Questions and Answers

Talking can help you sort through your thoughts and clarify whatever is going on for you at the time. While all your stuff is internal, it’s hard to see how it really works. Once you’ve say it out loud, it gets easier to get hold of. If you just worry about your problems without talking to someone about them, they probably start to seem worse and bigger than they are. Talking can cut them down to size. Someone who’s not involved in whatever is bothering you might encourage reflections on different ways of understanding what’s happening that you aren’t aware of at the time. If you’re talking to someone neutral but caring, they won’t take sides or judge you. Talking could be understood as a pressure valve for your head, by releasing the pressure there’s more space for all the ‘stuff inside’ to get the space it needs. It can be enormously helpful being heard and understood.

Some therapists say more than others, offering more feedback and ideas and others say very little. This is usually due to the therapists approach and training and their relational style. It can feel excruciating to sit in silence while being 'stared at', a possible way to address this creatively is by altering seating positions for example. Silences are as important to any therapy as the talking is. It is important for you to be able to bring to sessions what you need to, for this reason it is important for the therapist to be non directive. The session is yours.

GP's should make an assessment of whether a talking therapy, anti-depressants or both are appropriate for you at your appointment. More recently talking therapies have become more accessible via the NHS and for some symptoms is a great way to get what you need. This has reduced the tendency for GP's to prescribe drugs due to lack of alternatives. Unfortunately typically only 6 sessions will be provided and may not be enough. Furthermore there is currently an increasing reduction in the availability of talking therapies that require longer, in some areas there is no provision at all. Anti depressants can be very helpful in reducing distressing symptoms, they can provide much needed support in having them and can also aid any talking therapy when it just feels to much. Anti-depressants do not 'fix' the problem however. It is of course your choice, and it is important to consider your GP's advice. If you do decide to take them it is important for the dosage to be taken as prescribed.

The length of any therapy is ultimately your choice and should be reviewed periodically. For making sense of recent life events or mild to moderate symptoms 6 sessions can be all that is needed. Depending on the initial assessment there may be clinical consideration relating to any symptoms you are experiencing that may have a bearing for longer term work. Some issues that have been long standing over many years can require long term work which as a therapist I am committed to supporting you with once agreements have been made and the work has begun. I adhere strictly to the UKCP code of conduct not to prolong any therapy for longer than is necessary.