Family Therapy

Many of the personal problems we face arise from family situations. The family can be a great source of support when it is working well and a great source of distress when it is not. The stress and strains of everyday life, together with the tensions that each member may contribute, can put families under immense pressure.

With qualified and experienced therapists and social workers on our team, we can help. Families can explore their difficulties and ways of overcoming them. Together, the aim will be to avoid unhelpful and potentially destructive patters of behaviour.

During these times, it is important that families not turn in on themselves and become isolated. On their own even amongst the warmest of communities families can become very hurt and many separate because this appears to be the only option. Being able to access the best help when you need to is one of the main reasons to make use of professional family counsellors. In a professional setting the boundaries of safety, confidentiality aid recovery from severe difficulties and ensure all family members can begin to have their needs met.

What is Cognitive Behavioural Therapy (CBT)?

CBT is a model of counselling that works on the premise that thinking drives feelings which effects behaviour. Using a set of structured techniques, CBT aims to identify thinking that causes painful feelings and behaviour patterns. The client then learns to change this thinking which, in turn, leads to more fulfilling behaviours.

CBT can help you to change how you think ("Cognitive") and what you do ("Behaviour"). These changes can help you to feel better. CBT focuses on the "here and now" problems and difficulties. Instead of focussing on the causes of your distress or symptoms in the past, it looks for ways to improve your state of mind now.

Who can benefit from Cognitive Behavioural Therapy (CBT)?

People who would benefit from CBT include those with the following specific, focused problems:

• anxiety and panic attacks
• depression
• obsessive-compulsive disorder
• drug or alcohol problems
• other addictions, such as pathological gambling
• eating disorders
• chronic fatigue syndrome
• Social phobia & other phobias
• Post traumatic stress disorder

How does CBT 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. It can also alter what you do about it.

An example

There are helpful and unhelpful ways of reacting to most situations, depending on how you think about them:

Situation:	You've have had a bad day, feel fed up, so go out shopping. As you walk down the road, someone you know walks by and, apparently, ignores you.
	Unhelpful	Helpful
Thoughts:	He/she ignored me - they don't like me	He/she looks a bit wrapped up in themselves - I wonder if there's something wrong?
Emotional: Feelings	Low, sad & rejected	Care for the other person
Physical:	Stomach cramps, low energy, feel sick	None - feel comfortable
Action:	Go home and avoid them in future	Make some contact and to work out if they're OK

The same situation has led to two very different results, depending on how you thought about the situation. How you think has affected how you felt and what you did.

In the example in the left hand column, you've jumped to a conclusion without very much evidence for it - and this matters, because it's led to:

• a number of uncomfortable feelings
• an unhelpful behaviour.

If you go home feeling depressed, you'll probably brood on what has happened and feel worse. If you get in touch with the other person, there's a good chance you'll feel better about yourself. If you don't, you won't have the chance to correct any misunderstandings about what they think of you - and you will probably feel worse.

This "vicious circle" can make you feel worse. It can even create new situations that make you feel worse. You can start to believe quite unrealistic (and unpleasant) things about yourself. This happens because, when we are distressed, we are more likely to jump to conclusions and to interpret things in extreme and unhelpful ways.