Exeter Practice Location: Near Science Park
Sowton Village Anxiety/Depression Counselling Service in Exeter Devon
When considering counselling/therapy for depression or anxiety it can be helpful to understand just how much our mood affects us. The sheets below are used routinely by the NHS to gauge anxiety and depression levels. The sheets are good for anyone who is experiencing low mood or bouts of anxiety.
PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
Below is a questionnaire to help with understanding the severity of depression. It can be helpful to measure depression at the start of therapy and review it later on.
GENERAL ANXIETY DISORDER (GAD-7)
Tips for dealing with depression from the NHS.
You can talk it through with your GP first if you prefer. Your GP can also tell you about antidepressants.
If you start to feel that your life isn’t worth living or about harming yourself, get help straight away.
- contact Samaritans on 116 123 for 24-hour confidential, non-judgemental emotional support
- call your GP and ask for an emergency appointment
- call 111 out of hours – they will help you find the support and help you need
You can find mental health apps and tools in the NHS apps library.
If you are feeling suicidal please seek help immediately and consider this very useful NHS app called distACT
My articles can be viewed at Articles
Directions Fernbank Sowton Village Renee Norris Counselling
Address: Fernbank, Sowton Lane, Exeter EX5 2AG
Direction: Village is South East of the M5/A30 junction (Junction 29).
|Turn opposite the Black Horse pub|
Turn Right at this house
and go 2/10 of a mile
|Take this turn in and follow it to the top through the gates|
Depression and anxiety often go hand-in-hand. Treating depression and anxiety is a complex task because there are many causes. Some of the more widely recognised reasons are:
- Health conditions
- Trauma and grief
- Changes and stressful events
- Drugs (prescription and non-prescription) and alcohol use
The NHS have a great tool called Mood Self-assessment Quiz.
Click here to self-refer for counselling. Fees and cancellation information can be found here.
Ending Therapy – Celebration of a Healthy Relationship
The experience of a healthy relationship is vitally important for our well-being. The counselling relationship can play a huge part in the well-being of clients. Clients usually engage in therapy because something is not quite right in their life, and they are seeking guidance and support from someone independent and impartial. Counsellors are trained in walking this journey with clients, however, they cannot walk the journey alone or for the client.
So exactly what is happening while in a healthy relationship, and what makes a good ending to therapy so valuable? Counsellors are trained to listen, be present, understand without judgement, and offer clients acceptance for who they are. Possibly for the first time in a client’s life, they can experience a healthy relationship in which they can be themselves without fear, judgement, or shame. They can feel safe enough to risk being authentic.
Once the therapeutic relationship is present, a client may face difficult situations with more confidence, because they are no longer alone in their struggle. They are now being attended to. Therapia in Latin means to “attend to”. To be attended to while on a journey of self-discovery and change can be highly comforting and reassuring. When we are young, we might have looked back at a parent for reassurance before taking our first steps, riding our bike without stabilisers, going off to school for the first time, or walking down the aisle. Therapy can provide that element of reassurance, without authority, pressure, or judgement.
Often, client’s unhappiness with the world around them is really unhappiness about themselves in the world. Unrealised dreams and missed opportunities can often lead to feelings of dissatisfaction and even resentment towards others for how we have become. Therapy is an excellent way of getting back on track.
A healthy counsellor/client relationship can bring about what is needed for healing to take place. Clients may experience being well, in the presence of another, i.e. the therapist.
When a client experiences the restorative healing benefits of a healthy relationship, they begin to realise they are ok in the world. This now means they no longer need the guidance or support of the therapist, and the relationship comes to a natural end.
We know how to end unhealthy or unwanted relationships. We generally lack experience in ending good and healthy relationships. Ending therapy can be avoided by some. Sometimes people move, jobs end, or a loved one passes away, thus giving an unwanted or unwelcomed end to a good relationship. This can be experienced as loss or grief, which can be painful, so it is no wonder that we don’t linger too long in this experience.
Clients often become keenly aware of how important the relationship between therapist and client has been to them. This acknowledgement, or at least awareness, can be profound. By ending the therapeutic relationship, the client is now saying ‘I am now accepting responsibility for my presence in the world and my well-being’.
