Tag Archives: psychoanalyst

Expanding range of Eastern and Western modals of therapy

An ever increasing diversity of models modalities of psychoanalysis

As a psychotherapist, psychoanalyst and hypnotherapist with over 25 years experience, I am of course bound to pick up more modals and methods over time simply because therapists have to do 25 hours or so continuous professional training each year.  For me though, it is about far more. Right from the start of my career I was trained in being multi-modal: being competent in more than one modal alone or in combination. So for me continuing to add modals at competence level or above is a natural thing to do.

Eastern and Western Modals, and in between

Although I started off very much with western based modals with Level 5 Diploma (Graduate level) training in Cognitive Behavioural, Hypnosis based, humanistic and Psychoanalytic, by the time I completed by second set of accreditation (post graduate) with the NACHP I was fascinated by using mindfulness and Eastern Psychology in psychotherapy.

Since then I have revived my long time interest in eastern psychology, Buddhism and Taoism (which goes back to my teens!) and completed a variety of competence and CPD courses in forms of eastern psychology, Buddhism, mindfulness and Zen based mindfulness.

I have also studied Hygge as a northern European alternative, and am currently (Nov 2018) studying Chabbad based Jewish mindfulness.

Fitting the “faith” models into clinical psychotherapy

In the west we had the process of enlightenment, which included something called reductionism. This meant reducing topic areas down into labels.  It is also referred to with similar related terms of Atomism and Positivism.  Before this happened mental health was part of Theology and Philosophy. Later it became psychology.

In other parts of the world, especially the far East, this process never occurred and therefore within Taoism, Kabbalah, Buddhism and other faiths there are also entire psychological theories which do not require faith adherence to use in therapy.

Lets be clear here: you do not have to have any faith at all to benefit from psychology principles taken from Eastern faiths.

Using different models in a clinically effective way

I believe in being holistic, caring and not over medicalised. Treating a label like “depression” is only treating how the person’s overall problem is showing up. It is like giving a head ache pill for a head ache without asking why it happened.

However when working with clients it makes sense to use methods that together BOTH treat the label, AND help the long term well being of the client. Therefore I base my work around research evidenced and NICE recommended core therapies (to address the labels) with psychodynamic and humanistic deeper processes to address the person!

Ironically when I started using mindfulness and other methods they were considered rather alternative, but now they are some of the best research evidenced methods around today.

 

Key words
Mindfulness, faith, multi modal psychotherapy, psychoanalysis, counselling. eastern psychology, western psychology, philosophy of the mind, depression, anxiety, mental health, personal development, disorders, Edinburgh, Glasgow, Falkirk, Scotland, Skype, psychotherapist, psychoanalyst, counsellor

 

NACHP

National Association of Counsellors Hypnotherapists and Psychotherapists. Accredited clinical psychotherapist. Counselling Hypnotherapy Psychotherapy
Psychoanalysis
CBT

National Council of Psychotherapists. Psychotherapy, Counselling, Psychoanalysis, Life Coaching, Hypnotherapy, Psychology, Mental Health

 

Back in Glasgow

Psychotherapy in Glasgow

Glad to announce that after an absence of running clinic in Glasgow for a couple of years due to other commitments, Stuart is now back from the 15th June 2017.

Psychotherapy, psychoanalysis, counselling, hypnotherapy, mindfulness in Glasgow

A full range of therapy models and integrative multi modal therapy work is available again in Glasgow.

Glasgow City Centre Therapy

Therapy is provided from the Consulting Rooms in Glasgow City Centre, near the Queen Street rail station.

 

Key words

Glasgow, psychotherapy, psychotherapist, hypnotherapy, hypnotherapist, counselling, counsellor, hypnosis, hypnotist, mindfulness, MBSR, MBCT, CBT, CBASP, depression, anxiety, psychoanalysis, psychoanalyst, NLP, analysis, psychoanalyst, bipolar, eating disorders, holistic therapy.

Contact via the contact us page HERE

Ongoing Mindfulness and philosophy service expansion

Development of existing service continues….

Both Stuart and his colleague and Scotlandtherapy partner Denise are dedicated to ongoing learning and development, and therefore complete additional university based and practical Ongoing Professional Development training each and every year. This is all on top of existing professional qualification training.

Mindfulness and Philosophy

Stuart in particular has completed additional trainings this year in MBCT (mindfulness based cognitive therapy), CBT (cognitive behaviour therapy) for depression and additional training in general mindfulness. He is booked to attend additional specialist training in the use of philosophical models in psychotherapy later in the year, which should nicely complement his nearly completed BA (Hons) in Psychology and philosophy of the mind. This is on pause at the moment since the last university model will not become available until late 2017.

