Psychologist Services

At the Crescent Practice, our Clinical Psychologist Dr Claire Hepworth offers the following Psychological Services:

  • Psychological Assessment
  • Short and long term individual therapy for children, adolescents and adults
  • Carer support/family sessions
  • Supervision, Consultation and Training to Professionals
  • Neuropsychological Assessment

Our Clinical Psychologist is Chartered with the British Psychological Society and registered with the Health and Care Professions Council (HCPC) and provides evidence based therapies as recommended by the National Institute for Clinical Excellence (NICE) guidelines; including Cognitive Behaviour Therapy and Third Wave CBT approaches including Mindfulness and Acceptance and Commitment Therapy (ACT). Our Psychologist is also trained and experienced Dialectical Behaviour Therapist (DBT). This is a specialist therapy designed to support those who struggle with managing their emotions and their relationships and may use harmful or impulsive means to do so. We do not offer the full DBT programme privately, as this is a team based approach, however, many of the DBT techniques can be incorporated into therapy where appropriate. Please see resources information below.

You might wish you consider an assessment for Psychological therapy if you or your child is experiencing (amongst other needs):

  • Social anxiety
  • Panic attacks
  • Worry
  • Obsessive Compulsive Disorder
  • Body Dysmorphic Disorder
  • Post Traumatic Stress Disorder
  • Perfectionism
  • Low self esteem
  • Depression
  • Stress
  • Difficulties in managing emotions
  • Difficulties in managing relationships
  • Behavioural difficulties
  • Anger

The approach offered is driven by the development of an individual formulation of your needs. Together we will explore your needs and develop a sense of how they have emerged and what is maintaining any difficulties, and use this to direct the therapeutic approach.

Work with carers

Our psychologist can offer carer sessions to support the work with your young person. This may include adjacent skills sessions on supporting your child with anxiety or low mood, or behaviour management. Claire can also offer sessions to carers focused on stress and burnout. For adult clients who consent I can offer carer support to partners and family members.

Specialist assessments and reports

Claire can offer specialist psychological assessments and prepare reports with clinical recommendations for GP’s, Psychiatrists, education providers. Our psychologist can offer a specific assessments to you or your child and write a comprehensive report to support access to further therapy, make recommendations to education providers, or consider the impact of your needs for employers for example.

Accessibility

Individual sessions and consultation/supervision can be held in person in our clinic and supplemented by Skype or telephone sessions where appropriate. For example, should you wish to have booster sessions, or supplementary sessions following a course of therapy, or if your child attends a boarding school or university and wishes to change arrangements during term time, Skype sessions can be offered. Following an assessment in person, sessions may be provided where travel to the clinic may be more difficult. If you struggle to leave your home or to travel through anxiety, sessions may be offered by Skype or telephone initially to work towards attending the clinic in person.

Self-referrals and referrals from healthcare professionals are accepted. Please contact us for further information regarding referrals and fees.

Information for clients

What is a Clinical Psychologist?
Clinical Psychologists have completed Doctoral level qualifications that include specific training in assessment, formulation and delivery of therapy and supervised clinical placements within the National Health Service. Practitioner Psychologist (Clinical) is a protected title and all Clinical Psychologists must be registered with the Health and Care Professions Council (HCPC) as a licence to practice. The British Psychological Society sets out clinical and ethical guidelines for practice.

What types of therapy are available?
I use individualised, person focused formulations of clients needs and offer only evidence based treatments (that is treatments that are recommended by the National Institute for Clinical Evidence (NICE guidelines), including Cognitive Behaviour therapy, Acceptance and Commitment Therapy, Dialectical Behaviour Therapy.

Please see the excellent leaflets by the Royal College of Psychiatry and Mind (links in Resources below).

How do I know that the information that I share will be confidential?
All the information that you share will remain confidential under the ethical and clinical codes of practice outlined by the British Psychological Society. The limits to confidentiality are if you share information that suggests that you or someone else are at risk. In these circumstances we would discuss with you the information sharing that was required to support you to access help appropriately. You may wish to share information with your GP or another Health Professional or Education provider and this can be discussed. Specialist reports can be provided on request.

Referrals
Self-Referrals and referrals from health professionals are accepted. Where appropriate, co-working for example with a GP or Psychiatrist can be arranged.

Following an initial telephone conversation to discuss your requirements, you will be invited to attend an initial assessment that takes place over 1-2 sessions, depending on your requirements. Following this a specific number of sessions will be contracted with regular reviews.

