Choosing a Counsellor
It is important that a client feels comfortable and safe with their counsellor. All counsellors understand this and encourage clients to select somebody appropriate. This may mean speaking to or visiting more than one therapist initially before beginning counselling. The length of time a client stays in counselling varies with each individual, depending on their needs and expectations. Deep rooted problems may require long term work - an hour a week for several months - while specific issues can sometimes be addressed in a few sessions.

All counsellors can be approached by telephone or email and will be happy to answer any questions about their practice or their theoretical base.

There are many different models of counselling and psychotherapy which are usually referred to as talking therapies. Although counsellors' style and theoretical approach may differ, they share core empathic values and, in general, the theoretical approach is less important than the quality of the counsellor. The final judge of whether a counsellor is right for you can only be yourself and you must trust your own instincts. Talk to a counsellor and don't be afraid to ask questions or request more information. Then ask yourself if you would feel comfortable telling this person intimate details of your life, do you feel safe with them, do you like their manner towards you and could you be completely open with them?

Sussex Counselling's membership includes practitioners of all the major theoretical approaches. In order to help users of the directory identify these, we have defined the most common approaches below.

Behavioural Therapy
is based on the belief that behaviour is learnt in response to past experience and can be unlearnt, or reconditioned, without analysing the past to find the reason for the behaviour.

Cognitive Therapy
uses the power of the mind to influence behaviour. It is based on the theory that previous experiences can adversely affect self-perception so will condition attitude, emotions and ability to deal with certain situations. It works by helping the client to identify, question and change self-denigrating thoughts, thus altering habitual responses and behaviour.

Cognitive Analytical Therapy (CAT)
combines cognitive therapy and exploratory psychotherapy, and encourages clients to draw on their own resources to develop the skills to change destructive patterns of behaviour. Negative ways of thinking are explored, and treatment is structured and directive.

Cognitive Behavioural Therapy (CBT)
combines cognitive and behavioural techniques. Clients are taught ways to change thoughts and expectations and relaxation techniques may be used.

EMDR
Eye Movement Desensitisation and Reprocessing involves stimulation of either lobe of the brain by using eye movements which it is believed replicates what appears to happen in REM sleep, allowing a natural processing of traumatic events or disturbing memories to take place. It is particularly useful for Post Traumatic Stress Disorder.

Gestalt
is derived from the German for "organised whole" and is based on the belief that the human response to experiences is summed up in a person's thoughts, feelings and actions. The client gains self-awareness by analysing behaviour and body language and giving expression to repressed feelings. Treatment often includes acting out scenarios and dream recall.

Integrative or Eclectic
is when several distinct models of counselling and psychotherapy are used together in a converging way rather than separately. Many counsellors use one core theoretical model of counselling but draw on techniques and styles from other approaches when appropriate.

Person-Centred counselling
is based on the assumption that an individual (client) seeking help in the resolution of a problem can enter into a relationship with another individual (counsellor) who is sufficiently accepting and permissive to allow the client to freely express emotions. This will enable the client to come to terms with negative feelings which may have caused emotional problems, and develop inner resources.

Psychodynamic counselling or psychotherapy
stresses the importance of the unconscious and past experience in determining current behaviour. The client is encouraged to talk about childhood relationships with parents and other significant people and the therapist focuses on the client/therapist relationship (the dynamics). The psychodynamic approach is derived from psychoanalysis but usually provides a quicker solution to emotional problems.

Psychosynthesis & Transpersonal
is sometimes described as "psychology of the soul" and aims to integrate or synthesise the level of consciousness at which thoughts and emotions are experienced with a higher, spiritual level of consciousness. Painting, movement and other techniques can be used to recognise and value different facets of the personality. It can be useful for people seeking a more spiritually oriented vision of themselves.

Transactional Analysis (TA)
is based on the belief that everyone has a child, adult and parent self within them and, within each social interaction, one self predominates. By recognising these roles, a client can choose which one to adopt and so change behaviour. This form of therapy has produced the term "inner child" used to describe unfulfilled needs from childhood.

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