Engaging in a talking therapy can be difficult and it is important that you feel you are being listened to and that trust can develop.
CBT has structured appointments to best make use of the appointment time. There is an emphasis on a collaborative therapeutic relationship, a sense we are working together and that we are both experts. We will adopt a curious and almost scientific approach to find out how else presenting problems may be thought about or tackled. We will consider what other ways issues can be approached and identify and practice any skills and strategies that may help you in working towards your identified goals. Working on things discussed in sessions, outside of the appointments, forms an important part of CBT.
We will meet initially to discuss what your needs are, to gain a shared understanding of the problem and find out what your goals for therapy might be. It is also a time for you to ask any questions you might have. The first meeting usually involves developing a diagrammatic picture, called a formulation, which tries to make sense of what keeps the problem going, or why things are not getting better. Individuals often find this process interesting and useful. Often it helps both you and your therapist make a decision about whether CBT might be helpful. If together we decide to go ahead, we will agree a regular time slot either weekly or fortnightly. Each session lasts 50-55 minutes.