Time to Talk - Treatments

Time to Talk Locations

Guided Self Help (GSH):

This is a Low Intensity Cognitive Behavioural Therapy (CBT) based approach to help with symptoms of depression, anxiety, panic, stress and sleep problems. GSH involves supporting you to learn the skills and techniques necessary to make the changes you need to make to improve your situation. It is often offered as the first point of treatment and is available in a number of forms:

  • Workshops/Courses: Our workshops and courses are centred on psycho-education, teaching you techniques for overcoming the problems you are experiencing, such as depression, anxiety and stress. You would not be expected or encouraged to talk about your personal circumstances unless you wanted to. The workshops last for an hour and a half and run for four consecutive weeks. When considering a workshop, it is important to ensure you would be able to attend all 4 sessions.
  • One-to-one guided self help: Working with a Psychological Wellbeing Practitioner (PWP), either over the phone or face-to-face for up to 6 sessions of half an hour a week or fortnightly, using effective, evidence based psychological therapy workbooks. Treatment is focused on psycho-education and learning effective techniques for improved management of your difficulties. Telephone 1:1 support can be especially helpful for people in full time employment as we can offer appointment to fit in with lunch breaks.
  • We have a range of Self Help Booklets which you can down load; the therapist working with you will discuss with you which booklet would be most suitable and support you as you work through the material:

What a patient said:

"Even though ‘mild’ it mattered and this treatment made a crucial difference improving life now and going forward so very worthwhile.  Kind and friendly practitioners.  Helpful and not heavy."


Cognitive Behavioural Therapy

Cognitive Behavioural Therapy is a talking therapy which looks at:

  • How you think about yourself the world and other people
  • How what you do affects your thoughts and feelings

The basis of CBT is that what you think can affect how you feel and how you behave.

During times of stress you can think differently about yourself and what happens to you.  Thoughts can become unhelpful and this in turn can worsen how you feel.  Sometimes you may not be aware of this process and you may then behave in a way that prolongs your distress.

CBT practitioners and patients work together to identify unhelpful thinking patterns and behaviours, exploring alternative and potentially more helpful perspectives and in doing this the result is often a major improvement in how a person feels and lives.  CBT aims to enable the patient to tackle their problems by harnessing their own resources.

CBT has been shown to be helpful for a variety of problems.

CBT can also help with the psychological impact of health problems such as Diabetes.

During assessment we will discuss your individual needs and circumstances to ensure that we offer you the most appropriate course of treatment to help you.

What a patient said:

"Possibly one of the best things I have done for myself.  I would recommend CBT to anyone who suffers/suffered from difficult mental episodes.  My therapist was an excellent ‘mentor’ through my treatment…. making CBT understandable and accessible. Thanks."


Counselling

Counselling is the skilled use of relationship to facilitate self awareness, emotional acceptance, growth and the development of personal resources. The overall aim is to provide an opportunity to have a confidential space to discuss and work towards living more satisfyingly and resourcefully. The counselling relationship may be concerned with developmental issues, addressing and resolving specific problems, making decisions, coping with crisis, developing personal insights and knowledge, working through feelings of inner conflict or improving relationships with others.

What a patient said:

"I can't believe how much talking to someone who doesn’t know you and can't judge you can help.  My experience with my therapist has been fantastic.  She is a treasure to your department and fantastic to the service, she has been a god send.  Thank you so much."


Mood Management Group

A ten week Cognitive Behavioral group lasting one and a half hours. The course objectives are: to gain a greater understanding of anxiety, depression and low self esteem and to learn techniques to overcome difficulties. Also, to share common experiences and advice. The group is facilitated by two Psychological Therapists. Maximum number 20 people per group. 

What a patient said:

"Enjoyed it very much – a place of safety and friendship.  Just knowing that someone cared and the support was amazing."


Mindfulness Based Cognitive Therapy (MBCT)

MBCT is a treatment for helping people cope with depression and anxiety. The therapy aims to prevent self-perpetuating patterns of negative thinking and feeling that can escalate into depression, anxiety and stress and to help people to stay well.

