What is Cognitive Behavioural Therapy?
CBT, which stands for Cognitive Behavioural Therapy, is a type of Psychotherapy. CBT theory suggests difficulties can be explained and treated through scientific methods. Difficult situations can be understood through our Thoughts, Emotions, Physical Sensations in the body and Behaviours (what we do/don’t do to relieve the uncomfortable feelings/thoughts).
By identifying our thoughts, emotions, physical sensations, and behaviours, we can consider how unhelpful temporary solutions lead to unintended long-term maintenance, affect our appraisal of the problem symptoms and make us feel stuck in a vicious cycle. Often CBT therapists use different questioning techniques and diagrams to work with you and help you to understand these processes.
CBT is very much focused on the “here and now” and looks to consider how thinking and behaving differently can help us make helpful changes through the use of research-informed techniques. Sometimes, the past may inform present thinking or behaviour and if so your therapist will support you to understand the connections and the impact on the “here and now”. Whereas, counselling looks to help you understand the past and the link to understanding your feelings in the present. The aim of CBT is to improve mental well-being and overall quality of life.
Stepped Care model adapted from NICE guidelines for Depression and Anxiety disorders.
What problems might Cognitive Behavioural Therapy work with?
Low-Intensity CBT - is a less intrusive method of CBT facilitated by a Psychological Wellbeing Practitioner and is used to treat mild to moderate symptoms of Depression and Anxiety. Low intensity as it sounds is a manageable six-session treatment of CBT lasting thirty minutes each session. Depression, Sleep problems, Panic, Generalised anxiety disorder, agoraphobia and phobias tend to be offered at Low-Intensity. However, some practitioners are equipped to work with mild conditions of PTSD, Social Anxiety and OCD.
High-Intensity CBT - is an extensive method of CBT facilitated by a High-Intensity Cognitive Behavioural Therapist or CBT-trained Clinical Psychologist. High-intensity CBT is used to treat moderate to severe symptoms of Depression and Anxiety. High-Intensity CBT can be fifty minutes to an hour in a typical session, though some sessions may require longer. The amount of sessions is 12-20 sessions depending on the problem. But in some cases can be less/more depending on the individual. High-Intensity CBT therapists tend to be trained to work with Depression, Sleep problems and Anxiety disorders such as Generalised Anxiety Disorder, Panic Disorder, Agoraphobia, Health Anxiety, Post Traumatic Stress Disorder, Obsessive Compulsive Disorder, Social Phobia and other Phobias. Again, further specialised training can occur for other complex conditions such as personality disorders, Eating disorders and Schizophrenia/Psychosis.
Where do we start?
Below is a video demonstrating what you can expect during an assessment. This is an example of a common Cognitive Behavioural Therapy Five areas maintenance model. The model is used as an assessment tool for the CBT therapist and client to gain a mutual understanding of the main difficulty and how the main difficulty remains persistent. By observing components of a recent example the therapist and client can begin to gain insight into the validity of the thoughts, behaviours and the short to long-term maintenance of the problem.
How do we work together?
Hello, my name is Christopher Jarrold. I am a qualified and BABCP (British Association for Behavioural & Cognitive Psychotherapies) Accredited High-Intensity Cognitive Behavioural Therapist. In addition to continuing my work within the NHS, my goal is to provide high-quality research-informed Cognitive Behavioural Therapy and more.
Collaboration in CBT is paramount to meaningful change. You live your everyday life 24 hours a day 7 days a week, which makes you the expert witness on all things related to you. When paired with my expert knowledge of CBT we can work together to understand your difficulties through CBT theory. We can identify what factors keep your hardships persistent and how we might use the research-informed CBT techniques to try alternative ways of thinking or behaving and make effective changes along the way. Teamwork and honesty are key.
Guidelines are crucially important to me because I recognise you will get the most out of therapy if the CBT modality is right for you. For this reason, I adhere to NICE guidelines, DSM-5 criteria, Safran and Segal treatment suitability and Roff and Pilling competencies when assessing individual needs. In addition, I support my clients to make informed decisions about their care by providing research, their own personal formulation and rationale for every technique we implement.
Services
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Cognitive Behavioural Therapy
£100 per 50-minute to 1-hour session.
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Eye Movement Desensitisation and Reprocessing
£120 per 1 hour session.
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webinars
£40 per participant.
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Behavioural Family Therapy
£120 - £150 per 1-hour 30-minute session - 2 hours session. (Family size dependant, more members longer sessions needed).
Meet the CBT therapist
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Christopher Jarrold
British Association for Behavioural and Cognitive Psychotherapies Accredited High-Intensity Cognitive Behavioural Therapist. I have been working in mental health since 2015 and within Talking Therapies since 2018.