PPCS - Psychiatric & Psychological Consultant Services

Specialist Skills & Therapies

We offer a range of other specialist skills and therapies including:

EMDR
Developed in the 1990s, EMDR (Eye Movement Desensitisation and Reprocessing) is a model of short-term psychotherapy. EMDR combines aspects of Cognitive Behavioural Therapy (CBT) (exposure, desensitisation, cognitive restructuring) and neuro-linguistic programming, with side to side eye movements, known as bilateral stimulation. The aim of EMDR is to encourage the stimulation and rebalancing of an individual's information-processing system. By gathering sensory information connected with a traumatic experience, in combination with bilateral stimulation, EMDR aims to hasten the integration of traumatic memories. Initially developed to be used with patients presenting with PTSD (Post Traumatic Stress Disorder), EMDR may be used in conjunction with other psychotherapies, in order to address a wider range of psychological problems.

Existential psychotherapy
Existential psychotherapy is rooted in European existential philosophy. Rather than adhere to a strict model of psychotherapy with highly specific therapeutic tools and mechanisms, existential psychotherapy relies heavily on the philosophical stance taken by the therapist. Via the therapeutic process of engagement, patients are assisted in coming to terms with the dilemmas of living. These dilemmas often present themselves as symptoms of depression and anxiety. Central to existential psychotherapy, is recognition that patients need to find a sense of meaning, amidst an often chaotic existence. By focusing on the universal features of existence, and the four dimensions on which these are met (psychological, physical, social and spiritual) the unavoidable paradoxes we all experience in life are explored, and greater strength is gained from deeper understanding and acceptance of what it means to be human.

Family or Systemic Therapy
Family or systemic therapy is not concerned with diagnoses but seeks to understand the problem in terms of relationships and communication patterns. The systemic tradition sees the individual's account as a subjective narrative, and sees diagnosis as a socially constructed phenomenon. From a solution focused perspective, the assessment deliberately avoids identification of problems, and seeks to elicit strengths and solutions.

Group Psychotherapy
Group psychotherapy or group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. The term can legitimately refer to any form of psychotherapy when delivered in a group format, including Cognitive Behavioural Therapy or Interpersonal Therapy, but it is usually applied to psychodynamic group therapy where the group context and group process is explicitly utilised as a mechanism of change by developing, exploring and examining interpersonal relationships within the group.

This may involve the fusion of different schools of therapy.

Relationship Counselling and Couple Therapy
Relationship counselling is the process of counselling the parties of a relationship in an effort to recognise and to better manage or reconcile troublesome differences and repeating patterns of distress.

The relationship involved may be between members of a family or a couple (see also family therapy), employees or employers in a workplace, or between a professional and a client.

Couple therapy (or relationship therapy) is a related and different process. It may differ from relationship counseling in duration. Short term counseling may be between one to three sessions whereas long term couples therapy may be between 12 and 24 sessions. An exception is brief or solution focused couples therapy. In addition, counseling tends to be more 'here and now' and new coping strategies the outcome. Couples therapy is more about seemingly intractable problems with a relationship history, where emotions are the target and the agent of change.

Marriage counseling or marital therapy can refer to either or some combination of the above.

The methods may differ in other ways as well, but the differences may indicate more about the counselor/therapist's way of working than the title given to their process.

CAT
Cognitive Analytic Therapy (CAT) has developed since its inception in the 1980s. Much of the theory and practice of CAT is shared with other therapies. It is not however an eclectic mix of these therapies, but a unified model involving the creation of a human relationship between therapist and client which will work out the best way to work together. It is best described as a short term therapy with 12-16 sessions the norm. In general, both target problems and target problem procedures are identified and therapy is undertaken to bring these into the awareness of the client. These procedures have often been successful early patterns of thinking or behaviour which are no longer helpful. Often these procedures have become automatic and the successful intervention will bring these into the understanding of the client with the subsequent opportunity for change - a change for the better.

CAT is effective for a wide range of conditions including anxiety, depression and even some personality disorders.

Mindfulness
Mindfulness is a technique which is derived from meditation practices, some of which are thousands of years old. It is developed and utilised to bring awareness to the individual, the healing power of awareness. It may be thought of as a shift to freedom. Freedom from the tyranny of thought itself. When one looks at anxiety, low mood or depression, these states are characterised by the relentless turmoil and ruminations of the mind. The attempt to solve often long standing emotional problems with our 'problem solving' mind may be thought of as taking the wrong tool to do the job. This way of thinking in fact often takes the individual into a downward spiral of mood or state. Emotions often simply don't respond to our cognitive strategies.

The use of mindfulness practice brings a different 'tool' into the therapeutic practice. That of a 'being' state of mind…a state of mind which does not attach itself to the emotional states which may be distressing (to) the individual. Mindfulness combined with modern CBT practices has been developed by a group of highly skilled and experienced psychologists who have reported significant success with this development in the treatment of recurring depression.

The individual is equipped through the therapy with a lifetime lasting set of skills to enable them to cope with future problems.

For further information or to make a referral please call Deborah Young on 020 7935 0640.