Interventions Online Therapy | No matter how bad things are right now. No matter how stuck you feel. No matter how many days you’ve spent crying and wishing things were different. No matter how hopeless and depressed you feel. I promise you that you won’t feel this way forever. Keep going. Helen Wilson

Presenting Issues

Do you sometimes go through periods of feeling down, or fluctuations from extreme happiness to extreme sadness? This means you could be suffering from depression or bipolar.  All of us feel down sometimes but when it starts to affect your daily functioning, you may need help.  Mood disorders are sometimes called affective disorders because it affects the way you feel.  It is not clear what causes mood imbalances. Some feel it is due to a combination of environmental, psychological, biological and genetic factors. Brain imaging studies suggest that the brain structure and functioning may play a role in the development of mood disorders.

 

However, depression could indicate that you have a thyroid problem. An underactive thyroid can make you feel depressed, fatigued, and fuzzy-brained.

Do you sometimes have that uncomfortable feeling of fear, dread, or danger?  Anxiety disorders range in severity from mild to debilitating and are common in people of all ages. The Anxiety Disorders Association of America identifies five major anxiety disorders as Panic Disorder, Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), Generalized Anxiety Disorder (GAD), and Phobias (including Social Phobia, also called Social Anxiety Disorder).

 

Depression and anxiety, or both, could indicate that you have a thyroid problem.  An overactive thyroid can cause anxiety and insomnia.

Have you experienced an emotional response to an extremely negative event? Trauma is a normal reaction to a deeply distressing experience, and the effects can be so severe that it interferes with your ability to live a normal life. When this happens, you may need help to restore emotional well-being.  Clients could be directly or indirectly affected by trauma.

 

Direct experience of trauma: Rape, domestic violence, severe illness or injury, natural disasters, death of a loved one

Vicarious Trauma: Witnessing an act of violence, observing other peoples trauma, mental health workers who work on a daily basis with those affected by trauma

There are a number issues that can cause relationship problems and almost always involve poor communication, loss of intimacy or incompatible sex drive. Work stress or unbalanced work/life situation can also negatively affect your relationship.

Call us if you want to improve your relationship, help to resolve an affair, negotiate a separation, or if you simply want to set up a new relationship for success.

Therapeutic Modalities

Humanistic therapies are also known as the talk therapies and emphasise people’s ability to make rational choices, develop to their maximum potential, and encourage concern and respect for others.

 

The three main types include:

  • (1) Person-centered therapy helps you change by giving you the power to taking charge of your challenges, self-care and interests.
  • (2) Existential therapy is about your search for meaning, free will and self-determination.
  • (3) Gestalt therapy holds a holistic view and stresses the importance of being aware of the here and now and accepting responsibility for yourself.

Behavioural therapy will help you identify and change potentially self-destructive or unhealthy behaviours.  Cognitive-Behavioural Therapy (CBT) developed from only focussing on changing behaviour (Behavioural Therapy) to include thoughts and feelings.  At the core of CBT are the self, others and future.

During CBT sessions you can expect the following.  The basic steps in assessment include (1) identifying critical behaviours, (2) determining if the behaviour is a deficit (in eating disorders – don’t eat enough) or excess (eat too much), then (3) evaluating critical behaviours for frequency, duration, or intensity (4) finally, if you show an excess, you would attempt to decrease frequency, duration, or intensity of behaviours |  deficit attempt to increase behaviours.

During the CBT process, you can expect the following six phases:

  • (1) an assessment
  • (2)  re-conceptualize or changing maladaptive or faulty thinking patterns
  • (3) learn new skills to deal with problems
  • (4) consolidate new skills and apply what you have learnt
  • (5) maintain the new behaviour by constantly practising what you’ve learnt
  • (6) to ensure you internalise the new behaviour, routine follow-ups with your therapist is important

Solution Focused Brief Therapy (SFBT) is usually used in employee assistance programs (EAP) because it is goal-directed and aims to change a behaviour in a short period.

 

During SFBT sessions, you can expect a series of precisely constructed questions that address issues about what you want to achieve without exploring your background.  These sessions are present and future-oriented and generally completed in approximately 3 sessions.

Integrative or personalised approaches are important because one shoe does not fit all.  Lately, psychotherapy integrates elements from different schools of thought during sessions to serve as a tool-box for presenting issues and tailor them to the needs of individual clients.

Do you have any questions?