If you need an opinion about your difficulties and treatment options, a mental health consultation with one of our consultant psychiatrists is a good starting point. The consultant will spend between one and two hours with you to get a sense of who you are, your overall health, and the development of any psychological difficulties. The consultant will help you make sense of your difficulties, provide a diagnostic understanding, review of any treatments you may have had to date, and recommendations on optimal treatment. Treatment may include talking therapies and medication approaches. Where needed, we provide follow-up consultations to monitor treatment and progress. We would usually write a summary of the planned treatment to your GP, with your consent.
Psychotherapy is an introspective type of talking treatment, which is takes into account your strengths and seeks to link your difficulties in the present situation with their origins in childhood. By using the treatment relationship with a therapist to understand and resolve these difficulties, the aim is to move from a somewhat stuck psychological position into a freer one, where you can apply your strengths to developing ways of dealing with problems and relationships that are more suited to the present, rather than repeating past difficulties.
Psychotherapy works through regular sessions, usually at the same time every week, where you work together with your therapist. The first step is to have a consultation with one of our consultants or psychotherapists in order to understand your difficulties and work out whether this type of therapy is best suited to you. Grespi’s psychotherapists are recognised by the main umbrella organisations for psychotherapy in the UK (the BPC, the UKCP and BACP) and are skilled in working in tandem with our psychiatrists.
Cognitive behavioural therapy (CBT)
CBT is a type of talking treatment that helps you identify your typical ways of thinking and behaving, and link this with your feelings and symptoms. By strengthening helpful strategies, while challenging unhelpful ones, you and your CBT therapist can identify goals and work towards them. This may involve setting exercises which you then carry out in a supported way. The first step is to have a consultation with one of our consultants or CBT therapists in order to understand your difficulties and work out whether this type of therapy is best suited to you. Grespi’s CBT therapists are recognised by the BABCP, the main accreditation body for CBT in the UK, and are skilled in working in tandem with our psychiatrists.
Clinical psychologists use a psychological formulation (or way of understanding difficulties) to address symptoms and suffering or promote personal development. The psychologist may use a range of psychotherapeutic techniques and support to help you put yourself on firmer psychological footing and work towards achieving your personal goals. Where there is a specific need, a psychologist may also carry out psychometric testing and write a report. If you need general psychological help, the first step is to have a consultation with one of our psychiatrists, who will work out with you the best way forward and arrange for you to see a psychologist where needed. Grespi psychologists are accredited with the Health and Care Professions Council (HCPC) and are skilled in working in tandem with our psychiatrists.
Occupational therapy for mental health
Occupational therapists (OTs) in mental health work to help you optimise your engagement in meaningful and productive roles. You would be helped to identify your goals, translate these into realistic objectives and to stay on task in working towards these objectives within an agreed timeframe. Such help may be particularly important for you if you need to make a significant recalibration in your life or reintegrate in work following a period of illness. The first step would be to have a consultation with one of our psychiatrists, who would work out with you the best way forward and may arrange for you to see an OT. Grespi OTs are registered with the Health and Care Professions Council (HCPC) and are skilled in working in tandem with our psychiatrists.
Follow-up psychiatric consultations
Where needed, we provide follow-up consultations with our psychiatrists to help settlement into treatment and to monitor progress. This can include medication review as well as consideration of psychotherapeutic treatments. We would usually write a summary of the planned treatment to your GP, with your consent.
Independent medical examination (IME)
Sometimes an individual’s mental health (or mental health difficulties) may be relevant to an insurance claim or legal matter. An initial mental health consultation with one of our consultant psychiatrists can provide clarity on psychological difficulties as related to the claim or situation. The consultant would also review medical records about previous treatments, obtained with your consent. Where a mental health condition is identified, we provide a diagnostic and psychological formulation, prognosis, review of treatments to date, recommendations on optimal treatment, and a clinical opinion on disability-related matters. The clinical opinion, which is independent from the parties involved in the legal or insurance case, is then provided as a formal medico-legal report.
It is usual practice for Grespi to expect a written instruction (usually via email) in which a solicitor or insurer indicates questions and queries which our consultant is expected to address and clarify in the IME report.
If you think you may need a psychiatric opinion for consideration in a legal matter, we recommend that you ask your solicitor to write to us with an instruction.
IME consultations normally last 90 minutes to two hours. After the consultation, we will provide you with the report to review for accuracy so we can correct any factual errors. Once you confirm your consent for the Grespi consultant to do so, we would then provide the report to the solicitor or company that instructed us.
Working in a senior position, you may at times benefit from identifying and tackling weaknesses that could be holding you back at work – be they confidence issues, strained interpersonal relations or management of your time, tasks or emotions.
Alternatively, you may be doing well but could perhaps accelerate your development with the help of a coach.
Grespi’s executive coaches have the depth of psychological insight allied to commercial acumen acquired over many years of coaching training and business experience, to maximise the professional, interpersonal and leadership potential of their clients.