Photo of undefined - Causeway Therapy, PhD, HCPC - Clin. Psych., Psychologist
Causeway Therapy
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Welcome to Causeway Therapy. I am Dr Lisa Gaiotto, Clinical Psychologist. I established Causeway Therapy a few years ago, after working in the public and private sectors. I know that life can throw you odd balls, and take you off course. Difficulties such as anxiety, excessive worrying, mood swings, depression, relationship problems, and trauma symptoms can emerge. I can support you to become unstuck from negative thinking, to notice unhelpful behaviours, and to find ways to do things differently.
Welcome to Causeway Therapy. I am Dr Lisa Gaiotto, Clinical Psychologist. I established Causeway Therapy a few years ago, after working in the public and private sectors. I know that life can throw you odd balls, and take you off course. Difficulties such as anxiety, excessive worrying, mood swings, depression, relationship problems, and trauma symptoms can emerge. I can support you to become unstuck from negative thinking, to notice unhelpful behaviours, and to find ways to do things differently.
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Photo of Esther Obiri-Darko, MA, BPC, Psychotherapist
Esther Obiri-Darko
Psychotherapist, MA, BPC
Verified Verified
My role is to enable children, young people and parents to thrive. To help them to make sense of their difficult feelings and understand themselves and others better, so they can enjoy their lives more fully. By collaborating with clients, my aim is to support clients to find within themselves a space of loving kindness and greater acceptance. I use psychoanalytical and systemic thinking in my work as well as arts and play to help clients tell their stories and explore their worlds.
My role is to enable children, young people and parents to thrive. To help them to make sense of their difficult feelings and understand themselves and others better, so they can enjoy their lives more fully. By collaborating with clients, my aim is to support clients to find within themselves a space of loving kindness and greater acceptance. I use psychoanalytical and systemic thinking in my work as well as arts and play to help clients tell their stories and explore their worlds.
01892 362335 View 01892 362335
Photo of Josephine Shaw, BACP, Psychotherapist
Josephine Shaw
Psychotherapist, BACP
Verified Verified
I work with people who are in some way feeling inner distress. Perhaps they've faced something painful or traumatising in the past and the emotional residue of it remains inside. Perhaps they have experienced loss, or are facing grief - for a loved one, for a time, even for themselves (that feeling of who you really are in your own life). They might be struggling with a situation that feels difficult, even overwhelming, (anything from a relationship or a work problem, to an inner understanding of their own sexual or gender identity). They might wake each day to a feeling of anxiety or dread, drained of energy and facing depression.
I work with people who are in some way feeling inner distress. Perhaps they've faced something painful or traumatising in the past and the emotional residue of it remains inside. Perhaps they have experienced loss, or are facing grief - for a loved one, for a time, even for themselves (that feeling of who you really are in your own life). They might be struggling with a situation that feels difficult, even overwhelming, (anything from a relationship or a work problem, to an inner understanding of their own sexual or gender identity). They might wake each day to a feeling of anxiety or dread, drained of energy and facing depression.
020 4538 9158 View 020 4538 9158
Photo of Jill May, MNCPS Acc., Counsellor
Jill May
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Embarking on a therapeutic journey can be transformative, but it's not easy. I work with adolescents and adults, creating a safe and empathetic space where trust is nurtured. I understand the unique needs of individuals navigating complex emotions, identities, and relationships. I work intuitively and collaboratively with clients to explore their goals for therapy, whether it's navigating the challenges of adolescence, managing major life transitions, grief and loss, domestic abuse, divorce, anxiety or depression.
Embarking on a therapeutic journey can be transformative, but it's not easy. I work with adolescents and adults, creating a safe and empathetic space where trust is nurtured. I understand the unique needs of individuals navigating complex emotions, identities, and relationships. I work intuitively and collaboratively with clients to explore their goals for therapy, whether it's navigating the challenges of adolescence, managing major life transitions, grief and loss, domestic abuse, divorce, anxiety or depression.
01892 352743 View 01892 352743
Photo of Jonathan Smith, DCounsPsych, MBACP, Psychotherapist
Jonathan Smith
Psychotherapist, DCounsPsych, MBACP
Verified Verified
Anxiety or depression can manifest in many different ways: difficulty sleeping, loss of appetite, lack of enjoyment in favoured activities, lessening attention span, loss of or lack of identity, difficulty in clear thought or intrusive thoughts to name just a few. At times it's not always clear why we feel the way we do, perhaps you are feeling overwhelmed or are engaging in patterns of behaviour which are negatively affecting your life. Conversely you may be all too aware of events or relationships which have or are affecting your mental wellbeing and wish to explore these in a supportive and nurturing environment.
Anxiety or depression can manifest in many different ways: difficulty sleeping, loss of appetite, lack of enjoyment in favoured activities, lessening attention span, loss of or lack of identity, difficulty in clear thought or intrusive thoughts to name just a few. At times it's not always clear why we feel the way we do, perhaps you are feeling overwhelmed or are engaging in patterns of behaviour which are negatively affecting your life. Conversely you may be all too aware of events or relationships which have or are affecting your mental wellbeing and wish to explore these in a supportive and nurturing environment.
01622 232950 View 01622 232950

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Online Counsellors

Is online therapy as effective as in-person?

Numerous studies suggest that online therapy can be as effective as in-person therapy. However, further research is needed to determine if online therapy provides the same benefits across all client populations. Individuals with severe mental illnesses, such as schizophrenia or bipolar disorder, or those who may benefit from in-person check-ins, like those with eating disorders, may not experience the same level of benefit from online therapy. Nonetheless, the success of online therapy, much like in-person therapy, often hinges on the quality of the therapeutic relationship between the therapist and the client rather than the specific modality of therapy used.

What are the advantages and disadvantages of therapy conducted online?

One of the main advantages of online therapy is its convenience for both clients and therapists. It also allows clients who require specialised therapy to access a wider range of professionals than they could with only in-person sessions. Additionally, online therapy may be a more affordable option in some cases and often offers the same insurance benefits as in-person therapy. However, online therapy may not be suitable for everyone, especially those who value face-to-face interaction with a therapist. Therapists may find it more challenging to assess clients accurately in an online setting due to reduced nonverbal cues on camera. There is also the increased risk that disruptions caused by external factors, such as technology malfunctions, can hinder the therapy session. For these reasons, many therapists offer a "hybrid" therapeutic approach, alternating between seeing clients in-person and online.

Is online therapy suitable for children and adolescents?

Just like with adults, the accessibility and convenience of online therapy can greatly benefit children and adolescents. In fact, children and adolescents may be more accustomed to navigating online platforms than older adults, making online sessions feel more natural for them. Teens might also be interested in using additional online tools, such as therapist-recommended apps, as an adjunct to online therapy sessions. Apps for developing CBT skills, practicing mindfulness exercises, or tracking thoughts and moods can be helpful for teens receiving therapy. However, it's important to note that not all therapeutic modalities are well-suited to online therapy, especially those used with younger children. For example, play therapy, which helps younger children express their emotions, often requires in-person sessions to be fully effective.

Can I receive prescriptions and medication management with online therapy?

The ability for psychiatrists to prescribe medications through online therapy varies based on the medication and the states where the medical professional and client are located. While many prescribing regulations were relaxed during the COVID-19 pandemic, some states still enforce rules, especially concerning controlled substances, which may mandate an in-person visit before prescribing. Generally, however, medical professionals can prescribe non-controlled substances through online therapy sessions just as they do during in-person sessions.