Everybody deserves the most rewarding, fulfilling life they can have. But we all need some help at times to achieve it. An experienced and trained therapist can often be the best guide – tracing issues to their root and working with you to a better future.

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Our range of services includes:

  • Modern, evidence-based and brief psychotherapy and counselling
  • Longer-term interventions addressing deeper issues, addictions,trauma, and relationship difficulties
  • Workshops and intensive sessions for individuals
  • Anger management training for individuals
  • Sex Addiction counselling and therapy

We also work with other trusted and experienced professional psychotherapists, music therapists, body workers (including Somatic Experiencing therapists), child therapists, coaches, and psychiatrists to esure the most appropriate treatment for your circumstances.

At NexusWest every therapist is experienced and well-qualified, and every programme is conducted in absolute confidence. We also have particular experience of working with individuals and families who have to address the special pressures of lives in the public eye or at the top of their business or professions.

Areas that may be concerning you:

Addictions

One of the drawbacks of traditional drug and alcohol treatment is that the underlying traumatic experiences are not dealt with and the person continues to relapse.

One of Pia Mellody’s major contributions to modern treatment has been her insistence that codependence, which grows out of traumatic experience, underlies addictive and compulsive behaviour and must be addressed as a priority when the client is not acting on their addiction.

With this in mind, we work with treatment centres, offer aftercare and an outpatient service, have access to detox facilities and good psychiatric support to help the addict address the addiction and the underlying issues which drive it.

Depression/Anxiety

These are our default mechanisms when we are overwhelmed by life. Our approach is a two-pronged one: we educate and stabilise in the present while helping to process the frozen trauma of the past. If, after assessment, we feel that inpatient treatment is appropriate we have centres here and abroad to which we can refer. We keep contact with the centre during inpatient work and upon discharge we ask for a detailed report of what the client has done in order to provide a seamless follow-up. We can often deal with problems on an outpatient basis, offering a variety of approaches and methods. When appropriate we refer to 12-step programmes or bodywork to support what we do with the individual.

Trauma

Trauma can come to us in both physical and emotional/psychological forms. It is the result of negative life experiences, experienced by us and our bodies, or vicariously by witnessing something that has happened to someone else. Many of us incur trauma in the course of growing up (‘childhood trauma’), and much of the trauma we experience resolves without further incident or on-going problems. Sometimes childhood/adolescent trauma involves abuse at the hands of parents or caregivers; it may be short-lived or long-term, and it may include severe neglect. Some traumas may be the result of physical injury or medical disease and their treatment (surgery, accidents). All abuse and neglect, whether physical or psychological/emotional, is traumatic. But all trauma is not abuse, though it may affect us in similar ways. We work with clients to reduce and overcome the impact of all traumatic experience using EMDR, ACT, integrative psychotherapy, and referrals to practitioners of Somatic Experiencing and body work to resolve the effects of trauma and assist clients to develop fuller, healthier lives and highly functional relationships.

Co-Dependence

Difficulty in relationships is one of the main reasons people seek therapy. Often individuals can be very high functioning, successful in careers, but unable to form healthy personal relationships. Maybe they are terrified of emotional intimacy, or seek to bond with people who are abusive to them, or frighten partners away with insatiable needs.

This results from childhood experiences, usually within the family of origin, that leave the person feeling flawed, inadequate, “less than”, inauthentic, an outsider, and often lonely in a way that no amount of contact with others can fix. Attempts to medicate these intolerable feelings can lead to self-destructive behaviours.

The baby is born as a blank canvas and experiences after birth create a filter through which they see the world. The results are learned behaviour and we help the individual to relearn, so that they rediscover the precious person inside and become empowered to love, respect, and protect themselves with healthy boundaries. Happy relationships then become possible.

Cross-Addiction

Cross-addictions (developing compulsive behaviours or addictions to different things or replacing one addiction or type of behaviour with others) may develop in order to medicate feelings that arise when one addiction is addressed.

Part of all addictive processes include medicating against uncomfortable feelings, so when one form of “medication” is removed, others may be developed to replace it. Our practice recognises and treats these compulsions and cross addictions at their source, including addressing childhood and adult traumas in which their origins are often found.

