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Wednesday 23 August 2017
Derbyshire Healthcare NHS Foundation Trust
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Treatments we offer

Workshops and Courses

Workshops and courses can offer information and techniques to manage your problems around people with similar issues. Participants often find the encouragement, ideas and help from others invaluable, as is realising they are not alone in having difficulties.  Workshops are offered in several venues throughout the county.

For more information about our current courses and workshops.

Cognitive Behavioural Therapy (CBT)

CBT is based within an equal, collaborative relationship.  The client is an expert on their own difficulties, the therapist brings knowledge on how diffierent problems arise, are maintained and how a person can begin to make changes.  CBT acknowledges that earlier experiences can shape the way a person thinks, feels and behaves; however the focus in session is on a persons current difficulties to understand how things are affecting them in the 'here and now'.  CBT sessions are structured and goal orientated; between session activities are planned to help this process and to enable the practice of techniques between therapy sessions. 

For more information about CBT please visit the British Association for Behavioural and Cognitive Psychotherapies website: www.babcp.com, or NHS Choices

Counselling

Counsellors offer a safe, confidential place to talk about issues which may be causing people concern. The aim of counselling is to find ways of managing situations more satisfactorily, either by making changes in life, or helping people find ways of managing the different feelings that arise.  It is not usually about giving advice, but instead looks to enable a person to work out their own way through a situation by providing support and a safe place to reflect..

For more information on counselling, visit the British Association for Counselling and Psychotherapy website:  www.bacp.co.uk, or NHS Choices

Facilitated Self-Help

Bibliotherapy and self-help books and information have been available for as long as psychotherapy has existed.  Although guided self-help interventions can vary considerably, generally books, worksheets and computer based programmes are used along with telephone support from one of our fully trained Psychological Wellbeing Practitioners.  This easily accessible and convenient treatment approach aims to help people identify the key problems and goals that they wish to work on, identify appropriate materials, support the person in their efforts to make changes and review progress.

Computer Based Programmes:  The Silvercloud Mind Balance programmes are problem-focused online interventions for individuals experiencing psychological difficulties.  Each module is structured and its content follows the evidence based principles of face-to-face cognitive behavioural therapy.  Modules generally include:an introductory quiz and video, educational information, personal stories, interactive activities, homework suggestions and summaries.  There are 3 key programmes: Mind Balance Anxiety, Mind Balance Depression and Life Balance (stress).  The client will have access to the computerised programme for a 12 month period, supported by 6 (usually telephone) contact sessions with a Psychological Wellbeing Practitioner to help guide the process. 

The “Reading Well Books on Prescription” scheme enables GPs and psychological health professionals to ‘prescribe’ cognitive behavioural therapy through books available at their local library.  The scheme works within NICE guidelines and uses 30 books endorsed by health professionals  www.booksonprescription.org.uk

Eye Movement Desensitization and Re-processing (EMDR)

EMDR practitioners believe that when a traumatic incident (such as assault, abuse, road traffic accident, military conflict) occurs it can overwhelm normal cognitive and neurological coping mechanisms, resulting in the memories not being processed properly and being stored incorrectly. 

During an EMDR therapy session clients are encouraged to recall distressing images whilst their therapist initiates different eye movements, often by moving his/her fingers back and forth in front of the clients face and encouraging them to follow them.  Other techniques can include taps or sounds. The goal of EMDR is to process these memories and allow clients to develop different coping mechanisms. 

For more information about EMDR, please visit the EMDR Association website: www.emdrassociation.org.uk

Mindfulness-based Cognitive Therapy (MBCT)

MBCT encourages people to accept and observe their thoughts, emotions, behaviour and environment, without judgement.  By using meditation, breathing techniques and paying attention to the present moment, mindfulness can help people change the way they feel, think and act.  As mindfulness techniques are working towards changing patterns that often have been around for years, there is an expectation that client will put in time, effort and practice between sessions to help learn new skills.

For more information on Mindfulness please visit the following website: www.bemindful.co.uk, or NHS Choices

Interpersonal Therapy (IPT)

IPT is a time-limited and structured approach, developed specifically to treat moderate-severe, single episode or recurrent depression by looking at the ways that interpersonal (relationship) issues contribute to psychological distress.  IPT has 2 main goals: to reduce the symptoms of depression and to improve the quality of relationships.

Brief Dynamic Interpersonal Therapy (DIT)

DIT is a time-limited psychodynamic therapy, specially developed for the treatment of depression.  It aims to help you to understand the connection between symptoms and what is happening in your relationships.  It has been found that when a person is able to deal with a relationship problem more effectively, psychological problems often improve.

One of the main ideas in psychodynamic therapy, is that we tend to try to ignore or sometimes even bury painful experiences.  This is why difficult experiences in the past can continue to affect the way we feel and behave in the present.  They often show themselves in current relationships and DIT begins by talking about key relationships in your life and how they link to your depression.  You and the therapist work together to identify a key, repetitive pattern of relating that can often be traced back to childhood.  As the therapy progresses, sessions will involve discussing how this pattern features in your current life and working on making positive changes.   

For more information on DIT you can visit the following website: www.d-i-t.org    

Couples Therapy

Previously known as “marriage guidance” or “marital therapy”, couples therapy can help if your problems are generated mostly by your partnership, or if your difficulties are affecting your ability to demonstrate affection.  Typically, both members of the couple would attend session to help identify adn devise strategies of how to work through the difficulties together.

Talking Mental Health Derbyshire offers couples therapy through our partners at Relate, an organisation with more than 70 years of relationship expertise. 

Psychosexual Therapy

Psychosexual therapy or “sex therapy” can help people who are experiencing difficulties in their love life.  Common shared difficulties include: lack of interest or desire and difficulty having an orgasm.

Specifically, in men difficulties may include: difficulty getting or keeping an erection (erectile dysfunction), premature ejaculation (ejaculating too quickly) and retarded ejaculation (delay in achieving ejaculation, or inability to achieve ejaculation during sexual activity).

In women: pain during sex (dyspareunia), or an inability to have penetrative sex (vaginismus).

First it is establised that there is not a physical or medical reason for the problem.  Then the history of the problem is explored.  Therapy consists of a behavioural programme which is set up by the therapist and carried out by the client(s) in the privacy of their own home.  The programme assists people to feel better about their bodies and to gain knowledge and confidence about their sexuality. Many sexual problems are caused by anxiety, lack of confidence, lack of sex education, poor body image problems or problems within the relationship.

Talking Mental Health Derbyshire offers psychosexual therapy through our partners at Relate.  

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