People often arrive at their first appointment expecting to be told what is wrong and what to do about it. It can be surprising, and sometimes a little frustrating, to find that the first few sessions are spent mostly talking while I listen. There is a good reason for this. Before any treatment begins, I…

People often arrive at their first appointment expecting to be told what is wrong and what to do about it. It can be surprising, and sometimes a little frustrating, to find that the first few sessions are spent mostly talking while I listen.

There is a good reason for this. Before any treatment begins, I need to understand what is currently making life difficult, how long it has been this way, and what you hope will be different. I also need to understand something of your history, your relationships, and the ways you have learned to cope. None of this can be rushed, and much of it only becomes clear once you have had the chance to speak in your own words.

Assessment usually takes two to three appointments. During this time we talk about the matters that are currently problematic, and I will ask what you hope to gain from attending. It is also a chance for you to get a sense of me and of how I work. Feeling able to speak openly matters a great deal, and it is reasonable to take a little time to find out whether that is possible.

At the end of the assessment we discuss together how to proceed. For some people that means medium to long term psychotherapy. For others a shorter, more focused approach is a better fit. If I do not think I am the right person for what you need, I will say so and suggest another professional for you to consult.

Listening carefully at the start is not a delay to the real work. It is where the real work begins.

If you would like to arrange an initial assessment, you are welcome to telephone the clinic.

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