The advantages of on-line psychotherapy and counselling.

Why on-line therapy and counselling is such a bonus!

A hot topic on psychotherapy forums at the moment is on-line therapy, which comes as no surprise. Many of us psychologists have used skype and face-time for psychotherapy sessions for quite some time, for clients who are in other cities or countries. However,  now due to the Covid 19 lock-down we tend to be looking at moving the majority of our sessions on-line.

Of course on-line therapy has its challenges, such as establishing and maintaining strong emotional rapport when physically separated, privacy and confidentiality concerns and other logistical issues, to name a few.

However, most of us are so used to, and comfortable with, relating to family and friends via skype, whatsapp and facetime that one soon becomes comfortable with this mode of therapy, I have found, as long as one’s internet connection is stable and reliable, on-line therapy can be very effective.

The advantages of on-line therapy

Of course, the obvious advantages are that you can consult with a psychologist from anywhere in the world, from the convenience of your home. This is particularly ideal at the present time of general lock-down, when anxiety levels, depression and stress are at an all-time high globally, due to the general uncertainty and our fears for our own health and the health and welbeing of all the people we care about.

Another advantage is the flexibility aspect. Psychotherapy and counselling sessions can be scheduled at any time at the convenience of the therapist and the client. I have found it convenient, with some of my clients, to schedule shorter, more frequent sessions at the moment, to support clients more often and regularly, which has become really important, especially for individuals who are living alone and/or have little social support. 

Other people who can and do benefit from online therapy during the corona virus epidemic are individuals who are battling to cope with isolation, particularly those with mental health issues and any time of addiction. 

Couples who are in unhappy relationships, where there is a great deal of conflict at home can also benefit from attending on-line counselling and mediation sessions. Extended periods of isolation will tend to exacerbate relationship problems so it is advisable to deal with anger and relationship issues before they escalate. 

If anyone has any questions regarding the practicalities of online counselling, please let me know.

Best wishes to you all!

 

 

 

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How do you protect your mental health from the spectre of the coronavirus?

With all the world-wide mass-hysteria and panic that has accompanied the imminent threat of the coronavirus,  I have been wondering how we all as individuals have been coping on a day to day basis!?

Of course we each have our own coping styles when it comes to dealing with stress and anxiety. However, the coronavirus threat is something so out of the normal range of stressors that we routinely have to deal with, and is causing such major disruption in so many areas of life on a global scale, that it is challenging each of our inner resources and resiliency to the maximum.

The ubiquitous news updates of the world-wide spread of the virus serves to make us as individuals feel personally vulnerable, insecure and unsafe, which fuels a feeling of anxiety, depression and hopelessness, especially in those of us who are prone to anxiety and depression. 

So what can each of us do to mitigate against the psychological effects presented by the spread of the coronavirus?

  1. Manage your anxiety by practicing CBT techniques such as monitoring your thoughts for patterns of “what if” thoughts that lead to heightened anxiety and challenge catastophizing thoughts about worst-case scenarios.
  2. Practice mindfulness and relaxation techniques to focus on the present moment and to calm your mind.
  3. Manage any depressed or hopeless thoughts by challenging their validity and usefulness. Don’t allow yourself to sink into a “doom-and gloom” mind-set. Internalise the principles of Positive Psychology by working on your stress management and psychological resilience.
  4. Adopt a solutions-focused “how” approach to the problems presented by the coronavirus. We as humans are amazingly inventive and adaptable. Use this ability to the fullest and this will increase your sense of personal control and positive self-esteem.
  5. Remember that “this too shall pass”.  Adopting a pragmatic approach and conveying this to your family and friends, will not only help you personally but perhaps you can also make a positive difference to the mental health of those closest to you.

Please feel free to contact me if you have any queries or comments!

 

 

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Getting married soon? Are you sure you are compatible?

In my couple counselling and couple coaching practice I see mostly unhappy couples – those who are struggling with communication problems and unresolved areas of conflict. It often strikes me how seldom couples speak about how they are planning to navigate central issues in their lives once they are married. Couples who have been married for some time often recall how they had been so in love with each other when they were dating and then got carried away by all the excitement of the wedding and honeymoon, only to discover when “real life” began in earnest, that there were serious differences in their values, beliefs and approaches to life.

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Do you suffer from anxiety or depression?

If so, how healthy are your thoughts?

These days most of us are conscious of our health and we do a great deal to ensure that we stay well. We watch our diet, many of us exercise regularly, and we know we need to get good quality sleep.

But how many of us are aware that to we need to watch what we think as well to protect our mental health?

In my psychology practice I am very aware that few people monitor their thinking. In fact, many people are of the view that the thoughts that go through their minds are outside of their control.

Individuals who are prone to anxiety thing a great many “what if” thoughts during the day, such as “what if I mess up during my exam”, whilst people who suffer from depression tend to ruminate excessively.

