Under Fives Counselling Service

2Parents with children in this age group are offered a time limited number of sessions (3-5) in which to think about parenting or family issues. Sessions can be attended by parents on their own or with their child, depending on individual circumstances.

Presenting problems might include: feeding or sleeping difficulties; weaning; potty –training; separation anxiety; tantrums; challenging behaviour; setting firm boundaries etc.

Extended Assessment

1Individual children and adolescents are seen for 3-5 sessions following self-referral by parents or referral from a health or education professional. The assessment includes liaison with and feedback to parents and referrers, as appropriate; recommendations about further treatment; identification of appropriate resources for the latter; facilitation of referral on to other agencies or professionals.

Presenting problems might include: depression, anxiety, post-traumatic stress, loss and bereavement, eating disorders, self-harm, adolescent breakdown, autistic spectrum disorders & hyperactivity etc.

Brief Interventions  For Parents, Children and Adolescents Across the Age Range

5Parents are offered a series of 5-6 sessions to think about the underlying meaning of challenging behaviour or particular difficulties and concerns. These sessions provide an opportunity for parents to explore and consider effective ways of managing these issues.

A similar model is available for adolescents wishing to be seen individually or within a family context.

Presenting problems might include low self-esteem, behaviour problems, difficulties between children and parents, difficulties with peers, anxiety, depression etc.

Long-term Individual Psychoanalytic Psychotherapy;

Weekly  sessions are offered to children and adolescents with fears or anxieties that result in emotional/ behavioural difficulties, which interfere with their everyday functioning. These difficulties may manifest themselves in school or in family/ peer relationships.

As part of the treatment parents are offered regular sessions with another therapist.  The frequency of these sessions varies according to circumstances. There are regular reviews where parents are able to discuss their child’s progress in therapy.

Individual psychotherapy is always preceded by a full assessment to determine whether this is the appropriate form of treatment. The assessment usually involves separate meetings for the parents and the child / adolescent. These can range from 5 – 10 in number, depending on the individual circumstances of the case. Individual psychoanalytic psychotherapy can continue for an extended period of time depending on the situation and therefore is best entered into as an open-ended process. Sessions can vary in frequency from once weekly to more intensive contact e.g. 2 or 3 times a week. This in depth-treatment can lead to:

  • the development of a new way of thinking;
  • a sense of being heard resulting in increased choice;
  • a more reflective attitude;
  • a greater understanding of what’s going on;
  • increased confidence and self esteem;
  • changes in behaviour patterns;
  • increased ability to communicate;
  • increased ability to manage/ be in touch with one’s feelings.