Richmond Wellbeing Service offers a range of free and confidential talking therapies and specialist support to help you feel better. We have changed how we work to keep you safe during the pandemic but we are still here for you…
What happens when you get in touch with us?
Once you have been referred by your GP or you have made a self-referral, we will book you in with one of our therapists for an initial telephone assessment.
At this assessment, the therapist will discuss your current difficulties, how they have been affecting you, and discuss the possible treatment options with you. A face-to-face appointment can be arranged if you would prefer this. This first appointment/telephone call will last around 30-45 minutes. Following the assessment, we will get back to you within a few days to confirm your treatment package. We offer a range of therapies, which can be provided in a variety of ways.
Living well – after therapy
You and your therapist will decide together when it is the right time to end your therapy sessions. When this time comes, your therapist will work with you to plan ways to help maintain your progress, for example:
- Continued access to paper-based and online materials used in therapy
- Helping you construct a plan in case things worsen again
- Signposting to other services
About seminars, courses and lectures
In the Richmond Wellbeing Service you may be offered one of our seminars or courses.
You can get more details about these here.
All the treatment we offer at the Richmond Wellbeing service follows the National Institute for Health and Care Excellence (NICE) “stepped care” treatment guidelines. This means you can be confident that your therapy has scientific evidence that proves its effectiveness. In “stepped care” the least intensive intervention that is appropriate for a person is provided first to maximise the chances of a swift recovery.
The early steps are typically delivered in a seminar or lecture format. This means we can offer you an appropriate treatment quickly. We understand that attending in the presence of others can sometimes seem daunting, and have put together a list of FAQ’s to reassure you and dispel some of the myths that we have encountered.
Low intensity CBT
Guided Self Help, also known as Low Intensity Cognitive Behavioural Therapy (CBT), is an effective way of helping people with mild to moderate psychological problems such as depression or anxiety.
Self-help programmes are recommended by the National Institute for Health and Care Excellence (NICE). These can be:
- Telephone or face-to-face sessions
- Computerised self-help therapy programmes such as Silvercloud or Living life to the Full and Books on Prescription.
Guided Self Help can help people begin to manage their problems themselves, in a more effective way.
These programmes fit in well with people who have busy lives or who find it difficult to attend face-to-face therapy sessions. It means that you can also work on your difficulties in your own time and at your own pace.
High intensity CBT
CBT (Cognitive Behaviour Therapy) is a highly recommended therapy that can help you overcome your problems by learning different ways of thinking about your difficulties and what you do to solve them.
The aim of therapy is to enable you to become your own therapist.
CBT is particularly helpful if you are:
- Feeling very anxious or panicky
- Worrying about things a lot of the time (including worries about your health or safety)
- Feeling depressed or sad
- Feeling hopeless or that life is not worth living
- Having thoughts, impulses to do things or pictures that come into your mind that you can’t get rid of
- Problems controlling your anger
- Severe shyness that stops you getting on with your life
- Having difficulty coming to terms with a trauma (e.g. a street robbery) or suffering with PTSD
- Phobias, e.g. fear of spiders, flying, needles, dogs, etc.
CBT is best for people with a specific problem they want to work on. You will be asked to work on your problem between sessions using the advice your therapist gives you.
This approach has been shown to be helpful when it seems to you that your health and wellbeing are closely connected to your partner. Together, you can look at patterns that seem to have become fixed and try to find ways to change them. Your partner will need also to register with the service and attend with you. You will often be given tasks to try between sessions.
Problems that can be helped include:
- Relationship / sexual problem
- Distress, anger or hopelessness following traumatic events
Dynamic interpersonal therapy (DIT)/Brief Psychodynamic Therapy
DIT is a brief 16-session psychodynamic psychotherapy. It specifically focuses on emotional and relationship problems by exploring early attachments and childhood experiences on adult functioning. These early experiences form our sense of self and an internal reality and the way in which we relate to others.
Also, these early experiences lead us to be perceived in particular ways. At times we can recognise patterns of relating that are not satisfactory and which can create conflicts and these can get in the way of forming and maintaining relationships. Such difficulties can, understandably, cause distress and depression.
DIT aims to look at your symptoms of depression and to connect these to your subjective experiences and how you understand and relate to yourself and others. The therapy will focus on exploring the relationship with the therapist as this will provide useful insights on what is troubling you, and for you to see how similar the conflicts and worries that exist outside of the therapy relationship are also present within this relationship.
By drawing on these similarities and patterns you will be able to understand where change needs to happen and therapy will aid this. The process of this type of therapy explores both the conscious and the unconscious that is impacting on your current interpersonal functioning.
The focus of the work will be achieved collaboratively between you and the therapist and for you both to be clear about expectations and goals. You will notice improvements through symptom relief, new ways of understanding yourself and how you relate to others and how others relate to you, and you will develop a greater capacity to understand others.
Brief Psychodynamic Therapy/Counselling for depression is a form of talking therapy in which the therapist will explore with you the underlying sources of your problems, which may stem from childhood as well as current relationship and emotional experiences. Psychodynamic work may use the interpersonal relationship which develops between you and the therapist as a valuable source of information in the work. A maximum of 12 sessions can be offered to you in this approach.
Primary care liaison
The Primary Care Liaison team focuses on supporting individuals within primary care who are experiencing mental health difficulties. We are an accessible service, based in community clinics and GP surgeries across the borough of Richmond.
Your Primary Care Liaison Practitioner will be an experienced mental health clinician, who will work with you to:
- Conduct a comprehensive assessment of your mental health needs
- Carry out a medication review – considering whether medication would be helpful and / or reviewing any medications you may already be taking
- Address any questions about diagnosis
- Create a comprehensive care plan
- Provide follow-up appointments
- Liaise with other services as needed.
If you feel it would be helpful to meet with a member of the Primary Care Liaison Team to discuss your mental health needs, please contact your GP initially and they will make a referral to our service.