Roisin MacClean

Shrewsbury
Shropshire
SY1

01743 383730 / 07493 803521

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About me

Therapy in Shrewsbury Shropshire

I am pleased to offer a private cognitive behavioural psychotherapy service in the Shrewsbury, Telford and Powys areas. Contact me in confidence by mail, email or telephone. Individuals can refer themselves, alternatively ask their GP, Psychiatrist or other Health Professional to make a referral.

What is CBT

Cognitive behavioural therapy (CBT) can help you make sense of overwhelming

problems by breaking them down into smaller parts.

Your thoughts, feelings, physical sensations and actions are interconnected – each one can affect the others.

For example, your thoughts about a problem can often affect how you feel both physically and emotionally, as well as how you act on the problem.

Stopping negative thought cycles

There are helpful and unhelpful ways of reacting to a situation, often determined by how you think about them.

CBT aims to stop negative cycles by breaking down things that make you feel bad, anxious or scared. By making your problems more manageable, CBT can help you change your negative thought patterns and improve the way you feel.

CBT can help you get to a point where you can achieve this on your own and tackle problems without the help of a therapist.

The first session will be spent making sure CBT is the right therapy for you, and that you are comfortable with the process. I will ask questions about your life and background. You will decide what you want to deal with in the short, medium and long-term.

With my help, you will break down a problem into its separate parts – the situation, thoughts, emotions, physical feelings and actions. To help with this, I may may ask you to keep a diary or write down your thought and behaviour patterns.

We will look at your thoughts, feelings and behaviours to work out if they are unrealistic or unhelpful and to determine the effect they have on each other and on you. I will be able to help you work out how to change unhelpful thoughts and behaviours.

However, for CBT to be successful, a committed approach is required, and it may not be suitable for everyone.

How effective is CBT?

CBT can help you manage problems, such as anxiety and depression and make them less likely to have a negative impact on your life.

There is always a risk that bad feelings you associate with your problem will return, but with your CBT skills it should be easier for you to control them.

Even after you are feeling better and your sessions have finished, it is important you practise your CBT skills. Some research suggests CBT may be better than antidepressants at preventing the return of depression.

Confronting fears and anxieties can be very difficult. I will not ask you to do things you do not want to do and will only work at a pace you are comfortable with. During your sessions, I will check you are comfortable with the progress you are making.

One of the biggest benefits of CBT is that after your course has finished, you can continue to apply the principles learned to your daily life. This should make it less likely that your symptoms will return.

Cognitive Behaviour Therapist specialising in difficulties such as Anxiety, Obsessive Compulsive Disorder, Trauma and Mood Disorders. Having undergone further training as part of my continuing professional development I am pleased to say that I am able to incorporate both Mindfulness techniques and EMDR where appropriate.

CBT is a short term focused treatment that aims to give people the skills needed to deal with their current and future difficulties.

Training, qualifications & experience

Having qualified as a psychiatric nurse in 1992, I spent several years working for the NHS both on the in patient wards and in the community, dealing with both acute and long-term difficulties.

In 1996 I joined the NHS counselling service and completed my CBT training in 2002. On completion of my CBT training I became and remain an Accredited member of the British Association for Behavioural and Cognitive Psychotherapies (BABCP).

I have consistently updated my practice through ongoing training events including specifically Eye Movement Desensitisation and Reprocessing(EMDR), a psychological treatment recommended by the National Institute for Clinical Excellence as the treatment of choice for trauma.

I attended the Oxford Cognitive Therapy Centre and completed their intensive Mindfulness course which has enabled me to use this approach therapeutically in helping people with a wide range of psychological difficulties including low mood, relationship problems and

I have worked as a private practitioner since 2004  with people who contact me directly, referrals from G.P.'s, rehabilitation organisations and employee assistance programs.

Member organisations

Registered / Accredited

BABCP

Fees

Fees for therapy

Therapy normally takes place once a week although this is flexible depending on the client’s individual circumstances. A session normally lasts 50 minutes.

Generally I work Monday to Friday office hours, however appointments outside of these can be arranged on discussion.

My fees per session are £50 during normal office hours (9am- 5pm). These fees cover all preparation and administrative time.

Outside of normal office hours there is a £20 supplement.

If a client wishes to be visited at home or any other location, then travelling time is charged if more than 20 minutes travelling time is involved.

Letters, reports or research consultancy is priced by negotiation depending on the time required.

Payment is made at the end of each session usually by cheque, cash or BACS.

Cancellation policy: If you are unable to attend for a therapy session and can give at least 48 hours notice, there is no therapy charge.

