This blog has moved

New blog address!

Thank you for following ‘Let’s Talk!‘. Due to a new website, this blog has now moved and we would love for you to move with us, to keep up to date with our latest posts. Please follow us at:

http://www.the-terrace.co.uk/blog/

We have lots of new interesting and informative posts planned for the future!

The Humanistic approach: Not what is wrong, but what happened?

Jane

Jane Gotto

The practice of Humanistic Psychotherapy has gained significant recognition in recent decades.   Having been a humanistic psychotherapist since the early 1990’s, Jane Gotto, Director of The Terrace, has noticed research and results have brought the humanistic approach – putting the person in the centre of the work – more mainstream. It is now challenging some of the more traditional ways of treating mental health, by working with the person not their symptoms. This piece links to  a letter sent by Terry Cooper, Founder Director of Spectrum Therapy, in which he talks about Richard Bentall’s response to Stephen Fry’s programme exploring manic depression, as part of the BBC’s In the Mind series.

In Terry’s piece, published by Spectrum Therapy, (http://www.spectrumtherapy.co.uk/images/resources/ALL_IN_THE_BRAIN_COMP_DOC.pdf), Bentall asks Fry to portray the conditions he is so keen to demystify and destigmatise – bipolar disorder and schizophrenia – in a way that does not, as much current thinking seems to do, decontextualize the disorders. Are they, as Fry maintains, based on ‘bad luck’ or ‘genetics’, striking the especially vulnerable and becoming a lifelong condition only treatable by medication or are there more complex conditions at work?

As Terry Cooper stresses, “any degree of self- influence is empowering and generates hope” and “trying to fix people -remove symptoms- rather than provide time for them….. creates a premature closure of underlying problems.”.

Eleanor Longdon’s moving TED Talk ‘Voices in my head’ (http://www.ted.com/talks/eleanor_longden_the_voices_in_my_head?language=en) is as chilling as it is eloquent and moving. Her description of the way in which the medicalisation of her mental health issues created a downward spiral from which she was lucky to escape offers an alternative to the conventional twenty-first century psychiatric response and asks the question in the title, focusing not on what others have said is wrong with the client, but on how the client really feels.

Eleanor Longden TED

Eleanor Longden

It takes in issues such as nurture versus nature.  Do we look at a client’s response as a consequence of the pre-wiring of their genetic make-up?  Or do we examine it as a result of external factors after conception? This includes environmental factors, life experience and the effect of learned responses.

Jane Gotto shares Bentall’s concerns that we should not be quick to assume that the hearing of voices is a dangerous medical condition only treatable by strong anti-psychotic drugs that, in their medical effects, mask the real problem rather than treat it.

‘I think it is important that, as professionals, we shift from looking at symptom based treatment to finding out about the person’s experience;  who they are, what their story is, and how did they get to the place they are in?’

Jane Gotto works with a formative perspective, developing an understanding of what the person wants for themselves, and addressing what would make them feel better in their life.

There is evidence that a genetic component to mental ill-health is likely, but it is not easily identifiable and can blur the distinction between recognised conditions, such as bipolar, schizophrenia, ADHD and, as Bentall highlights, even Autism.  He points out that many psychiatric patients are deeply dissatisfied with what medicine alone can do for them. Why, when other conditions such as cancer, are seeing improving survival rates, is recovery in those with mental illness just as elusive as it was fifty years ago?

Jane Gotto says “The fact that Eleanor was dealing with voices in her head was the symptom, and what was healing was the experience of being listened to by others. But fundamentally and importantly she learnt to listen to herself. That’s a hopeful outcome.”

We would love to hear your views on this complex subject.

Therapy for Charity – Open Day May 2016

The Terrace 6th May 2016

The Terrace Open Day

On Friday 6th May 2016 we held our first fundraiser of the year, and a great day is was too, a chance for clients old and new to treat themselves whilst helping us to raise funds for our fabulous hospice at St Margaret’s Somerset.

A selection of treatments and therapies were available at a reduced rate, with all the money going to the charity and it was a great opportunity for us to let people know what The Terrace offers and support our charity for 2016 at the same time.

The Terrace counsellors offered full sessions for individuals and couples, and our complementary therapists were there to help aid the healing of various health issues, using techniques including Bowen technique, craniosacral therapy, massage, hopi ear candling and reflexology.

