My Approach

Common factors theory recognises the important aspects of therapy that contribute to improved client outcomes, regardless of the therapeutic model utilised. Key common factors include the relationship between the client and the therapist, the collaboration in establishing treatment goals, (and how to get there) in addition to positive & regard empathy.

Psychoanalytic/psychodynamic theory focuses on illuminating unconscious aspects of ourselves that drive behaviour and emotion. Psychodynamic psychotherapy provides deeper insights into our own personality, and the how we fit into the world. Bringing awareness to the way emotions are experienced, managed, and expressed in relationships, including the ‘here and now’ therapeutic relationship is a key component of modern psychodynamic relational approaches.

Mentalization Based Treatment (MBT) is an evidence based treatment approach designed for borderline personality disorder, and has been shown to be effective in treating other disorders such as anorexia. MBT focuses on developing the capacity to mentalize – to be able to think reflectively, to be able to “think about thinking” and develop flexibility in the way we see ourselves and others. Mentalizing is also seen as a common factor.

Polyvagal theory provides a neurobiological basis in understanding safety and connection in both individually and in relationships. Three principles of polyvagal theory is the autonomic hierarchy (the way the body/brain reacts to stress in a specific order), neuroception (the way in which brain circuitry detects danger), and coregulation (how our systems effect each other). Polyvagal theory can be helpful when working with trauma.

A trauma informed approach helps reduce the likelihood of retraumatisation in therapy. Key values within this approach include collaboration, transparency, respecting your choice and autonomy & a sensitivity to your emotions. A phase based approach to trauma treatment also ensures a base level of safety and stability – an ability to stay grounded and self-regulate before trauma is processed. The following ‘phase’ involves making meaning of the trauma, and making forward momentum in your life.

A somatic approach acknowledges the relationship between body, mind, and the impact trauma and internal conflicts can have on these systems. Somatic approaches may include paying attention to the body, and utilising movement and breath therapeutically. A sensory approach involves improving awareness of our sensory preferences, as well as developing strategies, and/or modifying our environment to promote how we perform in different areas of life important to us.

Eastern philosophy, particularly lineages of Burmese Buddhist meditation practice has an impact on my practice – this does not present itself as alignment and rigidity to a set of beliefs, rather it has influenced my ability to be present to what’s happening within myself and be with you moment to moment. Mindfulness in the psychotherapeutic encounter plays a central role in my approach.

Cognitive behavioural approaches acknowledge the relationship between thoughts, behaviours and feelings, and tend to have manualised approach. I tailor and integrate strategies from cognitive behavioural therapy, acceptance and commitment therapy and dialectical behaviour therapy as appropriate.