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Philip
CBT & DBT
Philip
Introduction
Kia Ora
I have been a Registered Comprehensive Nurse for the last 29 years and currently am a Clinical Nurse Specialist within a DBT team. I have trained as a Cognitive Behaviour Therapist (CBT) and am providing a therapy service for Te Awamutu and surrounding areas such as Otorohanga, Cambridge, Te Kuiti and everywhere in-between.
I am passionate about Mental Health and always have been. I am very client focused and love working with people and I have a particular interest in complex circumstances.
CBT is generally considered to be a short term therapy that has a strong evidence base for a variety of MH concerns such as depression; anxiety issues such as Generalised Anxiety Disorder (GAD), Panic, Social anxiety and Health anxiety; Phobias; Bipolar Affective Disorder (BPAD); Post Traumatic Stress Disorder (PTSD); Substance Use; Obsessive Compulsive Disorder (OCD); Insomnia; Anger Management; Complex Interpersonal Difficulties and more.
Dialectical Behaviour Therapy (DBT) is a more specialised form of Cognitive Behaviour Therapy. My training in DBT was focused specifically on people with Borderline Personality Disorder, BPD, which is a terrible title for what is basically an emotion regulation problem. Having said that, I believe that DBT, and particularly the psychological skills taught within DBT, can be applicable to everyone, regardless of age or circumstances. As such, I often include relevant DBT psychological skills in the CBT work I undertake depending on clients needs.
The DBT skills fall into 4 groups:
Mindfulness - non-judgemental awareness, in the current moment, of what is occurring within and external to you. Essential skills to have in order to be able to make informed choices of actions to undertake.
Distress tolerance - short and long term skills to manage distress that occurs for us all at times.
Emotion regulation - understanding emotions, the purpose they serve, and how to regulate them when needed.
Interpersonal effectiveness - how to interact with others, asking for what you need, being able to say No effectively when required, how to make and keep friends and managing relationships effectively while maintaining your own self-esteem.
DBT can be a longer term therapy process given the difficulties that often are present in regards to BPD.
If you are interested in assistance with any of the above, please contact me via the Send a message - button. I'd love to hear from you.
Online therapy
Online therapy is conducted using a program that is specifically for health professionals to ensure your privacy.
I send you a link and all you have to do is to click on it. Nothing to download, no extra apps on your computer or phone. The program will use your browser to connect us in complete privacy.
I send you a link and all you have to do is to click on it. Nothing to download, no extra apps on your computer or phone. The program will use your browser to connect us in complete privacy.
Qualifications and registrations
Registered Comprehensive Nurse
Nursing Council of New Zealand
Nursing Council of New Zealand
Philip is listed among the counsellors in Te Awamutu.
Therapy languages
Specialisations
- 1. Borderline Personality
- 2. Suicidal thoughts
- 3. Depression
- 4. Anxiety
- 5. PTSD
- 6. Anger
- 7. Substance use
- 8. Insomnia
Specialisations and Expertises
Depression is considered to be the "common cold" of mental health. While it is a debilitating condition, it is also treatable using CBT. Often a combination of medications and talking therapy gets the best results. I usually would anticipate that progress will be seen after about 7-8 sessions of CBT.
Borderline Personality Disorder usually requires a longer term treatment option. It is widely accepted that talking therapy is the way to go here as opposed to medications though they may assist. DBT is one of the most highly researched treatments for BPD though it is not a short term option. Often, a year long process is required given the long term circumstances that are usually present as a result of BPD.
Anxiety and depression are often two sides of the same coin and benefit from being treated concurrently.
I have worked with people experiencing suicidal thoughts extensively over the years. These thoughts occur for a reason, whether it be as part of another condition such as depression or because they have developed into automatic negative thought processes. Obviously safety is a big concern in this case however overly restrictive practices are often not useful. Usually it is a situation where the development of a clear plan is vitally important.
Most common issues I support people with:
Depression whether this is a stand alone circumstance or part of another condition such as Bipolar Affective Disorder or anxiety conditions.
Any anxiety difficulties including Generalised Anxiety Disorder, Panic, Health Anxiety, Phobias, Social Anxiety and Agoraphobia (difficulty leaving the house).
Insomnia - difficulties with sleeping
Anger management
Borderline Personality Disorder. Not a very descriptive name for what is basically an emotion regulation difficulty.
Issues I can help with
- Addiction
- Anger management
- Anxiety
- Being assertive
- Depression
- Eating disorders
- Eating problems
- Fear
- Grief & loss
- Hyperventilation
- Low self esteem
- Obsessive compulsive disorder
- Panic attack
- Phobia
- Post-traumatic stress disorder
- Separation anxiety
- Setting boundaries
- Sleep problems
- Social phobia
- Stress
- Worrying too much
Fees
Fees vary depending on circumstances.
First session: $70
Subsequent sessions: $140
I am happy to work with W & I Disability Allowance, usually with a $20 surcharge depending.
Please provide at least 24 hours notice to avoid a cancellation fee (usually half the cost of the session).
I am working towards being able to accept ACC clients however at the moment, this is not possible.
I never want finances to be a barrier to being able to access therapy so if this is a concern for you, please feel free to speak with me about options.
First session: $70
Subsequent sessions: $140
I am happy to work with W & I Disability Allowance, usually with a $20 surcharge depending.
Please provide at least 24 hours notice to avoid a cancellation fee (usually half the cost of the session).
I am working towards being able to accept ACC clients however at the moment, this is not possible.
I never want finances to be a barrier to being able to access therapy so if this is a concern for you, please feel free to speak with me about options.
Availability (Opening hours)
| monday | - |
| tuesday | - |
| wednesday | - |
| thursday | - |
| friday | 8am - 4:30pm |
| saturday | By arrangement |
| sunday | - |