Therapy Services for Personal Injury Clients

 Dr Thorley has considerable experience in the treatment of clients who have suffered psychological injuries as the result of accidents and trauma utilising a number of treatment approaches including Cognitive Behavioural Therapy (CBT), Eye Movement Desensitisation and Reprocessing (EMDR), and Rational Emotive Behaviour Therapy (REBT), Hypnosis and Guided Imagery.

Dr Thorley uses a number of therapies often in combination where appropriate.

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COGNITIVE-BEHAVIOURAL THERAPY (CBT)
CBT is a combination of approaches all of which have a scientific basis and have been developed over many decades and are of proven value as evidenced by well controlled studies. CBT is particularly recommended for a range of mental health problems including anxiety, panic, phobias, obsessive compulsive disorder, post traumatic stress disorder, anorexia, bulimia and depression.

CBT consist of two main strands. The first is helping young people to develop a more adaptive understanding about their problems, symptoms and situations.  This often involves re-evaluating attitudes and beliefs held about situations and other people.  Clients are encouraged to abandon thoughts, attitudes and beliefs which are maladaptive and often make mental health problems worse. Instead, they are encouraged to replace them with more useful constructs which are not only helpful to remediate any current problems, but also a way of preventing new ones developing.  A second, and probably the most important aim, is to examine behaviours and behavioural responses to situations which may serve to make the problems worse or longer lasting and then to make appropriate changes. Clients are then encouraged to make changes in their behaviour in a graduated way so as to minimise any anxiety and promote the development of confidence.

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RATIONAL EMOTIVE BEHAVIOURAL THERAPY (REBT)
This therapy aims to challenge and reshape thoughts feeling, attitudes and behaviours which are maladaptive and/or irrational. It is chiefly a 'talking'   or dialectical therapy with the therapist initially taking the initiative to examine styles of thinking. A second, equally important part is for clients to carry out practical, confidence building assignments to consolidate any change in thinking that has occurred. This therapy is not particularly suitable for children and works best with older adolescents.

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EYE MOVEMENT DESENSITISING AND REPROCESSING THERAPY (EMDR)
EMDR is a relatively new therapy but one supported by an increasing research base. It has been recently recommended by the UK National Institute for Health and Clinical Excellence as an effective treatment for Post Traumatic Stress Disorder. It is not only effective but quite rapid and requires fewer treatment sessions compared with other therapies. The therapy can be effectively used with the whole age range including infants.

The therapy seeks to convert traumatic memories which tend to be rigid, unchanging, intrusive and uncontrollable into a form which is more adaptable and less distressing. The original traumatic memory is re-visited in a safe way and the client is enabled to make appropriate changes at an acceptable pace. Eventually, the traumatic memory is converted and 'tamed' but in a way that is determined by the client and not the therapist. A further part if the therapy involves the 'installation' of the re-formed memory and this often involves practical assignments and other confidence building techniques.

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GUIDED IMAGERY (SELF-HYPNOSIS)
This technique is a useful adjunct to other therapies including CBT. It offers a rapid way of achieving a relaxed state which in turn assists the effectiveness of other therapies. It can be taught very quickly and clients can use it at home to control stress, reduce anxiety and cope with symptoms of post traumatic stress amongst other things. It is suitable for the whole age range and can be individually tailored to meet the needs of clients.

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Referral Information

Clinics are held at the Spire Hospital Leicester, The Holmfield Consulting Rooms Leicester and the Fitzwilliam Hospital Peterborough. Referrals may be made by solicitors, general practitioners or  by clients.

If a medico-legal report has been obtained, a short assessment session is usually required before a therapy plan is agreed. The frequency of treatment sessions is variable depending on severity and complexity of the mental health problems and disorders but typically the effects of trauma can be substantially resolved in between 5 and 12 sessions of therapy each lasting 45 minutes on average. Further details can be obtained from Dr Thorley's secretary at the Spire Hospital Leicester (see Contact Information)



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