POTENTIAL RANGE OF THERAPIES AVAILABLE

There are many many therapies and similarly, a huge variety of therapists. So, choosing the type of therapy is important. However, choosing the therapist is arguably far more important. So, I might say choosing a style of house you wish to live in is important but ensure your builder is of the highest calibre. How do you select from the many? Do you need a plasterer, a bricklayer, a roofer or all the above or a jack of all trades?

It complicates matter further when I say that the type of therapist or counsellor is infinitely variable too. will use the word therapist here to include counsellors, psychotherapists, some psychologist and some psychiatrists and a variety of other therapists without distinguishing between the type.  Here unlike house building, what a person's trade is might not be an indication of what they practice but like building, their skill levels are important but not easily checked in advance. Some professions might not be trained or skilled in any therapies - they might be academics or researchers and they might not specialise in any therapy.  The therapist is the most important element, after which, the type of treatment needs to suit your requirements too. The best way to learn about treatments might be through a skilled therapist but therapists are likely to be biased towards their preferred ways of working. 

There are techniques that are not therapeutic but can be used as such by a skilled person.  For example, hypnosis is not a therapy in itself but good hypnotherapists might do an extremely skilled therapeutic job.  NLP is also not a therapy rather a series of technique, and sadly many who train in this and who profess to do therapeutic techniques have no idea about therapy. Techniques learned might be either very useful or very dangerous, dependent on who applies them and how.  People trained in any technique who are untrained in therapy, would not spot a dissociative disorder or depression nor know when it is dangerous to apply a new powerful techniques. Would you want a skilled brick layer to rebuild your teeth? Check out your chosen therapist's background. A title (or qualification) of any therapist will never tell you the quality of the work, just maybe the route they have taken to therapy.  For safety, check not just their techniques but their university and the therapies they have learned and their experience and history of success... and don't be fooled by internet claims.  

Be sure that who you choose to work with enables you to feel secure comfortable and that they do help you improve your situation.

For resolving complex trauma I recommend EMDR - check the NICE guidelines (National Institute of Health and Clinical Excellence) and not the range of controlled studies listed on emdr.com.  

The most common therapy offered by the NHS, is CBT or Cognitive Behaviour Therapy. There are versions versions of this, a newer one being Dialectical (not diabolical as I have heard joked) Behaviour Therapy. There are also the separate therapies: Cognitive Therapy and Behaviour Therapy (sometimes called Behaviour Modification). Trauma focussed CBT is more like Behaviour Therapy where 'exposure' is used - that is the repeated exposure of the traumatic material is used with the client. I personally very much dislike this as a method but once upon a time that was the best we had before the newer therapies. Some therapists are excellent in its use.

Cognitive therapy tends to try to adjust our thinking and challenge our thinking to change the way we perceive our conditions. Behaviour therapy exposes us to something (either gradually or quickly, respectively graded exposure or flooding). I am a fan of using the precise principles of 'learning theory' for the behaviour of children and in that way real 'Behaviour Therapy' can show us the most excellent (least harmful) way of managing a child by shaping their behaviour by reward and never punishment.

There are a number of therapies unlikely to be supported in the NHS because there are less controlled studies supporting them. We have several forms of 'analysis' or 'psychoanalysis' often named eponymously after their originators.. e.g. Freudian or Jungian, with variations on that theme. Psychoanalysis generally requires a lot of training and a requirement of the students completing therapy for themselves. I believe though, in principle, they often help people adjust to what they are having difficulty with rather than help people resolve the issues and the therapists are generally less directive than other therapists, allowing each their own time to arrive to the solutions. Once more a skilled therapist is more important to me than the exact type of therapy... some will get a wonderful result with Jungian work, others it will not suit. Isolating one part of treatment, the interpretation of your dreams takes a skill that is not easily taught.

There are some treatments that do focus more on the body... Somatic Experiencing ( SE by Peter Levine) and Sensorimotor Psychotherapy, both excellent treatments depending on your therapist and extremely helpful at enabling people to know their body. Again I invite therapists to send their description for me to include here.

There are other therapies like Gestalt Therapy and some new names that I am to old to know about... that I feel even less qualified to comment on. The same applies... find the therapist that works for you. To list every type of therapy will be unhelpful as I really wish to make the best recommendations for trauma therapy.

ROUTE MAP FOR THERAPY:   

SNAKES & LADDERS - DUTTON & ASHWORTH 2016

Please keep your attention ready for the next phase of Snakes and Ladders, currently being written up as a therapy route.  All the Ladders are now labelled as crucial stages in therapy and the Snakes labeled as natural relapse points on your journey to good health and wellbeing.  There are a series of decision points on anyone's journey where making the correct selection will enhance the speed at which you recover towards full balanced functioning.  Maslow's self-actualisation?  

Who knows what the best we can be is?  We do - internally and subconsciously our bodies are aiming at that and homeostasis all the time. Sometimes we can thwart their progress with too much thinking.  Sometimes we must learn to feel again.  Each and every stage is marked so that we know exactly where we are on our way 'home' to wellness and happiness or contentment.  Watch here for more.  Self therapy has never been closer.  Thank you.  



I will expand this section in time... this is a starter page.