Keira offers psychological therapy sessions to adults and couples, which means that bookings are only able to be made for individuals over the age of 18.
Keira has experience and training which allows her to provide therapy for a range of presenting issues, including: autism spectrum conditions, anxiety, questions or issues around sexuality and/or gender, trauma, and difficulties in relationships.
Evidence-based psychological approaches utilised:
Dialectical Behaviour Therapy (DBT)
DBT is comprised of four main elements: Distress Tolerance, Emotional Regulation, Mindfulness, and Interpersonal Effectiveness. This type of therapy works well with people who have been diagnosed with Borderline Personality Disorder (BPD), have traits of BPD, or struggle with similar presenting issues (relationship issues, difficulties with emotions, suicidal ideation, self harm behaviours, substance use, or other impulsive actions). DBT is often delivered in a structured program - including weekly group skills training sessions and individual sessions. These usually last for 3-12 months, depending on the program provider. Instead, I use these skills and approaches in individual therapy sessions, depending on the specific needs of the client.
Eye Movement Desensitisation and Reprocessing (EMDR)- face-to-face only
EMDR is an approach used to reduce or alleviate distress associated with traumatic memories or emotionally challenging life experiences. EMDR involves 8 stages, and during one part - the client will be asked to perform a visual task (bilateral eye movements) while the clinician guides them on what to focus on concurrently. It is believed that this process is similar to the biological mechanisms that occur during Rapid Eye Movement (REM) sleep and allows events to be moved into long term memory and for an emotional shift to occur. EMDR is not traditional 'talk therapy' as used in other psychological trauma treatments. For this reason, EMDR is often preferred by clients as they can avoid retelling the trauma experience in detail to the therapist while effectively and relatively quickly moving through effective processing of the memory.
Gottman Couples Therapy
The Gottman Method is an approach to couples therapy based on extensive research undertaken by Drs John and Julie Gottman. There is a comprehensive assessment process which includes: 2 couples sessions, 1 individual session with each partner as well as an online assessment completed between sessions. This assessment process then forms the treatment plan for the couple, based upon their specific issues and utilising their strengths. The Gottman Method aims to help the couple disarm verbal conflict; increase intimacy, respect and affection; and to create a deeper sense of empathy and understanding between the partners. Frequent relationship issues that may be addressed in therapy include: frequent arguments, poor communication, emotionally distanced couples, couples considering divorce/separation, sexual difficulties, infidelity, as well as differing views on goals, finances, and parenting.
Schema Therapy (ST)
Schema Therapy is used with more chronic and "treatment resistant" psychological issues and disorders. It includes elements of cognitive, behavioural, gestalt, and object relations therapy. Early Maladaptive Schemas are identified that are strongly held by the person (e.g. abandonment, self sacrifice, mistrust, unrelenting standards), and then these are worked through - identifying how and when in early life they developed, how they are manifesting in current life and in relationships, and how to start working towards a more balanced view. Early Maladaptive Schemas are often formed early in life, and stem from unmet emotional needs (such as autonomy, connection, competence, and nurturance). Coping styles of surrender, avoidance, and overcompensation may be worked through, as well as modes the person may experience.
Acceptance and Commitment Therapy (ACT)
The goal of ACT is for the client to be able to live a rich and meaningful life, in line with their values. Psychological skills are taught to assist in dealing with painful and unhelpful thoughts and feelings differently. ACT allows people to fundamentally change their relationship with the thoughts and feelings that are pushing them around or getting in the way - and as a result of this, improving their mental health and quality of life. ACT is comprised of six elements: contact with the present moment, experiential acceptance, cognitive defusion, the self as context, clarifying values, and committed action. Clients are taught to stop avoiding, numbing, denying and struggling with their inner emotions, and instead are supported to respond to them differently and more effectively.
Art Therapy is the process of using visual arts (e.g. painting, drawing, sculpture, and collage) as a tool in psychological therapy. Art Therapy allows for exploration and identification of deep fears, desires, and patterns in the subconscious, which cans be hard to access verbally. Many people believe that Art Therapy requires them to be "a good artist" - which is not the case at all. Art Therapy also moves past the therapeutic benefits of an individual expressing themselves creatively. The therapist guides and supports the client to more deeply understand their problems and facilitates change in the client's perspective as well as their behaviour.
Cognitive Behaviour Therapy (CBT)
CBT is a widely used form of psychological therapy that is based on the idea that thoughts and feelings lead to an individual's behaviour. CBT is used to help the client assess their patterns of thinking, feeling, and behaving and make changes to those patterns that are not helpful or effective in their life. Factors that contribute to the development and/or maintenance of issues are identified and then the client is taught how to dispute and replace the cognitions that lead to them.
Motivational Interviewing (MI)
MI is used to assist in moving clients from uncertainty and resistance towards meaningful action towards their goals. Whilst MI is often used for individuals with substance use issues, it is helpful in a range of other situations where an individual is wanting or needing behaviour change, including gambling issues, improving diet and/or exercise, and management of chronic health concerns.
"Everything can be taken from a man but one thing; the last of the human freedoms - to choose one's attitude in any given set of circumstances, to choose one's own way" - Viktor E. Frankl