Referrals can be privately funded or funded through Healthcare Insurance where available. I am a registered Healthcare provider with AXA PPP, Aviva, and Simply Health. Please contact your provider to enquire whether psychological services are covered by your policy and please provide your policy number. If you have health insurance with an alternative company do please contact to discuss.

Payment will be taken at the start of each session, or a block payment can be made in advance, please discuss at initial consultation.

Sessions can be offered in person at the Crescent Practice or by Skype as appropriate following initial assessment in person.

Links and Resources

Health and Care Professions Council
http://www.hpc-uk.org/

British Psychological Society
http://www.bps.org.uk/

NICE guidelines
http://www.nice.org.uk/guidance/published?type=guidelines

Royal College of Psychiatry
http://www.rcpsych.ac.uk/mentalhealthinformation.aspx

What is CBT?
http://www.mind.org.uk/information-support/drugs-and-treatments/cognitive-behavioural-therapy-cbt/

What is DBT?
http://www.mind.org.uk/information-support/drugs-and-treatments/dialectical-behaviour-therapy-dbt/

What is Mindfulness?
http://www.mind.org.uk/information-support/tips-for-everyday-living/mindfulness/

http://www.mentalhealth.org.uk/help-information/mental-health-a-z/M/mindfulness/

What is Acceptance and Commitment Therapy?
https://contextualscience.org/act_for_the_public

Publications by Claire Hepworth

Maguire, N., Hughes, V.C., Bell, L., and Bogosian, A., and Hepworth, C., (2013). An evaluation of the choices for well-being project. Psychology, Health and Medicine, 1-13.

Hepworth, C., Ashcroft, K., and Kingdon, D. (2011). Auditory hallucinations: a comparison of beliefs about voices in individuals with Schizophrenia and Borderline Personality Disorder, Clinical Psychology and Psychotherapy, 196, 6, 399-403.

Hepworth, C., Startup, H., and Freeman, D. (2011). Developing Treatments for persistent persecutory delusions: the impact of an emotional processing and metacognitive awareness (EPMA) intervention. Journal of Nervous and Mental Disease, 199, 9, 653-658.

Gratz, K.L., Hepworth, C., Tull, M.T., Paulson, A., Clarke, S., Remington, B. and Lejuez, C.W. (2011) An Experimental Investigation of Emotional Willingness and Physical Pain Tolerance in Deliberate Self-Harm: The Moderating Role of Interpersonal Distress. Comprehensive Psychiatry, 52, 1, 63-74.

Kingdon, D. G., Ashcroft, K., Bhandari, B., Gleeson, S., Warikoo, N., Symons, M., Taylor, L., Lucas, E., Mahendra, R., Ghosh, S., Mason, A., Badrakalimuthu, R., Hepworth, C., Read, J. & Mehta, R. (2010). Schizophrenia and borderline personality disorder: similarities and differences in the experience of auditory hallucinations, paranoia, and childhood trauma. Journal of Nervous and Mental Disease, 198, 399-403.

Davies, J., and Hepworth, C. (2009). Evaluating strategies for detecting test faking. British Journal of Forensic Practice, 11, 1, 25-29.

Book Chapters
Hepworth, C., Startup, H., and Freeman, D. (2013). Emotional processing and metacognitive awareness (EPMA) for persecutory delusions. In ACT for Psychosis (Ed. Johns, L., Oliver, J., and Morris, M), Wiley, UK.

Book Review
Claire Hepworth (2014). Review of ‘Treating Complex Traumatic Stress Disorders in Children and Adolescents: scientific foundations and therapeutic models’ Behavioural and Cognitive Psychotherapy, 42, pp 380-381. doi:10.1017/S1352465814000095.

Selected Conference Presentations
Hepworth, C. (2013). DBT with young people: Experiences at the Maudsley. Presentation at the International Society of Personality Disorders Conference, Copenhagen.

Hepworth, C. (2006). Cue reactivity to self-harm cues: understanding triggers for deliberate self-harm. Presentation delivered at the American Association for Behavioural and Cognitive Therapy, Chicago

Davies, J., and Hepworth, C. (2009). Evaluating strategies for detecting test faking. British Journal of Forensic Practice, 11, 1, 25-29. Preliminary data presented at the Division of Forensic Psychology Conference (2001).

Hunt, K., Hepworth, C., and Morris, A. (2014). DBT for adolescents at the Maudsley: Adaptations, reflections and engaging young people in shaping their service. Britsih Society of Counselling Psychology Conference, London.

Parker, S., Hunt, K., Stewart, C., and Hepworth, C. (2014). Tailoring treatment of borderline personality disorder in adolescence: Parent’s views on a DBT Skills group. Poster presentation at the ESSPD Conference, Rome.