DEPRESSION ASSISTANCE
I seek to establish the causes of the depression in the first instance. These may include various types of loss; work and relationship stress; excess consumption of alcohol or use of other ‘recreational’ drugs. Depression may be associated with a wide range of worries and anxieties relating to financial or accommodation problems; sexual or personal identity issues; suppressed anger; poor physical health; unrealised ambitions; midlife existential crises; bad childhood experiences of various types; and social isolation.
The causes need to be addressed in various ways. The experience of being ‘heard’ and understood is very important, as well as having support to re-engage with activities. Self re-parenting may be a valuable potential strategy, as well as help with clarifying and expressing uncomfortable feelings.
Practical goal setting and ‘how to’ steps are important, as is self-exploration in a safe and caring environment.
SEXUAL ISSUES
Sexual Issues of all types may be approached by clarifying the causes – either within a relationship or relating to personal anxiety or insecurity. As well as using behavioural techniques, it might be valuable to engage in relationship counselling; processes to build self-confidence and self-esteem; exploring historical conflicts; and general provision of support.
STRESS & ANXIETY MANAGEMENT
I generally clarify the nature of the stress or anxieties and determine a range of strategies to employ, including problem solving in situ; building assertion or self-confidence skills; as well as a variety of relaxation and self- support strategies such as healthy time-management and goal setting.
PHOBIAS AND FEARS
These can be treated using a range of psychology options including desensitisation; working to achieve a rational perspective; relaxations skills; self-confidence and self-support strategies.
GRIEF AND LOSS
With these issues, I feel it is important to establish an environment of safety for feelings to be explored and expressed, as well as providing the emotional support needed for the client to re-engage over time with normal living activities. Help with practical problem solving and goal setting may be very helpful.
GAMBLING / DRINKING PROBLEMS
In counselling, various counselling strategies may be employed including understanding and resolving the underlying tension driving the behaviour with other options for release; as well as setting limits and generating alternative healthy habits and supports. Relaxation skills and rebuilding of self-confidence and self-esteem are also likely to be important.
REMOTE COUNSELLING
Remote counselling can be arranged via Skype or WhatsApp.