Additional University based learning

Both Stuart and Denise has multiple university awards. Stuart has two University Certificates of Education (Undergraduate) from Lampeter and Edinburgh Universities, Bachelor degrees from City of Birmingham University and the Open University, and a Masters Degree from the Open University. He is about to begin a new degree alongside completing a Psychology and Philosophy of the Mind degree, this time in International Relations, specialising in the effect of ecology and politics on people, with specific regard to mental health issues and disability issues. This ties in with his work writing a regular political column for Self and Society professional journal and other publications and articles.

Denise has completed an undergraduate certificate of Education from Edinburgh University and two bachelor degrees from the Open University. She is about to embark on a third degree, focusing on Business, in particular human resources.

Keywords
Business studies, psychology, psychotherapy, psychoanalysis, mindfulness, MBCT, CBT, politics, human resources, mental health, disability issues, social studies, social policy, social environment, depression, anxiety, bipolar, environmental psychology, Edinburgh, Falkirk, psychotherapist, hypnotherapist, counsellor, psychoanalyst

Contact via the contact us page HERE

Swedish National Audit Office report on CBT

Swedish National Office Report on CBT

In a study of the outcomes of using CBT as a primary and almost exclusive method of treating mental health issues such as depression and anxiety, the Swedish National Office has published a damning report. See here

Main findings of report on CBT

  •  The widespread adoption of the method had no effect whatsoever on the outcome of people disabled by depression and anxiety;
  • A significant number of people who were not disabled at the time they were treated with CBT became disabled thereby increasing the amount of time they spent on disability; and 
  • Nearly a quarter of people treated with CBT dropped out.
    From Swedish Audit Report. accessed HERE

Application and conclusions in the UK

CBT or cognitive behavioural therapy is the darling of the NHS, many charities and NICE. This is primarily because it claims to be evidence based.

CBT leads itself to being “evidenced based” through gathering self assessed feedback from clients. This is unreliable for a whole range of reasons, including:

  • Subjective self assessment does not permit one controlled stand across subjects. Introspective grading of experience is not possible.
  • Assessment reduces responses down to highly simplistic responses, often statistics and does not reflect human experience or allow for situational or environmental difference.
  • There is an influence on “wellbeing”, “getting well” or feeling “happy” when therapy is not always about these, we often feel “unhappy” for good reason”.
  • CBT often plays into the biomedical model of being “sick” and needing to feel happy despite this, rather than considering other explanations for symptoms such as psychodynamic, cognitive behavioural analysis, developmental or humanistic explanations or social and environmental causes / factors.
  • CBT is often highly simplistic. It has been termed “the art of the blindingly obvious” since it often leads subjects through exercises that reveal what they already new, providing little empowerment for change.

Illogical to use one method

Reducing provision down to one method is akin to only using one class of medical drugs, it simply does not make sense. Clients are complex and unique individuals going through a unique combination of social, biological, psychological, interpersonal and developmental processes, any of which alone may seem common or typical, but which form a vast array of potential combinations.  With that variety and complexity, thinking “one size fits all” is simply illogical.

Furthermore CBT is a simplistic method formed out of other methods, making it a method within an array of methods. For example it was developed in response to psychodynamic and humanistic thinking, and provoked revised psychodynamic, humanistic and cognitive behavioural analytic thinking. It makes no sense to home in on one incomplete stage of the ever changing face of psychological therapy and prioritise it at the expense of other methods.

Its just a tool (CBT)

Cognitive Behavioural Therapy is just ONE tool in the toolbox of multi-skilled psychotherapists.  Many therapists use CBT when it is appropriate, but “if all you have is a hammer, all you see is nails”. Why would anyone throw away all the other tools.

Integrated work for the unique client

Stuart uses CBT where appropriate, along with the deeper and more complex Cognitive Behavioural Analysis methods (including CBASP for long term depression). Stuart also uses psychodynamic psychoanalysis, humanistic and philosophical psychotherapy, mindfulness and clinical hypnotherapy. The approach is integrated and employs a kind of critical psychotherapy, in other words questioning what the outcome “should” be, and working with the client to determine what their desired outcome is going to be. Therapy is then tailored, incorporating methods such as CBT, CBA, IPT and psycho-education with research evidence and NICE recommendation behind them.

Key Words
CBT Cognitive Behavioural Therapy, Cognitive Behavioural Analysis, CBASP, Psychotherapy, Psychoanalysis, Psychodynamic therapy, Counselling, Psychology, Psychotherapist, Counsellor, Psychoanalyst, Analyst, Hypnotherapist, Mental health, Depression, Anxiety, Personality disorder, Edinburgh, Falkirk, Stirling

Contact via the contact us page HERE

 

Dis-associative Disorders

Psychological therapy for Dis-associative Disorders

Dis-associative disorders are conditions where the sufferer dis-associates for periods of time. What this means in basic terms is they mentally “switch off” or “blank” in a way that may either appear to be day dreaming, or which may just resemble a silent few moments. In more severe cases two other presentations may occur: dis-associating into a different personality, or with a loss of consciousness.

