Therapeutic Options & Considerations

2nd Annual International Conference at London 25 & 26 November 2016 (Friday & Saturday)
Our 2nd Annual International Conference at London this year looks closely at PTSD, closely evaluating the viewpoints and therapeutic techniques offered by various modalities. Speakers at the 2-day conference include:
Babette Rothschild
Anne Alvarez Christiane Sanderson
Jamie Marich
Fiona Mason John Schlapobersky
Larry Heller Lisa Najavits Paul Renn Delegate places at the conference can be reserved with an initial fee of £49 at the link below. Further conference details are being released soon: Reserve a place
Attachment perspectives on Borderline Personality Disorder: client and therapist’s use of self A one-day workshop with Professor Jeremy Holmes Dublin, 17 September 2016, Saturday 10:00am - 4:00pm Psychotherapeutic work with clients suffering from borderline personality disorder (BPD) is especially challenging, since the two main clinical tools available to the therapist - countertransferential capacity and 'affect co-regulation’ – can both be rendered ineffective. This explains some of the difficulties BPD clients have in forming a therapeutic alliance. Attachment needs in such clients are highly aroused, but difficult to assuage. Unsurprisingly, therapists are often viewed by their borderline clients as unconcerned, abandoning, hostile or intrusive. At this practical and interactive workshop that would be relevant for psychotherapists, clinical psychologists, counsellors and psychiatrists, Professor Holmes outlines an Attachment based approach that: • Assists in effective understanding of borderline pathology • Builds on our comprehension of disorganised attachment and its sequelae • Informs our psychotherapeutic work with borderline sufferers Using exposition, group discussion and ‘live supervision’, he outlines how in healthy development the child’s sense of self emerges from the extended self of the care-giver/infant dyad, and points to parallels with the therapeutic relationship. He also develops the idea of borderline as a ‘disease of civilisation’ elucidating how family patterns; which form the seedbed for pathology are often reproduced in social arrangements, including health services, and how these risk factors might be mitigated. further details & bookings
The Relational Challenges of Sexuality in the Consulting Room An online webinar with Paul Renn 22 September 2016, Thursday 6:00pm - 9:00pm, London, UK time Even though the last few decades have focused on post-Freudian developmental theories, resulting in a certain de-eroticization and de-sexualization of psychoanalysis, research has shown that sexuality is, in fact, very much alive in the consulting room. In this webinar, which would be of value to psychotherapists, psychologists, psychiatrists and counsellors, Paul Renn explores the sexual attraction between therapist and patient from a relational standpoint. He draws on developmental studies and ‘moments’ theory to explore the relational and ethical challenges of sexuality in the consulting room, while highlighting enactments and the contentious issue of self-disclosure. Paul demystifies the evolution of sexuality in psychoanalytic thinking and questions the efficacy of developmental perspectives. The webinar uses both theoretical discussion and a clinical case study to help us understand the many facets of consulting room sexual attraction. further details & bookings
Postnatal Anxiety & Depression A one day seminar with Dr Stella Acquarone London, 24 September 2016, Saturday 10:00am - 4:00pm A psychoanalytic understanding of the ‘mother-baby’ dyad has particular relevance for practitioners. In this practical seminar that would be of value to psychotherapists, clinical psychologists, counsellors and psychiatrists, Dr Stella Acquarone first demystifies the aetiology of post natal anxiety and depression; providing us with an understanding of contributing factors. This introduction leads to a discussion on therapeutic implications including effectively assessing and working with manifestations of severe anxiety, depression, mood swings, extreme stress and suicidal tendencies for mothers. The seminar then builds on our psychoanalytic understanding to discuss practical implications for clinical work including: • What factors trigger the feeling ‘I have a beautiful baby but I just want to die’ • Postnatal anxiety & depression: signs to look out for • How can we distinguish between Postnatal anxiety and depression • Triggering factors for both • Differences in therapeutic interventions for postnatal anxiety and depression • Post traumatic delivery & special needs • Therapeutic interventions for cases of early child abuse With the aid of video vignettes and examples, Dr Acquarone explains how therapists can enhance their client’s capacity for consistent childcare and help them avoid the negative repercussions of poor coping strategies. further details & bookings
