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The Wellbeing Service is an Improving Access to Psychological Therapies Service, part of Hertfordshire Partnership University NHS Foundation Trust. We deliver psychological therapies to those over the age of 16 years, registered with a GP in Hertfordshire

About Us

We offer free, confidential talking therapy and practical support for people experiencing a wide range of very common emotional difficulties such as, anxiety, worry, low mood, depression and stress. We also provide support for carers and people who are struggling with the reality of living with long term physical health conditions. Our service can provide help too if you are experiencing anxiety or low mood during or after pregnancy.

Many of the options that we offer are based on Cognitive Behaviour Therapy (CBT) which is an evidence based psychological therapy. CBT can help make sense of our problems by looking at the way we think, and the way we react to situations. Through our support, you can learn skills and techniques to help manage how you feel, helping you feel better and more in control.

In addition to CBT based approaches we offer a range of other effective treatments too. Please see the FAQ section for more information on CBT and these other treatments. Together with your allocated practitioner you will decide which treatment approach is best for you when you first meet – so it is not necessary for you to make a decision now.

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How we can help

Sill based workshops

Skills Based Workshops

We have a variety of CBT Skills workshops and groups which aim to teach you a range of skills and techniques to help you manage your current difficulties. Facilitated by CBT practitioners, they will help you understand your problems and symptoms , and you will learn how to practice techniques and apply these in your day to day life. Courses include our general 'CBT Skills group workshop', 'Keeping well in Caring', 'CBT Skills for Young Minds', as well as workshops for managing Worry, Depression and Long Term Health Conditions

Computerised CBT

Computerised CBT

The Wellbeing service are pleased to introduce Silvercloud, a flexible online solution to accessing therapy for symptoms of low mood and anxiety, as well as other emotional difficulties. Silvercloud includes a broad range of programmes that can be tailored to suit your personal needs. Silvercloud can be accessed anytime, anyplace, anywhere, whether at home, work or commuting. You will be supported by a practitioner to help you work through the programme step by step, helping you get the best out of your treatment

Individual Support

Individual Support

One to one individual sessions may consist of telephone or face to face appointments with your CBT practitioner. Telephone appointments can be scheduled around work commitments and lunch breaks to enable you to access therapy whilst managing your daily routine. The number and length of sessions you require will depend on the difficulties you are experiencing. Following your initial assessment appointment, your practitioner will be able to guide you as to what to expect

Refer Now

Please click on the area your GP is located to complete a self referral form online

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If you require support in a crisis please contact 0300 777 0707
If you require immediate support please call 111

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Faqs

What is CBT?

CBT stands for Cognitive Behavioural Therapy. CBT is an evidence based talking therapy, shown to be helpful in treating anxiety and depression, but can be useful for other mental and physical health problems.

'Cognitive' means our thoughts, the way we interpret and think about things. By 'behaviour' we mean the way we act and respond to situations. The aim of CBT is to help you understand overwhelming problems by examining the link between our thoughts, feelings, physical symptoms and behaviour. When feeling stressed, anxious or low in mood, we think more negatively, and can react in unhelpful ways. CBT will help you learn tools and techniques to reduce negative thinking patterns and respond differently, helping you to take control of your symptoms and feel better.

CBT involves planning practical exercises or experiments with your therapist and carrying these out together or as homework between sessions. CBT encourages people to engage in activities and to write down their thoughts and problems for discussion during therapy. CBT can also involve problem-solving and learning how to deal with worry or with difficult memories.

CBT is recommended as the first line treatment for:

  • Depression
  • Generalised anxiety
  • Health anxiety
  • Social anxiety
  • Post-traumatic stress disorder (PTSD)
  • Obsessive compulsive disorder (OCD)
  • Severe Phobias
  • Long Term Conditions
What do you mean by Evidence based treatment?

Cognitive Behaviour Therapy is a treatment which has been extensively researched through clinical studies to show it is an effective treatment for Depression and Anxiety disorders. It is a recommended by the National Institution of Clinical Excellence (NICE). NICE is the independent organisation responsible for providing national health care guidance on the promotion of good health and the prevention and treatment of ill health. This is why CBT has become the preferred form of psychotherapy available on the NHS for Depression and anxiety disorders.

You can find out more about NICE and CBT here: https://www.nice.org.uk/

What happens once you've received my referral?

Shortly after we've received your details, a member of our team will be in touch to book an assessment appointment for you. The assessment is usually completed over the telephone although occasionally you'll be asked to come in & see someone. Following your assessment, your CBT practitioner will talk through the options that are available & work with you to select the most suitable course of treatment.

Is this counselling?

No. CBT is different to counselling because the emphasis is on current problems, rather than focusing on issues from your past. It looks for practical ways to improve your state of mind on a daily basis.

Do I need to see my GP?

No. Your GP will be happy to make a referral for you but if you'd prefer not to wait, you can complete your referral online.

Is it confidential?

Yes. The team takes confidentiality very seriously. We will protect and respect your rights to confidentiality from the moment we receive your referral and throughout any treatment you may have with us.

The service is provided in partnership with our local GPs to ensure we all offer you joined up care. Therefore necessary information will usually be shared with your GP and other health professionals involved in your care.

Our confidentiality policy will be discussed with you by your wellbeing practitioner at your first appointment.

What do sessions involve?

