Counselling

Counselling

I provide a safe grounded environment within which people can explore, overcome the most challenging situations and make beneficial changes to their lives.

In counselling I assist by co~creating a program to target ‘here and now’ problems, taking account of personal history and life situation. We then focus on achievable outcomes appropriate to the time frame.

I focus on working with people to improve the quality and meaning of their lives and their relationships. I aim to empower people towards making a lasting difference outside the therapy room. My experience of this work has shown me that even when problems seem insurmountable, the combination of knowledge, experience, relationship and new thinking can open the door to change.

For some people, the process of finding their way and moving forward can be relatively short, whilst for some there is more complexity and history to take account of. For all, there will be a freedom to explore and no pressure in making the most appropriate choice.

Research findings https://www.bacp.co.uk/research/resources/

There is recent evidence to suggest counselling to be equally as effective as Cognitive Behavioural Therapy (CBT) with approximately 40% of people in Increasing Access to Psychological Therapies (IAPT) services moving to recovery for both interventions (Glover, Webb & Evison, 2010). A number of review papers have been conducted providing support for counselling to have significantly greater clinical effectiveness compared with usual care and it has been reported than person-centred counselling is effective for clients with common mental health problems such as anxiety and depression (e.g., Bower et al., 2000;Cape et al., 2010; King et al., 2000). Research comparing counselling to CBT and usual care indicates a comparable reduction in depressive symptoms for both counselling and CBT compared to usual care (e.g., Rowland et al., 2001); suggesting these interventions to be equally effective. In addition, there have been found to be no significant differences in direct costs between the three interventions, with some research indicating counselling to be less costly than CBT. Furthermore patients receiving counselling tend to be more satisfied with their treatment, than patients receiving CBT or usual care (Roijen et al., 2006).

Studies using routine outcome measures, such as Clinical Outcomes for Routine Evaluation (CORE) have reported reliable improvement pre- and post intervention for counselling for three quarters of clients (Mellor-Clark et al., 2001). Counsellors have also perceived their clients as having changed in their experience of themselves or of their relationships and to have benefitted from counselling (Howey & Ormond, 2002).

When provided with the choice 51% of clients chose counselling over antidepressant medications; effectiveness and cost of these interventions were found to be equivalent, although patients choosing counselling did better than those randomised to it (Unutzer et al., 2003). It has been suggested that perhaps the combination of counselling and anti-depressant medication may produce the most significant positive outcomes for clients (Baker et al., 2002).