Clinical approach

How we work.

Therapy is shaped around the person in front of us, so no two courses look exactly alike. A course of therapy will usually follow these stages.

What a course of therapy usually follows

Broadly, and not always in a straight line.

1

Structured interview

A structured interview to understand you better. It covers your current difficulties, relevant history, and the changes you would like to bring about.

2

Psychological formulation

You gain in-depth insight into your current mental framework: what is maintaining the difficulty, and why.

3

Goal setting

Defining clear therapeutic goals and what progress will look like for you.

4

Treatment plan and therapeutic change

Building skills, changing patterns, and translating those changes into your life. Frequency and duration are agreed with you and reviewed.

Online or in person

Both formats follow the same clinical process and carry the same fee. Online sessions use a private video link. Research comparing online and in-person psychotherapy has found no meaningful difference in outcomes.

How the approach is chosen

Approaches are selected from evidence-based modalities on the basis of the formulation, and reviewed at agreed intervals. The rationale for any approach is explained before it is used.