Whether you are attending our workshops, completing our computerised CBT programme or having individual sessions, you are expected to attend your scheduled appointment to maximise the effectiveness of your treatment. Throughout your course of treatment, you will be expected to complete out of session or homework tasks which are designed to help you practice what you have learnt in your therapy session. As CBT is an active talking therapy, sessions are collaborative so involve equal participation between you and your being worker.

At the beginning of treatment, you will set therapy goals which you will be working towards and continuously review with your worker.

At each session we do require you to complete a short set of questionnaires so that we can monitor your symptoms. These questionnaires also help record your improvement throughout treatment.

How long does it take?

Following your initial assessment an individual treatment plan will be devised depending on your goals for therapy. Your worker will then be able to let you know how long you can expect to receive treatment for.

Can someone else call to make my appointments for me?

This service is confidential & as such we are not able to speak with anyone else about your referral (including booking or cancelling appointments) unless we have your prior consent. If you'd like someone to speak on your behalf, we recommend that you make note on your referral or give us a call so that we can document on your file.

English is not my first language, will I struggle with communication?

Just let us know either when the referral is made or when we contact you to book your appointment & we can arrange for an interpreter to be present for your appointments.

You can access all the information about our service in your own language by visiting our Trust website page and using the “Browse aloud” button to choose your preferred language: https://www.hpft.nhs.uk/services/community-services/wellbeing-service/

What if it doesn't work for me?

During your initial assessment appointment, your wellbeing worker will help you understand your difficulties and describe how CBT may be able to help you. However, CBT is not always appropriate for everyone. If it is decided that a different form of treatment or support maybe better suited to you, your wellbeing worker will help you find the support you need.

What other treatments do you offer?
Other Effective Treatments available are:
Couple Therapy for Depression

Couple therapy for depression aims to help couples understand the ways in which difficulties in their relationship can contribute to depression in one or sometimes both partners. Often couples find it hard to talk openly and honestly with each other. Meeting with a couple therapists can open the way to better communication and help to improve relationship quality.

Couple therapy for depression often focuses on helping couples to communicate openly and clearly, become more aware of each other’s needs, manage feelings of anxiety and stress arising from the challenges of relationships and help you come to terms with life changes which might have triggered depression, such as becoming parents or losing a loved one.

Dynamic Interpersonal Psychotherapy (DIT)

Dynamic Interpersonal Psychotherapy (DIT) is a structured psychological therapy developed for treating depression. DIT is helpful for people with emotional and relationship problems, especially if these are linked to previous relationship difficulties.

DIT aims to identify a core repetitive pattern present in historical relationships (for example, whenever someone tried to get to know you, you fear the worst and push them away to make sure no-one gets close enough to hurt or disappoint you). Once this pattern is identified, it will be used to make sense of difficulties in relationships in the ‘here and now’ and contribute to improving mental wellbeing.

Interpersonal Psychotherapy (IPT)

Interpersonal Psychotherapy (IPT) differs from Dynamic Interpersonal Therapy (DIT) as it concentrates on the issues in the ‘here and now’ as opposed to looking at recurring patterns through past relationships. IPT primarily focuses on how relationships affect us, for example, a relationship may make us feel depressed. It also focuses on how mental health difficulties can affect a relationship, for example, a depressed mood can affect the quality of our relationships.

The types of concerns that IPT addresses include:

  • Conflict with another person: No relationship is perfect, but sometimes a significant relationship at home or at work can become very stuck in disagreement or arguments, and is a source of tension and distress.
  • Life changes that affect how you feel about yourself and others: Life changes all the time. As it does it throws up new challenges, such as when we have a child or lose a job. These changes, whether wished for or not, can leave us feeling unable to cope with the demands of the new situation and what is expected of us.
  • Grief and loss: It is natural to feel sad following the loss of a significant person in our life. Sometimes, however, it can be very difficult to adjust to life without that person and we may then put our life on hold and feel unable to carry on with our normal activities and relationships.
  • Difficulty in starting or keeping relationships going: Sometimes relationship issues develop because of what is missing, for example, not having enough people around us or not feeling as close to others as we would like. Not having someone to turn to for company or support can be very stressful and can leave us feeling alone and overwhelmed by the demands of life.
Eye Movement Desensitisation and Reprocessing (EMDR)

When a person goes through or witnesses something very emotionally distressing or physically traumatic, they can start to have difficult experiences afterwards including having nightmares and flashbacks, feeling very on edge and tense, irritability and low mood, or even feeling numb. It is suggested that these experiences are thought to occur because the mind was too overwhelmed during the event to process everything properly.

Whilst it isn’t possible to erase traumatic memories, EMDR therapy will help you to safely process traumatic events, reduce their impact and explore coping strategies by developing preferred ways to think when recalling events.

How can I feedback about the service?

After your assessment and at the end of treatment your therapist will provide you with a questionnaire about your experience in the service. Your feedback will help us improve the service so we appreciate you taking the time to let us have your views. This is completely anonymous and will not affect your treatment.

If during or after treatment you are unhappy about the service you are receiving, please contact your local team’s service manager. They can be contacted via the telephone number at the top of your appointment letter. Alternatively you can contact the HPFT Patient Liaison Team (PALS) to discuss any concerns. You can find more information about PALS on the section for service users on our Trust website: https://www.hpft.nhs.uk/contact-us/patient-advice-and-liaison-service-pals/

Can I bring a friend or relative to my treatment sessions?

Sometimes it is helpful to bring a family member or friend along to sessions so talk to us if that is your preference.

The Wellbeing Service As One