me that the success of all endeavours depends on the relationships within the team.  Relationships are the key. There is no other field or profession that allows you to understand relationships and confront dysfunction than in psychology. In practising psychology, I never take for granted the privilege and permission my patients grant me to intervene in this most personal part of their lives.

Where did you do your training and how did you register at the New Zealand Psychologist board?

California Graduate Institute in Los Angeles, where I studied clinical psychology with an emphasis in psychoanalysis. Then the University of Washington School of Medicine, Parent Evaluation Training Program, where I trained in report writing in Family Court for High Conflict child custody cases. I registered in NZ seven years ago when I took a position in the Southern District DHB, children’s outpatient clinic.


What work did you do in NZ but also internationally?

20+ years in community mental health, 25 years in private practice.  Primarily outpatient but also 3 years supervising an inpatient unit.


What key functions will you bring to Online Therapy?

To listen, reflect, interpret, and further the best interest of my patient.


Why were you brought on board and what is your specialist areas?

Starting with psychoanalysis and primitive mental states, I work with individuals across the age range, couples at all stages of their relationship (see my book, ‘Of Sound Mind to Marry’, and families.  I am located in Auckland, New Zealand and am available to face to face sessions, government lockdown permitting.


What do you enjoy doing in your spare time?

Tai Chi Chuan, yoga, hiking, music, appreciating the beautiful place we live in.

To contact Jim Bierman, the latest addition to our Online Clinical Psychologist team, feel free to complete the form below.

12 Apr 2020

BY: Online Therapy

Clinical Psychologist / Clinical Psychology / Cognitive Behaviour Therapy / Online CBT / Online Clinical Psychologist / Online Cognitive Behaviour Therapy / Online therapist / Online Therapy

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Why Online Clinical Psychologists Using Cognitive Behaviour Therapy are Incredibly Effective

Photo by Gustavo Fring from Pexels and article by Kimberly Yusay

Are you looking to try out online Cognitive Behavioural Therapy?

If you’re unsure and need some facts to help you, we have compiled 3 reasons why online CBT might just be what you need to get your life back on track.

1.    Cognitive Behavioural Therapy is Heavily Backed by Science.

The American Psychological Association indicates that compared to other forms of therapy, there is abundant scientific evidence that backs up the effectiveness of Cognitive Behavioural Therapy (CBT).

Because of this, it is different and even considered more effective than other therapies.

It also treats a vast array of mental illness that includes:

  • Anxiety disorders,
  • Eating disorders
  • Depression,
  • Alcohol and drug misuse,
  • Marital problems,

As stated by UK’s National Health Services it can also provide help people suffering from:

  • Post-Traumatic Stress Disorder (PTSD)
  • Phobias
  • Obsessive Compulsive Disorder (OCD)
  • Panic Disorder
  • Schizophrenia,
  • Borderline Personality Disorder
  • Psychosis
  • Bipolar Disorder
  • Sleep Problems
  • Fibromyalgia
  • Chronic Fatigue Syndrome (CFS)
  • Irritable Bowel Syndrome (IBS)

NHS UK also emphasized that CBT helps you sort through the interplay of your emotions, bodily sensations and behaviours.

It allows you to break through from the cycle of repeated actions, negative thought patterns and unhealthy coping mechanisms.

2.    Online CBT is a Proven Beneficial Treatment.

According to a 2011 study, Online Cognitive Behaviour Therapy is a useful alternative to face-to-face CBT sessions.

In fact, this research which began in 1996, became the basis for the Dutch government. And, since 2005, the costs of online CBT were refunded through their country’s public health insurance.

3.    Online CBT Psychologists Have a Lasting Effect on Wellbeing

In a 2016 article published in the Internet Interventions journal, a total of 42 patients shared how the behaviours of their online clinical psychologists contributed to the improvement of their wellbeing.

  • Affirmation – This particular behaviour of online psychologists helped the patients long after the treatment was over. Its positive effect on depressive symptoms was shown to last even after two years.
  • Encouragement–  The effects of this can be seen right away. It emerged right after the patients have undergone the session/s.
  • Self-disclosure – Similar to affirmation, patients who were able to share their untold stories and vulnerabilities showed vast improvements in depressive symptoms even after some time has passed after the treatment.

Want to get in touch with a Clinical Psychologist who can help you with CBT? Contact below.

23 Mar 2020

BY: Online Therapy

Covid-19 / Online therapist / Online Therapy / Online therapy for Coronavirus

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Where to get Coronavirus Assistance

Are you affected by the Coronavirus?

As New Zealand joins the rest of the world by going into alert levels 3 and 4, many people experience tremendous stress at the thought of losing livelihoods. Remember, you are not alone. Most people are employed by small businesses, and many individuals have the same fears as you. The world is in this together.

Anna offered free online appointments. However, due to high demand, she is unable to accept more new clients. She will continue with the appointments she currently has. We have listed a number of emergency numbers you may need during this time.

