For those who are struggling with their self-esteem, we have a specialist Self-Esteem Newcastle service that can help, based at our clinic in Tynemouth. Our esteem develops from our experiences and relationships from birth. Negative experiences and troubled relationships lower it, and good experiences and strong bonds raise it. No single event or person determines your level of self-esteem, it develops over time and can change with time and events.
Symptoms of low self-esteem:
feeling incompetent and unrealistic about our abilities
being overwhelmed with fear and negative thoughts
being unrealistic about goals
being drawn into destructive relationships
fear of change
distorted views of self and others.
Counselling or cognitive behavioural therapy can help to boost self-esteem. The route to higher self-esteem, and thinking more positively about yourself includes:
Acceptance – of your true strengths and weaknesses
Help – with realistic goals to allow you to develop your abilities
Encouragement and setting yourself challenges–with realistic planning and timetabling to boost confidence
Being kind and praise – reduce self-criticism and recognise your achievements so you can enjoy them
Respect – to be proud of who you are
Assertiveness and saying ‘no’ – to help you recognise that your opinions and needs are as important as everyone else’s.
Trust – feel more confident in your own thoughts and feelings
Time – learn to know yourself and enjoy your own thoughts.
Self-esteem is not the same as being selfish or egotistical, but it does allow you to appreciate the qualities you do have and respond to others in a positive and productive way. It can help you feel better about yourself and better abut others around you.
For more information about our self-esteem Newcastle service get in touch with Select Psychology.
Most of us have experienced trouble sleeping at one time or another and, based at our clinic in Tynemouth, our sleep problems Newcastle service is here to help. Having sleep problems is normal and usually temporary, due to stress or other outside factors. But if sleep problems are a regular occurrence and interfere with your daily life, you may be suffering from a sleep disorder. Sleep disorders and sleep disturbances comprise a broad range of problems, including sleep apnoea, narcolepsy, insomnia, jet-lag syndrome, and disturbed biological and circadian rhythms. Sleep disorders cause more than just sleepiness. The lack of quality sleep can have a negative impact on your energy, emotional balance, and health.
For the estimated one in 5 people who suffer from chronic insomnia, psychologists, and our sleep problems Newcastle service can help them get a good night’s sleep through the benefits of cognitive behavioural therapy (CBT). How does cognitive behavioural therapy help people sleep better? Research shows that CBT reduces false beliefs about sleep (the cognitive part) and also addresses the behavioural aspect, such as what to do when you are lying in bed and can’t fall asleep.
For more information about how are sleep problems Newcastle service can help, get in touch with Select Psychology.
Based at our clinic in Tynemouth, our Chronic Pain Newcastle service can help. Pain serves an important purpose by alerting you to injuries such as a sprained ankle or bruised knee. Chronic pain, however, is often more complex. People often think of pain as a purely physical sensation. However, pain has biological, psychological and emotional factors.
Furthermore, chronic pain can cause feelings such as anger, sadness, hopelessness, and anxiety.
To treat pain effectively, it is important to address the physical, emotional and psychological aspects. For patients experiencing chronic pain, psychological approaches are designed and planned for that particular patient. The plan often involves teaching relaxation techniques, helping to change unhelpful beliefs about pain, building new coping skills and addressing any anxiety or depression that may accompany your pain.
For more information about our chronic pain Newcastle service, get in touch with Select Psychology.
Cancer – Coping with the stress
If you and your family are struggling to cope with the stresses that cancer can cause, Tynemouth Therapy Clinic and our Newcastle Cancer cognitive behavioural service can help.
In addition to coping with the worry and stress brought about by their diagnosis, patients with cancer and their families must cope with the stresses induced by physically demanding (and also often life-threatening) treatments for the illness and the health impairment and disability, fatigue, and pain that can result, even when there are no longer any signs of the disease. These effects contribute to emotional distress and mental health problems among cancer patients, and together can lead to substantial social problems, such as the inability to work and reduced income. These effects are magnified in the presence of any psychological and social stressors that predate the onset of cancer, such weak or absent social supports. Indeed, physical, psychological, and social stressors are often intertwined, both resulting from and contributing to each other.
