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Discussion in 'Workplace dilemmas' started by Bedlam3, Sep 26, 2018.

  1. Bedlam3

    Bedlam3 Star commenter

    As some of you know I am going through WRS at the moment and have been off work for quite some time. CBT has been recommended to me but I don't seem to be able to access any apart from going private.
    Does anyone have experience of CBT and how effective it was for you. Does anyone know how much sessions are likely to cost?
    My employer is not able / is unwilling to provide or fund this service. My GP can only recommend a provider but not fund.
    There are some therapists in my local area but their websites don't say what the sessions cost.
    How did other people access CBT? and does it work? I don't want to shell out hundreds of pounds if it isn't going to be effective.
    Thank you.
  2. grumpydogwoman

    grumpydogwoman Star commenter

    I'm afraid the answer is another question - how long is a piece of string?

    Well, here's my account. It worked really well for me at first. Until my therapist suddenly got religion and then went (my word) crazy.

    What her new clients make of her I don't know!

    My younger daughter perseveres with it. But again. A lot depends on your relationship with the therapist/counsellor. She says it definitely depends on the individual.

    See if you can get a cheap/discounted/free taster half-hour. Do you "gel" with the counsellor?
    strawbs likes this.
  3. theschoolcounsellor

    theschoolcounsellor New commenter

    The cost can vary but usually would be around £35-50 per hour, at least in my area, for a private CBT therapist. I know in some areas GPs can prescribe online CBT, which may be an option? It's also possible to use workbooks and learn some of the techniques yourself if the cost of a therapist is just too much.

    I had CBT years ago on the NHS and I had to wait about 6 months I think for a course of around 8 sessions. As the previous poster said, so much depends on the relationship you have with the therapist. For me, CBT is useful in that it can teach you some different coping strategies and ways of recognising patterns of unhelpful thinking and behaviour which can then be changed. However, for me, other forms of therapy, have been more helpful.

    Any good therapist should agree to meet you either with no charge or with a reduced charge to discuss what they can offer and for you to get a sense of whether you feel you could work with them.
    agathamorse and grumpydogwoman like this.
  4. lilachardy

    lilachardy Star commenter

    The NHS here provides CBT but says it's not suitable for me. Is there a local Depression and Anxiety service you can self refer to? There is here.
    I'm paying £45 an hour for a private counsellor which is subtly different.
    agathamorse likes this.
  5. creaganturic

    creaganturic New commenter

    I was referred by my GP for CBT and it was through the NHS. I didn't have to pay anything and the therapist came to the local GP rooms. I think I had 6 sessions and though there is normally a waiting list for a first appointment, I got one quickly by going a little way out of my area, but still within the County. Appointments were every fortnight for an hour and I found that I was more in control of things after 3 appointments and didn't really need any more, but it helped being able to offload. The thing is, both myself and the therapist agreed that my issues would disappear as soon as the harassment from work did and that as it was out of my control. I could only learn how to best deal with how I was being affected by changing the way I dealt with it. I had sleep issues and panic attacks daily, and she gave me strategies to help with that. Months down the line, I am sleeping better and no longer get panic attacks, but then my issue has been mostly resolved. Other forms of therapy suggested was to get involved with projects through the local county by working with animals and cleaning up woodlands and rivers. That kind of thing. I was also prescribed discounted gym sessions through the local leisure centre. There are many options out there, but your GP should really be discussing these with you and you shouldn't need to pay privately, unless your county does not have a CBT service.
    agathamorse likes this.
  6. Grandsire

    Grandsire Star commenter

    I gave it a try, because I simply didn’t know what else to do, and it was offered to me as a time when I felt I couldn’t go on with things as they were. It was good to talk to someone, I guess, but as far as I was concerned, stuff like thinking nice thoughts and doing what I liked best, and all the other ideas couldn’t change the underlying chemical imbalance which causes my problems, and I was referred on to a specialist. I did get straightened out in the end and have been really well for some time now. I think some of the things I learned in CBT helped me manage better day to day to stay well, but it’s not enough to get me out of a crisis on its own.

    I’d certainly give it a go, though. Good luck, and best wishes.
    agathamorse likes this.
  7. grumpydogwoman

    grumpydogwoman Star commenter

    This is weird.

    Just came back from second dog-walk and met one of the dog-walking sorority. She has just started her CBT (2 sessions) and has twice been away for the weekend and managed not to worry too much about leaving her dog with a friend! So she's very pleased!

