Clare Spence

Cognitive Behavioural Psychotherapist

What to expect


The first session focuses upon the assessment of your current difficulties and the effect it is having on your daily life. We identify what it is you would like to achieve from attending therapy in relation to short and long term goals. Although CBT focuses on what it is that maintains difficulties in the present, I may ask you about your background to establish a full understanding of what might have contributed to your current problems.

As previously acknowledged, CBT aims to provide people with lifelong skills to overcome difficulties. Homework or in between session tasks are a major part of CBT. Research supports the fact that by completing homework tasks, recovery is reached more effectively.

The number of sessions required can vary depending upon the nature of the difficulties and the amount of effort that is put in between sessions. On average the number of sessions required is between 8 and 12, although more complex difficulties may require more. Sessions last 50 minutes.


The initial stage will be to complete an assessment of your difficulties and how it is effecting your life. We will then spend time developing coping strategies and resources to handle distressing thoughts, feelings or body sensations.

The forms of bilateral stimulation will be introduced so that you can decide which method you would prefer to use. During the processing sessions, sets of bilateral stimulation will be repeated and you will be asked to report back any experiences you had during each set. This process is repeated until the level of distress is neutralized and we then move on to “install” the agreed positive belief.