CBT for adults

CBT for Adults

Cognitive Behavioural Therapy for Adults

Symptoms

What can CBT treat?

The list below describes some of the patterns of symptoms which can be addressed using CBT:

Anxiety

intense feelings of unease, characterised by fear or worry, which can negatively impact day-to-day life

Worry

spending considerable time thinking of negative things, either past mistakes, present concerns or things that could happen in the future

Panic

uncontrollable fear or anxiety often resulting in unprovoked panic attacks

Depression

persistent feelings of deep sadness and despondency, which can lead to fatigue, loss of concentration and/or lack of interest in life

Anger

intense feelings of irritation and annoyance, in extreme cases leading to uncontrollable behaviour and occurring with little or no provocation

Stress

feelings of being under intense and overwhelming pressure

Sleep disturbance

insomnia, difficulty getting off to sleep, early morning waking, or excessive sleeping

Social phobia and shyness

feelings of shyness or self-consciousness, often related to concerns about how you are perceived by others

Chronic fatigue

tiredness, aching and depression with no obvious medical cause

Fear of flying

fear or avoidance of travel by plane

Low self-esteem

negative evaluation of oneself, resulting in lack of confidence

Driving phobia

fear of driving or passenger travel, or avoidance of driving e.g. in busy traffic, in bad weather, on motorways or at night

OCD (Obsessive Compulsive Disorder)

persistent, intrusive thoughts, worries and emotions often accompanied by compulsive behaviours such as checking, washing, touching, or counting

PTSD (Post Traumatic Stress Disorder)

an anxiety disorder which can occur after experiencing or witnessing a traumatic event, characterised by vivid reliving of the incident, avoidance of reminders, jumpiness and sleep disturbance

IBS (Irritable Bowel Syndrome)

problems with bowel movements accompanied by abdominal pain and bloating, often related to stress, anxiety or depression

CBT Treatment

How does CBT work?

How does CBT work?

At CBT Networks, treatment starts with your first contact. Our Admin Team will listen to your query and provide you with information which will help you decide whether CBT is for you.

Written information about Dr Thrasher and about CBT can be provided by email or post, and an initial telephone discussion or face-to-face assessment can be arranged.

At each step of the process, we seek to ensure respect for privacy and sensitivity to each client's needs.

Initial assessment sessions allow a more thorough review of treatment needs and goals, and treatment recommendations are made. Treatment sessions are one-to-one and proceed in block of six sessions on a weekly or fortnightly basis.

CBT is a brief problem-focused treatment. Depending on the type of problem, you will usually be offered between 6-12 sessions, with the possibility of follow-up as you improve and your need for support tails off.

How do I get CBT?

If you are in the Banbury, Oxfordshire, Warwickshire, or Buckinghamshire area and would like to see Dr Thrasher, you can contact us directly at CBT Networks to arrange a discussion and to set up your first appointment. An initial assessment appointment allows discussion of difficulties and goals and to make sure that CBT is the right treatment for you.

If you would like to receive treatment from one of our network of associates for a psychological injury after an accident or trauma, we can arrange for you to see someone close to home.

If you are suffering from anxiety, depression or any of the difficulties for which CBT is recommended (www.NICE.org.uk) and you would like to discuss whether CBT might be useful to you, please contact Dr Thrasher or her team.

CBT can be accessed from a range of sources. As an individual, you can simply telephone or email us directly to arrange an appointment or to have a chat with Dr Thrasher. All communication is strictly confidential.

You can also be referred for CBT treatment by your GP or other health professional, or by your solicitor (for treatment after an injury).

What happens in treatment?

You and your therapist will develop a list of specific goals for change, and prioritise these for work in further sessions. Each meeting is organised according to an agreed plan for the session at the start, with focus on those areas of greatest importance to you.

Treatment begins with an initial assessment session exploring main problem areas, and aims for treatment. You may be given questionnaires to fill in or forms for self-monitoring or exploring different challenges.

