Case studies

Anger management

A senior executive was causing conflict with his colleagues. He had frequent angry outbursts and confrontations which had a serious impact on the morale of his team. It was clear this was due to stress. We used NLP techniques to explore his underlying anger and he realised that, although he liked the company he worked for, he was not happy in his role. His entrepreneurial streak was hampered as he was too bogged down in managing people. He had ideas for developing a new aspect of business for the company. During coaching sessions, he decided to discuss his ideas with the chief executive. It was agreed he would change roles, moving into the new area of the business. He did so and felt much more fulfilled and energised by it as well as realising that, by understanding the underlying causes of his stress, he had been able to take action to address its consequences.

Anxiety

Simon, aged 23, was friendly and likeable but a little withdrawn. As a computer technician, he didn’t interact with many people at work and felt safe until new responsibilities changed this. He found he couldn’t always control his anxiety; during feelings of panic, he would get a wave of anxiety rushing up from his stomach to his throat, making him retch and sometimes sick. Unable to eat in front of anybody except his family, his anxiety in social situations increased and was especially bad if women were in the group. He would decline invitations to the pub as he was afraid he might be sick in front of others. He had noticed that his anxiety in situations with women had emerged when he was about 11 years old. He had not had a relationship with a woman for five years. He was due to present a course at work and it was the dread of this that prompted him to seek help. He wanted to be mentally stronger and enjoy other people's company. In his first session, an NLP technique taught him to make the wave of anxiety travel in the opposite direction. We introduced a metaphor about feeling really good in public and how it was possible to be calm and relaxed. During his second session, we used hypnotherapy to explore the origins of his anxiety and discovered it started when he joined a new school and felt overwhelmed and lost. He tried to make himself appear small and insignificant, and ensure that everything was perfect, so as not to draw attention to himself. Instead he was bullied. We worked together on diminishing his need for perfectionism. By his third session, Simon felt his control was increasing; he had not had a panic attack all week and had been feeling increasingly calm. As a work function was looming, we concentrated on his anxiety about eating in front of others, using hypnosis to introduce positive thoughts. At his next session, he explained he had been able to eat in front of male friends but felt self-conscious in front of women. During hypnosis it emerged that his sisters had made fun of him when, aged 11, his voice started breaking. It also showed that a failed relationship, when he was 18, knocked his self-confidence with women. We used Gestalt therapy to explore the very intense feelings caused by this relationship. Two sessions later, Simon explained that he had been out to the pub for lunch with two women at work, and had eaten a sandwich. He realised that his anxiety levels dropped to zero after about 10 minutes and felt confident it would improve. As he felt he had come a long way since the start, we suggested a break to consolidate his new patterns of behaviour. He called four weeks later say he felt much better about himself and able to be calm and confident in social situations. He had started a relationship with a woman he had known for some time but had kept at arm's length. And his fear of criticism had reduced to the extent that he had taken on the job of training staff.

Behaviour

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Bereavement

Case study coming soon

Confidence

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Couple Counselling

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Depression

This female client was diagnosed, at the age of 18, as having severe depression. Although she managed to control her behaviour with medication, the symptoms began to re-emerge. Her behaviour and concentration became erratic; she lost her job. At about the same time she realised she was gay. Overwhelmed by the changes, she was referred by her GP to a psychiatrist but she didn’t experience any improvements. The psychiatrist recommended an increase in medication but, wanting to address the underlying causes of her anxiety, she decided to try psychotherapy. We recommended that she explore her direction and purpose in life, and re-evaluate her personal and career goals. As her newly-emerged sexuality was in conflict with her extremely religious family’s values, we focused in particular on her sexuality and her relationship with her family. After 10 sessions she felt confident enough to reveal her sexuality to her parents so they were able to understand her and begin to accept her as she was. She also developed greater self-awareness about the early warning signals of her depression, enabling her to take pre-emptive action to limit its effects.

A male client was very negative and depressed. He was in his early 60s and said he had always felt this way. He felt there was more to life and wanted to experience happiness. We worked with him on defining exactly what, for him, constituted happiness. He defined it as being assertive in situations and feeling light inside. We used hypnosis and self-hypnosis to release his feelings of fear and eliminate depression. He said he struggled with new concepts and was encouraged to persevere so that the could see that work was done on letting go of the struggle. He began to describe feeling more joyful on waking in the morning and, as this feeling was reinforced, it grew in frequency and became almost an everyday experience. He began to be more aware of his feelings, learning to express them in constructive ways, and developed the habit of looking more positively at his everyday life.