Avoid sending a text when you are ready to end therapy, when possible. Plan your ending, take charge of how it looks, have a cup of tea and a cake. It is worth the effort, and so are you.
To experience the closure of a good ending to a healthy relationship brings healing. Get in touch to begin that journey.
Also published at Counselling Directory
Sheepish Production Presents Communicate, a play about one couple’s journey through bereavement, love, grief, pregnancy, superheroes and enforced pen maintenance. From award nominated Sheepish Productions, this is an intimate and gripping story about life and death, developed in association with Cruse Bereavement Care.
“I should have mentioned it before, my Mum, she, last year, she passed”.
James is suffocated by his past. Heather is focusing on the nursery. It deals with the importance of talking about how you feel and not letting your past determine your future.
“…brilliant show. Moving, real, funny, thought-provoking and intriguing. Best of all it dealt with a “difficult issue” but with characters you cared about.” – Tom Bailey, Organiser of Love Arts Leeds
“Bloody lovely, heart-breaking and funny” – Jo West (playwright)
“So powerful and moving” – Audience Member (Theatre Deli, Sheffield)
Sheepish Productions first play, Shadow On Their Wall, received a Best New Writing Nomination and ★★★★ reviews from Fringe Guru and York Mix Mag. Their second play, a black comedy called The Last Motel, received ★★★★ reviews.
Age guide: recommended 12+
11 October 2019: Barnfield Theatre, Exeter: With a post-show panel discussion with
- Renee Norris (Counsellor),
- Sue Reevy (Counsellor), Cruse Bereavement Care (Devon) and
- Marcus J Bazely (Director)
The age old question of “how long will it take” is something that I get asked occasionally. Firstly, I would like to address the concept of “need”. As a therapist, I don’t believe anyone “needs” therapy. I believe that there can come a time when we may benefit from talking to another person who is not a friend, relative or co-worker. My view is that there is no right or wrong number of session to have. One person may decide that a few sessions will help them to clear their minds while another person is interested in long-term goals and personal development.
Some factors in deciding on when to end therapy;
- Finances – Therapy can be considered a luxury if finances are limited, however it can also be a great form of support to keep one going in the face of hard times.
- Timing – As they say, “timing is everything” and I believe this to be true. It is important that clients come when they are ready. Are you one who acts as soon as a problem is noticed or do you wait until things are at a breaking point? Whatever your personal timing is is fine, however it will have a direct impact on results. “An ounce of prevention is worth a pound of cure” is appropriate in this case.
- Issue – Another factor could be the issue itself. Disagreements with ones boss over a pay rise can may be dealt with over a short period of time. Issues such as long term abuse or long term addiction can be more embedded and may benefit from longer term sessions.
- Additional support – Working on issues without support can in some cases mean that the process can be protracted. It can be helpful to have a support network. It is a good idea to access other means of support. Pinpoint is a great site for additional support services.
- Compatibility – Finding a therapist that you are comfortable with is important to the process. We access and process emotional content when we are not under threat with less difficulty. Therefore having a therapist that we are comfortable is an important factor. The longer it takes a client to feel comfortable, the longer the process will take. Likewise, the more comfortable the better.
- Privacy concerns – Sometimes clients are concerned about privacy and may not wish for others to know they are attending therapy. For this reason, I allow enough time between sessions for the next client to arrive in privacy.
These are just a few of the factors that determine how long that piece of string is for you. Ultimately, having a goal in mind can be a big factor in the time you spend working with a therapist. Goal setting provides structure to therapy and identifies when you have reached a comfortable place to end.
No matter what the reason for seeking therapy is, counselling can be a valuable experience. I work out of the centre of Exeter in Gandy Street and Pinhoe area, Exeter, which is near Broadclyst, West Clyst, Sowton , Cranbrook and Rockbeare.
Also published with Counselling Directory.
Being a teen is hard; there is no manual for getting through teenage issues. So, when they struggle, is it any wonder they turn to unhelpful coping mechanisms or even self-destructive behaviour?
Self-harming behaviour can be distressing for the teen and those around them because they may not understand why they cut themselves, and it may also leave parents with a sense of failure, blame or shame. This in itself can make communication harder.
It may be assumed that if a teen is cutting themselves they must be suicidal. This is normally not the case.
