Mental Health and Wellbeing
Everyone has times in their life when they feel more worried, anxious or sad. For some people, emotions such as these can become overwhelming and persistent - impacting negatively on sleep, confidence, self-esteem, everyday activities, friendships and relationships, and work.
At The Cavendish Clinic, we have many years of experience of working with adults who have a range of mental health conditions, including low mood and depression, anxiety, obsessive compulsive disorder, post-traumatic stress disorder and psychosis. All our clinicians have worked in community and hospital settings, with adults who have mild, moderate and more enduring symptoms. Our roles in the NHS and in private practice have given us the opportunity to work with adults both for short periods and longer term - and we have developed honed skills in adapting psychological therapies to suit the preferences and needs of diverse groups.
We are trained in several evidence-based psychological therapies, including cognitive behaviour therapy (CBT), compassion-focused therapy (CFT), acceptance and commitment therapy (ACT), mindfulness-based approaches, schema therapy, eye movement desensitisation and reprocessing therapy (EMDR), and systemic (family) therapy. These are the therapies that have demonstrable effectiveness in treating mental health symptoms, and improving quality of life, when examined in multiple research studies.
All of us at The Cavendish Clinic share values that underpin our clinical work
We pride ourselves on being friendly and approachable. We think this is absolutely fundamental, because we understand how difficult and daunting it can be to reach out to a therapist for the first time.
We want everyone we meet - whether this is for a free introductory consultation only, an assessment or over an extended period for ongoing sessions - to have as positive and empowering an experience as they can.
We aim to be transparent, informative and evidence-based in our approach. We want people to know how and why we make recommendations for their care.
We work collaboratively, making decisions with, rather than for, people.
We prioritise kindness, compassion and a non-judgmental stance, especially as we know that talking about emotional or upsetting things can be difficult and sometimes feels almost impossible.
We work ethically and with integrity, adhering to clinical codes of conduct.
Our therapy services
Cognitive Behavioural Therapy Find out more
Couples and Family Work Find out more
Eye Movement Desensitisation and Reprocessing Therapy Find out more
Schema Therapy Find out more
Therapy sessions
Many people choose to meet weekly or fortnightly to build momentum, but the frequency of sessions is up to you.
The formulation, your therapy goals and any previous experience of therapy elsewhere, will help us decide what approaches and strategies are likely to be most useful for you. We always aim to be transparent in our decision-making, so we will explain why we suggest specific therapies. We may also recommend two options if these are clinically indicated (such as CBT or EMDR) – in this case, we will provide information about each of these, so that you can make a choice.
Sessions usually follow a similar pattern: a brief check in since we last met, planning what to focus on, spending time talking about themes that are important to you and linked to your goals, and agreeing whether to try out any new strategies during or between-sessions.
We know that there are many things that can make it difficult for people to try out new strategies. We also know that some people find change strange and unsettling. So, we will work together - in a collaborative way - to decide what is feasible for you, when and how.
We will pace sessions according to what seems best for you. This includes being thoughtful about how to end each session, so that you feel as ready as you can to leave the ‘therapy space’ and continue with your day.
Many people choose to meet weekly or fortnightly to build momentum, but the frequency of sessions is up to you.
The formulation, your therapy goals and any previous experience of therapy elsewhere, will help us decide what approaches and strategies are likely to be most useful for you. We always aim to be transparent in our decision-making, so we will explain why we suggest specific therapies. We may also recommend two options if these are clinically indicated (such as CBT or EMDR) – in this case, we will provide information about each of these, so that you can make a choice.
Sessions usually follow a similar pattern: a brief check in since we last met, planning what to focus on, spending time talking about themes that are important to you and linked to your goals, and agreeing whether to try out any new strategies during or between-sessions.
We know that there are many things that can make it difficult for people to try out new strategies. We also know that some people find change strange and unsettling. So, we will work together - in a collaborative way - to decide what is feasible for you, when and how.
We will pace sessions according to what seems best for you. This includes being thoughtful about how to end each session, so that you feel as ready as you can to leave the ‘therapy space’ and continue with your day.