DSC_1208Thanks to everyone who came along and joined us on the day, we raised a fantastic £900 for St. Margaret’s Somerset Hospice and it was  terrific to see people experiencing new therapies, winning prizes and enjoying some delicious tea and cakes.

We were also thrilled to be joined by member of Parliament for Taunton Deane, Rebecca Pow, who helped us celebrate.

DSC_1221

Rebecca Pow (left) with psychotherapist Helena Trump

Our special thanks for the day to Rebecca, to Susies’s Bakehouse, Taunton Wheelchair Tennis and to our therapists, who gave of their time so freely for such a good cause – Kate Bowen, Sarah Sellick, Helena Trump, Sandra Abrahams, Su Stokes, Nicola Withers, Jane Gotto, and all our wonderful clients.

We will be holding other events during this year, aiming to raise more money, so look out for details on our website and Facebook pages and we’d love to see you there!

The Brain with David Eagleman -What is reality?

TheBrainHere at The Terrace we like to keep up with the latest thinking, especially when it comes to matters relating to the way we think and act, and what makes us, us.

Earlier this year we saw a documentary in a series that explored how the brain, ‘locked in silence and darkness without direct access to the world, conjures up the rich and beautiful world we all take for granted.’ In other words, reality is what our brain tells us it is; it is our brain that sees and hears, not our eyes and ears.

We are fascinated by new developments in neuroscience, and David Eagleman’s series, and the book that accompanies it, offer an accessible way into what is a complex subject.

If you didn’t get a chance to see it, do take a look at David’s website HERE and if you get the chance, take some time out to watch him explain his work  in this video. You can also access more of his work via YouTube.

And let us know what you think – we would love to hear your views.

 

Mental health in rural communities: A farmer’s life

Farmer depressedLast week, officials from the Department of Environment, Food and Rural Affairs (DEFRA) agreed to pursue the development of a mental health strategy for the farming industry, prompted by David Simpson MP, who demanded government intervention to deal with the specific mental strains that farmers face.

Despite appearances – the rolling fields, animals peacefully grazing and fields of crops lighting up the landscape, farming is a very high-pressure job, with few days off, round the clock working and the pressures of the market.We have seen in Somerset the additional pressures placed on those who are largely responsible for managing our landscape. Flooding on the levels devastated many and TB in cattle is an ongoing concern.

Most farmers are male, and as we have written about on this web site, men are far less likely to discuss their personal problems and are statistically much more likely to commit suicide than women.  Hours alone in the fields, isolation both physical and mental and the additional burden of running a business in tough times  can exacerbate mental health problems and the social isolation can mean that others fail to notice the symptoms until it is too late. There are particular difficulties in accessing support in counties such as Somerset, where stretched services are concentrated in urban areas, but there are some organisations that are devoted to working specifically with the farming community. These include:

The Farming Community Network  which can take calls between 7am and 11pm, with those answering having specific knowledge of rural issues..

The Royal Agricultural Benevolent Institution (R.A.B.I.), which helps farmers and farmworkers of any age if financial issues are causing strain.

And of course there are mental health charities such as Young Minds, Mind, Sane and Time to Change which can offer support for those experiencing depression and anxiety and many other mental health issues.

The BBC Countryfile magazine website has a particularly good article HERE

So if you or anyone you know works in the agricultural industry, it is a good idea to be specially alert to the symptoms of depression and take care of emotional as well as physical well-being. Do get in touch with us here at The Terrace if you think we can help. We are always happy to talk through the options available.

 

‘let’s talk!’ about EMDR

1380742651emdr client_250by150A therapy we have recently been asked to feature on ‘let’s talk’ is known by the acronym EMDR. This stands for Eye Movement Desensitisation and Reprocessing and it was developed as a psychological therapy by American clinical psychologist, Dr Francine Shapiro, in the 1980s. Dr Shapiro also published the first research papers supporting the benefits of the therapy in the 1989.

