How frequent are the sessions?
Sessions may be one to four times a week. Every person’s process is unique, so there is no set frequency. Most people start at once or twice a week. Frequency of sessions is one of the topics discussed in the preliminary session.
How long is a session?
Sessions are 50 minutes. Occasionally when Sensorimotor Psychotherapy techniques or EMDR are used, longer sessions may be scheduled.
Are sessions at the same time each week?
How much does it cost?
There is a standard rate (available on request), which is fixed at the beginning of each year. A small number of discounted sessions are also available for people on low incomes.
What happens in a session?
This is entirely up to the client. They may wish to talk about what is happening in their daily lives, a particular problem, memories, feelings, dreams, creative writing or some other form of creative expression, thoughts, symptoms, body sensations or what is happening in the process. Or they may just want to be in silence. The psyche is quite purposive, especially when it becomes engaged in the process, so we can trust it to produce the material we need to work with.
Where there has been trauma EMDR may be helpful.
As body and psyche are inseparable, sensorimotor psychotherapy techniques will also be used where helpful.
How long does therapy/psychoanalysis take?
This depends on the person and what they are looking for. The process is unique to each person and unfolds at its own pace. It continues for as long as you feel you need or would like it. Some people seek psychotherapy for a specific problem and will leave when they feel it has been resolved; others come for a full Jungian analysis, which is a longer-term process. Either way, the process is not usually a ‘quick fix’, but rather, seeks deeper permanent change. If the focus is only on relief of symptoms rather than on the deeper causes, the initial symptom may be resolved or managed in some way, only for the underlying issue to express itself again in some other way.
How long will I be committed for?
There is no notice period for the first month of working together. After that there is a one-month notice period. This provides an opportunity to explore the reasons for finishing, to process what has happened and what has been achieved in the process and to enable a proper ending of the therapeutic relationship.
How confidential is the work?
Confidentiality is fundamental to the success of the process and is a requirement under the Code of Ethics. There are a few legal exceptions – such as where a child is at risk of serious harm. In the rare circumstances where confidentiality needs to be breached, this is almost always discussed with the client beforehand.
Do you ever conduct sessions by skype?
Face-to-face sessions are always preferable. However, there may be occasional circumstances where having some sessions by skype is appropriate – for example, where a person has to make frequent overseas business trips or becomes housebound for a while due to ill health.
Do you work with dreams?
Yes, they can be very helpful to the process. Some people work well with dreams, others rarely bring dreams if at all.
Do you work with any other material?
Yes, most creative material is useful, whether it be film scripts, art, photography or other forms of creative writing.
What is the difference between counselling, psychotherapy and psychoanalysis?
The terms are often used interchangeably and in different ways by different people.
Generally, counselling is short-term work that focuses on a particular difficulty.
In psychotherapy the work is usually deeper and considers the difficulties being presented with the broader context of the whole person. It is not simply about resolving one isolated issue, but rather explores the issue within the wider context of the whole person. It seeks deeper change at a more permanent level.
Analysis is a form of depth psychology that works with the unconscious. In Jungian terms it is concerned with what is known as the individuation process – the process whereby a person achieves more fully their own unique potential. This will inevitably involve therapeutic work, but it goes further, which is why it is suited also for those whose professional work requires deeper self-understanding. It is a positive and profound experience of transformation and growth.
What is Analytical Psychology?
This is the term adopted by Jung for his theory and practice of depth psychology. He used it to distinguish his psychology from that of Freud, which Freud called psychoanalysis. Today the term ‘Jungian analysis’ is more commonly used.
Who can benefit from analysis/psychotherapy?
Analysis is effective regardless of age, colour, race, sexual orientation, religion or education.
Do I have to decide in advance whether I am looking for psychotherapy or psychoanalysis?
No. For most people the distinction is irrelevant – they come seeking help for something, and what matters is whether or not the process offers that.
What is dissociation?
It is the experience of having part of oneself disconnected from another part one of oneself. There are five key forms of dissociation: amnesia, depersonalisation, derealisation, identity confusion and identity alteration. A brief summary of each of these may be found on Mind’s website. Information may also be found in in the FAQs section of the website for ISSTD, the International Society for the Study of Trauma and Dissociation
What are the dissociative disorders?
A person may be considered to be suffering from a dissociative disorder if they have repeated episodes of dissociation. There are 5 recognised disorders – Depersonalisation Disorder, Dissociative Amnesia, Dissociative Fugue, Dissociative Disorder Not Otherwise Specified (DDNOS) and Dissociative Identity Disorder (DID).
What is Dissociative Identity Disorder (DID)?
DID is the most acute of the dissociative disorders. In addition to other dissociative symptoms, people suffering from DID experience identity alteration. They experience themselves as having distinct personalities. More information can be found in the guide to dissociative disorders produced by the mental health charity Mind.
What is the SCID-D?
The SCID-D is the Structured Clinical Interview for DSM-IV Dissociative Disorders. It is an extensive questionnaire used to diagnose dissociative disorders such as DID. One of its strengths is that it is structured in such a way as to accommodate the various symptoms from which people suffering from dissociative disorders often suffer. The SCID-D needs to be administered by a trained professional and usually requires a couple of sessions.
What causes dissociative disorders?
Research shows that they are almost always caused by repeated early childhood or trauma such as sexual, physical or emotional abuse, It can also be caused by neglect in the early years.
What are the effects of suffering from a dissociative disorder?
The mental health charity Mind produces a good list of examples:
- gaps in memory
- finding yourself in a strange place without knowing how you got there
- out-of-body experiences
- loss of feeling in parts of your body
- distorted views of your body
- forgetting important personal information
- inability to recognise your image in a mirror
- a sense of detachment from your emotions
- the impression of watching a movie of yourself
- feelings of being unreal
- internal voices and dialogue
- feeling detached from the world
- forgetting appointments
- feeling that a customary environment is unfamiliar
- a sense that what is happening is unreal
- forgetting a learned talent or skill
- a sense that people you know are strangers
- a perception of objects changing shape, colour or size
- feeling you don’t know who you are
- acting like different people, including child-like behaviour
- being unsure of the boundaries between yourself and others
- feeling like a stranger to yourself
- being confused about your sexuality or gender
- feeling like there are different people inside you
- referring to yourself as ‘we’
- being told by others that you have behaved out of character
- finding items in your possession that you don’t remember buying or receiving
- writing in different handwriting
- having knowledge of a subject you don’t recall studying.
What training are Jungian analysts required to undergo?
This varies from training organisation to training organisation. However, most trainings are postgraduate and take between 4 to 8 years. In addition to academic study, a thorough personal analysis is considered essential, as is clinical supervision of clients. A psychiatric placement is also usually required.
How is psychotherapy regulated?
At the moment there is no regulation in the UK, so anyone can call themselves a counsellor or psychotherapist. There are, however, a number of professional bodies that establish rigorous training requirements, codes of ethics and continuing professional development criteria. One of the foremost organisations for psychotherapy is the UK Council for Psychotherapy (UKCP).
Do you take insurance referrals?