Getting started with therapy
We will collaboratively develop a shared understanding of the factors that may have contributed to concerns or difficulties arising and persisting (called a formulation), and identify specific goals you would like to work towards.
We do not rush this process, because we know that it can take time for some people to feel more confident and able to talk about things that feel difficult or tricky.
We will review the formulation regularly. It can be updated whenever you like, such as if your thoughts about aspects of the formulation change over time.
We will collaboratively develop a shared understanding of the factors that may have contributed to concerns or difficulties arising and persisting (called a formulation), and identify specific goals you would like to work towards.
We do not rush this process, because we know that it can take time for some people to feel more confident and able to talk about things that feel difficult or tricky.
We will review the formulation regularly. It can be updated whenever you like, such as if your thoughts about aspects of the formulation change over time.
Therapy assessment
Therapy always starts with an assessment, usually taking place over 1 - 2 sessions.
We will ask about the concerns or difficulties that are having a negative impact on your mental health or emotional wellbeing, a bit about what your life was like growing up and more recently, how you generally spend your time day-to-day, and what your hopes and expectations are for therapy. We will also gather information about your overall health and any involvement with other clinicians or health services.
We will also spend a bit of time exploring your preferences for the structure and format of sessions, so that these are better tailored and paced for you.
Therapy always starts with an assessment, usually taking place over 1 - 2 sessions.
We will ask about the concerns or difficulties that are having a negative impact on your mental health or emotional wellbeing, a bit about what your life was like growing up and more recently, how you generally spend your time day-to-day, and what your hopes and expectations are for therapy. We will also gather information about your overall health and any involvement with other clinicians or health services.
We will also spend a bit of time exploring your preferences for the structure and format of sessions, so that these are better tailored and paced for you.
Introductory consultation
If you are thinking about referring for individual, or couples and family, therapy, we offer a free 60 minute introductory consultation (online or by phone) to find out about the referral, talk through any questions you may have and share some information about who we are and how we work.
We will also ask you a bit about your mental health and emotional wellbeing, and about any past or current contact with mental health services, including having psychological therapy individually or in a group.
If we think a different service would be better placed to help you, we will explain why this is during the introductory consultation. We will also signpost you to colleagues when we can.
If you are thinking about referring for individual, or couples and family, therapy, we offer a free 60 minute introductory consultation (online or by phone) to find out about the referral, talk through any questions you may have and share some information about who we are and how we work.
We will also ask you a bit about your mental health and emotional wellbeing, and about any past or current contact with mental health services, including having psychological therapy individually or in a group.
If we think a different service would be better placed to help you, we will explain why this is during the introductory consultation. We will also signpost you to colleagues when we can.
What to expect
Ending therapy
If you think this will be useful, we will make a plan together for when and how to end therapy. Some people, for example, choose to reduce the frequency of the last few sessions, from weekly to fortnightly and then monthly.
In these last sessions, we will review your experience of having therapy, the goals you have achieved and consider what aspects of the formulation and strategies used have been most helpful. We will also talk about your next steps - thinking about the ways in which you can continue and build upon your progress, and exploring any areas where further support may be important.
We may suggest creating a plan for managing any anticipated upcoming obstacles or setbacks.
If you think this will be useful, we will make a plan together for when and how to end therapy. Some people, for example, choose to reduce the frequency of the last few sessions, from weekly to fortnightly and then monthly.
In these last sessions, we will review your experience of having therapy, the goals you have achieved and consider what aspects of the formulation and strategies used have been most helpful. We will also talk about your next steps - thinking about the ways in which you can continue and build upon your progress, and exploring any areas where further support may be important.
We may suggest creating a plan for managing any anticipated upcoming obstacles or setbacks.
Your questions answered
Between them, clinicians at The Cavendish Clinic offer sessions between 8am - 9pm, Monday to Friday. Not all clinicians are available every day.
We will ask what days and times suit you best for sessions, and accommodate your preferences whenever we can.
When are your clinicians available to offer sessions?
