Nicola de Kock - Clinical Psychologist | Therapy
19153
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The impetus for therapy is as unique and diverse as the individuals who seek it but typically people come to find assistance that they haven’t found in other areas of their lives. When you are feeling troubled, overwhelmed, struggling to make decisions, or perhaps are experiencing difficulties in your relationships with others, therapy can help untangle some of the issues you may be dealing with. I aim to provide a confidential, non-judgemental, collaborative and at times gently challenging therapeutic space where you can openly explore your feelings, thoughts and behaviours. I follow an integrative psychodynamic approach to therapy which aims to increase a client’s self-awareness and understanding of themselves and how their past experiences and relationships influence their present. I am also trained in cognitive-behavioural therapy (including dialectical behaviour therapy) and sometimes draw on this modality in order to meet the needs and resources of each individual client.

Hopefully the information included on my website has helped answer some of the questions you may have had about engaging in therapy, and has maybe given you an understanding of the way that I work. However, should you have any further queries or if you would like to book an appointment please give me a call.

Individual Therapy for Adolescents and Adults

Couples Therapy

Family Therapy

FREQUENTLY ASKED QUESTIONS

When should I start therapy?

It is a good idea to begin therapy when you find that self-help and assistance from family and friends isn’t helping. It’s important to give therapy (and yourself) the time it deserves. You will need to make time for weekly sessions and may also need to spend some time between sessions reflecting on what’s been discussed or trying out new techniques.

How long will therapy take?

The first two to three sessions are an ‘assessment’ for therapy. In these sessions we will clarify your needs and identify the difficulties you are facing in order to determine if therapy would be helpful for you. Some clients find that the assessment process can be enough to meet their needs. Should you decide that therapy would be beneficial for you, we will then collaboratively determine the length, type and focus of the therapy based on your needs, objectives and resources.

Short-term therapy is useful to address a specific problem you are grappling with. It can also be used to help in developing coping skills to enhance your day to day functioning. Longer-term therapy is generally more appropriate if you are wanting to develop a deeper understanding of  yourself and greater insight into your difficulties.

 

Are my sessions confidential?

For therapy to be effective, it is essential that you, as the client, feel able to trust the psychologist. You needs to feel safe in sharing your thoughts and feelings, knowing that whatever you say will remain confidential. For this reason, strict confidentiality is observed and is fundamental to the requirements of all professional counselling. Psychologists are legally bound to make exceptions to confidentiality in the following circumstances:

– Where strong evidence exists that a client may harm themselves or another person.

– Where the psychologist is legally required, by the court, to provide information pertaining to the client that may be relevant in court proceedings.

– Where the psychologist is given consent, by the client, to share such information.

 

How should I choose a therapist?

There are many types of therapies and therapists. While it is true that certain techniques are sometimes more useful in dealing with certain types of problems (e.g. emotional dysregulation, panic attacks) there is no one type of therapy that is best. It all depends on your individual needs and preferences.

It is generally understood that the type of therapy is much less important than the quality of the relationship between yourself and the therapist. More so than the model of therapy it is the degree of comfort and trust you experience in the therapeutic relationship that will determine how beneficial the process is to you. This doesn’t mean that you always have to like your therapist, but you should feel able to tell them what you think and how you feel.

You should be able to get a sense of whether you will be able to work well with a therapist after the first 2-3 sessions. Before booking a session you may want to call and get some answers to any questions you may have.

How will I know if therapy is working?

After the assessment sessions you and your therapist should collaboratively determine the objectives of the therapy. It will be beneficial to evaluate your progress with your therapist at points in the therapy to make sure you’re getting what you need from the process. It is important to remember that the road to personal growth and development is not necessarily a smooth nor swift one. While you may experience a sense of relief and hope after the initial sessions, things may feel hard at times as you begin to delve deeper into your difficulties and try to change old entrenched patterns of thinking and behaving. Sometimes, what originally seemed like a straightforward problem turns into a more complicated issue. Having said that, therapy should bring about positive, noticeable changes in your life. Your overall mood might start to improve, you may experience a deeper connection with friends and family, or you may find yourself feeling less overwhelmed when things go wrong.

Fees?

The rates for 2019 are R 800 per 50 minute individual session and R 920 per 60 minute couple / family session.

My practice is registered with the Board of Healthcare Funders and so my fees can be claimed back from medical aid depending on the clients medical aid benefits. My fee’s are in line with medical aid rates. Clients should determine their medical aid cover for mental health services prior to beginning therapy. My practice does not claim fees directly from medical aid on behalf of clients. Accounts can be settled with me via EFT or in cash. Credit card facilities are not available.