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Michaelides Counselling

Adelaide

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About

Do you want to allow your brain to control you, or would you like to control your brain? Kirby is a Principal Mental Health Clinician with degree’s in Social Work and Psychology, who has undergone a Masters in Cognitive Behavioural Therapy.

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Q&As

I love helping my clients through difficult times and having the opportunity to empower and support my clients to maximise their well-being. I have incredible clients and I find it endlessly rewarding assisting them to find their voice and take back control over their lives, bodies and minds.

As a result of COVID-19 there has been a spike in the utilisation of Mental Health professionals, and as a result, people aren’t getting timely access to the services to which they are entitled and deserve. I felt I wanted to step up and open some private slots with affordable pricing so that I could provide a service to the community that is of a very high quality that you don’t have to pay a premium for.

I put absolutely everything I have into my clients to ensure that they’re always getting what they need and are leaving our sessions feeling better than when they came in.
My client return rate for a second session is 100%.

Services

What is Cognitive Behaviour Therapy (CBT)?

CBT It is a treatment for mood disorder that explores:

How you think about yourself, the world and other people
How what you do affects your thoughts and feelings.
CBT can help you to change how you think ('Cognitive') and what you do ('Behaviour'). These changes can help you to feel better. Unlike some of the other talking treatments, it focuses on the 'here and now' problems and difficulties. Instead of focusing on the causes of your distress or symptoms in the past, it looks for ways to improve your state of mind now.



When does CBT help?

CBT has been shown to help with many different types of problems. These include: anxiety, depression, panic, phobias (including agoraphobia and social phobia), stress, bulimia, obsessive compulsive disorder, post-traumatic stress disorder, bipolar disorder and psychosis. CBT may also help if you have difficulties with anger, a low opinion of yourself or physical health problems, like pain or fatigue.

How does it work?

CBT can help you to make sense of overwhelming problems by breaking them down into smaller parts. This makes it easier to see how they are connected and how they affect you. These parts are:

A Situation - a problem, event or difficult situation. From this can follow:

Thoughts
Emotions
Physical feelings
Actions
Each of these areas can affect the others. How you think about a problem can affect how you feel physically and emotionally.

There are helpful and unhelpful ways of reacting to most situations, depending on how you think about it. The way you think can be helpful - or unhelpful.



What does CBT involve?

THE SESSIONS

You can do CBT individually or with a group of people.

If you have individual therapy you can expect:

A course of 6-24 sessions that will last between 30 and 60 minutes.
Setting goals to work towards over the course of treatment
Learning tools to cope with your mood disorder
THE WORK

With the therapist, you break each problem down into its separate parts, as in the example above. To help this process, your therapist may ask you to keep a diary. This will help you to identify your individual patterns of thoughts, emotions, bodily feelings and actions.

Together you will look at your thoughts, feelings and behaviours to work out:

if they are unrealistic or unhelpful
how they affect each other, and you.
The therapist will then help you to work out how to change unhelpful thoughts and behaviours.

It's easy to talk about doing something, much harder to actually do it. So, after you have identified what you can change, your therapist will recommend 'homework' - you practise these changes in your everyday life. Depending on the situation, you might start to:

Challenge a self-critical or upsetting thought and replace it with a more helpful (and more realistic) one that you have developed in CBT
Recognise that you are about to do something that will make you feel worse and, instead, do something more helpful.
At each meeting you discuss how you've got on since the last session. Your therapist can help with suggestions if any of the tasks seem too hard or don't seem to be helping.

They will not ask you to do things you don't want to do - you decide the pace of the treatment and what you will and won't try. The strength of CBT is that you can continue to practise and develop your skills even after the sessions have finished. This makes it less likely that your symptoms or problems will return.

How effective is CBT?

It is one of the most effective treatments for conditions where anxiety or depression is the main problem.
It is the most effective psychological treatment for moderate and severe depression.
It is as effective as antidepressants for many types of depression.
Please note that CBT isn't for everyone. Another type of talking treatment may work better for you.

“Marriage is a conscious decision, not a basic instinct, and as such, requires a conscious effort”

John Gottman, a Professor Emeritus of Psychology at the University of Washington, entered the field of psychological research with a background in advanced mathematics and statistical analysis. In the course of his 40+ year career he has developed mathematical models, scales, and formulas to identify the elements of stability in relationships and the interactive patterns that cause couples to divorce.

This research forms the basis of Kirby’s knowledge.