At The Cavendish Clinic, 60 minute sessions are priced between £130 and £160. There is an additional charge for sessions that are 60 - 90 minutes. If you have any questions about the cost, you are welcome to contact us.
How long are sessions?
At The Cavendish Clinic, 50 - 60 minute sessions are priced between £130 and £160. There is an additional charge for sessions that are 60 - 90 minutes. If you have any questions about the cost, reach out and schedule a free introductory consultation with one of our expert clinicians.
How much do sessions cost?
Yes. We accept self-referrals. We also accept referrals from professionals, including clinicians working at other physical health or mental health services.
Family members or significant others can help you with the referral process if you would like, but we will need to have your written consent before we correspond with them.
Can I refer myself for therapy?
There is no charge for an introductory consultation of up to 60 minutes.
If you decide to have an assessment, we will ask you to pay via a bank transfer at least 24 hours before this takes place.
Payment for ongoing sessions is also via a bank transfer on the day of each appointment.
The clinician(s) you are seeing will send invoices to you outlining the fee and their bank details.
If someone else is paying the invoice on your behalf, such as a family member, we will need your written consent to correspond with them directly about invoices - or we will send invoices to you and ask you to share these with them.
How do I pay for a therapy assessment and ongoing sessions?
Some clinicians at The Cavendish Clinic accept health insurance payment. This information is listed on each clinician’s profile.
If you arrange with a clinician that payment will be made via a health insurance, you will be asked to provide your membership number and a pre-authorisation code in advance of an assessment. This is so that we can confirm we have authorisation to offer you a service. It also means we can clarify if there are any stipulations we need to know about, such as if the insurance company states how many sessions can be offered.
Do you accept payment via Health Insurance?
Most of the therapies we offer at The Cavendish Clinic are short- to medium-term therapies, usually taking place on a weekly or fortnightly basis.
We find that many people benefit from 8 - 20 sessions, depending on their reasons for referral and therapy goals. However, some people have fewer sessions, and others have more. Schema therapy, in particular, is usually offered over a period of 6 months to 2 years.
At the end of an assessment, we will give you an indication of the number of sessions we think could be beneficial - this will be based on several factors, including your hopes and expectations for therapy, any previous experience of therapy and whether there are any circumstances that may impact on your ability to meet regularly or test out strategies between sessions.
We will review the usefulness of therapy with you every 4 - 6 sessions, or at different points if you prefer. At these points, we can also revisit the estimated number of sessions we think may be beneficial.
Our aim is to help reduce the concerns or difficulties that have contributed to you seeking therapy, and their impact, and to improve your emotional wellbeing and quality of life. We want you to feel brighter, and more confident, and able to apply the strategies gained through therapy, day-to-day, and even when facing challenging situations in the future.
How many therapy sessions will I need?
At the assessment, we will ask you about the main reasons for considering therapy, and about your hopes and expectations for this. We will also ask you to tell us a bit about what life was like growing up and about your current day-to-day circumstances, such as how you generally spend your time. We will tell you about how we work, the main therapy approaches that The Cavendish Clinic offers, and which of those we think may be more beneficial for you, and why. You will have the opportunity to ask us as many questions as you would like.
At the end of the assessment, we will make a plan together for how to proceed. Our clinicians have extensive experience of providing different therapy approaches to adults who have diverse backgrounds, including incorporating adaptations based on preferences, strengths and needs.
However, sometimes we do not think that our service is best placed to help address the concerns or difficulties a person tells us about. In this instance, we would explain why this is and try to signpost on to colleagues.
Will I be offered ongoing sessions after a therapy assessment?
At The Cavendish Clinic, we have many years of experience of providing different short-, medium- and longer-term evidence-based psychological therapy approaches to adults who have diverse backgrounds. At the end of a therapy assessment, the clinician will offer some suggestions about the therapies that may be most beneficial for you, and why.
This is something that we will also talk about during the formulation stage of therapy – that this takes place during the initial sessions, when you and the clinician will work collaboratively to develop a shared understanding of factors that may have increased vulnerability for difficulties arising and being maintained.
