I work in two forms of therapy.
Cognitive Behavioural Therapy (CBT) where we look at unhelpful thoughts and thinking patterns and how they affect your emotional wellbeing. We try to find new ways of thinking about situations or events and look to consolidate these through changes in your behaviours or actions. The relationship between patient and CBT therapist is much like the relationship between athlete and coach.
CBT is a very powerful and effective form of therapy. It is not always the best first therapy. Sometimes counselling is more appropriate. For example, if you have recently lost a loved one you may feel overwhelmed with grief and counselling may be suggested to you. A counsellor can help by guiding you to process the different emotions you may be struggling with. There may be no unhelpful thoughts as such, just difficult emotions (such as grief or anger) to process.