Cognitive behavioural therapy has been shown to help patients learn to cope with psychological stress. Such support can reduce levels of depression, anxiety, and improve health-related quality of life (e.g. physical and emotional functioning, less insomnia).
To find out more about our Newcastle Cancer cognitive behavioural service, get in touch with Select Psychology.
Weight Loss Surgery Support
If you have a severe weight condition (a Body Mass Index of above 40, or 35 with co-existing health conditions such as diabetes) then you may be considering bariatric (weight loss) surgery. There are various surgical options and there is clear evidence that gastric surgery for obesity can result in weight loss. Such treatments have also been shown to enhance (in fact, to double) the effects of weight loss pills.
The Role of Psychology in Bariatric Surgery
It is known that weight regain after successful loss typically occurs when behavioural changes slip and emotional eating becomes difficult to manage. As such, it is important to meaningfully address any underlying emotional eating or eating difficulties prior to surgery. Some weight loss surgery candidates also have psychological difficulties that are not related to their weight and that may complicate and outlast successful surgical treatment. In such cases, it may be helpful to seek therapy before and after weight loss surgery in order to maximise weight loss and minimise relapse.
If you’d like to know more about our weight loss surgery support Newcastle service, get in touch with Select Psychology.
Weight Management & Diabetes
Overweight conditions and obesity are experienced by a growing number of people of all ages. If you find yourself in the vicious cycle of attempting to diet only to fall off the wagon several days or weeks later, then you’re not alone!
It is recognised that losing weight is often very difficult and there can be important psychological components to eating that are overlooked.
Psychological problems can affect an individual’s ability to make and sustain the behavioural changes that lead to weight loss. Such difficulties are frequently overlooked and may require management. If a difficulty in losing weight and keeping it off sounds familiar, then you may well benefit from one-to-one sessions covering topics such as body image, low self-esteem, stress and emotional eating.
Therapy sessions typically incorporate basic cognitive restructuring and problem-solving skills to help you:
– Reframe faulty thoughts about food, eating, your body and yourself
– To help you to establish a regular pattern of eating
– To learn about self-care
– Set clear limits with oneself and with others, and maintain clear boundaries
– Understand the basic principles of healthy eating, including the consequences of food deprivation
– Understand the basic principles of habit formation and habit change
– How to replace negative eating habits with other, more pleasurable activities
– How to assume a lifestyle consistent with long-term weight loss maintenance
– Manage stress effectively
To find out more about our Weight Management Newcastle & Diabetes service, get in touch with Select Psychology.
Eating disorders are a group of conditions characterised by abnormal eating habits that may involve either insufficient or excessive food intake to the detriment of an individual’s physical health and emotional wellbeing.
Diagnosis and Treatment of Eating Disorders
There can be various causes for eating disorders to develop in the first place, often due to a combination of biological, psychological or environmental factors. After ruling out organic causes and the initial diagnosis of an eating disorder being made by a medical professional, such as a GP or Psychiatrist, the role of a psychologist is the assessment and treatment of the underlying psychological components of the eating disorder and any co- existing psychological conditions. Therapy for eating disorders focuses on restructuring and modifying eating styles and behaviours.
Types of Eating Disorders
Binge Eating Disorder
Individuals who suffer from severe overweight conditions often experience additional psychological concerns. Experts generally agree that most people with serious binge eating problems often eat an unusually large amount of food and feel their eating is out of control. People with binge eating disorder also may:
– eat much more quickly than usual during binge episodes
– eat until they are uncomfortably full
– eat large amounts of food even when they are not really hungry
– eat alone because they are embarrassed about the amount of food they eat
– feel disgusted, depressed, or guilty after overeating
A person who compulsively overeats will eat food beyond a standard dietary requirement at various times throughout the day and evening. Overeating for long periods of time can lead to excessive weight gain and high levels of stress. In order to help with the process of weight loss, it is important for the person’s anxiety and compulsion to overeat to be addressed with therapy.
Bulimia nervosa is characterised by cycles of bingeing (overeating) and purging (ridding the body of the excess food usually by vomiting or laxatives) or by compensatory over-exercising.