Assessment and Treatment of Suicidality: A Psychological Approach A one-day training workshop with Dr Eoin Galavan Cork, 1 October 2016, Saturday London, 22 October 2016, Saturday 10:00am - 4:30pm The effective assessment of Suicidality and its treatment can be overwhelmingly anxiety provoking for therapists. Over the last two decades, new psychological theories of suicidal behaviour have been described with evidence to support their credibility. New models of treatment and techniques have been designed to help aid those of us who encounter suicidality in our work. This practical and therapeutically inclined one day workshop by Dr Eoin Galavan, which will be especially relevant for psychotherapists, psychologists, CBT practitioners, psychiatrists and counsellors, overviews current psychological research and clinical approaches to managing suicidality, with specific emphasis on explaining the therapeutic approach of the evidence-based model: Collaborative Assessment and Management of Suicidality (CAMS) (authored by Professor David Jobes). The one day workshop first introduces the psychology of suicide, and then proceeds to overview, demonstrate, and allow practice of the CAMS model. By the end of the workshop, participants will: • Gain familiarity with psychological theories of suicide and suicidal behaviour (including an understanding of the works of Professor Thomas Joiner, Professor Edwin Scheidman, Professor Israel Orbach and Professor David Jobes) • Be able to identify suicidal risk early in the clinical engagement and use the Suicide Status Form (SSF) to collaboratively assess suicidal risk • Develop SSF-based suicide specific outpatient treatment plans that emphasize the development of a stabilization plan and the identification of suicidal ‘drivers’ as a focus of treatment • Clinically track, assess and treat drivers with problem-focused interventions • Be able to prepare a stabilisation or crisis response plan • Handle and document a range of clinical outcomes using CAMS Overall, the workshop helps us as practitioners to comprehend the myriad challenges stemming from the client’s suicidal wish, provides us with a working model of handling suicidality in our therapeutic relationships and familiarises us with evidence-based therapeutic techniques that are at the cutting edge of our work. further details & bookings
Assessment of Dissociative Symptoms and Disorders A one-day training workshop with Dr Suzette Boon London, 7 October 2016, Friday 9:30am - 5:00pm As therapists, we witness often, that early and chronic emotional neglect, physical and / or sexual abuse can manifest in our clients as severe dissociative symptoms and disorders in adulthood. As a consequence of poor recognition of their dissociative disorders or symptomatology, such clients may spend many years in the health-care system without receiving adequate care and assessment. Their dissociative disorders are not easy to diagnose however for multiple reasons: • Clients might not present with dissociative symptoms but may instead choose to hide or dissimulate these symptoms • There is a lot of overlap in symptoms with other disorders such as personality disorders • DSM-5 and ICD-10 differ with respect to classification and criteria • Clinicians do not receive systematic training with regard to diagnosis and treatment of dissociative disorders and there is confusion about the concept of dissociation • There is an ongoing polarized debate about the existence of dissociative identity disorder (DID) as a reliable and valid diagnosis At this practical and therapeutically oriented workshop which would be especially relevant for psychotherapists, psychologists, counsellors and psychiatrists, Dr Boon draws on her ground-breaking work on dissociative disorders and her long-standing clinical experience to help us: • Gain a better understanding of dissociation and dissociative symptoms • Use self –report questionnaires and diagnostic interviews such as DES, SCID-D and TADS-I • Comprehend the differential diagnosis of dissociative disorders and chronic trauma-related disorders in DSM-5 and ICD-10 (11), including attention to false-positive diagnoses With an aim of improving our diagnostic and assessment skills for dissociative symptomatology, Dr Boon explains how therapists can recognise the most prevalent symptoms and disorders, apply these learnings in clinical settings and allow for systematic assessment of complex traumatized clients. further details & bookings
Psychodynamic Therapy with Children, Young people and their Parents: Finding meaning not pathology A one-day training workshop with Dr Ruth Schmidt Neven London, 7 October 2016, Friday 10:00am - 4:30pm Designed to be of practical value to psychotherapists, psychologists, child psychiatrists and family mental health practitioners, this workshop by Dr Ruth Schmidt Neven makes a fundamental assumption that all behaviour has meaning and is always a communication. With this as a starting point, the workshop explains why assessment and therapeutic communication with children, parents and young people shouldn’t commence with the uncovering of pathology but rather with a comprehension of behaviour and its meanings. Such an approach requires us, as practitioners to have a firm grasp of the core developmental task at different ages and stages. Through illustrative case vignettes, experiential exercises and examples from her clinical work in UK & Australia, Dr Ruth Schmidt Neven helps both new practitioners and those with many years of experience to: • focus on development and meaning in our therapeutic interactions, enabling us to identify what constitutes the unifying experience for all children and young people, rather than what sets them apart from each other • apply this developmental approach to understanding behavioural problems in childhood and adolescence including Attention Deficit Disorder, depression and conduct disorders By the end of the workshop, participants will: • Gain insight into a psychodynamic approach to child and family development • Have an understanding of the emotional milestones of development and the core developmental task • Understand the impact of separation, loss and trauma on development and the presenting problem • Gain an introduction to assessment, diagnostic and case management skills • Recognise the importance of community connections in therapeutic work with children and young people Overall, the course applies a developmental approach to allow comprehension of behavioural problems in childhood and adolescence; while enabling us to develop sound assessment, diagnostic and case management skills, promote therapeutic dialogue and improve inter-professional communications. further details & bookings