Exam nerves

Case study coming soon

Panic attacks

A panic attack is a severe feeling of anxiety or fear. They often occur without warning and might start for no apparent reason or be triggered by something specific. They are usually accompanied by other symptoms such as palpitations, shortness of breath or choking, sweating, trembling, feeling sick, dizzy or faint, numbness or pins and needles, chest pains, fear of dying or going mad, seeming unreal or detached. Hyperventilating is a typical response which leads to new symptoms, such as confusion or cramps, as well as more of the same symptoms, making them worse – making you hyperventilate even more and becoming more panicky. They usually last for five or 10 minutes though some come in waves over an hour or so. Treatment includes understanding why an attack has occurred and learning techniques to deal with it to reduce its impact on your life.

This female client suffered from panic attacks and anxiety, particularly when dealing with stressful situations such as work presentations, queuing in supermarkets or travelling on the tube. She had experienced these feelings regularly though the symptoms seemed to become particularly acute on a cyclical basis – approximately every two to three years. She was referred by her doctor after having been signed off work for two weeks with stress. She had previously been prescribed anti-depressants but, whilst they seemed to reduce the level of her anxiety, they had never fully eradicated it. She wanted to deal with her problems for a long-term. We recommended eight sessions of cognitive behavioural therapy focused on teaching her practical coping techniques, challenging her prevailing beliefs and behaviours, and setting regular homework in between sessions gradually to desensitise her to the original stimuli. We also undertook two sessions of hypnotherapy to deal with the blushing she experienced when anxious. She is now able to travel comfortably on public transport and has not reported any feelings of anxiety or blushing in over six months since completing therapy.

Phobias

People are often keen to know the difference between a fear and a phobia. Generally, a fear is rational; when a fear becomes irrational, it is a phobia. The difference between the two can be slight and hard to judge because fears are to some extent irrational as they are the result of imagination. Generally, it is the degree to which the fear is irrational that will determine whether it is a fear or a phobia. People are often also keen to find out the cause of their fear or phobia. Whilst this can be interesting analytically, it is not essential for treatment to be successful. For many, stopping the fear or phobia is all that is needed. We will discuss possibilities with you so you can decide how you would lime to tackle your phobia. A phobia is not the result of an illness or a mental disorder. It can make life very difficult, cause embarrassment and affect self-confidence and self-esteem. Simple phobias are fears of one thing such as heights, a specific object or animal, or enclosed spaces. Complex phobias are fears of several things together: a fear of flying might include a fear of being enclosed and of a crash and of not being in control. Social phobias include being afraid of what might happen when you are with others: blushing, forgetting, keeping control. Panic attacks are sometimes a form of phobia; they can strike unexpectedly and affect people you would least expect to be affected. Agoraphobia is the strongest form of phobia; this is no longer defined as a fear of open spaces; it is when someone becomes increasingly anxious the further they are from their own home; at its extreme, a person might never go out because they are so fearful of being away from home.

This female client had recently become pregnant and needed to have regular blood tests due to the risk of her baby having Down’s Syndrome. However, she had suffered from a phobia of blood and needles since the age of 10; she regularly fainted at the sight of blood. We suggested four hypnotherapy sessions focused on reprocessing her experience of the original trauma that caused her phobia. It involved teaching NLP-style coping techniques for emotional state management and self-hypnosis for relaxation. Whilst she was open to the idea of hypnotherapy, she was nervous about the prospect of having to confront her fear. Much of the first session involved metaphorical hand-holding – pacing the session and leading her according to her level of comfort. After the four sessions, she was able to take the required blood tests without any adverse effect. She later returned for further help in physically and mentally preparing herself for the birth of her child using hypnobirthing techniques. She is now the proud mother of a healthy baby girl.

Relationships

Case study coming soon

Self-esteem

A female client suffered from low self-esteem, much of which seemed to stem from her relationship with her “overbearing” father. Because of her low self-esteem, her opportunities for career advancement were limited; she adopted several self-destructive behaviours including bulimia, drug mis-use, smoking and inappropriate relationships (many with men who were already married). She had two years of psychoanalysis in the USA but had found it fruitless. She had also tried working with another therapist in the UK but had felt “uncomfortable” during the sessions – she felt the therapist didn’t understand her situation. We recommended 12 sessions of person-centred counselling in which she was encouraged to take direct responsibility for the content and direction of each session, to give her a greater degree of assertiveness. She is now involved in a fulfilling relationship; her eating regime has stabilised; and she has taken successful steps to deal with her drug problems.

Stress management

Case study coming soon

Trauma

A trauma can be physical, medical or emotional – and its effects can be physical, medical or emotional. An accident, surgery, abuse, violence, witnessing a traumatic event, bereavement, experiencing injustice … everyday occurrences can be as traumatic as are unusual and exceptional events. Everyone reacts to traumas differently: some may be unaffected, others might not be able to function, many fall somewhere between the two, managing some aspects of their lives very effectively but struggling to keep others together. We specialise in trauma therapy, working with individuals who have experience personal trauma and with organisations with employees who have to cope with traumatic situations at work.