Gottman’s studies pointed to relationship difficulties caused by the “Four Horsemen,” named after the famous Albrecht Durer engraving Four Horsemen of the Apocalypse.

These factors predictive of divorce include:

Criticism of the partner’s personality
Defensiveness
Stonewalling, or refusing to interact
Contempt
Couples who function effectively treat each other with consideration, and are supportive of each other.


Goals of the Gottman Method

The goals of the Gottman Method include increasing closeness and friendship behaviours, addressing conflict productively, and building a life of shared meaning together. The Gottman Method involves customising principles from the research to each couple’s particular patterns and challenges.

The Seven Principles include the following concepts:

BUILD LOVE MAPS

This refers to an ongoing awareness of our partners’ worlds as they move through time: how they think and feel, what day-to-day life is like for them, and their values, hopes, aspirations, and stresses.

EXPRESS FONDNESS AND ADMIRATION

Couples who function well are able to appreciate and enjoy most aspects of each partner’s behaviour and learn to live with differences.

TURN TOWARD ONE ANOTHER

Conversational patterns of interest and respect, even about mundane topics are crucial to happiness. Couples who turn toward successfully maintain a 20:1 ratio of expressing interest or acknowledgement vs. ignoring conversational gambits. This is referred to as the “Emotional Bank Account.” Couples who are highly successful keep a 5:1 ratio in conflict discussions, even Turning Towards while arguing.

ACCEPT INFLUENCE

Members of a couple who take the other partner’s preferences into account and are willing to compromise and adapt are happiest. Being able to yield and maintain mutual influence, while avoiding power struggles, helps couples keep a balance of power that feels reasonable and builds trust.

SOLVE PROBLEMS THAT ARE SOLVABLE

Couples who can find compromise on issues are using five tactics. They soften start up so the beginning of the conversation leads to a satisfactory end. They offer and respond to repair attempts, or behaviors that maintain the emotional connection and emphasize “we/us” over individual needs. They effectively soothe themselves and their partner. They use compromise and negotiation skills. They are tolerant of one another’s vulnerabilities and ineffective conversational habits, keeping the focus on shared concern for the well-being of the relationship.

MANAGE CONFLICT AND OVERCOME GRIDLOCK

The Gottman Method helps couples manage, not resolve, conflict. Conflict is viewed as inherent in relationship and doesn’t go away. Happy couples report the majority of their conflicts, 69% are perpetual in nature, meaning they are present throughout the course of time and are dealt with only as needed. These recurrent themes become part of the couple’s shared landscape and are kept in perspective, not dwelt upon.

CREATE SHARED MEANING

Connection in relationship occurs as each person experiences the multitude of ways in which their partner enriches their life with a shared history and helps them find meaning and make sense of struggles.

PSYCHOTHERAPY:

“the treatment of mental disorder by psychological rather than medical means”

Psychotherapy, or talk therapy, is a way to help people with a broad variety of mental illnesses and emotional difficulties.

Psychotherapy can help eliminate or control troubling symptoms so a person can function better and can increase well-being and healing.

Problems helped by psychotherapy include difficulties in coping with daily life; the impact of trauma, medical illness or loss, like the death of a loved one; and specific mental disorders, like depression or anxiety.

There are several different types of psychotherapy and some types may work better with certain problems or issues.

Psychotherapy may be used in combination with medication or other therapies.



Therapy Sessions

Therapy may be conducted in an individual, family, couple, or group setting, and can help both children and adults. Most sessions are 30 to 50 minutes long. Both patient and therapist need to be actively involved in psychotherapy. The trust and relationship between a person and his/her therapist is essential to working together effectively and benefiting from psychotherapy.

Psychotherapy can be short-term (a few sessions), dealing with immediate issues, or long-term (months or years), dealing with longstanding and complex issues. The goals of treatment and arrangements for how often and how long to meet are planned jointly by the patient and therapist.

Confidentiality is a basic requirement of psychotherapy. Also, although patients share personal feelings and thoughts, intimate physical contact with a therapist is never appropriate, acceptable, or useful.



Psychotherapy and Medication

Psychotherapy is often used in combination with medication to treat mental health conditions. In some circumstances medication may be clearly useful and in others psychotherapy may be the best option. For many people combined medication and psychotherapy treatment is better than either alone. Healthy lifestyle improvements, such as good nutrition, regular exercise and adequate sleep, can be important in supporting recovery and overall wellness.