Phase Oriented Therapy for Complex Trauma-related Disorders: an overview A one-day training workshop with Dr Suzette Boon London, 8 October 2016, Saturday 9:30am - 5:00pm All therapeutic approaches for individuals suffering from complex trauma-related disorders need to be aligned with the client’s individual capacity for managing intense affects while recognising the myriad psychic defenses that the client may be deploying to manage traumatic memories and triggers. Over the years, a phase-oriented approach has shown proven efficacy in such situations. While the stages of a phase-oriented approach are easy to list, therapists need an acute understanding of the synchronization of affect with each stage and the relative therapeutic time that each stage requires depending on specific situations. At this illustrative and therapeutically oriented workshop which would be especially relevant for psychotherapists, psychologists, counsellors and psychiatrists, Dr Boon draws on her innovative work on complex trauma and her long-standing clinical experience to help us comprehend: • The three phases of therapy: (1) stabilization and symptom reduction; (2) treatment of traumatic memories, realization of the past (3) integration and rehabilitation • Stabilization techniques for clients with complex dissociative disorders • Working with dissociative parts • Working with angry and sadistic parts, and self-destructive behavior • Dealing with difficulties in the therapeutic relationship in phase I; specifically considering the unique transference and countertransference challenges • The prerequisites for moving from Phase 1 to Phase 2 including the regulation of intense emotions Explaining phase-oriented therapy with a specific focus on Complex Dissociative Disorders, Dr Boon explains how therapists can apply these learnings in clinical settings and allow their clients to move towards an acceptance of themselves and their bodies. The workshop provides an overview of the phase-oriented approach and specifically delves deeper into Phase 1 techniques using video vignettes and demonstrations. further details & bookings
Dynamics and Disorders of Sexual Desire An online webinar with Dr Christopher Clulow 14 October 2016, Friday 6:00pm - 9:00pm, London, UK time What, from a psychoanalytic point of view, constitute the ‘facts of life’? What are the stories our professional mentors tell us about the psychological equivalents of the ‘birds and the bees’? How useful are these stories, and in what ways do they inform our understanding of sexual desire and its vicissitudes? Do they have anything useful to say in helping people with affectively rooted sexual problems or, like the inventions of embarrassed parents, do they deflect our attention away from what we really need to know in relating to the sexual lives of our clients? This online seminar will examine some of the territory defined by these questions, looking at what drives sexual desire and the various ways it finds expression. Drawing on Freudian, object relations and attachment theories it will describe relationship dynamics associated with the inhibition and expression of sexual desire, considering them from a developmental perspective. Through clinical examples, the webinar explores implications for therapeutic practice when applying what we have come to learn about the dynamics and disorders of sexual desire. further details & bookings
The Integration of Traumatic Memories, Personality (Re)integration and Rehabilitation A one day workshop with Dr Onno van der Hart London, 15 October 2016, Saturday 10:00am - 4:00pm In our psychotherapeutic training across modalities, we receive emphasis on the first and fundamental phase of therapy for complex trauma-related disorders, which focusses on stabilisation and symptom reduction. The second phase, treatment of traumatic memories, receives much less attention, while the third one, personality (re)integration and rehabilitation, is usually overlooked. Informed by the theory of structural dissociation of personality, Dr Van der Hart has designed this workshop to be of relevance to psychotherapists, counsellors and psychologists who want to enhance their comprehension of phase-oriented treatment approaches for severe and complex trauma, including complex dissociative disorders. Using theoretical standpoints and practical case vignettes, he helps us understand that a major stumbling block for complex trauma therapy is the existence of various phobias in survivors. He explains the therapeutic interventions that need to follow initial stabilisation, such that our clients can systematically overcome these phobias. Through exposition and therapeutic technique illustrations, the workshop helps us understand how: • traumatized clients react with ‘recommencements’ when confronted with a reactivation of traumatic memories • we can assist our clients in building an integrative capacity and active collaboration between dissociative parts – so they can achieve successful closure of traumatic repetitions • we can comprehend the two levels of interventions: guided synthesis and guided realization • we can maintain focus on severe grief reactions in the later parts of therapy Overall, the workshop illustrates therapeutic techniques through which we can first enable clients in overcoming phobias associated with traumatic memories and then help them foster further integration of personality, including the unification of dissociative parts. further details & bookings