NSPCC have this to say about self-harm:
“Self-harm can take lots of physical forms, including cutting, burning, bruising, scratching, hair-pulling, poisoning and overdosing. There are many reasons why children and young people try to hurt themselves, and once they start, it can become a compulsion. That’s why it’s so important to spot it as soon as possible and do everything you can to help. Self-harm isn’t usually a suicide attempt or a cry for attention. Instead, it’s often a way for young people to release overwhelming emotions. It’s a way of coping. So, whatever the reason, it should be taken seriously.”
I often hear young people say that friends and family think they are seeking attention. It is important to know that this isn’t usually the case.
Being a teen today brings many challenges. Some of these challenges won’t go away as they come with the territory. Some of the issues counsellors can spot within their work with teens who self-harm are:
- Fear they will lose their closest friendships.
- Lack of confidence.
- Inability to express anger.
- Lack of control over their lives.
These reasons can be very similar for adults; however teens are still learning to navigate their emotional landscape.
Q-Does this mean I have failed as a parent?
A-No, what it does mean is that your child is struggling with something which may or may not have anything to do with you. They are growing up, and experiencing real life issues that they just don’t know how to manage more effectively.
Q-What can I do to help my teen who is self-harming?
A-Listen without judgement or wanting to change them. Address any wounds, and don’t forget first-aid is important. Don’t tell them to stop – if they could, they would.
Seek professional help, with the safeguarding lead at your teen’s school or a private counsellor. If you are distressed by your teen’s behaviour then get help to manage your own emotions so that you can help your teen. I will repeat the first point of listening without judgement. Don’t use phrases like, “I don’t understand why you cut yourself” or “Is this my fault?”
If you are concerned that your teen may be cutting themselves or know someone who is impacted by self-harming, please get in touch with a counsellor. We are all here to help.
Additional support site: https://www.helpguide.org/articles/anxiety/cutting-and-self-harm.htm
A splinter in your finger or a pebble in your shoe are both uncomfortable physical sensations. If we experience either, we are encouraged to reach for the tweezers or take our shoe off, to relieve our discomfort.
When we feel anxious, sad or angry for example, we are presented with a host of uncomfortable physical sensations. Some of the physical sensations can be dizziness, heart palpitations, tummy discomfort or muscle tension.
Like with the splinter or the pebble we seek to remedy the situation. We ask questions and investigate. We draw our attention to the discomfort and without much thought we are able to take action because we’ve dealt with this before and it worked, therefore we know that a pair of tweezers will help the pain experienced by the splinter.
What do we do when we experience uncomfortable emotions? Do we pay close attention or do we label these sensations (called feelings) and ignore them?
Whether we think an emotion is “good” or “bad” it is part of a group. Emotions come as a package not in isolation. When we discount our feelings by minimising them, we are in some way doing this for all feelings and emotions. If we succeed in dampening one, we might discover that the ones we desire such as joy, love or pride are dampened as well.
So it is easy to see how we can get into a sticky situation where we no longer experience healthy emotional levels and feel flat, we could be heading for depression. Another extremity is feeling too much emotion and being overwhelmed when we can no longer manage emotions in a healthy way which could be anxiety. If you are nodding your head and thinking “yes, I can see that” and want to learn new healthy ways of managing your emotional discomfort, I would encourage you to give time to the negative emotions as well as positive. This does not mean to say that we pity ourselves.
I will leave you with this question – “are you seeking relief from an emotional splinter?”
Emotions were high, you couldn’t get enough of each other, sex was it’s best. Now you’ve been together 10 years, had a couple of kids, mortgage etc and the pazzaz is gone out of your relationship.
You are so close you can predict what he will choose for dinner when you go out, you know which movie she will choose.
So what is the problem? You are close, but this closeness seems to be creating a distance which is painful. Maybe you’ve considered having an affair to find that pazzaz again, if even for a little while.
Love and being in a relationship can create a paradox in that the thing we seek the most, closeness and oneness with our beloved is the thing that kills the passion, excitement and wonder in our relationship.
You may have tried to get even closer by having “date night”, or buying flowers, or sexy underwear. “So why is it not working?” “Is our relationship doomed?” The harder we try the further apart we get.
The answer may rest in the gap which is swallowed up by being too close. Couples therapy with someone who understands the dynamics of such a merging can help to re-establish that mystery and excitement.