The Treatment Models.


Tristar Psychotherapy encompases three modes of therapy; Psychodynamic, Cognitive Behavioural & Integrative therapies. 




The Psychodynamic Approach:


            My clinical approach to psychodynamic work is concerned with how we can get, through no fault of our own, 'stuck' in certain ways of relating to others, which may cause us anxiety or distress. As a result of our personal histories we can learn to expect how other people may relate to us, or indeed, how we relate to ourselves, and how we can sometimes play unwitting roles in maintaining the behaviours that keep us from establishing satisfying relationships. We may also unconsciously play out defences against repressed fears and anxieties, which may hold us back from experiencing more fulfilling lives. Many of these issues may have their origins in our developmental stages, and continue to manifest in maladaptive, cyclical patterns of behaviour. Through the material that my clients bring into the consulting room, we work together to try to unravel and make sense of these frustrating elements in life, and bring light to any issues that may be difficult to tackle outside of the therapy sessions.Psychodynamic therapy is very effective for people wishing to learn more about how their personal histories and development has an impact on their current circumstances. 


The Cognitive Behavioural Approach: 


           Cognitive Behavioural Therapy focuses at how our thoughts (cognitions) and behaviours which are learnt or conditioned, have an impact on our emotions and physical sensations. Sometimes we can engage in behaviours that can help to maintain a problem; that is, keep it going. Through CBT we look at the relationship between the aspects of our thoughts and behaviours that can have an unhelpful impact on our well-being, and how our perceptions of events and the world around us can become distorted. The approach is a particularly collaborative one, where the client is very active in their role in the therapy, which drives the treatment forward. CBT is as much a ‘doing therapy’ as it is a ‘talking therapy’. CBT works in the ‘here & now’, and is a highly empirically validated treatment, which is very effective for dealing with issues such as depression, addiction, phobias and a broad range of anxieties.


The Integrative Approach:


This is where we can bring both Psychodynamic and Cognitive Behavioural Therapy together. By looking at past experience, we can begin to unravel and understand why clients think or behave in a certain way, before looking at new ways of coping. This means that some may wish to explore their personal histories first, and then look specifically at better ways of managing their emotions and behaviour, and move to more goal-orientated treatment objectives and problem solving skills. Alternatively, some clients may wish to look at coping mechanisms in a CBT focussed way, before looking at personal histories and developmental stumbling blocks in greater depth.


  The number of sessions is agreed upon at the outset  of treatment for all approaches & reviewed periodically.