Anger and Rage

Anger is a normal feeling, and it’s important to manage it so that it doesn’t damage us, or others. Rage is ‘anger times a hundred’, and it usually suggests underlying issues that need to be addressed.

When acted out, rather than expressed, either of these can damage us, our careers, our relationships, our children and other people around us. Intervention – the sooner the better – is important.

Anger Management strategies can be learnt, and at the same time issues or past trauma underlying the anger can be worked through using any or all of several psychotherapeutic approaches.

At NexusWest we have over 22 years of experience in working with men, women and their families suffering from problem anger; we also work effectively with work teams to address individual and team anger problems, resulting in improved intra-team relationships and reducing potential liability from outbreaks of anger.

Compulsive Behaviours

Often compulsive, repetitive behaviour is a response to intrusive thoughts. Fear or excitement can spark this reaction and the individual reacts via the chemical laboratory within the body. Once again accessing the experiences that drive this behaviour is primary.

Effects of these disorders include the ability to numb feelings by rapid elevation of adrenalin levels (risk taking behaviours) or blood sugar levels (food, drugs, alcohol), or fatigue (work), hormone release (exercise in excess or sex), or to distract: people who self-harm speak of the relief of being able to transform distress into physical pain.

Part of our treatment is to teach the individual about self-regulation and about how to function at lower levels of intensity once the trauma behind the behaviour is processed. Many of these issues – whether about sex (compulsive acting-out behaviour, obsessive thinking about sex, endless internet activity around pornography, chat rooms, contact and escort sites), overeating, compulsive spending/debting – are loaded with shame and guilt. We are mindful that facilitating changes in thoughts/behaviour must involve addressing the issues directly, and reducing shame to decrease the risk of relapse back into self-damaging, compulsive patterns. Our feedback and teaching is directed towards these goals.

Sexual Identity and Orientation Issues

Issues around sexuality and sexual orientations can create conflict, both within the individual and in the individual’s relationships and society. Lesbian, gay, bisexual, and transgendered individuals may face feelings that are overwhelming whilst they are discovering, accepting, and creating a healthy personal identity.

Confusion, issues with spirituality and beliefs, bias and prejudice can all challenge the individual’s acceptance and integration of sexual identity into his/her broader self. Ways of relating to others, safer sexual behaviours, acceptance, forming and sustaining functional, healthy relationships are concerns that most individuals welcome help with.

Issues in Adolescence

Adolescence is a period fraught with challenges and changes. Problems with school, peer interactions, interactions with parents and other family members, depression, acting out anxieties and traumas, and adjustments to new situations and feelings sometimes characterise these years. Adolescent therapy, whether individual- or group-based, targets these issues.

The focus is one of supporting the adolescent to meet these challenges effectively, to resolve behavioural concerns, and to improve her/his functioning in the family and with peers in ways that the individual finds healthy satisfaction.

Grief and Loss

Trauma can come to us in both physical and emotional/psychological forms. It is the result of negative life experiences, experienced by us and our bodies, or vicariously by witnessing something that has happened to someone else.

Many of us incur trauma in the course of growing up (‘childhood trauma’), and much of the trauma we experience resolves without further incident or on-going problems. Sometimes childhood/adolescent trauma involves abuse at the hands of parents or caregivers; it may be short-lived or long-term, and it may include severe neglect.

Some traumas may be the result of physical injury or medical disease and their treatment (surgery, accidents). All abuse and neglect, whether physical or psychological/emotional, is traumatic. But all trauma is not abuse, though it may affect us in similar ways.

We work with clients to reduce and overcome the impact of all traumatic experience using EMDR, ACT, integrative psychotherapy, and referrals to practitioners of Somatic Experiencing and body work to resolve the effects of trauma and assist clients to develop fuller, healthier lives and highly functional relationships.

Poor Self-Image

Poor self-image is usually related to poor or absent self-esteem. Through therapy, it is possible to develop and grow in order to find and create a sense of genuinely valuing oneself, to see oneself as loving and lovable.

If you do not apply the concept of self-esteem to yourself, you may try to obtain a sense of value through the affirmations of others (‘other esteem’) or by comparing yourself to others. This leaves you quite vulnerable to the opinions of other people and their strengths. Either process interferes with your ability to be truly intimate and to experience your own value.