Emergency numbers:

Lifeline: 09-522 2999 - text help (4357)
Suicide Crisis Helpline 0508 828 865
Anxiety NZ: 09-522 2999
Depression.org: 0800 111 757
LGBTIQ – Outline:  0800 688 5463
Woman’s refuge: 0800 733 843
Youthline 0800 376 633 (text 234 email talk@youthline.co.nz)
Barnardos NZ 0800 WHAT’S UP (0800 942 8787)
Family services https://www.familyservices.govt.nz/directory/searchresultspublic.htm?searchTerms=&cat1=-1&searchRegion=2&search=Search
Minds and hearts support directory: http://heartsandminds.org.nz/information-support/support-services-directory

Extreme emergencies:

First point of contact 111
Mental Health Crisis Team 0800 800 717.

For Online Counselling Sessions ($150 per session), please contact Sara:

References:

https://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=12318941

05 Sep 2019

BY: Online Therapy

Acceptance Commitment Therapy / Happiness / Online therapist / Online Therapy / Positive Psychology / Telephone Counselling

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Positive Psychology – choose happiness

Article by Sara Taveira. Sara uses telephone counselling or Zoom counselling to help you work through your difficulties. Would you like to learn more about Sara? Then follow this link. 

Positive psychology – choose happiness

We all want to find happiness, to smile and feel good about ourselves and our lives. This pursuit of happiness is intrinsic to human nature. Several self-report studies reveal that people rated happiness as more important than having meaning in life and being financially comfortable.

It would be great to experience lots of happy moments all the time. However, the belief in a constant state of happiness is not true. Happiness can be hard work and usually implies accepting a new way of reacting to discomforts. Being happy involves being in the moment, here and now, which entails a state of mind, and not a continuous feeling.

Read More “Positive Psychology – choose happiness”

20 Jul 2019

BY: Online Therapy

Introversion / Online therapist / Online Therapy / Shyness / Social phobia / Telephone Counselling

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Telephone Counselling working with introversion, social phobia and shyness

This article, Telephone Counselling working with introversion, social phobia and shyness was written by Sara Taveira.

Am I introverted, socially phobic or just shy?

This article deals with telephone counselling working with introversion, social phobia and shyness. These concepts are often interpreted as semantics and can lead to confusion.

Generally, social phobia, shyness and introversion are viewed in the same light. In this article, I will explain the difference between each concept and what they have in common.

Introversion

Introversion is a personality trait. Introverted people have a higher interest in their own internal world, their thoughts and feelings, and are usually happy to spend time alone. Actually, most introverts need alone time as a self-care tool as much as extroverts need social time to recharge their batteries.

Social Phobia

In contrast, social phobia is a mental health disorder based on a perceived irrational and exaggerated fear in social situations. A person suffering from social phobia is usually interested in social situations. However, their fears of being judged by others or embarrassing themselves lead them to avoid social interactions and facing them with significant distress.

People experiencing social phobia, are usually overly conscious people, perfectionist, and have constant feelings of being “put on the spot” in social interactions. This distress impacts several areas of their lives. It is not hard to imagine that someone struggling with social phobia will have extreme difficulties initiating and/or maintaining relationships, which contribute to social isolated.

Being isolated socially can lead to other mood disorders and may affect future goals. How? Well, think about choosing a university degree or a professional career pathway. If I am social phobic, will I choose a career involving primarily social interactions like public relations, politics, management, etc.? Probably not. Social phobia can vary in intensity and forms: some people only struggle with social situations (being the focus of attention) – performance type – while others will struggle simply with social interaction in groups. Severe forms of social phobia may have both forms present.

Children’s experiences of social phobia

Children’s presentation of social phobia may vary according to their different developmental stages. Due to developmentally appropriate diminished self-awareness, young children usually can only describe several physical symptoms, are extremely clingy in social situations, refuse to participate in social or school activities and do not tend to speak when meeting new people.

Middle school-age children, as they become more self-aware, can say things like “I expect bad things to happen” or “others are looking at me while I am eating” or “others are saying bad things about me”.

Teenagers experiencing social phobia, are usually very hard on themselves and self-critic, thus, will often avoid eye contact, or struggle at an academic level (which can lead to school truancy). They can have difficulty dating and in some cases start at-risk type of behaviours, such as alcohol and drugs experimentation as a coping mechanism for their anxiety.

Shyness

Shyness includes a number of uncomfortable feelings such as awkwardness, stress and worry when interacting with unfamiliar people. Shyness can be present when someone experiences introversion and social phobia.

Since I am a food lover, let me explain it this way: Introversion and social phobia are the two bread slices of a sandwich and shyness can be considered the cheese that connects the slices. Shyness often, but not always, leads to social phobia. Similarly, an introvert may be shy when facing unfamiliar social situations but it does not necessarily mean that he/she suffers from social phobia.

Conclusion

Telephone Counselling working with introversion, social phobia and shyness is possible. Whether you are an adult with a constant feeling of being “put on the spot”, or have a child who displays some of the above symptoms, the more you avoid it, the worse it gets!

Start today by taking the driver’s seat when it comes to your social phobia so that you can learn to park it somewhere and never look back! Talk to us, we can join you in these driving lessons.

Want to learn more about telephone Counselling working with introversion, social phobia and shyness? Feel free to contact Sara. Want to learn more about Sara, follow this link.

Contact Sara Now

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