These types of thought patterns serve to “feed” anxiety and depression.

It is possible to gain control of your thoughts through CBT (cognitive-behavioural therapy). This will enable you to break the cycle of anxious and negative thinking.

There was an interesting article on the Psychology Today facebook page today, which speaks about the serious consequences to one’s mental health of negative thinking habits:

www.psychologytoday.com/us/blog/words-can-change-your-brain/201208/the-most-dangerous-word-in-the-world?

Steering away from negative thinking towards a positive mindset is the subject of Positive Psychology.

If you would like to be happier, more optimistic and hence more psychologically resilient I recommend that you embrace the principles of Positive Psychology.

Wouldn’t this be a great way to begin 2020 (and enjoy the festive season)?

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Anxiety. Are you dealing with it in the best possible way?

And what does your approach to anxiety tell you about yourself?

In my previous blog-post I talked about how important it is to examine your life and to work at understanding yourself.

Anxiety is something that we all experience from time to time. Why? Because life tends to be uncertain and unpredictable, and comes with a certain amount of risk – of accidents, illness, financial hardship and natural disasters – to name a few.

Evolutionary psychologists tell us that anxiety has been with us since the dawn of time and is a major factor in our survival as a species. Fear and anxiety are hard-wired into the most primitive parts of our brain.

However, of course, some individuals experience a great deal more anxiety than others do. Many have generalised anxiety disorder, where one is generally anxious without necessarily knowing what one is anxious about. Other forms of anxiety relate to a specific thing or situation, such as having a fear of heights or a phobia of snakes.

How do you deal with the uncertainty and potential risks in your life? If you tend to avoid things that make you anxious, this can lead to more and more situations that need to be avoided to relieve your anxiety, and life becomes very tough and stressful as a result.

A much better anxiety-management strategy is to identify your sources of anxiety and stress and examine your thought patterns that lead you to feel anxious. This is an element of Cognitive Behaviour Therapy or CBT and is an approach I use a great deal in my psychology practice.

Other very useful strategies for dealing with anxiety include meditation and mindfulness training. Regular exercise is also a very positive way to manage stress and anxiety.

If you have any questions about managing your anxiety better, please get in touch.

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How well do you know yourself?

And why does this matter?

Socrates famously said “The unexamined life is not worth living”.

Do you agree?

If so, how would you go about discovering more about yourself – your values, goals, personality traits, and your characteristic approach to life and to coping with adversity?

If you want to live a meaningful and authentic life, I believe it is essential to continually assess one’s life/

Over the next few weeks I will be writing posts on this topic. Please feel free to comment!

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Split loyalties can cause serious problems in intimate relationships.

What can you do if you find yourself in such a situation?

For example: You are in a relationship with a partner who has an ex-wife who seems to be totally helpless and calls your man every time there is some sort of crisis or emergency in her life. Because he is such a loving and giving person he jumps every time she makes any type of request, even when you have something planned to do together. This situation is starting to drive you crazy and is causing problems in your relationship because you tend to complain again and again about the issue.

Or an even more difficult situation:

Your partner whom you love very much has a child from a previous relationship and he regularly puts the child’s interests and requests ahead of considerations in respect of your relationship.

As a psychologist, over the years I have had many such clients who are grappling with this type of problem which can put intense strain on a current relationship.

What is the best way to approach such a situation?

First I would like to suggest things that are far from helpful such as:

1. Trying to give advice to your partner about his or her situation. Advice can very quickly turn into frustration when your advice is not taken or is actually ignored. A partner who is in this situation can very easily start to feel judged and controlled. He or she will very likely feel that he or she is being pulled in two opposing directions at once, leading to elevated feelings of stress which can lead to unproductive arguments between you both.

Because your spouse or intimate partner undoubtedly also feels a great deal of guilt in leaving his previous family, he is likely to resist any efforts on your part to cut back on his involvement with his previous family. If anything is going to give, it will in all likelihood be your relationship. This will seem totally unfair but is usually the reality unfortunately.

So what should you do?

Best to keep your own views to yourself initially and ask for advice from a trusted third party. Try not to feel too emotionally invested in resolving the problem in your favour (this is very difficult).

I would also suggest that you think empathetically about the situation from your partner’s point of view, and also those of his ex-partner and his children. This will help you come across to your partner as more sympathetic and encouraging of a contact scenario that will work for everyone in the family network.

 

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Generalized anxiety – is there an antidote?

Of course anxiety is an emotion we all feel from time to time. We wouldn’t survive without anxiety as it alerts us to possible danger and threat. Think of the last time you had to write an exam or had to visit the dentist. Very few of us can contemplate these types of experiences without a certain amount of butterflies in the tummy!

What I am speaking about here is “normal” anxiety which is situation specific. However, some people experience anxiety that is more general and unremitting. Often this is related to a dread of uncertainty. The future is often regarded as threatening as life is unpredictable and outside one’s control.

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