Can I bring a support person?
Yes, absolutely. This is about you and we'll do anything we can to make it easier. Unfortunately, that doesn't stretch to Simon coming to you.
What will happen at the first and second sessions?
The first session will focus on what bought you to see a psychologist, your expectations and how we best proceed. Most of the session focuses on assessment of your difficulties and then Simon will provide feedback to determine if his understanding seems right to you. This usually helps you make greater sense of what you've been experiencing and why. You may or may not what to discuss clinical diagnosis (e.g. depression or an anxiety disorder) the relevance, significance and implications. Simon will explain what therapy involves, what to expect, etc. The next session is usually the start of "therapy."
What exactly is therapy?
Therapy can differ significantly depending on the therapist's training and experience so it's important to "shop around". Simon uses a therapeutic model called Acceptance and Commitment Therapy (pronounced 'Act') that is strength and values based, and focuses on learning to manage difficult thoughts and emotions rather than trying to avoid them. It involves a lot of experiential activities (this means lot of learning from doing things, rather than just talking). You will learn and understand more about your difficulties and factors that prevent things from getting better. (Most people have spent a long time trying to make things better before meeting with a psychologist). Therapy focuses on long term strategies and concepts to aid and maintain your recovery.
Is ACT the same as CBT (Cognitive Behavioral Therapy)?
Most people aren't familiar with different types of therapy but some may have heard of CBT. ACT is a cognitive therapy and a behavioral therapy (all therapies are really) so yes and no. ACT differs from CBT in that thoughts are not challenged. Most clients with experience of both, prefer ACT, as it is often experienced as more compassionate, it applies to almost all presentations and it is more accepting that life is a struggle, with frequent ups and downs.
What does a clinical psychologist offer compared to other therapists?
NZ clinical psychologists have done a four year undergraduate degree in psychology, a masters or PhD and a post graduate diploma in clinical psychology (three years). So they have a very good understanding of mental health but unlike psychiatrists they are not medically trained and do not prescribe medications. Their expertise is in assessment and treatment (therapy). Compared to other therapists, psychologists usually take a more proactive approach. Listening, reflecting, compassion, validation and problem solving are key aspects of therapy but ultimately there is emphasis on behaviour change and how to achieve that.
What if I don't think therapy is helping?
If you are convinced that therapy is not helpful, it is essential you look at other options. You will frequently discuss expectations and your progress. There are usually reasons for limited progress and it is important to identify them and determine if they can be resolved. There are no guarantees with therapy. Simon will happily explore other options with you .
What if I have to cancel or postpone a session?
No problem, although cancellations must be at least 24 hours in advance or full payment will be expected. (GST is not charged as Tui Psychology is not GST registered).