What will happen in a session?
Lots of talking! Generally in a session we will ask you about what has brought you to see us, what might be leading to your difficulties, and your goals for change. Sometimes this can be hard to talk about so we can use activities such as drawing, painting, writing or computer games to help us to talk.
We will then work with you to form a better understanding of your difficulties and gently challenge and encourage you to make changes that might help. Sometimes therapy can feel uncomfortable as it challenges what you think you know and encourages you to use different strategies to cope than the ones you have been using. You need to feel ready to face whatever is troubling you and decide to take ownership to make changes. As such, we wouldn’t recommend therapy for anyone who is in an unstable situation as you need to feel safe and contained to be able to access therapy.
Do I need to bring anything?
No, nothing specific. We would always encourage you to bring anything you would like to share with your therapist. If you are attending for an Autism Assessment or other Cognitive Assessment, you may be asked to bring some previous school reports or copies of assessments that have already been completed to add to the assessment information gathered and give a fuller view.
Do I need a referral to see you?
No. You can make a decision to access services yourself and contact us directly. If you would like information to be shared with other professionals such as your GP, you can ask us to do this.
Can I use my health insurance to pay for sessions?
Yes. We are registered with some of the major Insurance companies and we can accept insurance funded cases. Please contact us to discuss before booking an appointment as we will need to ensure your input is authorised before we begin sessions.
How many sessions will I need?
This is for you to decide with your therapist. All interventions are guided by National Institute of Clinical Excellence (NICE) guidance which give a recommended number of sessions for some types of difficulties. Essentially, your therapist should always discuss your needs openly with you and together decide how many sessions you might like and the timing of those sessions. They will guide your decision with their clinical expertise and take into account factors such as costs, availability, insurance limits etc to make the best use of the resources.
What if I want to end sessions?
This again is entirely up to you. We would always suggest you speak to your therapist in the first instance as it is always helpful to have an ‘ending’ session to enable you to reflect on your progress and how you might continue this outside of your appointments and enable you both to say goodbye. Therapy should not be a ‘never-ending journey’ as you will lose sight of what brought you there in the first place. The best therapies are always goal orientated and skill you up to feel OK on your own again.
Who will know if I come and see you?
Generally only the people you want to know. Your therapist will ask you if you would like them to let your GP or any other professional know that you are accessing therapy but it is not essential that you do. The only time a therapist may go against this is if they are concerned about you harming yourself or others, when it becomes their duty-of-care to let other professionals know that can help keep you and others safe. This should always be discussed with you in the first instance.
If we are seeing a young person and their parent or carer is paying for their sessions, please be advised that everything discussed with the young person is confidential to them and information will not routinely be shared with parents aside from what the young person would like to tell them. We can facilitate supportive conversations between young people and their parents/carers to share what they have been doing in sessions and how the family may support them to progress outside of sessions.
What about confidentiality?
All sessions at Enhancing Futures are confidential and information is only shared with those you consent to it being shared with. The only exception to this is if your therapist is concerned about you harming yourself or others, when it becomes their duty-of-care to let other professionals know that can help keep you and others safe. This should always be discussed with you in the first instance.
I worry seeing a therapist will affect my future prospects – is this true?
We hear this from a lot of parents who are worried about their child being diagnosed with a mental health condition affecting their future prospects. We do not seek to diagnose people with mental health conditions but rather work to help them better understand their mental health and how it impact on their daily life and functioning, and develop strategies to better manage their mental health going forward. As such we do not routinely let anyone outside of Enhancing Futures know about your difficulties, unless you want us to.
Will I have to tell you everything about my history?
No. It is entirely your decision what you share with us and you do not have to disclose everything in your history. We would say that you should feel your relationship with your therapist is safe and contained enough to be able to share information, but should this not be the case, it may be that a different therapist is needed (it is human nature that we will not all feel comfortable with the same person at the same time).