Dr Mawbey is a Consultant Clinical Psychologist with gold-standard doctoral training in the assessment, understanding and treatment of emotional and mental health difficulties. Whether your difficulties are related to health, daily stresses, relationship difficulties or a sense of feeling low, anxious or indeed, whether you have difficulties with self-esteem, body image, panic, trauma and so on, it is important that you access a therapist and a therapy style that is the right fit for you.
The National Institute for Clinical Excellence (NICE) make recommendations based on clinical research evidence about the best approaches to treat a range of mental health difficulties. The primary therapeutic approach recommended in the treatment of mental health difficulties is Cognitive Behaviour Therapy (CBT), and as such this is the key approach practised by Dr Mawbey to successfully target a range of difficulties.
Dr Mawbey works with clients with a range of mental health and emotional difficulties, including depression, low self-esteem, phobias, generalised anxiety disorder (GAD), panic disorder, obsessive compulsive disorder (OCD), trauma/PTSD, social anxiety or social phobia, body dysmorphic disorder, selective eating disorder and health anxiety.
Dr Mawbey sees clients in the general population with these difficulties and additionally has expert training in the treatment of these presenting problems, as well as adjustment difficulties, in clients with health and neurological conditions.
Assessment and Formulation
Dr Mawbey provides comprehensive assessments of a range of emotional and mental health difficulties. Assessment is a crucial aspect of gathering relevant information and a full background history of not only a difficulty and how it has evolved and impacted a person, but also of the person themselves. Building an understanding of a client and their goals and allowing the client to see how a therapist works is key in building a trusting therapeutic relationship.
A crucial aspect of the assessment process is bringing information together to develop a "formulation", that is, a shared understanding of the problem. This allows for agreement about how this will be approached in therapy so that this fits with expectations of the client and therapist and most importantly, so that clear, concrete and attainable goals can be developed together to ensure that a client is striving toward change that is meaningful to them.
Cognitive Behavioural Therapy (CBT)
In brief, CBT is the nationally recommended intervention for the treatment of a broad range of emotional difficulties. National and international treatment trials have shown CBT to be the most effective evidence-based treatment. CBT focused on providing semi-structured sessions that focus on how thoughts, feelings, behaviour and physical symptoms all interact to maintain a difficulty, in the context of a person's experiences, long-held beliefs and values.
An example of a CBT approach: If a person is struggling with black and white thinking, always believing the negative about themselves, they may benefit from a mixture of discussing examples and the impact on everyday life and working through strategies to challenge these thoughts, such as weighing up evidence for and against them and by testing out whether the thoughts are true or not through behavioural experiments.
Compassion Focused Therapy (CFT)
Sometimes, we work on the thoughts and the behaviours and the feelings, for example of anxiety or depression, do not completely shift. Compassion focused therapy can be helpful in working more on the emotions and learning to be kinder to ourselves. Dr Mawbey incorporates compassion focused approaches into therapeutic sessions, but also deliver this as an exclusive approach.
Acceptance and Commitment Therapy (ACT)
Sometimes we cannot avoid something that is making us feel a certain way, whether it's a health problem that isn't going away or family relationships or experiences that are always going to be there. This approach focuses on learning to accept circumstances as they are and reach our full potential.
This approach focuses on telling our stories and thinking about our difficulties as external to us, we frame the difficulty in terms of our life and the story of our life and the role that the difficulty has played coming in to our life, in order to process it and think about a new story in which the difficulty doesn't play the same important negative role.
In reality, therapy looks like a combination of different approaches, drawing on techniques from each depending on what evolves in sessions and what a client is comfortable with. Other clients prefer a more general, open, counselling approach and space to talk without a structured therapy and this is also a service offered.