Ester de Beer

Integrative therapy combines ideas and methods from different therapeutic approaches, chosen to suit you and what you bring. Rather than following one model, the therapist adapts the work as it goes along. This flexibility can help when needs change over time.

Cognitive behavioural therapy looks at how thoughts, feelings and actions keep each other going. Together you notice the patterns that hold a problem in place and try out new ways of thinking and acting, often with small practical tasks between sessions. It is widely used for anxiety, low mood, stress and sleep problems.

Psychodynamic therapy explores how earlier experiences, and feelings you may not be fully aware of, shape your life today. Patterns that show up in your relationships, and sometimes in the relationship with the therapist, become something to understand together. It is often used for recurring difficulties with mood, relationships and self-esteem.

Acceptance and commitment therapy helps you make room for difficult thoughts and feelings instead of fighting them. The focus is on what matters to you, and on taking steps in that direction even when things feel hard. It is used for stress, anxiety, low mood and long-term pain, among other things.

Mindfulness-based therapy uses practices that train attention on the present moment, with openness rather than judgement. Noticing thoughts and feelings without being carried away by them can reduce stress and help break cycles of worry or low mood. Programmes such as MBSR and MBCT are well-known examples.