Short blank disassociations

This is the most likely version to be seen, the person reacts to stress or an anxiety trigger by “being elsewhere”. it can also be the result of a flash back being triggered where a historical event is being recalled. The person may appear inattentive, distance, and seem to be ignoring you. This can lead to misunderstanding, conflict and accusations of laziness or inattention, especially in adolescents in education or when it occurs in the workplace. Depending on whether a task is under way at the time, it is possible for this task to be interrupted for a moment, or even, for example, for a cup of tea being made to be split or dropped.

It should be noted that it is very hard to tell these short blanks apart from epileptic “absence” seizures and  it is important to discuss them with your medical doctor and not assume they are psychological in nature.  It should be remembered however that it is more usual for psychological disassociation to be misdiagnosed as epilepsy.

Personality change disassociation

In more severe cases the personality of the sufferer undergoes a change in the disassociated state and a person may appear to have changed in their behaviour, attitude and even in what they believe and remember. What occurs in this state may not be remembered afterwards.

It is a matter of debate whether this is related to schizophrenia or not,  with some sufferers of disassociation adamant that it is a different condition entirely, and some sufferers of schizophrenia claiming that their condition is itself a form of disassociation.

Loss of consciousness disassociation

Often called Non Epileptic Attack Disorder (NEAD) or pseudo-epilepsy,  this is the ultimate disassociation response. The person will loss consciousness and will often shake or spasm as one would expect to see in epilepsy. NEAD is often initially misdiagnosed as epilepsy.

Most people are aware of flight and fight responses to danger. The third response however is that seen in the humble possum. The person loses consciousness, lies still playing dead, the body is flooded by natural pain killers, and for the predator the sufferer / possum appears to be a long dead and unpalatable prey. This state is often associated with loss of bowel or bladder control, again to make the prey smell “off”.  This is a highly primal response to extreme danger.

Causes of disassociation

Disassociation occurs when the sufferer has a history of being faced by traumas such as abuse or rape which can not be coped with at their mental state or age. Thus it is common for these conditions to be present in adult survivors of child sexual abuse or domestic violence. Essentially the subject learns to “opt out” of the situation they are incapable of handling.

Treatment of disassociation

There are two main strategies for addressing disassociative disorders:

1. Increase the sufferer’s ability to cope with stressful situations. This may involve cognitive behavioural therapy to reduce stress response with methods like stress inoculation therapy. It may also involve analysis of interpersonal relationships to adjust perceptions and behaviours which may otherwise lead to conflict. Interpersonal psychotherapy methods, CBASP, CAT or other analytic cognitive behavioural methods might be employed. This is therefore an attempt to use psychoeducation and personal analysis to better manage the condition day to day.

2. Addressing any history of abuse. Addressing PTSD (post traumatic stress disorder) as a condition may reduce the underlying effects presented as a disassociative disorder. Psychoanalysis, cognitive behavioural analysis, trauma debriefing such as specialist hypnotherapy “trauma runs” can all be used if appropriate.

Co-morbid presentation

It is common for persons with disassociate disorders to have a history of different diagnosis, and to have elements of different mental health conditions. These might include depression, anxiety, self harm, mood disorders or OCD.

Key words
Disassociation, disassociative disorder, disassociative seizures, NEAD, non epileptic attack disorder, possum response, flight and flight, PTSD, post traumatic attack disorder, sexual abuse, domestic violence, survivor of childhood abuse, child abuse survivor, personality change, mood change, mood disorder, anxiety, depression, OCD, self harm, multiple personalities, multiple personality disorders, loss of memory, stress response, psychotherapy, psychoanalysis, cognitive behavioural analysis, cognitive behavioural therapy, CBASP, CBT, hypnotherapy, counselling, psychotherapist, psychoanalyst, analyst, hypnotherapist, couhsellor, therapy, therapist, psychology, psychologist, Edinburgh, Glasgow, Falkirk, Stirling

Contact via the contact us page HERE

Anxiety UK

Anxiety Conditions Edinburgh Glasgow Falkirk Stirling

Dear Colleagues in Edinburgh, Glasgow, Falkirk, Stirling
As we are all aware, money is tight.
Anxiety UK run a scheme based on ability to pay for people suffering from anxiety related issues.