EMDR is a technique that has been found to be helpful for those suffering from:

  • accident or injury
  • assault
  • depression
  • anxiety or panic
  • fears and phobias
  • childhood trauma and abuse
  • post traumatic stress
  • low self-esteem
  • illness

Negative experiences in life can lead to overwhelming feelings that the brain is unable to process  and make sense of, resulting in the memory being  frozen or ‘stuck’. The memories are stored  alongside associated thoughts, emotions and sensations, so when for some reason the memory is recalled the person experiences the full range of sensations associated with the original event – even to the smell, the taste and the feelings they had at the time. Often the event is repressed to avoid constantly experiencing the distress of recall.

The goal of EMDR is to facilitate the processing of disturbing and isolated memories. In the process these distressing memories seem to lose their intensity, thus becoming less distressing and more like ‘ordinary’ memories. This reduces the distress and offers insight into the experience and any  subsequent negative thoughts.

The way EMDR works in practice is by stimulation of the ‘frozen’ (or blocked) information processing system. This is achieved by activating both sides of the brain using eye movements or taps alternating across left-right sides of the body.

How the effect is produced is not certain, but it is believed to be similar to when your eyes rapidly move from side to side during natural REM sleep (Rapid Eye Movement) .

Research has shown benefits, particularly to those suffering from PTSD and is also recommended by The National Institute of Clinical Excellence (NICE).

You can learn more about what to expect from the EMDR Association.

We have a skilled EMDR therapist working here at The Terrace. Registered clinical psychologist Karen Green has many years experience across a number of different psychological therapies, including Cognitive Behavioural Therapy (CBT), family work, psychotherapy and EMDR, and can tailor an approach to suit the needs of each client. If you would like to know more, contact us today for a confidential discussion and to see how Karen might be able to help you . Email post@the-terrace.co.uk or telephone 01823 338968.

Domestic abuse: can ‘Drive’ change perpetrator behaviour?

imagesHere at The Terrace we have a focus on couples work, and were interested to hear reports yesterday that some men, deemed to pose a high risk of domestic violence, will be given therapy on a one to one basis in order to address their abusive behaviour. Called ‘Drive’, the initiative is currently restricted to three pilot areas – Essex, Sussex and South Wales – but if successful it will be rolled out across the country. It is estimated that 900 of the most ‘dangerous’ offenders (those deemed at risk of causing serious bodily harm, or committing murder) will be asked to take part in the scheme over the next three years.

At the moment, perpetrators are asked to take part in group work or family therapy. In the new scheme, they will be given bespoke one-to-one sessions, given support to tackle any alcohol, drug or mental health problems they experience and offered advice on employment, housing and parenting issues. If they refuse to take part they will be ‘closely monitored’ by police and any necessary legal steps take to prevent further offending behaviours.

It has been acknowledged that the most serious perpetrators need to be targeted to ensure they do not go from victim to victim without changing their behaviour. Domestic abuse charities Respect and SafeLives are supporting the initiative, whilst the charity Refuge has doubts, considering there to be no evidence that this type of therapy has any effect.

On the BBC website Sandra Horley, chief executive of Refuge, is quoted as saying:

“On the face of it, it seems like a worthy thing to do. In an ideal world we would approach this from both sides. But we don’t live in an ideal world…..We live in a world where thousands and thousands of women and children are being terrorised and brutalised in their homes and they have nowhere to go. And sadly, finding a refuge space in this country is like finding gold dust.”

Her counterpart at SafeLives, Diana Barran, disagrees:

“Despite significant improvements for victim safety in the UK there are still 100,000 women who live with high-risk domestic abuse at any one time……If you do not hold perpetrators to account, we will continue to see the statistics at a standstill.

“Focusing on crisis management is of course vital but we want to help victims today and reduce the number of victims of tomorrow – and we can only do this by getting to the root and the cause of the problem – the perpetrator.”

Critics expressed concern that the most dangerous offenders are often the most manipulative, and will be able to convince professionals they are changing whilst continuing the abuse behind the closed doors of their homes, or will wait till they are deemed ‘safe’ and move on to another victim.

The issue of domestic abuse is one that we will follow closely here at The Terrace. It does not only affect adult relationships, but the future life hopes of any children of the relationship too, many of whom suffer lifelong trauma and are vulnerable to repeat behaviours.We would be interested to hear your views.

If you or anyone you know needs more information or support, the following links will take you through to people who can help.

Respect

Refuge

SafeLives

For BBC Report see http://www.bbc.co.uk/news/uk-35591041