Saturday 25 August 2012

What’s the difference between a counsellor, psychotherapist, therapist, psychologist, psychiatrist?


With so many different titles to choose from, it can be hard to know which type of professional is right for you in the your particular circumstances. This week’s blog gives specifies the different roles of the titles and some ideas about which may be best for you.

Currently, there are no definitions which are agreed upon across the profession that separate counsellors from psychotherapists. However, virtually everyone has their own views as to what the differences might be. I can only offer my personal view here.

Counsellor – someone helping you to address personal issues through listening, support & exploration.

Psychotherapist – as above, but may be more focused on the person’s way of relating to others, themselves and the world in general. They have tended to train for longer and be more open ended in their work with clients looking at underlying patterns of relating.

Therapist – is a generic term covering anyone treating clients. Often used as an umbrella term for both counsellors and psychotherapists. It may also refer to a wide range of complementary therapies which may or may not be relevant to your problems.

Psychologist – someone who studies the mind and behaviour, but may apply their studies in a wide variety of ways with differing specialities e.g. occupational, clinical, educational, child. Psychologists would be used to provide treatment under a private medical insurance plan.

Psychiatrist – They are the only ones to have trained in medicine and therefore are the only ones who are able to prescribe drugs. They tend to work with the more extreme end of the mental health spectrum, although it is standard practice that anyone seeking treatment through their private medical insurance would need an assessment via a psychiatrist.

If you have any questions about this blog or any of the issues raised please feel free to contact me via my website: http://www.garycooktherapy.co.uk

Thursday 16 August 2012

“How Will Just Talking Help?”


I have often heard concerns that therapy cannot help as they are unable to change their circumstances and so feel they cannot be helped. In this week’s blog, I address this concern head-on with various ways in which talking can and has helped many of my clients.

It can be a huge relief to simply tell someone else. Sometimes, in addition, there can be feelings of shame associated with admitting feeling hurt and upset. This may link to a sense of weakness for not being able to deal with your circumstances impassively on your own. Being listened to by someone who is not judging you and who is actively helping you explore your feelings and where you come from can help you develop a more compassionate understanding for yourself.

With more clients than I can count, by talking through their experience of their situation, they changed how they experienced the situation even when the situation didn’t change.  Bereavement counselling cannot bring back the person who was lost, but it very frequently helps you deal with your experience of that loss.

Some clients have had difficult relationships with their parents. They felt hooked by the pattern of relationship which had been present since childhood. They felt trapped in a cycle of resentment and guilt. By talking through these feelings, whilst the parents remained the same, the clients felt greater freedom to love and relate to their parents as they wished.

With trauma, there are safe and relaxing techniques which can allow panic reactions to be uncoupled from their triggering memories.

For some clients the very fact that someone can understand their experience helps them realise that they are understandable, and are therefore, not “losing it”.

Sometimes it is the very reactions themselves that use up all the client’s emotional resources, so they remain unable to process their experience by themselves. Gently unpicking the various threads of these experiences can gradually help the client to fully comprehend what’s happening within themselves and regain control.

There is even neuroscientific evidence to support the efficacy of listening.  Being heard and understood without judgement elicits the production of neuropeptides (oxytocin) in the brain. These chemicals help us feel good - an important evolutionary factor to help us co-operate as social animals.

Just talking can help you too.

If you have any questions about this blog or any of the issues raised please feel free to contact me via my website: http://www.garycooktherapy.co.uk

Friday 10 August 2012

“That’s Just the Way I Am”


Some people feel that therapy will not be helpful to them as they feel that their patterns in relationship are simply an unchangeable expression of the way they are.  In this week’s blog, I challenge this notion.

Developments in neuroscience have shown that the brain is continuously adapting to the environment, thus we can continue throughout our lives to learn new things.  New learning is embedded in the brain by new connections and new pathways between the brain’s nerve cells. The more attention we give something or the more we repeat an action, the stronger the link is along these pathways.  Similarly, the less attention we give to things the weaker the connection will be over time.

Patterns of relating are nearly always formed in early childhood. Thereafter, the way in which we understand relationships is viewed through the prism of these early patterns. In this way, almost whatever happens tends to reinforce that early pattern.

For example, a child can learn that the world is a dangerous place. Think of parents’ understandable concerns for their children which can become anxiety provoking for a child if overplayed as part of an anxious style of relating “don’t do that”, “be careful”, or even anger (covering their own fears) when the child is trying to develop their own sense of mastery, exploring their environment. Having learnt that pattern without necessarily being aware of it, new experiences are likely to be seen as holding a potential threat, thus reinforcing the brain’s neural pathways that encode that pattern.

Now consider a child for whom exploration was supported. New experiences will be viewed as holding the potential for interesting stimuli. Thus the same new experience will reinforce completely different patterns in the two children.

Now imagine an adult, who has been relating to the world via a pattern of relating of which they remain unaware. This pattern has been reinforced for decades with hardly a second thought. Of course, this individual feels that this is just part of who they are.  It has been going on for the whole of their lives so feel their pattern of relating is unchangeable.

On top of that, they are likely to have chosen (without being aware of it) a partner whose patterns of relating reinforce theirs. They may be similar or complementary. Thus someone who has little confidence in their abilities may choose a partner who wants to take responsibility for both of them. Thus, the partner lacking confidence may feel more comfortable now that someone else is taking responsibility for them, but they are not put in a position to develop their own confidence. Thus their relating patterns are reinforced over and over again.

Like any long established habit. It may take some time to change. Further, their current relationships may expect them to behave in certain ways. It can be threatening to their loved ones when an individual starts to change. In the example above, the partner may feel that his control is being undermined, or simply that he is no longer needed if she starts to develop the confidence to do things for herself.  In such circumstances, the partner, usually unconsciously, may try to undermine her attempts at independence. The spectrum may vary from teasing, to derogatory comments, to expressions of anxiety, to outright anger and threats – all trying to get them to conform to the pattern they expect.

NB. Whilst I have used the terms “she” for the client and “he” for the partner in this example, the roles are just as applicable with male clients and female partners and in same sex relationships.

Perhaps the most extreme example of this kind of pattern is the abusive relationship.  All of the clients I have seen and spoken to involved in this pattern have stated that the emotional abuse is worse than the physical abuse. Whilst it is particularly hard for this client group to break free from their patterns of allowing others to dominate them, with the right support, they may be able to develop the strength to gain confidence in themselves.

Therapy is conducted in 50 minute sessions once a week. The historic pattern tends to be reinforced for the whole of the rest of the week. In the face of this, it can be a long, slow and sometimes painful process to develop new ways of relating.  However, change is possible. I have worked with many clients who have made significant changes through my therapeutic relationship with them.

If you have any questions about this blog or any of the issues raised please feel free to contact me via my website: http://www.garycooktherapy.co.uk

Wednesday 1 August 2012

Your Concerns?


The intention of this blog is to give people who are considering therapy information about therapy so they may make a more informed decision about whether and how to enter therapy.  The topics I have written about come from my clients who expressed their concerns when considering therapy and what had got in the way for them.  Each individual has their own concerns. So, if there is a topic you would like me to write about in this blog, please feel free to contact me.  If you would rather talk about it, I would happily discuss any concerns you may have about therapy, without obligation.

There are several ways in which you can contact me. You can place a comment on my blog. Or you can contact me via my website: www.garycooktherapy.co.uk

On the website are all the contact details for me or you can email me directly via the website. I look forward to hearing from you.