GPs

No waiting list, experienced, qualified counsellors

Pressure on NHS Psychological services seems to be increasing all the time. At Counselling Works we can offer:

      • Appointments within days
      • An affordable counselling service - fees start at £30
      • Evidence based therapeutic approaches
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Milton Keynes 01908 263 800

Appointments within days

We pride ourselves on not having a waiting list. Appointments are available within days at our sites in Bedford and Milton Keynes


An affordable counselling service

Counselling sessions can cost between £30 and £60 per session
Our most experienced counsellors cost £50 per session, day rate. We will give honest advice to help clients choose the counsellor who is right for them.
Evidence based therapeutic approaches
Evidence based research finds CBT to be no more effective than the other principle approaches commonly practiced in the UK (Person-centred and Psychodynamic). At Counselling Works we know that counselling works, but we also know that the most effective results come by carefully selecting the right counsellor for each client. Two recent British research projects are significant in supporting our view. In both cases the patients were seen within the NHS.
Our counsellors come from most of the major theoretical schools available in the UK: Client-centred, Cognitive Behavioural, Existential, Gestalt, Person-centred, Psychodynamic.

The evidence
Stiles, W. B., Barkham, M., Twigg, E., Mellor- Clark, J., & Cooper, M. (2006).

Effectiveness of cognitive-behavioural, person-centred, and psychodynamic therapies as practiced in UK National Health Service settings.

Psychological Medicine, 36, 555-566.


This study compared the outcomes of clients treated with person-centred therapy (PCT), cognitive-behavioural therapy (CBT), and psychodynamic therapy (PDT), as practiced in routine care in 58 primary and secondary care sites in the United Kingdom National Health Service. Clients (n = 1,309) seen during a three-year period at these sites. Patients completed the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) at the beginning and end of their treatment.

 

Therapists indicated which treatment approaches were used on an "End of Therapy form". Six groups were compared: three treated with PCT, CBT, or PDT only, and

three treated with one of these plus one additional approach. All six groups averaged marked improvement (pre-post effect size d = 1.36).

Treatment approach and degree of purity of treatment ("only" vs. "+1" ) each accounted for tiny proportions of the variance in CORE-OM scores (respectively, 1% and 0.5% as much as pre-post change). Distributions of change scores were largely overlapping across all six groups.

The results indicate that these three treatments are essentially equivalently effective in routine practice. The least effective was CBT, but the effectiveness differences between the three approaches were not statistically significant.
Peter Bower, research fellow, Sarah Byford, research fellow, Bonnie Sibbald, professor, Elaine Ward, research fellow, Michael King, head, Margaret Lloyd, reader, Mark Gabbay, senior lecturer. (2000)
Ramdomised controlled trial of non-directive counselling (Person Centred), Cognitive-Behaviour therapy, and usual general practitioner care for patients with depression. II: Cost effectiveness.
Background. This was a large randomised trial costing £500,000 conducted in England.
Objective: To compare the cost effectiveness of generalpractitioner care and two general practice based psychologicaltherapies for depressedpatients.
Results: 197 patients were randomly assigned to treatment,137 chose their treatment, and 130 were randomised only betweenthe two psychological therapies. At four months, both person- centred counselling and cognitive-behaviour therapy reduced depressivesymptoms to a significantly greater extent than usual generalpractitioner care.
Conclusions: The data suggest that both brief psychological therapies may besignificantly more cost effective than usual care in the shortterm, as benefit was gained with no significant difference incost.

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