Following an assessment to gather information about the presenting problem as well as taking any relevant history, we will talk about goals and expectations for working together. Depending on this assessment it will inform the initial approach we take. Working together with the individual we will develop an initial understanding of their main difficulties as well as how these are being maintained. We may start with one approach but as treatment progresses it may be helpful or necessary to incorporate other strategies.
For example, an individual may come to treatment for a specific phobia such as claustrophobia. A CBT approach would work on strategies to overcome this phobia such as graded exposure (gradually facing the fear, spending longer and longer in a situation until anxiety subsides). It may become apparent that the person experienced a particularly distressed or unpleasant event in the past, such as getting trapped in a lift when a child. Using EMDR to process this event can complement treatment.