Dr Melanie Maynard

Therapeutic Approach

I believe that everyone varies greatly in their backgrounds, their make-up, their desires, needs and strengths and therefore she sees the importance of getting to know each client individually before collaboratively deciding the best way forward. I originally trained in Cognitive-Behavioural Therapy (CBT) and Psychodynamic Psychotherapy, however more recently I have trained in Eye Movement Desensitisation and Reprocessing (EMDR) and Cognitive-Analytical Therapy (CAT) techniques, which I integrate heavily into my work (see below for a description of each). I also draw on aspects of other approaches I have trained in, including Compassion-Based Theory, Acceptance and Commitment Therapy and Mindfulness techniques, depending on the needs and desires of the client.

Often clients do not know what type of therapy they want or need before they embark on the process. In addition their desires, needs and availability may change throughout therapy. I will spend time with you to explore what brought you to therapy and what you hope to get from it, and together you will decide on the most effective way forward. I benefit from being able to offer shorter-term more solution-focused CBT to clients wanting strategies and techniques to manage their mood, and longer-term more in-depth Psychodynamic Psychotherapy to clients wanting a better understanding of their unconscious processes through exploration of their earlier experiences and relationships, or CAT which offers  a combination of the two with a strong focus on relational dynamics. In addition my EMDR skills can be used to help work through past traumas. I can integrate these models to best address the client’s needs and goals.

Below is a more in-depth explanation of my four main approaches:

Cognitive-Behavioural Therapy

Cognitive-behavioural therapy (CBT) is based on the idea that how we think about a situation, impacts the way we respond to it.  It is believed that unhelpful thoughts also impact one’s mood and physiology, and vice versa, creating a negative cycle.  I work with clients to help them identify and challenge their unhelpful thoughts and assumptions, use mindfulness techniques, and/or shift/alter their behaviours to help break the negative cycle and improve their emotional well-being.  It has been found to be a particularly helpful therapeutic model to help tackle depression, anxiety, panic, obsessive compulsive disorder, post-traumatic stress, chronic fatigue, eating disorders, pain and anger management and problem/pathological gambling.

Psychodynamic Psychotherapy

Psychodynamic psychotherapy focuses on the unconscious processes deemed to be the root of a client’s emotional distress.  It aims to enhance the client’s self-awareness through exploration of their past and helps them to develop an understanding of the influence past relationships and events have on their present response to events.

Cognitive-Analytical Therapy

CAT is a relational therapy, that combines many of the ideas and theories of the above two therapies. It is often time-limited (on average 16 sessions) focusing on the relational patterns in past and present, and helping to identify and shift patterns that may be holding you back in your life. Its a very collaborative therapy, that relies heavily on a trusting empathic relationship between client and therapist.

Eye Movement Desensitisation and Reprocessing

EMDR is an evidence-based psychotherapeutic approach that was originally developed to treat traumatic memories and experiences, however more recently it has been used to help with phobias, performance anxiety, addictions, pain, anxiety and panic and complex grief. It involves bilateral stimulation to help speed up the reprocessing of traumatic and disturbing memories.

 

Therapy Format

Individual Therapy

I would suggest 50 minute sessions. The initial phase of the therapy would involve me exploring what’s brought you to therapy, the development of your difficulties and your background and a discussion of what you want from therapy and how best to achieve those goals together, or an onward referral if necessary.

Couple Therapy

I would suggest 80 minute sessions. I would suggest meeting together with the couple first, then meeting each of the couple separately, and then meeting back together with the couple to decide the best way forward. In these sessions I will explore what brought you to therapy, the background to yourselves and your relationship and your goals for therapy and how best to achieve these.