• Brief and Long Term Therapy

    At Change Clinic, we offer both brief therapy and long term therapy.

    Brief therapy is goal-directed and relies on focused assessment, client engagement, and rapid implementation of change strategies. Examples of presenting problems for clients seeking brief therapy include: acute marital/relationship conflict, work stress, social anxiety, difficulty public speaking, adaptation to a diagnosis of an illness, adjustment to physical injury, and other dysfunction related to specific stressors. In brief therapy:

    • a specific problem (i.e. stressor) is identified as a cause for the presenting distress and/or dysfunction
    • thoughts and beliefs about the stressor are determined (e.g. perceptions about judgement, belief in one's ability [confidence], expectations of recovery, loss of meaning)
    • behaviours in response to the stressor are also determined (e.g. avoidance, procrastination, withdrawal, conflict)
    • specific goals are agreed upon between the therapist and the client with aim of transforming unhealthy to healthy thoughts, beliefs, and behaviours
    • strategies are identified or developed to approach the treatment goals
    • and finally, an action plan is developed and followed with the constant support and guidance of the therapist

    In Long term therapy we focus on treating long-standing emotional difficulties with individuals and couples. Examples of presenting problems for clients seeking long term therapy include chronic anxiety or depression, personality disorders (e.g. borderline or narcissistic), re-occurring relationship difficulties, and adjustment/acceptance of loss or ongoing chronic trauma. In long term therapy:

    • a thorough psychological assessment is conducted to develop a comprehensive conceptualization of the clients internal (thoughts and emotions) and external (relationships and stressors) experience.
    • long-standing patterns or cycles that result in dysfunction and distress are identified
    • reasons for the development of these "characterological" patterns are explored
    • strategies are implemented and tested over time to establish new patterns of healthier and more successful behaviour