You are encouraged to work between sessions on specific challenges as they arise in treatment. This "homework" means that the most is made of sessions, and will help move change forward more quickly. You therapist will regularly ask for feedback regarding your experience of sessions as they progress.

Treatment is usually organised into blocks of five or six weekly sessions. After each block of treatment sessions, you and your therapist will review gains and any areas that need more work. Towards the end of treatment, sessions may be tailed off by increasing the gap between meetings.

Privacy

From the start, all your information and therapy notes will be kept in the strictest confidence. If it is necessary for us to have contact with your GP or other health professional, we will do so only after first receiving your permission to do so.

How do I know if I have the right therapist?

You are advised to always make sure your therapist is adequately qualified and experienced in their field. A CBT therapist must have a core profession, such as clinical psychology, as well as training in CBT. Look out for accreditation with professional bodies like BABCP. Your therapist should be registered with the Health and Care Professions Council (HCPC).

Ensure your therapist has specific further experience in treating the type of problem you are dealing with. Ask them how many other people they have seen with the same problem and how previous clients responded to CBT treatment.

You can check out Dr Thrasher's professional credentials with British Association of Behavioural and Cognitive Psychotherapies (BABCP) in full online at www.babcp.com where she is an accredited member and also with The British Psychological Society www.bps.org.uk and with The Health and Care Professions Council www.hpc-uk.org.

At CBT Networks, we are happy to offer the opportunity to speak with Dr Sian Thrasher about all these issues by telephone appointment prior to your initial appointment. Alternatively, they can be discussed face-to-face at your first assessment session.

For your treatment to be truly successful, it is important for you to feel happy and comfortable with your therapist, so don't be afraid to ask questions.

Relationships

You and your therapist will be working together on your difficulties. It may be helpful if your GP is kept informed as treatment progresses, although this is not essential. It may be useful for family members and/or partners to attend occasional sessions, in which case this will be discussed with your therapist.

How much does CBT cost?

CBT Networks is an independent treatment provider and sessions are charged on an hourly rate. For an estimate of treatment costs please contact us directly. If you have private health insurance, Dr Thrasher is registered with all major insurance providers. You are advised to contact your provider to enquire as to whether you are covered for outpatient psychological treatment.

How can I pay?

Payment can be made by cash, cheque, or by internet transfer (BACs). If you are applying for funding via health insurance, then you are advised to contact your insurers directly to enquire whether outpatient psychological treatment is covered by your policy and how many sessions are authorised. An authorisation number is required in order for CBT Networks to invoice directly.

Case Studies

Real examples of patient stories

Fear of flying

Thirty-five year old Jason had been promoted at work, requiring him to fly to Amsterdam on a weekly basis. He had been fearful of flying since experiencing turbulence on a flight home from Spain 10 years previously. He had avoided plane travel since then, preferring to travel by train or boat and tending to holiday at home in the UK.

Jason attended eight sessions of CBT aimed at addressing his fear of flying with the goal of being able to fly comfortably to Amsterdam without anxiety. Treatment sessions began with psycho-education about the nature of anxiety and practical information about the process of plane travel and the relative risks. Jason was encouraged to elicit his specific worries around plane travel and to explore these by looking for alternatives and asking friends and family who were comfortable with flying to check out their points of view.

On his first flight to Amsterdam, Jason prepared for this by giving himself plenty of time at the airport and making sure that he did not engage in excessive checking behaviour on the plane. He was prepared to recognise and understand symptoms of anxiety and to "ride the wave" of fear-related sensations. In fact on his first flight, Jason discovered that his fear, while peaking at a level of 6 (out of 10), rapidly reduced when he managed to continue to behave normally and towards the end of his relatively short flight to Holland, he began to feel more calm. While the return journey was accompanied with some feelings of trepidation beforehand, he again managed to "ride the wave" and felt he was able to return the following week.

Over time, and with continued practice, Jason succeeded in gearing down his fear reaction by working on his thoughts and behaviours and was able to travel comfortably to Amsterdam with work. At his last of 8 treatment sessions, he was planning to fly to America to holiday with his family.

