Depression Counselling – 01227 290 098

depression counselling
Help with depression

Depression can be devastating. There is a way out and we can help. Call now on 01227 290 098

Depression can cause you to lose interest in activities that once were pleasurable. You can experience a loss of appetite or it can cause you to over eat, it can bring problems with concentrating or cause a ‘racing head’ that wont ‘switch off’, remembering details or making decisions become almost impossible, you often doubt your short term memory to help you perform what were once the simplest of tasks.

Depression can bring insomnia, excessive sleeping, fatigue, loss of energy, lack of interest in sex, it can bring aches and pains or digestive problems, all to a such a degree they become the norm. You can often feel it will never change. You often just want to sleep.

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If you want to change how you feel we can help you explore the problem, agree a solution, make a plan look at it and see it through.


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The CBT model

Below is a brief explanation of Cognitive Behavioural Therapy. The following is a basic interpretation of how a CBT therapist begins to understand a clients thinking process in order to help to change it from unhelpful to helpful thinking.



Negative Automatic Thoughts (NAT)

First we shall look at  ‘Negative Automatic Thoughts’ (NAT’s). NAT’s are thoughts at the automatic level and intrude into a clients conscious mind often involuntarily and negatively distort their perceptions and memories, leading to emotional and behavioural disturbances. It might manifest as an image. A NAT might, for example, be a negative prediction that I will fail the test’.



Dysfunctional Assumption (Inference or Evaluation)

Dysfunctional Assumptions are at the second or intermediate conscious level, which are conditional propositions, for example ‘If I fail at something, then I am a failure’.



Negative Core Belief

At the third or deepest and less consciously accessible level are negative ‘core beliefs’ which are unconditional and accepted as truths about the self, the world and the future, such as ‘I am a failure’.


Cognitive Schemas

These dysfunctional assumptions and core beliefs are components of cognitive schemas often established early in life which are activated by certain internal or external triggers, like a ‘key in a lock’. Once activated the schemas can lead to the cognitive distortions, and self-maintaining vicious cycles can then ensue. So in the above example the exam will trigger a schema that contains the core belief I am a failure’ with the dysfunctional assumption ‘If I fail I will be a failure’ giving rise to NAT’s such as ‘I will fail the test’.


Second Model

Another model proposes that emotional disturbances are the Consequence (C) of Beliefs (B) about the Adverse Events (A).



A = Something Happens


B = My belief about what has just happened (though Inference or Propositions)


C = How I feel and behave as a result of my belief about what has just happened


In this second model there are two types of Belief; Inferences which are ‘if’, then propositions which could be ‘true’ or ‘false’, and Evaluations, which are good-bad judgements. Ellis asserts that it is only certain specific rigid and extreme evaluations that can generate emotional disturbances.



Integrating the two models

In brief, NAT’s can be thoughts or images, they can be Dysfunctional Assumptions or Core Beliefs in the first model, or can be Inferences or Evaluations in the second model. Dysfunctional Assumptions can be Inferences or Evaluations.


These Dysfunctional Assumptions and Core Beliefs are components of Cognitive Schemas often established early in life which are activated by certain internal or external triggers.


At all times it is important to be clear whether the NAT or dysfunctional assumption is an inference or an evaluation.



For a private consultation with a fully qualified therapist call 01227 290 098


Anger Management – Couples Counselling – Relationships -Depression – Bereavement – Anxiety Addictions – Postnatal Depression – Pre Birth Concerns – Alcohol Counselling – Co-Dependency Counselling

Available now are Psychiatric Assessments in Harley Street London please contact me for more information.

David is able to see clients strictly by appointment only and his practice adhears to the BACP and FDAP code of ethics for practice.

A professional Psycholgical counselling service from a fully qualified Psychological depression counsellor within easy reach of Canterbury, Herne Bay, Dover, Folkestone, Deal, Whitstable, Minster, Sittingbourne, Ashford, Faversham, Whitfield, Sandwich. One minute from Canterbury East Station.

To arrange an appointment call 01227 290 098  email