People who have anorexia are very anxious about their weight. They keep it as low as possible, by strictly controlling and limiting what they eat. They restrict what they eat in order to lose weight because they:
– believe they are overweight
– have a very strong fear of being overweight
– want to be thin
Even if they are already very thin and underweight, people with anorexia continue to want to lose weight. It is typical to be obsessed with calories, food, recipes and cooking for others. Sometimes a person with anorexia exercises excessively to use up calories or try to get rid of food from their body, for example, by using laxatives, diuretics or self-induced vomiting.
This is an obsession with a “pure” diet, where it interferes with a person’s life. It becomes a way of life filled with chronic concern for the quality of food being consumed. When the person suffering with Orthorexia slips up from wavering from their “perfect” diet, they may resort to extreme acts of further self-discipline, including even stricter regimens and fasting.
Eating Disorder Not Otherwise Specified
This can mean a number of things. It can mean the person suffers from anorexia but still has a menstrual cycle or they may still be an “average healthy weight”; it can mean the sufferer equally participates in some anorexic as well as bulimic behaviors (sometimes referred to as purge-type anorexia). A person with diabetes may deliberately manipulate their insulin levels in an effort to control their weight (sometimes referred to a Diabulmia).
To find out more about our eating disorders Newcastle service, get in touch with Select Psychology.
Based at our clinic in Tynemouth, our Bipolar Newcastle Therapy Service is here to help.
If you have bipolar disorder you will experience swings in mood. During ‘manic’ episodes, you are likely to display overactive, excited or impulsive behaviour. At other times, you may go through long periods of feeling very depressed. There are different types of bipolar disorder, which depend on how often these swings in mood occur and how severe they are.
Bipolar is a condition that lasts a lifetime and it will give you an unpredictable run of downs and ups. If it isn’t treated, then these swings can be devastating. These recurring depressive and manic episodes that are known within this condition can make it difficult to lead a productive and stable life. When the condition enters the manic phase, you can become irresponsible and hyperactive. And when things get really bad, it can be difficult to function at all.
But there is help available.
Cognitive-behavioral therapy (CBT), for example, can help you come to terms with how your thoughts and your mind can have a direct impact on your emotions. CBT will teach you how to tackle thinking patterns that are negative and will allow you to respond more positively.
For more information about how we can help you and our Bipolar Newcastle Therapy service, contact Select Psychology.
Depression has been identified as being responsible for a large number of adults being unable to attend work or enjoy social activities, but our Depression Newcastle service, based at our clinic in Tynemouth, can help.
Depression is a disturbance in mood characterised by varying degrees of disappointment, sadness, hopelessness, loneliness, self-doubt, poor motivation and guilt. It can severely disrupt how you function, eat, sleep, and get along with others. Some people are more prone to anxiety and or depression, and it can develop for no apparent reason. You may have no particular problem or worry, but symptoms can develop quite suddenly. An episode of anxiety or depression may also be triggered by a life event such as relationship problem, bereavement, redundancy or illness. In many
An episode of anxiety or depression may also be triggered by a life event such as relationship problem, bereavement, redundancy or illness. In many people, it is a mixture of the two. For example, the combination of a mild low mood with some life problem, such as work stress, may lead to a spiral down into depression.
If you’d like to know more about our Depression Newcastle Therapy Treatment, contact Select Psychology..
Post Traumatic Stress
Post-Traumatic Stress can occur after a significant incident that is out of the ordinary. Our post traumatic stress disorder Newcastle service can help.
A person involved in such an event might have witnessed an accident or death. You might have been in danger of this yourself. It could have been a large scale disaster, or a small but significant accident. For example:
– Being attacked or assaulted
– A road traffic accident
– A house fire
– An incident at work
– A natural disaster
An initial reaction to such an event might be shock and disbelief. Over time this can fade. More troubling thoughts and feelings can then emerge. These might include anger, helplessness or fear. It can be difficult to process your memories of the event, or understand what happened and why. You might re-experience the incident through intrusive flashbacks or nightmares. Following such an experience, it is also common to avoid things that remind you of the incident. If you have experienced any of the above symptoms and they are impacting on your normal day to day life, then you may find talking to a trained therapist helpful.
For more information about our Post Traumatic Stress Newcastle Therapy service, get in touch with Select Psychology.
Obsessive-compulsive disorder (OCD) is a specific anxiety based disorder and our OCD Newcastle Therapy Service, based at our clinic in Tynemouth, is here to help. OCD typically has two main features: obsessions and compulsions.
