Finding the right therapy for you

There are a number of different treatment options offered by the service and your assessor will help you to find the right therapy which will be based on a number of factors including:

  • The nature of your difficulties - ie, your diagnosis or type of problem and the severity
  • NICE guidelines / research evidence of most effective treatments for your difficulties
  • Your goals and what you want to achieve out of treatment
  • If you have had treatments before - what has been successful and what has not worked
  • Your treatment preference and what you are ready to work on

All the therapies we offer require motivated to change and will only be effective if you are prepared to work on your difficulties both in the session itself and between the sessions (homework!).  This can mean challenging avoidance such as facing difficult or uncomfortable situations and emotions, but in the longer term results in improved emotional well-being.

We usually start people off with the least intervention first and then 'step up' to a higher level if this is not successful. These options will be discussed with you at assessment.

To find out more about step 2 (low intensity treatment), watch the short video below (2 mins):

 

Cognitive Behavioural Therapy (CBT)

Cognitive Behavioural Therapy (CBT) aims to help people manage their problems by changing how they think and behave. It encourages them to examine how they think about themselves, others / the world and their future. 

CBT can help us see how our thoughts and behaviours relate to the way we feel, and how we can change these things to overcome problems.

CBT focuses on the problems in the here and now, rather than issues from the past and looks for practical ways people can improve life on a daily basis.

It is has been shown to be helpful in tacking a wide range diagnoses such as:

  • Depression
  • Generalised Anxiety Disorder (GAD)
  • Social phobia
  • Obsessional compulsive disorder (OCD)
  • Post traumatic stress disorder (PTSD)
  • Panic disorder
  • Phobias
  • Health anxiety
  • It can also be highly effective with other problems such as low self esteem and stress.

Find out more about step 3 treatment (high intensity), watch the short video below (4 mins):

 

Computerised Cognitive Behavioural Therapy (cCBT)

Cognitive behavioural therapy can also be delivered through online options rather than as face to face therapy, where appropriate. Research has shown this to be highly effective. These programmes use many of the CBT principles described above. Two types of online therapy are available:

  • Silvercloud. This is a fantastic package, which will be tailored to your needs. You will be supported through the package from start to finish by one of our Psychological Well-being Practitioners (PWPs) who have expert knowledge about this treatment. You set your own goals, working at your own pace and from the comfort of your own home.  It is optimised for mobile and desktop devices. The package contains information about psychological difficulties, techniques and strategies to implement to overcome your problems and gain more control of your emotional well-being. To find out more information about this, please click HERE or to self refer directly for Silvercloud treatment click this button: 

 

 

 

  • Ieso. We use Ieso Digital Health who provide evidence-based one-to-one therapy delivered in real time over the internet. You meet with an accredited psychotherapist in a secure online environment at a time and location that is convenient to you. There are no waiting times so you can start your treatment straight away. Appointments are either 30 or 60 minutes long and you can attend them from anywhere you can connect to the internet. All that is required is a PC, tablet or smartphone.  This method of online therapy is proven to deliver outcomes that are as effective as face-to-face therapy. To find out more about this package click HERE.  To watch a video about how Ieso works click WATCH VIDEO

 

  • Big White Wall (BWW) is a digital mental health support service which is available online, 24/7, and is completely anonymous so you can express yourself freely and openly. Professionally trained Wall Guides monitor the community to ensure the safety and anonymity of all members. In addition to BWW’s online community, you will have access to a wealth of useful information and can work through tailored self-help programmes covering topics such as anxiety, sleep, weight management, depression and many more.

    Big White Wall also offers one-to-one online therapy sessions known as Live Therapy, which allows you to pick you own therapist and choose session times to suit you (including evenings and weekends). You will be able to access sessions from home as they are delivered via audio, video or text chat which means there is no need to travel or take time off work.  If you would like to find out more information, please click here.

Interpersonal Therapy (IPT)

Some of the teams have a small number of therapists who are qualified in IPT*, which is a therapy that focuses on how a person’s mood can influence the way that they relate to others who are close to them or how their relationships can influence their emotions. After a period of assessment you will typically select an one area to focus on that is causing difficulties for you such as conflict, role transitions or loss.

This treatment is particularly effective for people with depression and recommended by NICE.

IPT is a time-limited psychotherapy that focuses on the 'interpersonal context' - ie, the relationships we have or have had around us. It also involves building 'interpersonal skills' such as how we relate to and interact with other people. It is differs from other forms of therapy in its emphasis on 'interpersonal processes', which means the interactions that take place between people.

IPT aims to change our interpersonal behaviour by looking at current roles and situations where we are interacting with others. It works with difficulties arising in the daily experience of maintaining relationships and resolving difficulties while suffering an episode of - eg, depression.

* There is limited availability of this treatment modality in Cambridge team.

Eye Movement Desensitisation Reprocessing (EMDR)

All teams have a small number of clinicians who are qualified in EMDR, which is a recommended treatment for people who have Post Traumatic Stress Disorder (PTSD). This treatment is a highly effective method that uses eye movements and other methods to help the person to process traumatic experiences. It can also be highly effective with a range of other problems, although at present the research base at the moment has only recommended this method with traumatic experiences. 

When people experience trauma it can feel like they are struck going over the worst experiences of their life again and again, unable to move on.  Sometimes the person may even experience the event as it were still happening in the here and now (called 'flashbacks'). Other 'intrusive experiences' included unwanted thoughts or images about the experience and nightmares. EMDR can help to unlock these experiences so the person may come to feel more neutral about them. It can also help to build the individuals resources to cope with other situations in the future or triggers to their intrusions, so the person can start to rebuild their life.

Psychotherapy courses

There are a vibrant range of psychotherapy courses and groups over the service, which are run at regular intervals. There may be some variation in courses on offer due to area and demand as we can only run these if we have sufficient people to attend*. Typical options include:

  • Anxiety management
  • Building self confidence
  • Mood lifting (course for depression)
  • Mindfulness 

There may be other options available to and we can signpost you to some of our partner organisations who provide groups support for assertiveness, anger management, low self esteem and work-related stress. Commonly people report apprehension about entering groups or courses, but in fact these turn out to be some of our most successful interventions on offer.

Click here to find out more about some of the courses currently available.

* Fenland currently does not have a group programme, but we would to signpost you to other areas if you are willing to travel.

The page was last updated on 24 July 2017 by jclarke.

Cambridgeshire and Peterborough NHS Foundation Trust
Elizabeth House, Fulbourn Hospital
Cambridge, CB21 5EF

T 01223 219400 (open 8:30am to 5pm)
F 01480 398501

Twitter Logo Youtube Logo Facebook Logo Instagram Logo Wordpress Logo