On occasion when the client is late, the session will finish at the scheduled time in order not to inconvenience other clients.

Further information

Mindfulness Based Cognitive Therapy (MBCT)

With mindfulness, even the most disturbing sensations, feelings, thoughts, and experiences, can be viewed from a wider perspective as passing events in the mind, rather than as "us", or as necessarily true.  By simply being present in this way, you support your own deep healing (Brantley 2003).

I enable clients to use mindfulness to cope with negative experiences (thoughts, feelings, events)

As they become more practised at using mindfulness for breathing, body sensations and routine daily activities, so they can then learn to be mindful of their thoughts and feelings. To become observers, and subsequently more accepting. This results in less upsetting feelings, and increases their level of functioning and ability to enjoy their lives.

Jon Kabat-Zinn uses the example of waves to help explain mindfulness. Think of your mind as the surface of a lake or an ocean. There are always waves on the water, sometimes big, sometimes small, sometimes almost imperceptible. The water's waves are churned up by winds, which come and go and vary in direction and intensity, just as do the winds of stress and change in our lives, which stir up waves in our mind. It's possible to find shelter from much of the wind that agitates the mind. Whatever we might do to prevent them, the winds of life and of the mind will blow, do what we may.

"You can't stop the waves, but you can learn to surf" (Kabat-Zinn 2004).

It was developed by Segal, Williams & Teasdale 2002, with the aim of reducing relapse and recurrence for those who are vulnerable to episodes of depression. There is a growing body of evidence to show that MBCT is effective in a wide variety of stress-related conditions.

People who have completed MBCT report:

1. Lasting decreases in physical and psychological symptoms;

2.  An increased ability to relax;

3.  Reductions in pain levels and an enhanced ability to cope with pain that may not go away;

4. Greater energy and enthusiasm for life;

5. Improved self esteem;

6. An improved ability to cope with both short and long term stressful situations.

What is EMDR

EMDR is a powerful psychological treatment method that was developed by an American clinical psychologist, Dr Francine Shapiro, in the 1980s. As a Senior Research Fellow at the Mental Research Institute (in Palo Alto, USA), she published the first research data to support the benefits of the therapy in the 1989.

Since then an accumulation of research has been conducted demonstrating its benefits in treating psychological trauma arising from experiences as diverse as war related experiences, childhood sexual and/or physical abuse or neglect, natural disaster, assault, surgical trauma, road traffic accidents and workplace accidents. Since its original development, EMDR is also increasingly used to help individuals with other issues and performance anxiety. It has been identified by the National Institute for Clinical Excellence as the treatment of choice for trauma.

EMDR is a complex and powerful therapy. Therapists always have a background in mental health before undertaking training in EMDR.

How does EMDR work?

Information processing appears to be a major element in the procedure, and Dr Shapiro often describes the technique as an Information Processing Model.

Some find that the distressing memories come to mind when something reminds them of the distressing event, or sometimes the memories just seem to just pop into mind. The mind goes over and over the same event, replaying it, without it resulting in the degree of information processing that we normally need so that things can move on. It is believed that this is what may be happening when an individual experiences “flashbacks”.

The alternating left-right stimulation of the brain with eye movements, sounds or taps during EMDR, seems to stimulate the frozen or blocked information processing system.

In the process memories become less distressing and seem more like 'ordinary' memories. The effect is believed to be similar to that which occurs naturally during REM sleep (Rapid Eye Movement) when your eyes rapidly move from side to side. EMDR helps to reduce the distress of all the different kinds of memories, whether it was what you saw, heard, smelt, tasted, felt or thought.

EMDR treatment seems to stimulate your thinking and conscious awareness. In other words the treatment does not just stop immediately after your session. During your eye movement session a lot of memories may come to mind and people find that after the session they may think about these memories or that they dream more.

As the distress decreases with EMDR, people report feeling a relief. At the end of EMDR therapy, many people report feeling no distress at all when recalling a distressing event.

Maps & Directions

Shrewsbury, SY1

Type of session

Online counselling: Yes
Telephone counselling: Yes
Face to face counselling: Yes
Home visits: No

Practical details

Sign language: No
Other languages: None

Accessibility

Accessibility information
Wheelchair access: No

Availability

Generally I am available office hours on Monday to Friday, however, can be flexible about evening or Saturday appts if needed.

Types of client

Young people
Adults
Older adults
Couples
Families
Organisations
Employee Assistance Programme

Supervision & training

I have considerable experience of providing Clinical Supervision to therapists and counsellors both during and following completion of their respective disciplines, in addition to Peer Supervision.

View supervision profile