My Approach
Home visits
I see clients in my clinic in East Finchley. I also see clients in their homes or schools in North West London.
I find that this approach both helps clients feel more comfortable, and enables me to understand them and their family in their everyday lives. This leads to a more accurate formulation of their difficulties and a more realistic and individualised intervention. This is also of particular help for clients who have difficulty in leaving their home.
I find that this approach both helps clients feel more comfortable, and enables me to understand them and their family in their everyday lives. This leads to a more accurate formulation of their difficulties and a more realistic and individualised intervention. This is also of particular help for clients who have difficulty in leaving their home.
Techniques
I use an integrative approach, thinking with the client and family about what models best fit with them.
I draw on techniques from cognitive-behavioural therapy (CBT), as well as systemic and narrative theory and solution-based practices.
CBT helps us to link our thoughts, feelings and behaviours in order to see the connection between how we feel and think, and how we act. When working with young people, I believe it is essential to understand the system around them, and how the individual operates within that. Systemic principles help me understand any problems not in isolation but in connection to how others respond to the young person and vice versa (schools, family, friends etc). This also helps to not locate the problem in the young person and to open up conversations to incorporate the context and culture they live in.
I draw on techniques from cognitive-behavioural therapy (CBT), as well as systemic and narrative theory and solution-based practices.
CBT helps us to link our thoughts, feelings and behaviours in order to see the connection between how we feel and think, and how we act. When working with young people, I believe it is essential to understand the system around them, and how the individual operates within that. Systemic principles help me understand any problems not in isolation but in connection to how others respond to the young person and vice versa (schools, family, friends etc). This also helps to not locate the problem in the young person and to open up conversations to incorporate the context and culture they live in.
Things I can help with
- Behavioural difficulties (e.g. challenging behaviour, difficulties sustaining attention, conflict with family and peers, anger).
- Emotional difficulties (e.g. low mood, anxiety, panic, issues around self esteem, trauma, fears/phobias, obsessions, bereavement self harm).
- Issues around everyday functioning (e.g. sleeping, feeding, toileting).
- Parenting issues (e.g. negotiating boundaries, parental support and coping, co-parenting difficulties, impact of separation/divorce).
- Issues specific to learning disabilities and social communication difficulties (e.g. adapting therapeutic models to fit with individual learning profiles, social skills, difficulties at school).
What will happen when we meet?
Assessment
Initially I will offer one or two assessment sessions. This is an opportunity for me to meet with the young person and their parents or guardians and discuss what areas they would like support with.
I will be interested to understand more about what you are finding difficult and what has led to you seeking support. I will be curious about what strategies you may have used so far; what you have found helpful and what less so. I will also be asking what you would like to gain from our sessions.
We will think together about what type of intervention may work for you, based on your individual preferences and the evidence-base. I will also think with you about whether the intervention will be joint with the parents or the young person or parents alone.
I will be interested in both the parents' and young person's perspectives. For young children, I will use a combination of play, drawing and talking to think with them.
If appropriate, I will ask for consent to contact the young person's school to gain a thorough understanding of how they are presenting both at home and school.
I will explain confidentiality and any limits to this.
Next Steps
Following the assessment, we will then make a plan of how many sessions you would like. We will also book a review session during which we can think about how therapy is progressing and what changes we may need to make to any intervention.
In most cases, I suggest 4 - 6 sessions followed by a review meeting.
Initially I will offer one or two assessment sessions. This is an opportunity for me to meet with the young person and their parents or guardians and discuss what areas they would like support with.
I will be interested to understand more about what you are finding difficult and what has led to you seeking support. I will be curious about what strategies you may have used so far; what you have found helpful and what less so. I will also be asking what you would like to gain from our sessions.
We will think together about what type of intervention may work for you, based on your individual preferences and the evidence-base. I will also think with you about whether the intervention will be joint with the parents or the young person or parents alone.
I will be interested in both the parents' and young person's perspectives. For young children, I will use a combination of play, drawing and talking to think with them.
If appropriate, I will ask for consent to contact the young person's school to gain a thorough understanding of how they are presenting both at home and school.
I will explain confidentiality and any limits to this.
Next Steps
Following the assessment, we will then make a plan of how many sessions you would like. We will also book a review session during which we can think about how therapy is progressing and what changes we may need to make to any intervention.
In most cases, I suggest 4 - 6 sessions followed by a review meeting.
Professional Fees
If you are self funding
For self-funded clients, fees are £110 per 50 minute session.
Please discuss with me if your circumstances prevent you from paying full fees.
If you have health insurance
I am covered by the following health insurers:
Fees for insurance companies, due to additional administration costs, are £120 per 50 minute session.
For self-funded clients, fees are £110 per 50 minute session.
Please discuss with me if your circumstances prevent you from paying full fees.
If you have health insurance
I am covered by the following health insurers:
Fees for insurance companies, due to additional administration costs, are £120 per 50 minute session.