Therapy for Depression: A view from both sides A one day workshop with Professor Linda Gask Dublin, 22 October 2016, Saturday 10:00am - 4:30pm Professor Linda Gask utilizes a pragmatic bio-psychosocial approach in understanding depression and in her psychiatric education underwent training in psychodynamic therapy. Uniquely, she had the opportunity to be the ‘client’ when she sought therapy for depression & anxiety herself – an experience that she has written about in her new book: ‘The Other Side of Silence- A psychiatrists’ memoir of depression.’ Bringing a deep understanding of both therapist and client experiences to the table, Dr Gask helps us in this workshop to focus our attention on how a client experiences the therapeutic process; highlighting what we can learn when a therapist becomes a ‘client’. Aimed at building a deeper comprehension of the multiple facets of depression, the workshop explores: The range of different subjective experiences that the term ‘depression’ embodies Different models for understanding depression and how it is treated- including managing risk Barriers encountered in accessing care and in particular, psychological interventions Experiencing psychological therapy for depression- including insights from a therapist who has experienced different types of therapy during her own life The importance of active ‘engagement’ in developing the therapeutic alliance and the key skills required Issues arising when working with mental health professionals presenting with emotional distress The workshop will aim to examine and challenge assumptions about how and why people seek help, and what their expectations are of therapy. further details & bookings
Transference and Counter-Transference: from pitfalls to efficacy in therapy A one day seminar with Jan McGregor Hepburn London, 28 October 2016, Friday 10:00am - 4:00pm As therapists, we understand that the redirection of our client’s emotions towards us can be manifest in a myriad of ways including rage, mistrust, parentification, overt dependence and attraction. We recognise that such transference lends malleability to our therapeutic relationship and its misinterpretation can impede therapeutic progress. However, when skilfully guided, the same dynamics of transference and countertransference can allow us valuable insights as therapists and enable us to deliver extremely effective therapeutic interventions. At this practical and therapeutically oriented seminar, which would be particularly relevant for psychotherapists, clinical & educational psychologists, counsellors and psychiatrists, Jan McGregor Hepburn draws on her longstanding experience in social work management and Psychoanalytic Psychotherapy to clearly illustrate both theoretical underpinnings of transference and countertransference and their practical linkages to clinical work. She explains how we can miss certain interpretations which might lead to poor clinical outcomes and utilises case vignettes to illustrate how the dynamics of transference / countertransference can be creative tools in the therapist’s hands. further details & bookings
Time-limited Psychodynamic Psychotherapy with Adolescents and Young Adults (TAPP) A 2-day training workshop at London with Professor Stephen Briggs London, 28 and 29 October 2016, Friday and Saturday 9:30am - 5:00pm on both days In this practical and in-depth two-day course, that would be of value to psychotherapists, psychologists, health care professionals and CBT practitioners, Professor Stephen Briggs explains the time-limited approach of TAPP (Time-limited Adolescents and Young Adults Psychodynamic Psychotherapy) – a distinctive, brief (20 sessions), manualised, dynamic therapy model developed at Tavistock Clinic’s Adolescent Department. The model has been specifically developed for working therapeutically with young people across the child / adult divide (14 – 25 years). TAPP innovatively combines a psychodynamic approach with a psycho-social focus on the experiences of transitions in contemporary social contexts. It incorporates a problem solving approach through active client participation in contracting and reviewing. TAPP has the capacity to meet the needs of young people experiencing a wide range of difficulties during the adolescent and early adult years. Experience shows that the model is particularly relevant for young people who have: a) Complex presentations of mental health diagnoses with psychosocial vulnerabilities b) Difficulties in relationships (including e.g. (self) destructive relationships and self-harm/suicidality) c) Anxieties and difficulties around separation d) Depression e) A need for second treatments f) An external time-limit g) Post-traumatic presentations h) To face transitions from children’s to adult services i) Are in complex situations, where longer term treatment plans are not clear Drawing on his work at Tavistock Clinic and using a psychodynamic framework, Professor Briggs elucidates the therapeutic implications for practitioners working with young people; explaining in detail how we can recover a young person’s capacity to meet developmental challenges. The two day course uses theoretical discussions and case vignettes to explain the value and challenges of a time-limited approach. further details & bookings

