Therapy with Adolescents

Psychotherapy with adolescents involves the therapist approaching the various issues through communicating with the teenager directly or through a more creative approach. Difficulties affecting the adolescent may include:

  • Depression446125_f520
  • Anxiety
  • Exam/school stress
  • Bullying
  • Peer pressure/relationships
  • Low Self-esteem
  • Eating disorders
  • Self-mutilation/cutting
  • Substance abuse
  • Identity issues
  • Difficulties relating to parents
  • Divorce & step families
  • Physical or sexual abuse, etc.

Consultations with adolescents are confidential and information is only shared with parents if there is a risk, or if deemed beneficial for a healthy outcome. Parents are however, involved in the process and given feedback. The adolescent client always remains part of the process.

Therapy with Adults

Psychotherapy for adults covers many areas, such as:2

  • Depression
  • Anxiety
  • Post-natal depression
  • Trauma
  • Bereavement
  • Obsessive compulsive disorder
  • Substance abuse
  • Gender identity disorder, including gay/lesbian issues, cross dressing, etc.
  • Burnout
  • Stress
  • Coping with illness
  • Relationship difficulties
  • Adult survivors of physical, verbal & sexual abuse,
  • And many more concerns that do not fall in a clearly defined category.

The therapist helps the client identify the problem, some of which may not be clearly defined, and find more constructive ways in which to approach their issues.

Couples Counselling

No two people are alike or completely compatible and often difficulties arise which affect the equilibrium of the relationship. The therapist acts as a facilitator and translator assisting the couple to understand each other and helping them overcome destructive patterns in their relationship. The therapist also teaches the couple new skills to assist them in communicating and negotiating. Some difficulties that do arise in a relationship include:

  • Communicationcouple
  • Sexual
  • Financial
  • Parenting
  • Trust issues
  • Infidelity
  • Divorce
  • Conflict

 

Goals and Objectives of Couples Counselling

Making a decision to enter into couple’s therapy with your partner can often be a daunting prospect.  The purpose of this journey is to gain more knowledge about yourself, your partner and the way in which you interact and communicate.  Couples therapy is not a place where you only address all the problems in the relationship, but rather the focus becomes the way in which you interact with each other on a verbal and nonverbal level.  It becomes a space where you can do this in a safe environment, where ineffective patterns are uncovered and new patterns can be learnt.

The most important goals for couples in therapy are to become clear about:

  • The kind of life you want to build together
  • The kind of partner you aspire to be
  • Your personal blocks in becoming the partner you aspire to be.
  • The tools and knowledge necessary to achieve the above.

The key to successful couples counselling is to reflect on your own objectives throughout the process, your attitude toward change and to focus on changing yourself rather than your partner.

The initial appointment for couples counselling is a two hour session as it is almost impossible to assess two individuals in one hour, giving each the opportunity to express their difficulties, and to give adequate feedback.  Both parties need to feel heard and goals for therapy need to be set.

Thereafter we may continue with either double or single sessions depending on the couple’s needs, availability, etc.  A two hour session in the beginning stages of therapy is often best as both partners get the opportunity to express themselves and it allows for coaching by the therapist and containment of emotions.

Family Therapy

This entails addressing family issues and providing support where needed for the whole family. Difficulties arising in a family can include any of the above. Families often struggle if one member is struggling with a difficulty. For example, when divorce occurs, family members often need to discuss their fears and pose questions as a family.

Family and Child Mediation

When parents separate or divorce, decisions have to be made that will have a significant impact on their children.  Some families manage re-organisation with effortless ease whereas others find it very difficult to adjust to new ways of relating after separation and divorce.

Family and Child Mediation is a brief, structured mediation process developed specifically for the drafting of Parenting Plans for Families.  The Family and Child Mediation Model (FCM) evolved in response to the demands that The Children’s Act, Act 35 of 2005 and related regulations, placed on mediators in drafting parenting plans.  South African mediators are in a unique position in that they have to sign every Parenting Plan off and declare that they consulted with the child.  They must also declare that they gave due consideration to the views and wishes of the child and that the Parenting Plan serves the best interest of the child.  Two tools are used in this mediation process, namely:

  • The Child’s Voice Toolkit
  • The Familyzone-Grid which is a support tool developed for use in screening, analysing and assessing matters.

 

Goals of Mediation

  • To reduce, resolve or manage conflict
  • To make appropriate decisions to deal effectively with conflict
  • To provide a plan that serves the best interest of the child
  • Supporting the parents to get to decision-making
  • Understand the fit between the parents
  • Working with the dynamics of the family as reorganisation occurs.

In the re-organised family, the spousal relationship between the parents ceases to exist.  The parental and financial relationship continues.  The children sustain their sibling relationship and now have to develop a distinctly separate relationship with each parent.  The family is still a family.

 

Criteria for Families to be considered for Family and Child Mediation (FCM)

  • Parents requesting the drafting of a Parenting Plan are considered for FCM.
  • The dispute necessitating the drafting of the Parenting Plan involves issues regarding the interest of the child/ren, e.g. residency, contact and maintenance disputes.
  • Both parents consent to participate in FCM.
  • When the safety of either parent or the child/ren is in dispute FCM will not be considered.
  • Parents suffering from untreated or “poorly managed” mental illness will not be considered for FCM.
  • Parents suffering from untreated or “poorly managed” substance abuse difficulties will not be considered for FCM.

The mediator has the discretion to terminate mediation at any time.

On Site Employee Wellness and Debriefing and Hospital Visits

On site employee counselling and debriefing visits to companies as well as hospital visits can be arranged.