Oftentimes, more than one approach is indicated. In this situation, you and the clinician will consider which fits with your personal preferences, any previous experience of therapy and your goals. Alternatively, the clinician may suggest a more integrative therapy approach, which means incorporating different and complementary strategies.
You will be offered information about different options, so that you can think about what suits you best, in your own time. You will have the opportunity to ask as many questions as you would like, to help you reach a decision.
What type of therapy is right for me?
We offer a broad range of evidence-based psychological therapies at The Cavendish Clinic. Our clinicians also have extensive experience of adapting these to make them more tailored and paced for adults who have diverse strengths, preferences and difficulties.
The main therapy approaches we offer are:
Acceptance and Commitment Therapy (ACT)
Cognitive Behaviour Therapy (CBT)
Compassion-Focused Therapy (CFT)
Couples and Family Work (Systemic Therapy)
Eye Movement Desensitisation and Reprocessing Therapy (EMDR)
Mindfulness
Schema Therapy
What types of therapy do you offer?
We almost always offer sessions online, rather than in person. If you are unsure if this way of working will suit you, let us know and we can arrange a free introductory consultation so that you test out what this is like.
Some clinicians at The Cavendish Clinic have published scientific articles about working online during the height of the covid pandemic, when this way of working became more commonplace.
Some clinicians offer a very limited number of in person sessions. You can check this with us.
Do sessions take place online or in person?
Yes, what you talk about with our clinicians will be confidential. The only time that we would breach confidentiality is if you disclose information that makes us concerned that you, or someone else, are at serious risk. We will always aim to let you know about our concerns before we notify relevant parties, such as your GP or another health professional involved in your care.
Will what I say be confidential?
The clinician you are seeing will give you their email address and contact phone number. They will endeavour to reply to you between sessions as swiftly as they can. However, please note that your clinician and The Cavendish Clinic do not provide an emergency service. If you require urgent help or support between appointments, we recommend contacting your GP, emergency services via 999, Accident & Emergency, or crisis help lines (including The Samaritans and NHS Direct).
Are you available in a crisis?
Please let us know if you need to rearrange or cancel an appointment. Our clinicians aim to be flexible and will offer an alternative date/time to meet.
We do not charge for therapy sessions that have been cancelled more than 48 hours in advance. You may be charged if you cancel with less notice.
What happens if I need to rearrange an appointment?
Yes, at The Cavendish Clinic we offer a free 60 minute introductory consultation.
This is an opportunity to find out about the referral, talk through any questions you may have and share some information about who we are and how we work.
We are not entrepreneurial and there is no hard sell. At the end of the appointment, you do not have to decide whether to book a therapy assessment. We will encourage you to take the time to think over what will suit you best, and you will be welcome to ask further questions afterwards. This is because one of the aims of the introductory consultation is for you to find out what it is like to talk to a clinician about things that are challenging or difficult - some people find this easy, but many do not, so we think that having a chance to test this out is important and can be helpful.
Please note the introductory consultation is not an in depth therapy assessment. We will not ask for extensive information about your current circumstances or past. Depending on the reasons for considering therapy, we may not offer an opinion, at this point, on which psychological approach we think is most indicated.
At the end of the introductory consultation, if we think a different service would be better placed to help you, we will explain why this is and try to signpost you to colleagues.
Do you offer a free consultation?
Testimonials
I was given a lot of information before the meeting and before we had even decided to go ahead with the assessment Debbie took a lot of time to talk to me in a very supportive way which put me at ease
You have both been incredibly kind and nothing has ever seemed too much trouble. The information, guidance and signposting to more sources of support will be invaluable.
It was a real pleasure to talk to people who really understood the complexity and subtlety of my son’s autism...it was great to see how you got beneath the surface to get the real story from him. You were kind, empathetic, encouraging and generous.
Very pleased that we were able to take advantage of their skills to assist [our son] in getting the diagnosis and help that he needs.
This was the best interaction I’ve ever had with professionals, they were super supportive and consistently made sure I was comfortable, and really took the time to understand me and my needs
Kindness, Compassion, Non-judgemental, Ethical, Collaborative