Jung Today: Clinical and Cultural Perspectives


a carefully created day designed to appeal to those who are curious about Jungian psychology, as well as to those familiar with it


Christopher Hauke, Andrew Samuels, Joy Schaverien

London, 12 November 2016, Saturday

9:45am - 5:00pm


Interest in Jungian and post-Jungian approaches to psychotherapy, counselling and analysis continues to grow. Jung is understood by many to have been a pioneering figure whose work anticipated many of today’s most exciting trends in psychotherapy and counselling. These may be in humanistic and integrative psychotherapy, and also in several schools of psychodynamic psychotherapy and psychoanalysis.


Jung’s work and that of those who took up Jung’s original ideas – the post-Jungians – are also taught to a varying extent on courses in psychotherapy, counselling, psychoanalysis and the expressive arts therapies - as well as in departments of counselling and clinical psychology. Often, this leaves students and trainees hungry for more.


Jungian approaches to the therapy process address down-to earth questions of meaning and purpose, encompassing both personal and also transpersonal and spiritual dimensions of experience. The Jungian style of psychotherapy is relational with a special concern for embodied imagery, whether via dreams or creative expression.


During the morning session, three well-known Jungian analysts will share why they continue to find Jung to be an inspiring and reliable guide to therapy theory and practice. In the afternoon, they will introduce us to the latest contemporary applications of Jungian ideas in clinic and in culture.


Participants are encouraged to bring clinical vignettes and dilemmas.


By the end of the day:


(1) Participants with varying degrees of pre-existing knowledge will have learned about ideas and practices being employed in contemporary Jungian and post-Jungian analysis, psychotherapy and counselling.


(2) Participants will have understood the relationship of the Jungian body of work to other traditions within psychotherapy and counselling, and in connection with a range of contemporary thinkers.


(3) Participants will be able to evaluate the potential value of utilising Jung and post-Jungian ideas and practices in their own clinical work.


