Does this sound familiar?
You're capable. You're reliable. You're the one people come to when things need doing. From the outside, everything looks fine - maybe even impressive.
But underneath your mind doesn't switch off. You replay conversations. You prepare for worst case scenarios that rarely happen. You feel the low hum of dread before things you're objectively good at.
You've probably told yourself: I should be able to handle this. Other people have it worse. I don't have time to fall apart.
My clients often have these thoughts and thats why they often wait longer than needed to get support.
Why this is common in high-pressure careers
The same qualities that make someone good at a demanding job - high standards, conscientiousness, anticipating problems before they happen - are the same qualities that can fuel anxiety.
Perfectionism isn't a character flaw. It's usually a strategy that once worked well, before it started costing you too much.
Many of my clients are solicitors, doctors, executives, business owners, and others in roles where a great deal is expected of them and where asking for help or being seen to struggle can feel professionally risky.
That creates pressure and prevents people from seeking help.
You don't need to be in crisis to deserve support
Many of the people I work with are not falling apart. They're functioning well by every outward measure- and quietly exhausted on the inside.
Therapy isn't just for when things fall apart. It's for when you're tired of holding it together alone, and you'd rather understand what's driving your anxiety and learn better coping strategies.
How this works in practice
Practical, not vague
CBT is structured and evidence-based, You'll leave sessions with a clearer understanding of what's driving your anxiety, and concrete tools to use.
It works around a demanding life
CBT is time-limited (often 8-16 sessions), making it ideal for people with full lives.
Therapy tailored to you:
“The Three Legged Stool”
When I talk about evidence-based therapies, people are sometimes concerned that this means taking a “one size fits all” approach. This really isn’t the case. Good evidence-based practice uses a combination of research evidence, therapist’s knowledge and client’s preferences to inform shared decisions.
A metaphor used to represent this idea is the “three-legged stool” (Spring, 2007). Each leg of the stool represents information that we use to make decisions in therapy. The first leg represents your preferences, values and other aspects of your life that are important and may have a bearing on therapy. The next leg is the best available research evidence. After your assessment, I will explain to you what evidence-based treatment approaches are most likely to be helpful to you. The last leg represents therapist knowledge and expertise.
My aim is to use my knowledge and experience to help you to get the most from your therapy.
How can I find out more?
You look like you've got it together. Inside, it's a different story.
For more information about CBT, please visit the BABCP website BABCP - What is CBT? or Patient Info - Cognitive Behavioural Therapy CBT Leaflet
References
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