Obsessions are unwelcome thoughts, ideas or urges that repeatedly appear in your mind; for example, thinking that you have been contaminated by dirt and germs, or worrying that you haven’t locked the front door. Compulsions are repetitive activities that you feel you have to do in order to manage your worry/anxiety.
This could be something like repeatedly checking a door to make sure it is locked or washing your hands a set number of times.
If you’d like more information about our OCD Newcastle Therapy Service, then get in touch with Select Psychology.
People with phobias often understand that their fear is irrational and that no real danger is present, but most require help in order to overcome their phobia, and our Phobia Newcastle Therapy, based at our clinic in Tynemouth, is at hand to do just that. The definition of a phobia is an overwhelming, persistent, unreasonable fear of an object or situation.
There are three main types of phobias:
Social phobia (aka social anxiety disorder)
Agoraphobia – fear of being alone in a public place
Specific (or simple) phobia
Each type of phobia can vary in severity – from mild to a severe, debilitating disorder. The earlier a phobia develops and the longer you wait to treat the phobia, the more difficult it becomes to recover from it. Without treatment, a person is sometimes left trying to avoid their feared situation for the rest of their lives.
Social Phobia (AKA Social Anxiety Disorder)
Social anxiety is one of the most common anxiety disorders in the UK. Social phobias are more than mere feelings of shyness. Social phobias involve self-consciousness to the point of paralysation. Social phobias stem from the worry that others will judge negatively and with excessive scrutiny.
Examples of social phobias include:
Fear of public speaking
Fear of using public restrooms
Fear of eating with other people
Fear of social contact in general
Social phobia may be so severe as to limit someone’s interpersonal contact completely. If this happens, the phobia can prevent social skills from developing and prevent social connections, friendships or relationships altogether.
Social phobia is often a precursor to agoraphobia, which can be seen as a worsening of the social phobia. Agoraphobia spreads the phobia to many more situations, often with panic attacks. This may occur because of a long delay in seeking a therapist.
Specific (or Simple) Phobia
A specific, or simple, phobia is the fear of a particular object or situation. Most people are familiar with this type of phobia. For example, many people fear spiders; if a person’s fear is irrationally exaggerated enough, this might classify as a specific phobia. People with specific phobias actively seek to avoid the feared object or situation often to the detriment of everyday life.
There are five types of specific phobias, they include:
Animal – common examples include fear of dogs, snakes or spiders
Natural environment – examples include fear of height, water or thunderstorms
Blood injections / injury – common examples are the fear of pain or being beaten
Situational – such as fear of flying or elevator
Other – phobias which do not specifically fit into another subtype
For more information about our Phobia Therapy Newcastle service, get in touch with Select Psychology.
Some degree of stress and anxiety is perfectly normal, but if things are getting too much to handle, our Stress Therapy Newcastle service, based at our clinic in Tynemouth, can help.
We all experience situations from time to time that make us fearful and apprehensive. However, for some people their anxiety has no obvious cause. In these cases, the anxiety usually becomes overwhelming and may interfere with normal day to day functioning. People who regularly have a debilitating level of anxiety are suffering from an anxiety disorder. Anxiety disorders are conditions in which high levels of stress and anxiety feature predominately.
Specific Anxiety Disorders
3. Panic disorder
A panic attack is a sudden surge of overwhelming fear that comes without warning and without any obvious reason. It is far more intense than the feeling of being “stressed out” that most people experience.
Symptoms of a panic attack include:
– racing heartbeat
– difficulty breathing, feeling as though you “can’t get enough air”
– terror that is almost paralyzing
– dizziness, lightheadedness or nausea
– trembling, sweating, shaking
– choking, chest pains
– hot flashes, or sudden chills
– tingling in fingers or toes (“pins and needles”)
– fear that you’re going to go crazy or are about to die
You probably recognise this as the classic “flight or fight” response that human beings experience when we are in a situation of danger. But during a panic attack, these symptoms can seem to rise from out of nowhere. They can occur in seemingly harmless situations–they can even happen while you are asleep.
In addition to the above symptoms, a panic attack is marked by the following conditions:
it usually occurs suddenly, without any warning and without any way to stop it.
the level of fear is way out of proportion to the actual situation; often, in fact, it’s completely unrelated.
it passes in a few minutes; the body cannot sustain the “fight or flight” response for longer than that. However, repeated attacks can continue to recur for hours.
Many people experience occasional panic attacks, and if you have had one or two such attacks, there probably isn’t any reason to worry. The key symptom of panic disorder is the persistent fear of having future panic attacks. If you suffer from repeated (four or more) panic attacks, and especially if you have had a panic attack and are in continued fear of having another, these are signs that you should consider finding a mental health professional who specialises in panic or anxiety disorders.
For more information about our stress therapy Newcastle service, get in touch with Select Psychology.
We are programmed to express anger from birth, yet in some cases, this perfectly healthy emotion can become excessive and may be a symptom of more complex issues such as a mental health issue. Based at our clinic in Tynemouth, our Anger Issues Newcastle service can help. There is a problem if anger is too intense or powerful, lasts too long, or occurs too often, or is inappropriate to the circumstances. When a pattern of anger or aggressive behaviour interferes with our lives or harms others, we are dealing with an anger disorder or an anger management problem. Many individuals who struggle to manage their anger can have underlying difficulties with severe low self-esteem, as well as problems with mistrust and past abuse issues.
There is a problem if anger is too intense or powerful, lasts too long, or occurs too often, or is inappropriate to the circumstances. When a pattern of anger or aggressive behaviour interferes with our lives or harms others, we are dealing with an anger disorder or an anger management problem. Many individuals who struggle to manage their anger can have underlying difficulties with severe low self-esteem, as well as problems with mistrust and past abuse issues.
The main different types of anger disorders include:
– Chronic anger, which is prolonged and can impact the immune system and can cause other mental health disorders
– Passive-aggressive anger, which may come across in indirect ways and can be difficult to identify
– Overwhelmed anger, caused by life demands that are too much for the individual to cope with
– Self-inflicted anger, which is directed towards the self and may be caused by feelings of guilt
– Judgemental anger, which is directed towards others and may come with feelings of resentment
– Volatile anger, which involves sometimes spontaneous bouts of excessive or violent anger
– Obsessive anger can include paranoid fears, jealousy, envy as well as fears of betrayal, rejection or humiliation. Angry obsessions can destroy self-worth and emotional security.
From a practical perspective, if anger is creating significant problems for you, or for those you care about, you probably should consider consulting a mental health professional who can help to find the most effective solutions for you.
Anger management therapy is designed to help you to learn how to control your anger more effectively and lessen the impact your anger problems are having on your life.
For more information about our anger issues Newcastle service and Select Psychology, get in touch.
There are times in all relationships when things don’t run smoothly. Often, this is because people have conflicting expectations, are distracted with other issues, or have difficulty expressing what is on their minds in ways that other people can really hear and understand. If you need help with this, and live in Tyne & Wear area, our Relationship Problems Newcastle service can help.
When couples encounter problems or issues, they may wonder when it is appropriate to seek relationship counselling. Here are seven good reasons:
1. Communication has become negative. Once communication has deteriorated, often it is hard to get it going back in the right direction. Negative communication can include anything that leaves one partner feeling depressed, insecure, disregarded, or wanting to withdraw from the conversation. This can also include the tone of the conversation. It is important to remember that it’s not always what you say, but how you say it. Negative communication can also include any communication that not only leads to hurt feelings but emotional or physical abuse, as well as nonverbal communication.
2. When one or both partners consider having an affair, or one partner has had an affair. Recovering from an affair is not impossible, but it takes a lot of work. It takes commitment and a willingness to forgive and move forward. There is no magic formula for recovering from an affair. But if both individuals are committed to the therapy process and are being honest, the relationship may be salvaged. At the very least, it may be determined that it is healthier for both individuals to move on.
3. When the couple seems to be “just occupying the same space.” When couples become more like roommates than a married couple, this may indicate a need for counselling. This does not mean if the couple isn’t doing everything together they are in trouble. If there is a lack of communication, conversation and intimacy or any other elements the couple feels are important and they feel they just “co-exist,” this may be an indication that a skilled therapist can help sort out what is missing and how to get it back.
4. When the partners do not know how to resolve their differences. Many couples say, “We know what’s wrong, but we just don’t know how to fix it.”. This is a perfect time to get a third party involved. If a couple is stuck, a skilled therapist may be able to get them moving in the right direction.
5. When one partner begins to act out on negative feelings. Negative feelings such as resentment or disappointment can turn into hurtful, sometimes harmful behaviours. A skilled therapist can help the couple sort out negative feelings and find better ways to express them.
6. When the only resolution appears to be separation. When a couple disagrees or argues, a break often is very helpful. However, when a timeout turns into an overnight stay away from home or eventually leads to a temporary separation, this may indicate a need for counselling. Spending time away from home does not usually resolve the situation. Instead, it reinforces the thought that time away is helpful, often leading to more absences. When the absent partner returns, the problem is still there, but often avoided because time has passed.
7. When a couple is staying together for the sake of the children. If a couple feels it is wise to stay together for the sake of the children, it may help to involve an objective third party. Often couples believe that they are doing the right thing when staying together actually is detrimental to the children. On the contrary, if the couple is able to resolve the issue and move toward a positive, healthy relationship, this may be the best decision for all involved.
Not all relationships or marriages are salvageable. In the process of relationship counselling, some couples may discover it is healthier for them to be apart. However, for those relationships that can be salvaged, and for those couples willing to commit to the process, relationship counselling may be able to remind them why they fell in love and keep them that way. It is usually an option to have individual sessions and/or couple therapy.
For more information about our Relationship Problems Newcastle service, based at Select Psychology, get in touch.
Grief & Loss Therapy
Bereavement refers specifically to the process of recovering from the death of a loved one, and our Grief & Loss Newcastle Therapy service, based at our clinic in Tynemouth, is here to help. Grief is a reaction to any form of loss. Both encompass a range of feelings from deep sadness to anger, and the process of adapting to a significant loss can vary from one person to another, depending on his or her background, beliefs, relationship to what was lost, and other factors.
Grief is associated with feelings of sadness, yearning, guilt, regret, and anger, among others. Some people may experience a sense of meaninglessness, and others can feel a sense of relief. Emotions are often surprising in their strength or mildness, and they can also be confusing, such as when a person misses a painful relationship.
When a person’s grief-related thoughts, behaviours, or feelings are extremely distressing, unrelenting, or incite concern, a qualified mental health professional may be able to help.
Counselling and therapy is an effective way to learn to cope with the stressors associated with the loss and to manage symptoms with techniques such as relaxation. Each experience of grief is unique, complex, and personal, and therapists will tailor therapy to meet the specific needs of each person.
Therapy may include helping a person to:
come to terms with the reality of the loss
work with the emotional pain, anger or guilt
help readjust aspects of their life without the significant person
help the person to rebuild connections and relationships with others
help build ‘living memories’ which recognise the quality and importance and irreplaceable impact of the person in their loss
build awareness and meaning that this has for the person now.
For more information about our Grief & Loss Therapy Newcastle service, get in touch with Select Psychology.
Children also experience many of the mental health problems that effect adults and are often a direct response to what is happening in their lives. As with adults the emotional wellbeing of children is just as important as their physical health, however many children who experience mental health problems have not had appropriate interventions at a sufficiently early age from a child psychologist. Nevertheless, children can benefit greatly from specialist support from child psychologist to overcome difficulties at any age
For more information about how our Child Psychology Newcastle service can help, get in touch with Select Psychology.
Child Neuropsychology or Paediatric Neuropsychology is a specialist field of clinical neuropsychology which studies the relationship between brain health and behaviour in children. A Paediatric Neuropsychological assessment would apply this field of diagnostic assessment to assess a child’s thinking, behaviour and problem solving skills to get a sense of the child abilities. This can be used to inform clinical treatment of normal and abnormal child development, neurological conditions or psychological problems. A practitioner of Child Neuropsychology or Paediatric Neuropsychology is called a Child Neuropsychologist or a Paediatric Neuropscyhologist.
For more information about our Child Neuropsychology Newcastle service get in touch with Select Psychology.
Select Psychology is a member of the Professional Practice of Charted Clinical Psychologists offering face-to-face talking therapies to help people to find a way forward with emotional and psychological difficulties.