MBCT is based on the idea of noticing patterns of thinking and feeling and learning to relate differently to them rather than continually trying to ‘fix’ or escape from the difficult experiences or thoughts.

The MBCT approach is based on practise and experiential learning focusing on increased awareness of body sensations feelings and thoughts. This increased awareness and a variety of practices and skills aim to “bring about a different way of relating to experience replacing an old mode of ‘fixing and repairing’ problems with a more of allowing things to be as they are, in order to see more clearly how best to respond” Jon Kabat-Zinn  - author of the first mindfulness-based therapy course.


Interpersonal Therapy

Inter Personal Therapy (IPT) is concerned with how psychological problems affect relationships and how relationship issues can contribute to psychological problems.

IPT focuses mainly on relationship issues because it has been found that better interpersonal relationships are associated with improvements in psychological symptoms and part of the therapy involves helping people to make changes in their relationships.


Eye Movement Desensitisation and Reprocessing (EMDR)

EMDR is a recommended treatment for symptoms of unresolved traumatic experiences, often called Post Traumatic Stress Disorder (PTSD). It has been found to be very effective in helping people with these kinds of difficulties.

If you feel affected in your daily life by traumatic experiences from your past, EMDR might be the right choice of treatment for you. Symptoms of PTSD include:

  • having very strong physical and emotional reactions to any reminders of the trauma and trying to avoid them
  • heightened anxiety and disturbed sleep
  • being plagued by unwanted images, memories, feelings and nightmares connected to the trauma

Your therapist will carefully check with you whether your symptoms are likely to be PTSD and will decide with you if EMDR is the right treatment choice.


Employment Specialist Support

As well as the Psychological Wellbeing Practitioners, CBT Therapists and Counsellors, each Time to Talk Team has an Employment Specialist. Any patient who chooses to access Time to Talk treatment is entitled to speak to an Employment Specialist as soon as they opt in to the service both before and during treatment. Support can be provided whether you are currently in work, off sick or unemployed.

There is a complex and subtle relationship between our work and how we feel about ourselves.  Sometimes you may feel that your current state of mind affects your capacity to do your job. At other times you may feel that elements of your job have affected your state of mind even to the degree where you might find yourself on a period of sick leave.  This can leave you in a position where you are expected to engage with unfamiliar process involving various parties including Management; Human Resources; Occupational Health, your G.P. and perhaps your Union, all who may appear to have their own agenda that can seem to be at odds with your own and each other’s. An Employment Specialist can support you with these processes, helping you understand them and plot a course through them. An Employment Specialist will work with you to help you identify your desired outcome, and support you in achieving this goal.  Employment Specialists cannot provide legal support or advice but can help you identify where you might access that support and advice.

Finding a job can be challenging at the best of times and often, when we are experiencing difficulties, we can lack the confidence or motivation to do so. If you are unemployed, an Employment Specialist can help you plan a route towards employment that works for you. They can also help you identify appropriate sources of jobsearch support in the community who can work with you beyond your time with Time to Talk.

Your Employment Specialist will work closely with your PWP, Therapist or Counsellor to provide co-ordinated support and any information you share with your Employment Specialist is covered by the same degree of confidentiality as that which you share with them.


Books on Prescription

We operate the Books on Prescription service whereby your therapist can “prescribe” an appropriate self-help book that you can collect from your local library. With your prescription you can borrow books, if you are not an existing member of a library you can easily join, the prescription with your name and address is enough ID to enable you to join. Books may be borrowed for three weeks and it may be possible to renew them.

See: the Books on Prescription booklist and find your nearest library


Signposting

We also offer information about other services and support helping you to contact the right organisations, advice service or website.  This may include anything from free exercise/gym programmes, support for carers, help with housing difficulties or with lifestyle changes, such as weight management, increasing physical activity, smoking cessation and drug and alcohol misuse services.


See also: