Here are some of the treatments explained.
Initial sessions. The first few sessions usually involve gaining a collaborative understanding of the client’s presenting concerns. Karen will ask clients about their current functioning, and identify any contributing and maintaining factors. From the initial assessment stage, Karen will provide clients with a set of recommendations for intervention or referral options. There are a range of evidence-based treatments that Karen has had extensive experience in, including:
- Persistent/ Chronic pain
- Relationship difficulties
- Adjustment concerns
- Recovering from family breakup/ divorce
- Child behavioural difficulties
- School- related stress (particularly for grade 11 and 12)
- School-related friendship difficulties
- Adolescent substance abuse
- Sleep difficulties
Cognitive Behavioural Therapy (CBT): I work with clients to identify unhelpful thoughts and behaviours, from the CBT perspective, there are patterns of thoughts and behaviours which cause symptoms to appear and maintain difficult symptoms. We then work together to build a set of effective coping skills to combat issues a client is facing. There is a strong focus on practice and homework tasks as part of this framework, and most of the improvement happens between therapy sessions. Find out more about CBT here.
Acceptance and Commitment Therapy (ACT pronounced act): I work with clients to identify sources of suffering. Quite often this involves identifying areas in their life where they are not living towards their values. Using the ACT framework, I am able to help clients build psychological flexibility. Some techniques we use include building mindfulness, delusion, and increasing valued actions. There is good evidence for this type of treatment in clients who have symptoms of depression, anxiety and chronic pain. Find out more about ACT here.
Behavioural Family Intervention (BFI): I work with clients to determine the cause and maintaining factors of child misbehaviour. My aim is not to fix any behavioural problems but to train parents to be the problem solvers, to equip parents with skills and confidence to identify and prevent behavioural difficulties and to manage these with appropriate consequences. One of the evidence-based BFI packages is Triple P. Karen is accredited across the different levels of Triple P and provides seminars, groups and individual Triple P session to clients.
Couples Counselling: Karen offers willing clients couples counselling to help enhance their relationship. We will provide basic education into couple functioning, skills and techniques to boost a relationship.
Neurological Assessments: Karen conducts a range of neuropsychological assessments, mainly on children and adolescents. The process involves a structured assessment to find out the needs of the client, followed by questions about development and difficulties. It is useful to bring along any previous reports, school results and homework samples.
The standard neuropsychological assessment would include at a minimum a test of general intelligence (usually 2 hours) and a test of achievement (usually 2 hours). The discrepancies between these two tests can help determine areas of strengths and difficulties. Fees are charged per hour, report writing can take between 3 to 5 hours for these 2 tests.
From here, I will help to identify and recommend interventions and strategies to enhance strengths and reduce difficulties with learning.