    She's NHS and has waited a long time. So a ringing endorsement from her!
    agathamorse likes this.
  8. sunshineneeded

    sunshineneeded Star commenter

    OH had CBT to help with depression and anxiety just over a year after having a stroke. It was NHS - I think the wait in our area was less than 3 months. He was allocated 10 sessions at first, which was extended by a further 4 on the therapist's advice. He was very nervous at first (since his stroke, he's nervous and worried about anything new or out of his comfort zone) but found it very useful. His therapist must have been very skilled; she quickly built a strong relationship - again, very difficult to do post-stroke. I can't say what actually went on in the sessions; he was never able to talk much about it, but it certainly had a positive effect and he still uses the strategies she taught him two years down the line, whenever he is feeling under pressure or anxious.

    No idea about the cost of private therapy as we didn't need to go down that road.
    agathamorse likes this.
  9. caterpillartobutterfly

    caterpillartobutterfly Star commenter

    £50 an hour round here...
    agathamorse likes this.
  10. friedgreentomatoes

    friedgreentomatoes Star commenter

    I had CBT provided by the NHS (some years ago now) , in a mixture of individual and group sessions. It is not for everybody, but for me it was brilliant. It enabled me to break out of my very negative thought cycles and I still use some of the exercises/strategies I was taught. Unfortunately the NHS in my area no longer provides that service, but I know they do provide online therapy - maybe that is available in your area?
    agathamorse likes this.
  11. treeickle

    treeickle New commenter

    I had one to one NHS CBT post breakdown, maybe 8 or so sessions. Honestly changed my life. I'd had counselling and SSRI's before, one and off since I was 12, at none of it touched the hopeless depression and the crippling anxiety. I was going into CBT very dubious.

    CBT left me a wreck after each session, because my core beliefs were shattered so they could be rebuilt in healthy sustainable ways. I'm still on meds (three years post breakdown) - but when things crop up, I can deal with it.

    agathamorse likes this.
  12. Bedlam3

    Bedlam3 Star commenter

    Thank you for all your replies. I think maybe I'll give it a go via a private therapist and see how it goes. I'll also have a look at the online one and see what it entails.
    @creaganturic I feel similar to you in that once my situation at work is resolved I think that I will be ok. It's just that it's taking so long and there is no end in sight yet.
    agathamorse and treeickle like this.
  13. cornflake

    cornflake Senior commenter

    theres a website you can try...

    I didn't find CBT helpful, but others do.
    Bedlam3 and agathamorse like this.
  14. lrw22

    lrw22 Senior commenter

    You can do online courses and there are also some CBT books that might help.
    Bedlam3 and agathamorse like this.
  15. ilovesooty

    ilovesooty Star commenter

    I don't take purely CBT referrals and would normally signpost elsewhere as although I have a CBT qualification I think others are more skilled in that particular area. It feels unethical to me to take on work and receive payment when I think the client would benefit from seeing someone else.

    In terms of counselling I charge £45 an hour and will discuss requirements with potential clients on the phone beforehand but I don't offer free or reduced initial sessions. Until recently I had to pay a room hire fee upfront for each session (£11) and would have been out of pocket. I now work from home but still have the same policy. There are honestly clients who travel from counsellor to counsellor getting free initial sessions and counsellors do get stung by it, not to mention clients who book and then just don't turn up.

    I do offer a free initial half hour to potential supervisees as they are looking to go into a working relationship which will hopefully last a long time. I've had both my supervisees for well over a year.
    Bedlam3 and agathamorse like this.
  16. ilovesooty

    ilovesooty Star commenter

    Oh, and recently I spent half an hour on the phone discussing requirements with a potential client and she booked a session for the following evening. She didn't turn up and I received a text the day after to say that she'd contacted another counsellor after she'd spoken to me and decided to go with her instead as she could offer daytime appointments.

    With reference to CBT there is a waiting list of at least 6 months in my area for NHS appointments but it evidently varies a lot around the country.
    agathamorse likes this.
  17. fkh2904

    fkh2904 New commenter

    I had CBT through 'Mind', who I really valued a few years ago when I needed bereavement counselling. The CBT was a completely different matter however and I left every session feeling worse than when I went in. My therapist always made me feel quite stupid for saying the things I had to say and would never let me have any time to think about the answer before interrupting me with what she thought my answer should be. I assume it is the nature of the therapy, but the repetitiveness of her words really got to me and I found myself more stressed in the hour with her than any lesson I have ever taught!
    Bedlam3 and agathamorse like this.

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