What is CBT? Cognitive Behaviour Therapy, or CBT, is a distinctive, focused way of counselling and helping people change their lives. CBT counselling is structured, and is also often relatively short-term.
It can be helpful to think of CBT counselling in the following way. People are like digital recorders on legs. We go through life recording messages and then playing them back to ourselves. Sometimes those messages are true and helpful. At other times they are not true or helpful. Perhaps they may have been true at a former time in our lives, but they are no longer so. The CBT therapist works with the client to firstly identify what messages the client is listening to, and then to help the client find alternative true messages to influence his or her feelings and behaviour. For a fuller discussion see our Home Page.
How long do I have to come to CBT counselling for? You don't have to come at all. You are the paying customer and will come for as many or as few sessions as you wish. Some people come once or twice; some people come for a lot longer; most people come for between five and twelve sessions. At CBT Counselling we are bound by the ethical code of the British Association for Counselling and Psychotherapy. This means that we will not continue to work with you once we feel that you no longer need to come. However, you, of course, are at liberty to stop coming whenever you wish to. It might be wise to set aside five or six sessions in your head, as it can sometimes take that time for things to change and feel comfortable. You are always in control.
Do I have to come to CBT counselling every week? You are the paying customer and can determine how often you wish to come. Initially, if you can afford it, it might be good to come every week because the work needs to get started and is likely to be more effective if there is continuity. However, some people come every fortnight or every three weeks. Some people come weekly to begin with and then reduce the frequency later on. You are always in control.
Does CBT counselling work? There have been many studies done on the potential effectiveness of CBT as a mode of therapy. Of course, CBT isn't a "magic bullet". The effectiveness of any therapy depends, to a large extent on 1) the therapeutic relationship the client is able to build with the therapist, and 2) how much the client is able to use the therapy and make it work for her or him. See CBT Works.
How much do you charge for CBT counselling? The current fees for each 50 minute session are listed on the Fees page.
How can I pay for CBT counselling? You can pay with cash, credit/debit card, or bank transfer. All payments are normally due at the end of each session (unless agreed otherwise) and will be receipted for your records. If someone other than you is paying and you wish an invoice to be sent directly to that person or organisation, that can easily be arranged, but you must make that clear when booking your first appointment.
What happens if I miss a CBT counselling session? If you need to re-arrange or cancel a session there is normally no problem provided you let us know and give 48 hours notice of the change. This means that the appointment slot isn't "wasted" and we can usually fill it with another client. If you just fail to turn up or don't give 48 hours notice of the change, we reserve the right to charge for your missed session in full. In exceptional circumstances (serious medical emergency, close family bereavement, accident, for example) we may not charge if you fail to give 48 hours notice. However, exceptional circumstances are exceptional. In the first instance, please assume that you will be charged for any session missed or cancelled without 48 hours notice. All outstanding debts will be pursued using the Government Gateway service and the client would be liable for the extra costs involved.
What happens during CBT counselling? CBT counselling is a process that helps people make choices or reach decisions about how to handle their concerns. We will encourage you to talk about what is troubling you and listen to what you have to say. The aim is to help you become clearer about both the extent and the effect of the problem, and to help you recognise possible solutions – ones that will work for you. Part of the work will involve considering what you are thinking, feeling, and doing (or not doing), and how thoughts, emotions, and behaviour all interact together. Part of the work will involve you finding internal resources for changes in thinking and acting, and in making the changes that you have decided on.
What hours do you work? Monday 11:00-17:00, 19:00-20:00 Wednesday 11:00-17:00, 19:00-20:00 Thursday 10:00-16:00, 19:00-20:00 We are happy to take telephone calls outside of the above hours during the daytime and early evenings.
How can I contact you to set up a CBT appointment? The easiest way to set up an appointment is to phone or use our Counselling Appointment Request form. All the details are on our Contact Your CBT Counsellor page. Because we are busy and sometimes can't pick up the phone because we are working with clients, do leave a message or send a text and we will get back to you.
How do I get to you? The CBT Counsellor works from an office at home at 8 Grafton Road, Kings Lynn, Norfolk, PE30 3HA. There is a downloadable map on ourContact Your CBT Counsellor page. Please note: there is also a Grafton Close. Make sure you come to Grafton Road.
What about parking? There is a paved area in front of the house at 8 Grafton Road, and you are more than welcome to park there if there is space. Alternatively, there is always plenty of safe parking on the street kerb in Grafton Road itself.
What if I arrive early for my CBT appointment? Because I work from home, and because I see several clients a day, I'm afraid I cannot offer a waiting room. If you arrive early, please wait in your car or outside as I cannot accommodate you inside. If you ring the doorbell before your appointment time I am unlikely to be able to respond as I will probably be working with another client.
If I don't live in the local area, can I still have counselling with you? Yes. We offer counselling via Skype (or VSee) or via telephone.
Is what I tell you confidential? Yes, it is confidential, but we do not promise absolute secrecy. What that means is that there are a very few occasions when we might need to talk to another trusted professional adult about what you tell us. If we felt you were very likely to harm yourself or others, we have a duty of care to consult with other relevant professionals. If you reveal risk to vulnerable children or adults, or involvement in serious crime (for example rape, murder, money laundering, drug trafficking, acts of terrorism), we would again need to consult with other professionals. And if subpoenaed to attend a court of law about what took place in our sessions, we would have to go, even though we wouldn't want to. It is confidential, but is not absolutely secret under all circumstances.
Are you qualified? Yes. James Rye, the counsellor at CBT Counsellor, has many years of recognised training in a variety of modalities at British Universities. He has also many years of professional practice and has gained high professional status. For details see our CBT Counsellor page.
What records do you keep? At the end of every session I will make brief hand-written or typed notes. There purpose is simply to help me remember the key points of our discussion for next time.
Are those records part of the National Health Service System? These records ARE NOT part of any NHS record system.
How are those records stored? Connections Counselling Ltd (the parent company of CBT Counselling) is registered under the Data Protection Act (1998), registration number Z6673680. Its records are stored in encrypted electronic format in a cloud storage system which meets the security requirements of the Data Protection Act (1998).
How long are those records kept for? Records will be kept securely for a period after counselling has ended (possibly for up to 72 months) and will then be destroyed. Occasionally a referral agency may require relevant records to be destroyed earlier.
What else can you tell me? What else do you want to know? Just email or text or phone us with your question and we will try to get back to you within 24 hours. See our Contact Your CBT Counsellor page.
All work undertaken by CBT Counselling is subject to the jurisdiction and laws of England and Wales. CBT Counselling is a trading name of Connections Counselling Ltd 8 Grafton Road, Kings Lynn, Norfolk, PE30 3HA (c) CBT Counselling 2008- 2017