(4) Participants will be able to evaluate the potential value of utilising Jungian and post-Jungian ideas in connection with artistic, cultural and political phenomena.




further details & bookings

Advanced Therapeutic Techniques using Attachment Theory A 2-day training workshop with Dr Gwen Adshead London, 18 & 19 November 2016, Friday & Saturday 10:00am - 4:00pm on both days Equipped with a core understanding of Attachment Theory concepts, practitioners can assess a client’s Attachment representations. An effective incorporation of such assessments in our therapeutic approaches however requires a deeper comprehension of the clinical applications of Attachment Theory. At this practical and in-depth two day training course, that would be of value to psychotherapists, psychologists, counsellors, health care professionals and psychiatrists, Dr Gwen Adshead draws on her long-standing psychodynamic and clinical experience to help us comprehend the development of Attachment bonds & Psychopathology (Day 1) and the Applications of Attachment Theory in clinical practice (Day 2). On Day 1 of the course, we review the building process of Attachment patterns, styles and representations; looking at supporting factors, the impact of traumatic events, the relationship with temperament and the rupture and repair of Attachment across the life span. We also look at the development of mentalization as it relates to the underlying Attachment representations and specifically consider parental mentalization; and the relevance of childhood attachment for adult attachments; especially in terms of care giving and care eliciting behavioural systems. We also start looking at connections with psychopathological manifestations as preparation for Day 2 of the course. Day 2 of the training course focusses on the applications of Day 1’s concepts for therapeutic processes. We compare and contrast the literature on mentalization led therapies and other therapeutic schools, while looking at the relevance of Attachment Classifications for therapeutic interactions, therapy as a ‘Strange Situation’, Attachment and Transference and the implications of ruptures in therapeutic attachments. The two day course uses theoretical discussions and case vignettes to explain the value and challenges of an Attachment led therapeutic approach and equips delegates with a deeper understanding of practical therapeutic applications. further details & bookings

Working with Multilingual Clients:

with and without an interpreter


A one-day workshop with Beverley Costa

London, 23 February 2017, Thursday

6:00pm - 9:00pm


At this practical workshop that would be especially useful for psychotherapists, psychologists and counsellors across modalities, Beverley draws on her extensive experience to elucidate how we can work most effectively with multilingual clients – with or without the benefit of an interpreter. Through case studies and practical examples, she acknowledges that while multilingual work can be demanding; the language gap can, in fact, sometimes be a source of creativity and therapeutic potential.


For example, the workshop will refer to research which demonstrates that people are able to access emotions in a second language that have been repressed in the client’s native culture and language and that traumatic scenes experienced in one’s native language may be explored more readily by switching to a second language in order to gain sufficient emotional distance.


The workshop also explores the challenges involved in working with interpreters. Traditionally, clinical work and psychotherapy is conducted between two people and the idea of incorporating a third person into the therapeutic relationship can be unsettling. The workshop will provide ideas and a reflective space to think about the best way in which a collaborative relationship can be formed between the Interpreter and the Practitioner for the best possible outcome for clients. Specifically, the workshop explores the following topics:


• The relationship between the practitioner and interpreter and the implications this has for the therapeutic alliance

• The ways of working therapeutically as a triad rather than as a dyad

• The extent, limitations and professional boundaries of roles in such a triad

• Communicating effectively with interpreters about the nature of therapeutic change


Using case examples that highlight the topics above and drawing from contemporary research, Beverley also presents a series of guidelines and suggested code of practice for working in multilingual settings.



further details & bookings

nscience UK is an independent organisation that seeks to explore the interdisciplinary richness of mental health disciplines. Through a series of seminars, workshops and conferences that are conducted throughout the year, we aim to present the latest advances in theory and research to practitioners; with a view to furthering their continuing professional development.

Disclaimer: Individuals pictured are either conference speakers or models. All images are used for illustrative purposes only.


Continuing professional development through seminars, workshops and conferences for psychotherapists, counsellors and psychologists.