Mondays

Rebecca came to CBT Networks with symptoms of panic disorder in the form of intense nausea and dread on Monday mornings prior to her journey to work. She described waking in the morning with an increased heart rate and feeling like she did not want to get out of bed. Unable to eat breakfast, she struggled to get to her train and found herself worrying about vomiting or fainting in public.

In her CBT sessions, Rebecca began by monitoring her panic symptoms to see how they fluctuated over a period of a week. Her panic diary showed that Tuesdays to Sundays were relatively symptom-free. It became apparent that fear of Mondays was associated with a Management Meeting at work scheduled for first thing each Monday morning at which she regularly had to present information from the previous week. Rebecca was able to identify several negative predications regarding these meetings and about her ability to successfully manage in them. She also noticed that she would tend to avoid the meeting if possible, arriving late and staying near the door in case she felt faint and sipping water frequently in order to prevent herself from being sick.

In sessions, Rebecca learned to understand the relationship between physical symptoms and negative thoughts, and began to practice behaving more confidently in meetings by reducing avoidance and even managing to chair a meeting. She learned to understand that feelings of anxiety, while uncomfortable, would not cause fainting and was able to experiment with sitting in the middle of a room and talking with familiar and unfamiliar groups of people, e.g. at her works annual conference. She is no longer panicky on a Monday.

On the motorway

John was involved in a motorbike accident on the motorway. As a result of which he suffered injuries to his arm. When he arrived at CBT, he was unable to drive his car on a motorway, tending to avoid this and taking back roads on long journeys. While he no longer rode a motorbike and did not wish to return to this, he continued to feel anxious in a car and his goal in therapy was to be able to use motorways with confidence and to be able to overtake lorries. He wanted to be able to socialise with his old motorbike buddies without anxiety.

A combination of work on his specific worries, including some work on the memories of his road traffic accident, John was able to reduce his anxiety reactions to reminders and began a program of "graded exposure" to motorway travel, starting with 'A'-roads. He learned to behave more confidently as a driver and attended a motorbike meet with his friend where he was able to talk about bikes and enjoy the social side of this previous hobby.

John no longer avoids car travel and is working on his confidence on motorways. He is able to use dual-carriageways with ease which has meant that journeys to see family and friends are shorter. He is less tired after travelling and no longer panics at the thought of getting in the car. He plans to try his first motorway journey at a quiet time and with the support of his sister in the passenger seat.

Quotes

What our patients say

I used to spend a great deal of my time worrying about issues that most people very rarely give a second thought to. Much of my time seemed to be consumed with negative thoughts about illness, death and the after-life...I did not want to spend the rest of my life worrying about what MIGHT happen...The thought of having 'therapy' was a daunting one, but from the very first session, I felt relaxed and able to talk about my feelings freely. Sharing my inner-most worries and concerns was a liberating experience. It was such a relief to be able to speak to Dr Thrasher...Dr Thrasher encouraged me to face my fears and this was a big challenge for me. It was a challenge that I would naturally want to run away from, but I am so pleased that I didn't. Having completed the course of CBT, I feel a huge sense of relief. It is as if a huge weight has been lifted from my shoulders. I would have no hesitation in recommending CBT Networks Ltd to others and wish that I, myself, had found Dr Thrasher sooner.Rosie had 10 sessions of CBT for worry (Generalised Anxiety Disorder).

I had CBT and went from someone who could not leave the house to a qualified veterinary nurse. It's not easy and I still fight today but now I have a life to live when before I didn't. I really recommend it especially if you have a great therapist!!! Amber

When you are suffering from PTSD you are lonely in a room full of people. CBT gave me the strength to do the things that normal people do. Spencer had Post Traumatic Stress Disorder (PTSD) after a fall from scaffolding

I drive to work every day now. Before treatment I had to rely on the train. Simon had Trauma-Focused Cognitive Behavioural Therapy (TCBT) after becoming phobic of car travel after a road traffic accident

CBT gave me my life back ... I don't live in fear anymore. It has opened up my world. Neil received 12 sessions of CBT for agoraphobia