Hi my name is Caroline, I am an accredited Cognitive Behavioural Psychotherapist (CBT) and am also trained in Integrative Counselling/Psychotherapy/Coaching. In addition I am also a qualified Mindfulness Teacher, Mindfulness-based Cognitive Therapy (MBCT) and have completed the Mindfulness training for teenagers (.b). I offer short or long term therapy to older adolescents 16 + and adults, I:I or group Mindfulness training and an Integrative approach with all these domains.
I am a very experienced therapist, having had over 20 years of experience in psychological therapies and over 30 years in the general field of mental health.
How I work:
I love my work and am dedicated and committed to what I do. I provide a safe and confidential space, and have a warm insightful and understanding approach. I aim to help you to feel comfortable in the therapeutic environment. I believe in building a trusting relationship, which is crucial and will allow you to start exploring difficult and perhaps unwanted or difficult thoughts, feelings and behaviours in your life, that you'd like to change or view differently.
I aim to create an environment where you feel accepted in a non-judgmental manner and supported throughout our time together, whilst also showing empathy with whatever you share. Depending on what approach we decided to use, we'll either be exploring and processing feelings and /or making active changes as in CBT which would be lead by your therapy goals.
I will also try and stay true to my own feelings during our working relationship and will be congruent in my own emotions regarding what you may bring to a session.
I work in an Integrative way, which means that I draw on a range of therapeutic techniques in my work depending on what seems most suitable for you and your needs.
If you have never experienced psychological therapy before the prospect of talking about yourself can seem somewhat daunting. I therefore I offer a brief free 15 minute mini assessment on the phone which can help us decide if my approach is suitable to your needs and what therapeutic style might best suit you.
What is CBT?
CBT is a structured, time limited therapy, mainly focusing on anxiety and/or depression issues. We start with an assessment of your presenting problems, which would include goals to work towards in therapy. CBT is a collaborative therapy where we work together on your issues, where there would be handouts given and worksheets for home practice. It is referred to as an active change therapy. The idea is that you feel ready to make changes to your thoughts/beliefs and behaviours to change the way you feel.
For CBT I work with:
Low Self Esteem
Generalised Anxiety Disorder (GAD)
Post Traumatic Stress Disorder (PTSD)
Obsessional Compulsive Disorder
What is Counselling/Psychotherapy?
Counselling/Psychotherapy can be short or long term, integrating different approaches, looking back over childhood issues, understanding the past and making links with the present, gaining insight into unconscious relationship patterns that evolved since childhood. Memories and other evidence of early relationships are used to make sense of current concerns(psychodynamic).Processing difficult emotions and how to move on in the present.
For a Counselling/Psychotherapy approach I work with:
Work Related Issues
What is Mindfulness?
Mindfulness can show you how, through simple meditation practices, you can learn to let go of worrying about what has happened, or might happen, and find peace in the present moment. The practices are formal and informal forms of meditation, with a particular focus of attention, noticing mind wandering, letting go of judgments and gently bringing the mind back to focus again. Mindfulness is not a psychotherapy but can be included in therapy. Mindfulness does not solve problems but can help us to view our problems differently.
For a Mindfulness approach I offer help with:
Relapse prevention for depression/anxiety
Low level depression and anxiety.
Coaching can be work based and geared to specific issues affecting performance at work or personal based where there is not mental health issues like anxiety or depression.
Training, qualifications & experience
I have worked most of my adult life in mental health, initially training as a Psychiatric Nurse, RMN in London, then went on to train in Integrative Psychosynthesis Counselling/Psychotherapy at Re.vision, which combines a spiritual perspective with a down-to-earth approach, completing this training in 1998.
I have many years experience in working with in the NHS, in a variety of settings, including training staff and working as a Nurse Consultant. I have had a private practice in Counselling/Psychotherapy alongside this work.
