Miriam Cassell

Miriam Cassell
Registered Mental Nurse,
PG dip Psychological Therapies (CBT),
BABCP accredited
CBT Therapist

Email: miriamcassell@holmedalehealth.co.uk

Call Miriam – 07515 463566

What is Cognitive Behaviour Therapy? (CBT)

CBT is a form of psychotherapy that has been well researched and found to be effective in many clinical trials for a wide range of problems. Clients and therapists work together to identify and understand problems in terms of the relationship between thoughts, feelings and behaviours. What sorts of problems are helped by CBT? CBT has been shown to be effective for:

• Anxiety and panic attacks
• Phobias
• Depression
• Post traumatic stress disorder
• General anxiety disorder
• Social anxiety
• Anger difficulties
• Some eating disorders
• Chronic fatigue syndrome
• Other emotional and physical difficulties

What happens in CBT?
Initially the client and therapist work together to gain a shared understanding of the development and maintenance of the problem through an initial assessment.

Therapy usually focuses more on recent difficulties, although an understanding of previous/early life experience may also be helpful to see how difficulties have developed over time. Based on this the therapist and client will then work to identify goals and agree a shared treatment plan. These goals will be continually reviewed and monitored.

The aim is for the client to learn skills and strategies that can help to manage their present difficulties, and to generate solutions to problems that are more helpful than their current way of coping. Hopefully these skills and strategies can continue to be used throughout the client’s life.

How is therapy organised?
CBT is time limited, where the number of sessions is agreed between the client and the therapist. This can be reviewed during the course of treatment.

Treatment sessions are usually an hour, and may be weekly or fortnightly initially. The frequency of sessions will reduce as therapy progresses. CBT is an active therapy, recovery and success of therapy is dependent on the client doing tasks, jointly agreed, in between sessions – a bit like homework!