Anxiety Conditions, Charity rates

This might include, IBS, GAD, NEAD, phobias and general anxiety / stress
I now have the facility to take a limited number of clients under this scheme in the above areas.
This is part of our non profit making (cost covering) scheme.
As some of you might be aware, I am an ASM (now Society of Stress Managers and CNHC AVR route) trained (psycho)Analyst, stress counsellor and clinical hypnotherapist, therefore specialising in this work. By all means ask me for details, but in brief this required over 200 client cases, over 1,000 client hours, external city and guilds assessment and since then I have gained a MSc Psychology. I am on 2 AVR schemes. I have regular clinical and peer supervision.
Please, if you can not help anyone with the above issues, pass on the paragraph below.
Kindest regards,
Your collegue, Stuart
Our helpline number is 08444 775774 or via our web site www.anxietyuk.org.uk or maybe a link to our generic leaflet herehttp://www.anxietyuk.org.uk/wp-content/uploads/2012/05/AUK-Information-Booklet-FINAL.pdf

Psychoanalysis Psychotherapy Edinburgh

Back providing Psychoanalysis, Psychotherapy, Hypnotherapy, Counselling, CBT, NLP Edinburgh

Sorry to say that both of us picked up a tummy bug via our work in the last week and therefore had to take time off to recover and then ensure we did not pass it on. We feel strongly that it is our responsibility to cancel appointments if there is a risk of passing on a nasty flu or other bug.

Psychotherapy, Hypnotherapy, Counselling, Life Coaching, Psychoanalysis Edinburgh, Falkirk, Glasgow

Since 1993, as a student and since 1996 as a full graduate, Stuart has provided Psychotherapy, Hypnotherapy, coaching, psychoanalysis, stress counselling and general health education training ( as part of a Level 4 NVQ Training & Development NVQ)

Standards for Hypnotherapy, Counselling, Psychotherapy, Psychoanalysis, CBT, NLP

The most important standards are the AVR scheme standards. AVR or Accredited Voluntary Register are the registers maintained by the Professional Standards Agency. The PSA maintain standards for those healthcare personnel who are not subject to statutory regulation.

Denise is a CNHC registered hypnotherapist –  an AVR register.

Stuart is both a CNHC registered hypnotherapist and a FHT registered therapist, both are AVR registers.

Psychoanalysis in Edinburgh

Back in edinburgh tomorrow (Saturday) all day providing psychoanalysis and integrated psychotherapy for a range of issues. From the diary it looks like a day of sexual therapy issues, developmental and disassociation issues, drug abuse issues and relationship based issues.

Probably plenty of disassociation and rejection themes so narrative work and examining object relations will probably dominate.

The great thing about this job is that although you can predict likely session content, there are always surprises, since in psychoanalysis the client brings their own story without the constraint of fixed session planning.

I (Stuart)  provide psychoanalysis, psychotherapy, counselling, hypnotherapy, cbt, Nlp, mindfulness and eastern Psychology in edinburgh, Falkirk and Glasgow, Scotland.

Masculine and feminine

Gender Traits in Psychoanalysis and Psychotherapy

Clients often wonder if dividing certain traits and behaviours, especially in communication, into male and feminine, is gender specific.

Generally male and female traits are those which historically are more associated with one gender or the other, but not exclusively so. For example Lacan makes clear that the male phallus identity is not biological but about what it means to be male. Kabbala gender is about the female intuitive trait and male logical trait in everyone.

Simply the expressions continue to be used loosely in a non gender specific way, accepting that every person has both non competing sides.

Psychoanalysis, group and individual

Psychoanalysis with couples and individuals

After the weekend break, largely spend on CPD 🙂 ,  and today (Monday) doing paperwork. I am back to clinic tomorrow, Tuesday.  As things stand the day will be spent providing couples psychoanalysis in the morning, and individual psychoanalysis in the afternoon.

Couples psychoanalysis

Couples psychoanalysis combines elements of individual psychoanalysis and social psychoanalytic theory, and looks a lot at perception and narrative. It is highly individual to the couple and draws a lot on the work of Klein.

Individual Psychoanalysis

Individual psychoanalysis is a method that looks at the person, not individual conditions.  Depression or anxiety therefore might be seen as outcomes relating to historical or developmental events.

Psychotherapist psychoanalyst Edinburgh

Stuart has been practicing psychoanalysis for many years having completed his 1993-1996 training in analysis, clinical hypnotherapy and stress counselling with ASM (now Society of Stress Managers, a CNHC accreditation route).

Since then he has completed a 2nd Bachelor’s degree, a MSc Psychology and extensive externally accredited CPD training in different psychological therapies and counselling styles.

Stuart practices in Edinburgh, Glasgow and Falkirk. He is registered with the CNHC voluntary regulator as a clinical hypnotherapist, and is listed on both the CNHC and FHT AR schemes. AR’s or accredited registers, are maintained by the Professional Standards Agency for healthcare professionals not subject to statutory regulation.