I have completed a Pg Diploma (Masters Level) in Cognitive Behavioural Psychotherapy at Kings College University, Institute of Psychology, London. I presently work part time in the NHS as a CBT Psychotherapist and Mindfulness Teacher - delivering the MBCT/Finding Peace in a Frantic World Course, working with older adolescents, adults and NHS staff in an integrative way.
I have completed the CBT Supervisors training earlier this year at Kings College and supervise trainees and experienced CBT therapists in my NHS role.
I have fully trained as a Mindfulness Teacher, completing in 2014 with Patrizia Collard in London who is also my on-going Mindfulness supervisor, and I have a dedicated mindfulness practice. I have also trained in Mindfulness for 11-18 year olds .b course and Nurturing Parents - Mindfulness Based Course.
In 2020 I trained online with Cambridge University in Executive Coaching.
In 2021 I have trained in 'Soul Transformation Therapy' developed by Blue Marsden. An alternative spiritual therapy certified and recognised by the Complementary Medical Association and is insurance eligible.
I have also have a B.A (Hons) in 'Art and Social Context', I have trained in trained in Motivational Interviewing and Aromatherapy Massage.
Please see websites below for some further useful information:
Please see under 'clinical guidance' recommended therapies for anxiety and depression.
Indicates good practice for mindfulness teachers.
For information on Mindfulness.
Enter surname only 'Hughes' for search.
Registered / Accredited
Being registered/accredited with a professional body means an individual must have achieved a substantial level of training and experience approved by their member organisation.
British Association for Behavioural and Cognitive Psychotherapies
The BABCP is the lead organisation for Cognitive Behavioural Therapy in the UK.
Membership is open to anyone with an interest in the practice, theory or development of CBT. BABCP also provides accreditation for CBT therapists.
BABCP accredited members adhere to the Standards of Conduct, Performance and Ethics in the Practice of Behavioural and Cognitive Psychotherapies, and are willing to be scrutinised in this adherence as required.
Areas of counselling I deal with
Other areas of counselling I deal with
Social Anxiety, Health Anxiety.
£75.00 per session
EAP/Health Insurance Providers
£75.00 per face to face or telephone/online assessment or therapy session, lasting 50 minutes.
CBT is referred to as a short term therapy usually lasting 6-20 sessions depending on problems presented.
Counselling/Psychotherapy can be either short or long term, anything from 6 sessions upwards.
Mindfulness sessions will follow a particular course 1:1 40-45 mins = £60, or small private groups of two or more fees will be based on attendees. I can run these courses in your own home, but fees may change depending on travel time and cost, agreed in advance of course.
I deliver 8 week Mindfulness Courses to organisations or locally (East Dulwich) online and in person, called 'Finding Peace in a Frantic world' designed at the Oxford Mindfulness Center, Oxford, for busy people in mind. Fees at present £250. 00 per person per course.
24 hours notice needs to be given if a session is cancelled otherwise the full fee will be charged.
I do not take credit card payments.
I can offer therapy via Insurance.
Availability can change. please enquire.
Under good practice guidelines, I will need a GP address and contact details before commencing any psychological therapy. The GP would only be contacted if there were any severe risks presented that may need further investigation/support. I would only contact the GP after a conversation with you about this.
I do not have wheelchair access, but have access for people with limited mobility (No stairs).
I follow an ethical framework and good practice guidelines.
I keep up to date with continued professional development (CPD) in 2016/2017:
Peri-natal mental health training 2 days, NHS, Nov 2015/16.
Mental Phenomena for MBCT teachers, London Insight, Nov 2016.
OCD re-fresher day, NHS, Feb 2016.
CBT Supervision Training, Kings College London, Jan, Feb, March 2016.
Running CBT Groups (1 day w/shop), May 2017.
8 week Mindful Self Comapssion course at Enter Mindful, March 2017.
Nurturing Parents - Mindfulness Based Course, 5 days, July 2017.
Executive Coaching 2020, Online with Cambridge University.
ACT, 2 day course, with Russ Harris in 2021.
Soul transformation Therapy, in person with Blue Marsden, 2021.